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Neuroplasticity in patients with implant supported full dentures

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF STOMATOLOGY
Issue:
4
DOI:
10.3760/cma.j.issn.1002-0098.2009.04.001
Key Word:
牙种植体;义齿;全口;磁共振成像;大脑皮质;Dental implants;Denture,complete;Magnetic resonance imaging;Cerebral cortex

Abstract: Objective To investigate the potential mechanism of "osseopereepfion" which is the sensory and motor experience associated with dental implants. Methods Twenty patients with implant supported full dentures or traditional full dentures were recruited in this study. Functional MRI (fMRI) scan covering the whole brain was carried out in these patients in clenching. The fMRI data were analyzed with SPM 99 software. Results In implant supported removable denture group, increased blood oxyen level dependent (BOLD) signals during clenching were found in prefrontal cortex, premotor cortex, superior parietal cortex, basal ganglion and thalamus. In implant supported fixed denture group, main activations were found in prefrontal cortex, primary sensory and motor cortex, Broca's area, premotor cortex, superior temporal cortex, insular, basal ganglion, thalamus and hippocampus. In traditional full denture group,significant activations were mainly found in prefrontal cortex, premotor cortex. Their activation maps showed the greatest individually dependent diversity. Conclusions Sensory and motor feedback of central nervous system in patients with implant support fixed dentures is close to that of natural dentition. Mastication with traditional full dentures is more likely a process of task learning, memory and adaptation, which might be a more individually dependent restoration.

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