Abstract
Are there any ways to analyze objectively if any good changes happen to the bodies for the patients with acquired edentulous by getting a treatment to recover occlusion? In this study, we focused on interleukin 6 (IL-6) as inflammatory cytokine, cortisol known as a stress related substance and secretory immune globulin A (SIgA) related to immune reaction, and chose 14 patients who had occlusion reconstructed by the immediately loaded dental implants because occlusion contact with maxillary and mandibular dentition was lost caused by edentulous jaws or maxillary and mandibular teeth crossing each other and their jaw position and central occlusion position could not settle, and verified the relationship with changes of patients’ physical and mental states during the 6 months of the treatment and the effect of the immediately loaded implants treatment by using saliva which was non-invasive and easy to sample in biomarkers in saliva. Moreover for female subjects, the changes of facial color tones were measured by using Robo Skin Analyz-er?, a digital image analyzer, to measure the condition of their skin. In conclusion, the positive correlation between the amount of IL-6 and cortisol was not admitted. However, it was admitted that IL-6 tended to increase when a systemic change which interrupted curing such as the interruption of fusion of the implant and the bone was observed even though the patient did not notice any particular symptoms and cortisol tended to increase when the patient noticed discomfort and mentioned any events under stress on his or her medical record. Moreover with the skin color analysis by Robo Skin Analyzer?, the possibility that the occlusion treatment by the immediate implant had an effect on physical and psychological health promotion through the acquisition of the masticatory function and the aesthetic recovery was indicated.
Highlights
In the choices of prosthesis treatments for patients with edentulous to recover the masticatory function and the sensuousness, the recovery of occlusional function applying dental implant is becoming common besides the treatment with removal dentures which has been the mainstay for a long time
The concept of the immediate load dental implants [2] and All-on-4 taking full advantage of its characteristic feature is not to regenerate the lost paradentium biologically but to fix strongly the implant superstructure consists of the artificial tooth and the artificial substitute for paradentium, and the supporter composed of 4 implants fixtures implanted in the jawbone to the residual ridge after the tooth loss through the attachment of screws
Under the current dental implant situation, the success criteria are mostly about the connection of the bone and the implant fixture [10] [11], and the objective judgment criteria about obtaining masticatory movement and sensuousness which is the original goal for the occlusion function recovery are not required
Summary
In the choices of prosthesis treatments for patients with edentulous to recover the masticatory function and the sensuousness, the recovery of occlusional function (oral rehabilitation) applying dental implant is becoming common besides the treatment with removal dentures which has been the mainstay for a long time. There are several problems regarding patients’ physical and psychological burdens, such as costs and surgical stress, and especially to shorten the duration of treatment which is required until the occlusion function recovers has been expected. It makes the immediately loaded implants by All-on-4 reality to meet the patients’ desire [1], “I want occlusion get recovered immediately”. Geometric resistance can be obtained by arranging the four placed implant fixtures evenly like making a horseshoe arch from occlusal surface
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