Treatment of edentulous patients with temporomandibular disorders with implant-supported overdentures.
Treatment of edentulous patients who have temporomandibular disorders is difficult because of the poor stability of their conventional complete dentures. With an implant-supported bar and a clip-to-bar overdenture, mandibular dentures can be stabilized. The results of a prospective clinical study of 10 edentulous patients with temporomandibular disorders and treatment with implant-supported overdentures in mandibles are presented. Before and after 3 years of wearing the implant-supported overdentures, patients were interviewed and a clinical functional analysis was taken. Patients with displacement of the articular disc or bone destruction of the joints had a decrease in pain, an enhanced mobility of the mandible, and a decrease in temporomandibular joint sounds. Patients with pain of muscular genesis as a result of bruxism suffered after 3 years from the same pain and did not show an improvement of muscle or joint sensitivity.
Department of Prosthodontic Dentistry, University of Tübingen, Germany.
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E
Engel
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H
Weber
D000368:Aged; D000818:Animals; D002012:Bruxism / Q000150:complications; D019094:Dental Prosthesis, Implant-Supported; D003826:Denture, Complete, Lower / Q000009:adverse effects; D003828:Denture, Overlay; D005157:Facial Pain / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D007575:Jaw, Edentulous / Q000150:complications* / Q000534:rehabilitation; D008334:Mandible; D008409:Mastication; D011446:Prospective Studies; D016059:Range of Motion, Articular; D013705:Temporomandibular Joint Disorders / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000209:etiology / Q000503:physiopathology / Q000628:therapy