IADR Abstract Archives

Neuroplasticity in the Adaptation to Prosthodontic Treatment

Objectives: This project aims to test the following hypotheses: a) denture stability is associated with neuroplastic changes, improvement in chewing efficiency, maximum bite force, interocclusal tactile thresholds, oral motor ability and oral stereognosis; b) neuroplasticity is related to a patient's subjective denture satisfaction, Oral Health related Quality of Life (OHRQoL) and psychosocial profile.

Methods: Complete denture wearers who are to receive replacement dentures were recruited. Data was collected from 4 types of measurements: a) physical - using chewing efficiency , maximum bite force and superficial jaw muscle EMG activity; b) psychophysical - using occlusal thickness perception, oral stereognosis and oral motor ability; c) psychosocial - using questionnaires to evaluate OHRQoL, psychological profiles and denture satisfaction; d) functional Magnetic Resonance Imaging was performed to determine changes in brain activity during functional tasks (e.g. lip pursing; jaw tapping; jaw clenching). Data are collected at 4 times: T0 with the old denture, T2 at immediate issue of the new denture, T4 after 1-week of use, T6 after 3 months. At T2 denture stability and retention (S/T), and the atrophy of the lower jaw were assessed by two independent operators.

Results: Data from 9 subjects at T0, T2 and T4 showed a positive correlation, using Spearman's rho correlation, between the S/T score of the lower denture and the chewing efficiency score at T2 (r=723, p=.028) and approaching significance at T4 (r=639, p=.064). The 100% threshold at T4 showed a negative correlation with the S/T score for the upper denture (r=-739, p=.023) and a positive correlation with the atrophy of the lower jaw (r=714, p=.031). Analyses of neuroplasticity, T6 and psychosocial measurements are pending.

Conclusion: These results may assist in improving our understanding of denture function and as a result OHRQoL for denture wearers. This study is supported by The Swiss National Science Foundation (PBGEP3-125918).


Division: Australian/New Zealand Division Meeting
Meeting: 2010 Australian/New Zealand Division Meeting (Kiama, New South Wales, Australia)
Location: Kiama, New South Wales, Australia
Year: 2010
Final Presentation ID:
Abstract Category|Abstract Category(s): Scientific Groups
Authors
  • Luraschi, Julien  ( university of Geneva, Geneva, N/A, Switzerland )
  • Gomes, Lavier  ( Westmead Hospital MRI Unit, Westmead, N/A, Australia )
  • Williams, Leanne  ( Brain Dynamics Centre, Westmead Hospital and University of Sydney, Westmead, N/A, Australia )
  • Whittle, Terry  ( University of Sydney, Westmead, N/A, Australia )
  • Müller, Frauke  ( University of Geneva, Geneva, N/A, Switzerland )
  • Klineberg, Iven  ( University of Sydney, Westmead, N/A, Australia )
  • SESSION INFORMATION
    Prosthodontics