CC BY 4.0 · European Journal of General Dentistry
DOI: 10.1055/s-0044-1781439
Original Article

Average Force Applied for Individual Tooth in All Ceramic Restoration

1   Department of Prosthodontics, AAB College, Pristina, Kosovo
,
2   Department of Maxillofacial Surgery, Dental School, University of Prishtina “Hasan Prishtina”, Pristina, Kosovo
,
3   Department of Periodontology, UBT College, Pristina Kosovo
,
4   Department of Prosthodontics Alma Mater Europaea, Campus College Rezonanca, Pristina, Kosovo
› Author Affiliations
Funding The authors report no involvement in the research by the sponsor that could have the outcome of this work.

Abstract

Objectives Occlusion plays an important role in the retention and stability of dental restorations. Aim of this study was to analyze occlusal loading detected on dental elements in patients with unilateral partial edentulism—class III Kennedy, before and immediately after prosthetic treatment with a zirconia-based bridge in maximal intercuspation position with the help of electronic system T-scan III.

Materials and Methods The research sample consisted of a total of 60 patients who, based on the preset selection criteria, were divided into two groups: control group with 30 (100%) patients with intact dentition (Gr1) and study group with 30 (100%) patients with unilateral partial edentulism—class III Kennedy, analyzed before prosthetic treatment (Gr2) and immediately after prosthetic treatment with a zirconia-based bridge (Gr3).

Results In Gr1, the highest average force applied for individual tooth had the tooth numbers: 17–14.6 ± 9.9%, 26–11.9 ± 6.8%, and 27–11.7 ± 6.8%. The lowest average value was registered for the teeth number 22–1.4 ± 1.3%, 12–1.9 ± 3.8%, and 13–2.9 ± 2.7%. In the group Gr2, the highest average force applied for individual tooth had the tooth numbers: 17–12.9 ± 35.6 and 21–9.6 ± 13.9%, whereas the lowest in teeth 24–2.7 ± 5.2 and 27–3.4 ± 6.8. In Gr3, the highest average force applied for individual tooth had the tooth numbers: 17–11.8 ± 15.4 and 14–9.8 ± 10.9%, whereas the lowest in the tooth 22–2.1 ± 2.6.

Conclusion This study demonstrated that all patients with the loss of teeth showed occlusal discrepancies and functional disharmony. During the delivery of zirconia restorations in the future a careful analysis of occlusal contacts should be performed. T-scan III technology reduces the subjective interpretation of occlusal analysis data allowing records and measures the contacts between the teeth.

Authors' Contributions

All authors contributed correspondingly to this work. R.H. contributed to conception, design, data collection, analysis, interpretation of data, and writing manuscript. S.H., L.A., and A.S.H. contributed to the generating the data, analysis, interpretation of data, and critically revised the manuscript. All authors approved the final version of manuscript.


Ethical Committee

The study was conducted in accordance with the Declaration of Helsinki and approved by the Ethical Committee of Dental Chamber of Kosovo, Pristina, Kosovo (NR-1061/19, 25.02.2021).


Informed Consent Statement

Informed consent was obtained from all subjects involved in the study.


Data Availability Statement

The data that support the findings of this study are available upon request from the corresponding author.




Publication History

Article published online:
29 April 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Tiwari B, Ladha K, Lalit A, Dwarakananda Naik B. Occlusal concepts in full mouth rehabilitation: an overview. J Indian Prosthodont Soc 2014; 14 (04) 344-351
  • 2 Saravi B, Vollmer A, Hartmann M. et al. Clinical performance of CAD/CAM all-ceramic tooth-supported fixed dental prostheses: a systematic review and meta-analysis. Materials (Basel) 2021; 14 (10) 2672
  • 3 Kürklüarpacay D, Bayindir F, Dinçkalyanikoğlu N. Evaluation of premature contacts using the T-Scan III. Open J Stomatol 2019; 9: 136-145
  • 4 Gu DA, Miao LY, Liu C. Application of digital occlusion analysis system in stomatological clinical medicine. Austin J Dent 2022; 9 (01) 1164
  • 5 Liu CW, Chang YM, Shen YF, Hong HH. Using the T-scan III system to analyze occlusal function in mandibular reconstruction patients: a pilot study. Biomed J 2015; 38 (01) 52-57
  • 6 Filtchev AD, Kalachev YS. Phenomenon of domination of the strongest contacts in centric occlusion. Quintessence Int 2008; 39 (03) e99-e106
  • 7 Nawaz MS, Yazdanie N, Hussain FS, Moazzam M, Hassan M. Maximum voluntary bite force generated by individuals with healthy dentition and normal occlusion. J Pak Dent Assoc 2020; 29 (04) 199-204
  • 8 Gözler S. Introductory Chapter: Etiology, diagnostic, and treatment procedure at traumatic cases in dentistry [Internet]. Trauma in Dentistry. IntechOpen; 2019. Accessed January 11, 2022 at: http://dx.doi.org/10.5772/intechopen.86630
  • 9 Vlăduțu DE, Ionescu M, Noveri L. et al Aspects of dental occlusion assessed with the T-Scan system among a group of Romanian dental students in a cross-sectional study. Int J Environ Res Public Health 2023; 20 (06) 4877
  • 10 Bathiya A, Pisulkar SK. Digital occlusal analysis using T scan: its role, mechanism, accuracy and application. Med Sci 2020; 24 (105) 2826-2834
  • 11 Cao R, Xu H, Lin J, Liu W. Evaluation of the accuracy of T-scan system and Cerec Omnicam system used in occlusal contact assessment. Heliyon 2023; 9 (02) e13476
  • 12 Zhao Z, Wang Q, Li J. et al. Construction of a novel digital method for quantitative analysis of occlusal contact and force. BMC Oral Health 2023; 23 (01) 190
  • 13 Mahmoud MH, Sabet N, Abbas N. T-scan III post-orthodontic treatment occlusal analysis in non-extraction cases. Egypt Dent J 2023; 69: 1749-1755
  • 14 Agbaje JO, Casteele EV, Salem AS. et al. Assessment of occlusion with the T-scan system in patients undergoing orthognathic surgery. Sci Rep 2017; 7 (01) 5356
  • 15 Gade JR, Agrawal MJ, Dandekar SG, Soni MN, Jaiswal KV, Ingole A. Digital occlusal analyser T-Scan: a review. J Res Med Dent Sci 2021; 9 (11) 187-193
  • 16 Wu ML, Lai PY, Cheong F. et al. Application in the analysis of the occlusal force of free-end missing tooth implant restoration with T-Scan III. Front Bioeng Biotechnol 2023; 11: 1039518
  • 17 Thayyil L, Jnaneshwar P, Rajaram K, Duraisamy S, Kannan R. Occlusal contact points, areas and bite force distribution in angle's class I, II and III patients using T-Scan. J Clin Diagn Res 2021; 15 (11) ZC37-ZC42
  • 18 Sidana V, Pasricha N, Makkar M, Banwait S. Computerized occlusal analysis. Ind J Dental Sci 2013; 5 (02) 141-145
  • 19 Estelle C, Jean-Philippe R, Anne G, Anne P, Jean-Daniel O. Dental occlusion: proposal for a classification to guide occlusal analysis and optimize research protocols. J Contemp Dent Pract 2021; 22 (07) 840-849
  • 20 Qadeer S, Özcan M, Edelhoff D, Van Pelt H. Accuracy, reliability and clinical implications of static compared to quantifiable occlusal indicators. Eur J Prosthodont Restor Dent 2021; 29 (03) 130-141
  • 21 Velayudhan A, Gurunathan D. Occlusal interferences in FPD insertion among dental undergraduates - a questionnaire study. Int J Dent Oral Sci 2020; 7 (11) 1121-1126