Quintessence Int 45 (2014), No. 3 24. Jan. 2014
Quintessence Int 45 (2014), No. 3 (24.01.2014)
Page 251-258, doi:10.3290/j.qi.a31210, PubMed:24570993
A possible association of idiopathic osteosclerosis with excessive occlusal forces
Misirlioglu, Melda / Nalcaci, Rana / Baran, Ilgi / Adisen, Mehmet Zahit / Yilmaz, Selmi
Objectives: The aim of the study was to determine the relationship between idiopathic osteosclerotic lesions and occlusal forces using the T-Scan II computerized occlusal analysis device, and to test the sensitivity of the system in occlusal analysis.
Method and Materials: The study was conducted with 21 volunteers with idiopathic osteosclerosis (IO; 14 women, 7 men) aged between 17 and 62 years (mean 29.95). For every patient, seven or eight recordings were made with the T-Scan II occlusal analysis device in maximum intercuspation, and the last two (excluding any with technical problems) were chosen for evaluation. For each lesion-related area, the distribution of high occlusal forces from two different movies was analyzed.
Results: In 18 patients (85.71%), lesions were observed in an area of high occlusal force, and in 13 patients (61.9%), the lesions were located at the first area subjected to high occlusal forces. The percentage distribution of high forces at a lesion related area ranged from 0% to 88%. On average, the high forces at an osteosclerotic lesion area accounted for 20% of the maximum total force. No statistical differences were observed between the measurements of the two selected recordings (P > .05).
Conclusion: The findings of this study suggest a possible relationship between IO and occlusal forces and primary contacts. T-Scan II was found to be a successful diagnostic device for detecting primary contacts and excessive occlusal forces.
Keywords: enostosis, idiopathic osteosclerosis, occlusal analysis systems, occlusal forces, primary contacts, T-Scan II