Controlling the Occlusion of Implant-Supported Restorations With T-Scan Force and Timing Data

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Author(s): Jinhwan Kim (Oneday Dental Practice, South Korea)
Copyright: 2025
Pages: 134
Source title: Handbook of Research on T-Scan Technology Applications in Dental Medicine
Source Author(s)/Editor(s): Robert B. Kerstein, DMD (Former Assistant Clinical Professor, Tufts University School of Dental Medicine, USA)
DOI: 10.4018/978-1-6684-9313-7.ch018

Keywords: Dentistry / Medical Information Science Reference / Medical Technologies / Medicine & Healthcare

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Abstract

The relative occlusal force and real-time occlusal contact timing data provided by the T-Scan technology can be used to manage the insertion occlusal force design of implant prostheses, as their long-term survivability is tied directly to their installed occlusal function. This chapter discusses how in daily dental practice, clinicians spend a great deal of time making corrective occlusal adjustments using solely articulating paper as their intended guide. However, current research shows that articulating paper markings do not measure occlusal force, and that dentists poorly subjectively interpret the appearance characteristics of the markings, which compromises implant occlusal force control, leading to peri-implant tissue loss, de-osseointegration, and elevated implant restorative component breakage rates. However, by using the T-Scan technology, the clinician eliminates the subjectivity of using articulating paper, ensuring the occlusal design of newly installed implant prostheses are optimal. The T-Scan system brings objective occlusal force and contact time-sequence measurements to the process of installing an implant-supported restoration by measurably improving case installation endpoints far beyond those obtained with subjectively interpreted articulating paper markings. Two full mouth case examples are presented that employ T-Scan with simultaneously recorded EMG data, which together aid implant restoration occlusal force control by lessening muscle hyperactivity while improving the muscle tone and length of the face, head, and neck musculature. Additionally, a smaller two-unit segmental implant case is showcased that illustrates how T-Scan data can guide an implant prosthesis' insertion occlusal adjustments, to obtain optimal force and timing outcomes.

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Controlling the Occlusion of Implant-Supported Restorations With T-Scan Force and Timing Data

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