[激活剂在施工咬合中的下颌骨功能]。

M Irie
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引用次数: 0

摘要

本文对14例混合牙列前交叉咬合患者,通过电量表、MKG、肌电图和头侧x线片研究了激活器(Andresen型)构建咬合对翼状外侧肌的功能影响,以及下颌、舌骨和双侧颞前肌(TA)、咬肌(MM)的体表肌电图变化。在每位患者的治疗开始时拍摄头颅x线片。一张是下颌骨在牙尖间位置的时候拍的另一张是在口腔的激活器处拍的。由于舌骨在FH平面的运动方向不同,将激活器患者分为两组。O组(7例)舌骨运动与FH平面呈斜角度,D组(7例)舌骨运动与FH平面呈近正下方角度。根据舌骨与精神脊柱之间距离的差异,将患者进一步分为OA(3例)、OB(2例)、OC(2例)、DA(5例)、DB(2例)、DC(0例)组。结果表明:O组和D组施工咬合力分别为2.71 Kg和2.72 Kg。OC型需要更大的力。(p < 0.05)在髁突试验中,O组在治疗开始时明显缩小,但在overjet改善后无明显缩小。OA型和OB型在治疗开始时也明显较小。(p < 0.05) D组在治疗开始时开放速度显著快于对照组(p < 0.05),治疗结束后无统计学意义。各组间肌电信号无显著性差异,小鼠D组激活剂明显增高。在治疗开始时,两组的肌电信号M/T比率均约为100%。在记录的闭合路径或切牙区域没有或只有轻微的侧移的情况下,没有记录到大的侧移差异。在侧移的切牙区域,特别是在咬合时,记录了巨大的肌电信号差异。
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[Mandible function in taking construction bite for activator].

Functional effects of construction bite for activator (Andresen type) especially on lateral pterygoid muscle, as well as the positional changes of the mandible, hyoid bone and surface EMGs from bilateral anterior temporal (TA) and masseter (MM) muscle, were studied on the electric force scale, MKG, EMG and cephalometric radiographs in 14 subjects with anterior cross bite in mixed dentition. The cephalometric radiographs were taken at the start of each patient's treatment. One was taken with the mandible in the intercuspal position and one was also taken with the activator in the mouth at the overjet improvement. The activator patients were divided into two groups because of differences in the direction of movement of the hyoid bone in the FH plane. In group O (7 patients), the movement of the hyoid bone was at an oblique angle to the FH plane, while in group D (7 patients) the movement ot the hyoid bone with nearly direct below angle to FH plane. The patients were further divided into three types because of differences in the distance between the hyoid bone and mental spine, and combined with the groups OA (3 patients), OB (2 patients), OC (2 patients), DA (5 patients), DB (2 patients) and DC (Naught). The results obtained were as follows: The forces for the construction bite for groups O and D were 2.71 Kg and 2.72 kg, respectively. Type OC required significantly heavier force. (p less than 0.05) In the condylar test, O group was significantly smaller at the start of treatment, but not after overjet improvement. Type OA and OB were also significantly smaller at the start of treatment. (p less than 0.05) Velocity of opening for group D was significantly (p less than 0.05) faster at the start of treatment, but not after that. There was no significant difference in EMGs between the groups, with activator in the mouse D group much increased as it EMGs. The EMGs M/T ratio for both groups was approximately 100% at the start of treatment for overjet improvement. In cases with no or slight lateral shift in the recorded path of closure or in the incisal region, no large differences were recorded laterally. Large EMGs differences were recorded with lateral shift in the incisal region, especially when taking the construction bite.

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