Active tactile sensibility of single-tooth implants versus natural dentition: a split-mouth double-blind randomized clinical trial

Clin Implant Dent Relat Res. 2014 Dec;16(6):947-55. doi: 10.1111/cid.12053. Epub 2013 Mar 14.

Abstract

Background: Unlike passive sensitivity of implants/teeth that is assessed more, only three controversial studies have compared active tactile sensibility (ATS) of implants and teeth.

Purpose: We aimed to explore the difference between the ATS of teeth and single-tooth implants.

Methods: The ATS of single-tooth implants and contralateral teeth was measured in 25 patients after they bit on gold and placebo foils 0- to 70-μm thick, each for five times, in a random order blinded to patients and assessor, carried out at two sessions. Based on the experimental range of 0 μm (mock trials) to 70 μm, the sigmoid shape of psychometric curve was estimated to locate the 50% values as the ATS thresholds for each tooth or implant. ATS Data were analyzed using paired and unpaired t-tests and multiple linear regression (α = 0.05, β ≤ 0.1). Also, equivalence testing approach was used to assess semi-objectively the clinical significance.

Results: Average ATS values for teeth and implants were 21.4 ± 6.55 μm and 30.0 ± 7.55 μm, respectively (p = .0001 [paired t-test]). None of the geometric characteristics of implants nor duration of implant in function were correlated with the ATS (p > .4 [regression]). Age was positively associated with the ATS of both implants and teeth (p ≤ .019 [regression]). Tooth ATS (but not implant ATS) was significantly higher in males compared with females (p = .050 [unpaired t-test]), which contributed to a generalizable tooth-implant difference higher than 8-μm clinical equivalence margin in females. The ATS was not significantly different between arches or between anterior/posterior regions (p > .6).

Conclusion: There was a slight but statistically significant difference between implant and tooth tactile sensitivities.

Keywords: active tactile sensibility; dental implants; interdental perception; osseoperception; psychometric function; surface properties.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Bite Force
  • Dental Implants, Single-Tooth*
  • Dental Porcelain / chemistry
  • Dental Prosthesis Design
  • Dental Prosthesis, Implant-Supported
  • Double-Blind Method
  • Female
  • Gold Alloys / chemistry
  • Humans
  • Male
  • Mandible / physiology
  • Maxilla / physiology
  • Metal Ceramic Alloys / chemistry
  • Middle Aged
  • Placebos
  • Psychometrics
  • Sensory Thresholds / physiology
  • Sex Factors
  • Tooth / physiology*
  • Touch / physiology*
  • Young Adult

Substances

  • Gold Alloys
  • Metal Ceramic Alloys
  • Placebos
  • Dental Porcelain