Occlusal Analysis in Natural Dentition: Systematic Review

Abstract

This study aimed to evaluate the effectiveness of conventional occlusal analysis in contrast with digital occlusal analysis in natural dentition. Occlusal analysis allows the identification of normal and abnormal occlusal contact points that alter the craniomandibular cervical system. We searched for articles with keywords [[dental occlusion]], [[natural dentition]], [[occlusal adjustment]], [[Immediate Complete Anterior Guidance Development]] [[mastication]], [[bite force]], [[premature contact]], [[occlusal balance]] [[articulating paper]]], [[spray]], [[Occlusal contacts]], and [[bite strength]]. They were considered observational , odds ratio and case control studies. We found 189 items. After evaluating the abstracts and full texts of the articles, 10 papers met the inclusion criteria. It was found that occlusal analysis allows the identification of the relationship between poor occlusion and the sensitivity of the teeth due to occlusal trauma, which is also related to temporomandibular joint pain in dynamic occlusion. The contacts of greater strength were observed in nonfunctional cusps, 48%, without ruling out the functional cusps, 24%. Despite being the universal method of occlusal control to date, the use of joint paper, remains subjective compared to the digital occlusal control device. Posture is considered directly related to occlusal trauma and temporomandibular disorders; without proper occlusal analysis, a clear diagnosis of the patient's joint condition cannot be obtained. Digital occlusal analysis is more objective than traditional occlusal analysis.

Keywords

dental occlusion - occlusal adjustment - temporomandibular joint - mastication - bite force

Publikationsverlauf

Artikel online veröffentlicht:
17. Oktober 2022

• Reference

• 1 Abarza L, Sandoval P, Flores M. Digital interocclusal registration in oral rehabilitation using the “T-Scan® III System”. A literature review. Rev Clín Periodoncia Implantol Rehabil Oral 2016; 9 (02) 95-101
• 2 Afrashtehfar KI, Qadeer S. Computerized occlusal analysis as an alternative occlusal indicator. Cranio 2016; 34 (01) 52-57
• 3 Andrus R, Qian F, Schneider R, Huber L, Kerstein R. Comparison of results of traditional occlusal adjustment technique with computer-aided occlusal adjustment technique. Advanced Dental Technologies & Techniques 2019; 7 (01) 43-53
• 4 Arslan H, Seckin F, Kurklu D, Karatas E, Yanikoglu N, Capar ID. The effect of various occlusal reduction levels on postoperative pain in teeth with symptomatic apical periodontitis using computerized analysis: a prospective, randomized, double-blind study. Clin Oral Investig 2017; 21 (03) 857-863
• 5 Basson E, Kerstein R, Radke R. Ability to correctly select high force occlusal contacts from articulating paper markings. Advanced Dental Technologies & Techniques 2020; 2 (01) 101-110
• 6 Brizuela-Velasco A, Álvarez-Arenal Á, Ellakuria-Echevarria J, del Río-Highsmith J, Santamaría-Arrieta G, Martín-Blanco N. Influence of articulating paper thickness on occlusal contacts registration: a preliminary report. Int J Prosthodont 2015; 28 (04) 360-362
• 7 Cioffi I, Farella M, Festa P, Martina R, Palla S, Michelotti A. Short-term sensorimotor effects of experimental occlusal interferences on the wake-time masseter muscle activity of females with masticatory muscle pain. J Oral Facial Pain Headache 2015; 29 (04) 331-339
• 8 Ferreira FM, Cézar Simamoto-Júnior P, Soares CJ, Ramos AMAM, Fernandes-Neto AJ. Effect of occlusal splints on the stress distribution on the temporomandibular joint disc. Braz Dent J 2017; 28 (03) 324-329
• 9 Ficnar T, Middelberg C, Rademacher B, Hessling S, Koch R, Figgener L. Evaluation of the effectiveness of a semi-finished occlusal appliance–a randomized, controlled clinical trial. Head Face Med 2013; 9 (01) 5
• 10 Nishimori H, Iida T, Kamiyama H. et al. Effect of sleep restriction on somatosensory sensitivity including occlusal sensation in the orofacial area. J Prosthodont Res 2019; 63 (02) 193-198
• 11 Gupta S, Tarannum F, Gupta N, Upadhayay M, Abdullah A. Effect of head posture on tooth contacts in dentate and complete denture wearers using computerized occlusal analysis. J Indian Prosthodont Soc 2019; 19 (01) 79-82
• 12 Heredia-Rizo AM, Oliva-Pascual-Vaca A, Rodríguez-Blanco C, Piña-Pozo F, Luque-Carrasco A, Herrera-Monge P. Immediate changes in masticatory mechanosensitivity, mouth opening, and head posture after myofascial techniques in pain-free healthy participants: a randomized controlled trial. J Manipulative Physiol Ther 2013; 36 (05) 310-318
• 13 Paesini D, Guarda/Nardini C, Salmaso L, Manfredini D. Denis Alfonso J. Reliability of multiple-degree incisal/occlusal tooth wear assessment on dental casts: findings from a five examiner investigation and related clinical implications. J Oral Rehabil 2017; 31 (03) 242-250
• 14 Kerstein RB, Radke J. Average chewing pattern improvements following disclusion time reduction. Cranio 2017; 35 (03) 135-151
• 15 Kerstein RB, Radke J. Masseter and temporalis excursive hyperactivity decreased by measured anterior guidance development. Cranio 2012; 30 (04) 243-254
• 16 Kerstein RB, Radke J. Clinician accuracy when subjectively interpreting articulating paper markings. Cranio 2014; 32 (01) 13-23
• 17 Kerstein RB. T-scan III applications in mixed arch and complete arch, implant -supported prosthodontics. Dent Implantol Update 2008; 19 (07) 49-53
• 18 Khuder T, Yunus N, Sulaiman E, Ibrahim N, Khalid T, Masood M. Association between occlusal force distribution in implant overdenture prostheses and residual ridge resorption. J Oral Rehabil 2017; 44 (05) 398-404
• 19 Koh H, Robinson PG. Occlusal adjustment for treating and preventing temporomandibular joint disorders. Cochrane Database Syst Rev 2003; 1 (01) CD003812
• 20 Koos B, Godt A, Schille C, Göz G. Precision of an instrumentation-based method of analyzing occlusion and its resulting distribution of forces in the dental arch. J Orofac Orthop 2010; 71 (06) 403-410
• 21 Koos B, Höller J, Schille C, Godt A. Time-dependent analysis and representation of force distribution and occlusion contact in the masticatory cycle. J Orofac Orthop 2012; 73 (03) 204-214
• 22 Kürklüarpacay D, Bayindir F, Dinçkalyanikoğlu N. Evaluation of premature contacts using the T-Scan III. Open J Stomatol 2019; 9: 136-145
• 23 Lin PT, Jiao Y, Zhao SJ. et al. Occlusion and disocclusion time changes in single unit crowns designed by functional generated path technique: a randomised clinical trial. Sci Rep 2017; 7 (01) 388
• 24 Lino P, Martins C, Miranda G. et al. Reliability of multiple-degree incisal/occlusal tooth wear assessment on dental casts: findings from a fiveexaminer investigation and related clinical implications. J Oral Rehabil 2018; 45 (03) 539-544
• 25 Malta Barbosa J, Urtula AB, Hirata R, Caramês J. Thickness evaluation of articulating papers and foils. J Esthet Restor Dent 2018; 30 (01) 70-72
• 26 Manfredini D, Vano M, Peretta R, Guarda-Nardini L. Jaw clenching effects in relation to two extreme occlusal features: patterns of diagnoses in a TMD patient population. Cranio 2014; 32 (01) 45-50
• 27 Mitchem JA, Katona TR, Moser EAS. Does the presence of an occlusal indicator product affect the contact forces between full dentitions?. J Oral Rehabil 2017; 44 (10) 791-799
• 28 Prafulla T, Shwetha P, Bhavya B, Mounika A, Kerstein R, Radke J. A disclusion time reduction randomized controlled occlusal adjustment trial. Advanced Dental Technologies & Techniques 2020; 2 (02) 2-22
• 29 Kuzmanovic Pficer J, Dodic S, Lazic V, Trajkovic G, Milic N, Milicic B. Occlusal stabilization splint for patients with temporomandibular disorders: Meta-analysis of short and long term effects. PLoS One 2017; 12 (02) e0171296
• 30 Qadeer S, Kerstein R, Kim RJ, Huh JB, Shin SW. Relationship between articulation paper mark size and percentage of force measured with computerized occlusal analysis. J Adv Prosthodont 2012; 4 (01) 7-12
• 31 Qadeer S, Abbas A, Sarinnaphakorn L. Comparison of excursive occlusal force parameters in post orthodontic and non orthodontic subjects using T Scan III.pdf. Cranio 2016; 34 (06) 395-401
• 32 Da Costa FF, Santos GSMQ, Farias-Neto A, Sanchez-Ayala A, Rizzatti-Barbosa CM. The relationship between occlusal support and maxillary development: an animal study. Eur J Dent 2015; 9 (03) 400-403
• 33 Sabir S, Regragui A, Merzouk N. Maintaining occlusal stability by selecting the most appropriate occlusal scheme in complete removable prosthesis. Jpn Dent Sci Rev 2019; 55 (01) 145-150
• 34 Skármeta NP. Occlusal stability and mandibular stability: the major part of dentistry we are still neglecting. Cranio 2017; 35 (04) 201-203
• 35 Solow RA. Clinical protocol for occlusal adjustment: rationale and application. Cranio 2018; 36 (03) 195-206
• 36 Sierpinska T, Golebiewska M, Lapuc M. The effect of mastication on occlusal parameters in healthy volunteers. Adv Med Sci 2008; 53 (02) 316-320
• 37 Song JH, Cho ES, Kim ST, Ahn HJ. Change of distribution and timing of bite force after botulinum toxin type A injection evaluated by a computerized occlusion analysis system. Yonsei Med J 2014; 55 (04) 1123-1129
• 38 Sutter B, Yiannios N, Radke J. Letter to the Editor regarding “In vitro evaluation of T-Scan® III through study of the sensels” from CRANIO Volume 33 Issue 4, by Manuel Cerna et al. Cranio 2016; 34 (03) 208-209
• 39 Sutter BA. A digital poll of dentists testing the accuracy of paper mark subjective interpretation. Cranio 2018; 36 (06) 396-403
• 40 Sutter BA, Radke J. Letter to the Editor regarding “Does the presence of an occlusal indicator product affect the contact forces between full dentitions?” by Mitchem, Katona and Moser. J Oral Rehabil 2018; 45 (07) 571-573
• 41 Tamaki K, Ishigaki S, Ogawa T. et al. Japan Prosthodontic Society position paper on “occlusal discomfort syndrome”. J Prosthodont Res 2016; 60 (03) 156-166
• 42 Tang Y, Li H, Chen Y, Zhu L, Kang H. Effect of different splint thicknesses on occlusal function and temporomandibular joint sounds: a clinical report. Open J Stomatol 2018; 8: 326-337
• 43 Thumati P, Manwani R, Mahantshetty M. The effect of reduced disclusion time in the treatment of myofascial pain dysfunction syndrome using immediate complete anterior guidance development protocol monitored by digital analysis of occlusion. Cranio 2014; 32 (04) 289-299
• 44 Chaikla K, Pumklin J, Piyapattamin T. Comparison of occlusal parameters between open bite and nonopen bite patients using the T-Scan III system: a pilot study. Eur J Dent 2022; 17 (01) 100-103
• 45 Throckmorton GS, Rasmussen J, Caloss R. Calibration of T-Scan sensors for recording bite forces in denture patients. J Oral Rehabil 2009; 36 (09) 636-643
• 46 Ritthiti A, Sattabanasuk V, Karunratanakul K, Senawongse P. Effect of stress generated by occlusal cyclic force on class I bulk-fill composite restoration microleakage. Eur J Dent 2021; 17 (01) 100-103
• 47 Wang S, Li Z, Wang G. Preliminary clinical application of complete digital workflows. Peking Univ Health Sci 2019; 51 (01) 105-109
• 48 Yiannios N, Kerstein RB, Radke J. Treatment of frictional dental hypersensitivity (FDH) with computer-guided occlusal adjustments. Cranio 2017; 35 (06) 347-357
• 49 Ruttitivapanich N, Tansalarak R, Palasuk J, Pumklin J. Correlation of bite force interpretation in maximal intercuspal position among patient, clinician, and T-Scan III system. Eur J Dent 2019; 13 (03) 330-334
• 50 Zana D. et al. Differences between centric relation and maximum intercuspation as possible cause for development of temporomandibular disorder analyzed with T-scan III. Eur J Dent 2015; 9 (04) 83-289
• 51 Zhu L, Li H, Chen Y, Kang H, Tang Y. Effect of different splint thicknesses on occlusal function and temporomandibular joint sounds: a clinical report. BioMed Res Int 2018; (12) 326-337