Oseopercepción: una puesta al día.

  • Morris Mizraji Universidad Católica del Uruguay (UCU) Universidad de la República (UdelaR)
  • Francisco Kolenc Universidad Católica del Uruguay (UCU) Universidad de la República (UdelaR)
  • Carmela Ingver Universidad Católica del Uruguay (UCU) Universidad de la República (UdelaR)


RESUMEN. La incorporación de implantes dentales al Sistema Estomatognático genera muchos cuestionamientos, entre ellos:              ¿Cómo se explica que el paciente “sienta” a través de estos sistemas de anclaje?; ¿Por qué el paciente dice que mastica mejor que con las prótesis mucosoportadas?;¿Por qué a pesar de haber perdido dos componentes fisiológicos esenciales (dientes y periodonto) no se aprecian clínicamente importantes problemas dentro del sistema?; ¿Qué reordenamientos del sistema nervioso determinan la regulación motora luego de rehabilitado con estas técnicas? Es probable que las respuestas surjan a través del conocimiento de una nueva modalidad sensorial descripta como oseopercepción, la cual implica un reordenamiento de las áreas sensitivas y motoras de la corteza cerebral (neuroplasticidad).

Biografía del autor

Profesor de Fisiología General y Buco Cérvico Facial, Facultad de Odontología, Universidad Católica del Uruguay

Ex Encargado de la Enseñanza de Fisiología General y  bucodental, Facultad de Odontología, Universidad de la República, Uruguay.

Asistente de Fisiología General y Buco Cérvico Facial, Facultad de Odontología, Universidad Católica del Uruguay

Ex Profesor Adjunto de Bioquímica y Biofísica, Facultad de Odontología, Universidad de la República, Uruguay

Asistente de Fisiología General y Buco Cérvico Facial, Facultad de Odontología, Universidad Católica del Uruguay

Profesora Adjunta de Fisiología General y Bucodental, Facultad de Odontología, Universidad de la República, Uruguay


Abarca M, van Steenberghe D, Malevez C, Jacobs R (2006). The neurophysiology of osseointegrated oral
implants. A clinically underestimated aspect. J Oral Rehabil 33:161-169.

Batista M, Bonachela W, Soares J (2008). Progressive recovery of osseoperception as a function of the combination of implant-supported prostheses. Clin Oral Implants Res 19:565-9.

Bonte B, van Steenberghe D (1991). Masseteric post-stimulus EMG complex following mechanical stimulation
of osseointegrated oral implants. J Oral Rehabil 18:221-9.

Brånemark R, Brånemark PI, Rydevik B, Myers RR (2001). Osseointegration in skeletal reconstruction and
rehabilitation: a review. J Rehabil Res Dev 38:175-81.

Enkling N, Heussner S, Nicolay C, Bayer S, Mericske-Stern R, Utz KH (2012). Tactile sensibility of singletooth
implants and natural teeth under local anesthesia of the natural antagonistic teeth. Clin Implant Dent Relat Res 14:273-80.

Enkling N, Nicolay C, Utz KH, Jöhren P, Wahl G, Mericske-Stern R (2007). Tactile sensibility of singletooth
implants and natural teeth. Clin Oral Implants Res 18:231-6.

Enkling N, Utz KH, Bayer S, Stern RM (2010). Osseoperception: active tactile sensibility of osseointegrated dental implants. Int J Oral Maxillofac Implants 25:1159-67.

Ferrario VF, Tartaglia GM, Maglione M, Simion M, Sforza C (2004). Neuromuscular coordination of masticatory
muscles in subjects with two types of implant-supported prostheses. Clin Oral Implants Res 15:219-25.

Fried K, Arvidsson J, Robertson B, Pfalter K (1991). Anterograde horseradish peroxidase tracing and immunohistochemistry of trigeminal ganglion tooth pulp neurons after dental nerve lesions in the rat. Neurosci

Fujii N, Ohnishi H, Shirakura M, Nomura S, Ohshima H, Maeda T (2003). Regeneration of nerve fibres in the peri-implant epithelium incident to implantation in the rat maxilla as demonstrated by immunocytochemistry
for protein gene product 9.5 (PGP9.5) and calcitonin gene-related peptide (CGRP). Clin Oral Implants Res 14:240-247.

Grieznis L, Apse P, Blumfelds L (2010). Passive tactile sensibility of teeth and osseointegrated dental implants
in the maxilla. Stomatologija 12:80-6.

Habre-Hallage P, Abboud-Naaman NB, Reychler H, van Steenberghe D, Jacobs R (2009). Perceptual changes in the peri-implant soft tissues assessed by directional cutaneous kinaesthesia and graphaesthesia: a
prospective study. Clin Implant Dent Relat Res 13:296-304.

Habre-Hallage P, Dricot L, Jacobs R, van Steenberghe D, Reychler H, Grandin CB (2012). Brain plasticity and cortical correlates of osseoperception revealed by punctate mechanical stimulation of osseointegrated oral
implants during fMRI. EurJ Oral Implantol 5:175-90.

Hansen HJ (1980). Neuro-histological reactions following tooth extractions. Int J Oral Surg 9:411-26.

Heasman PA (1984). The myelinated fibre content of human inferior alveolar nerves from dentate and edentulous subjects. J Dent 12:283-286.

Heckmann SM, Heussinger S, Linke JJ, Graef F, Pröschel P (2009). Improvement and long-term stability of neuromuscular adaptation in implant-supported overdentures. Clin Oral Implants Res 20:1200-5.

Henry PJ (2005). Oral implant restoration for enhanced oral function. Clin Exp Pharmacol Physiol 32:123-127.

Jacobs R, Brånemark R, Olmarker K, Rydevik B, Van Steenberghe D, Brånemark PI (2000). Evaluation of the psychophysical detection threshold level for vibrotactile and pressure stimulation of prosthetic limbs using bone anchorage or soft tissue support. Prosthet Orthot Int 24:133-42.

Jacobs R, van Steenberghe D (1991).Comparative evaluation of the oral tactile function by means of teeth or implant-supported prostheses. Clin Oral Implants Res 2:75-80.

Jacobs R, van Steenberghe D (1993). Comparisons between implant-supported prostheses and teeth regarding the passive threshold level. Int J Oral Maxillofac Implants 8:549-554.

Jacobs R, van Steenberghe D (2006). From osseoperception to implant-mediated sensory-motor interactions and related clinical implications. J Oral Rehabil 33:282-292.

Keller D, Hammerle CH, Lang NP (1996). Thresholds for tactile sensitivity perceived with dental implants
remain unchanged during a healing phase of 3 months. Clin Oral Implants Res 7:48-54.

Klineberg I, Calford MB, Dreher B, Henry P, Macefield V, Miles T, Rowe M, Sessle B, Trulsson MA (2005).
A consensus statement on osseoperception. Clin Exp Pharmacol Physiol 32:145-146.

Klineberg I, Murray G (1999). Osseoperception: sensory function and proprioception. Adv Dent Res 13:120-129.

Linden RW, Scott BJ (1989). The effect of tooth extraction on periodontal ligament mechanoreceptors represented in the mesencephalic nucleus of the cat. Arch Oral Biol 34:937-941.

Lundqvist S, Haraldson T (1992). Oral function in patients wearing fixed prosthesis on osseointegrated implants in the maxila: 3-year-follow-up study. Scand J Dent Res 100:279-283.

Luraschi J, Schimmel M, Bernard JP, Gallucci GO, Belser U, Müller F (2012). Mechanosensation and maximum
bite force in edentulous patients rehabilitated with bimaxillary implant-supported fixed dental prostheses.
Clin Oral Implants Res 23:577-83.

Mason AG, Holland GR (1993). The reinnervation of healing extraction sockets in the ferret. J Dent Res

Miles TS (2005). Reorganization of the human motor cortex by sensory signals: a selective review. Clin Exp
Pharmacol Physiol 32:128-131.

Miyamoto JJ, Honda M, Saito DN, Okada T, Ono T, Ohyama K, Sadato N (2006). The representation of
the human oral area in the somatosensory cortex: a functional MRI study. Cereb Cortex 16:669-75.

Mizraji M, Ingver C, Kolenc F (2005). Neurofisiología de los mecanorreceptores periodontales humanos.
Actas Odontol Fac Odontol Univ Catol Urug 2:51-58.

Mizraji M, Ingver C, Kolenc F (2006). Oseopercepción: la sensibilidad mediada por los implantes oseointegrados.
Actas Odontol Fac Odontol Univ Catol Urug 3:25-33.

Mizraji M., Kolenc F, Ingver C (2013). Neurofisiología de los implantes dentales. Oseopercepción. In: Sistema
Estomatognático. Fundamentos clínicos de fisiología y patología funcional. A Manns Freese. Medellin:
Amolca, pp. 452-462.

Morquette P, Lavoie R, Fhima MD, Lamoureux X, Verdier D, Kolta A (2012). Generation of the masticatory
central pattern and its modulation by sensory feedback. Prog Neurobiol 96:340-55.

Onozuka M, Fujita M, Watanabe K, Hirano Y, Niwa M, Nishiyama K, Saito S (2002). Mapping brain region
activity during chewing: a functional magnetic resonance imaging study. J Dent Res 81:743-6.

Penfield W, Boldrey E (1937). Somatic motor and sensory representation in the cerebral cortex as studied by
electrical stimulation. Brain 60:389-443.

Penfield W, Rasmussen T (1950). The cerebral cortex of man: a clinical study of localization of function. New
York, NY: Macmillan.

Sanes JN, Donoghue JP (2000). Plasticity and primary motor cortex. Annu Rev Neurosci 23:393-415.

Shimazaki T, Otsuka T, Akimoto S, Kubo KY, Sato S, Sasaguri K (2012). Comparison of brain activation
via tooth stimulation. J Dent Res 91:759-63.

Svensson KG, Trulsson M (2011). Impaired force control during food holding and biting in subjects with tooth- or implant-supported fixed prostheses. J Clin Periodontol 38:1137-46.

Tamura T, Kanayama T, Yoshida S, Kawasaki T (2002). Analysis of brain activity during clenching by fMRI. J Oral Rehabil 29:467-72.

Trulsson M, Francis ST, Bowtell R, McGlone F (2010). Brain activations in response to vibrotactile tooth
stimulation: a psychophysical and fMRI study. J Neurophysiol 104:2257-65.

Van Loven K, Jacobs R, Swinnen A, van Huffel S, van Hees J, van Steenberghe D (2000). Sensations and
trigeminal somatosensory-evoked potentials elicited by electrical stimulation of endosseous oral implants in
humans. Arch Oral Biol 45:1083-1090.

Wada S, Kojo T, Wang YH, Ando H, Nakanishi E, Zhang M, Fukuyama H, Uchida Y (2001). Effect of loading on the development of nerve fibres around oral implants in the dog mandible. Clin Oral Implants Res 12: 219-224.

Yan C, Ye L, Zhen J, Ke L, Gang L (2008). Neuroplasticity of edentulous patients with implant-supported full dentures. Eur J Oral Sci 116:387-93.
Cómo citar
MIZRAJI, Morris; KOLENC, Francisco; INGVER, Carmela. Oseopercepción: una puesta al día.. Actas Odontológicas (Publicación discontinuada), [S.l.], v. 10, n. 1, p. 4-14, mar. 2016. ISSN 2393-6304. Disponible en: <http://revistas.ucu.edu.uy/index.php/actasodontologicas/article/view/931>. Fecha de acceso: 23 apr. 2019 doi: https://doi.org/10.22235/ao.v10i1.931.

Palabras clave

implantes dentales; neuroplasticidad; oseopercepción; sistema estomatognático