有齿和部分无齿个体咬合力与肌电活动的相关性。

L B Rosa, M Semprini, S Siéssere, J E C Hallak, V O Pagnano, S C H Regalo
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引用次数: 0

摘要

缺牙会干扰咀嚼系统的生理功能,促进咬合和功能的改变。本研究的目的是验证14名部分无牙和14名有齿个体的最大咬合力和最大咬合力与肌电活动的相关性。使用适合口腔条件的容量高达1000N的测力计记录左右磨牙和切牙区域的咬合力,同时使用Myosystem-Br1进行肌电图,电极位于左右咬肌和颞肌,一个参考电极位于额骨。三个记录中的最高值被认为是个体的最大咬合力。咬合力数据采用t检验进行统计分析,咬合力与肌电活动的关系采用Pearson双变量相关检验,分析采用SPSS 12.0软件。有齿个体在三个区域表现出更大的最大咬合力。齿状组肌电活动与咬合力的相关系数在右磨牙区各肌肉、左磨牙区左颞肌和切牙区各肌肉中均为正。在部分无牙组中,只有左颞肌在右磨牙区呈正相关,右咬肌与左右颞肌在左磨牙区呈正相关,而在切牙区,所有肌肉均呈负相关。这些数据证明牙齿脱落对最大咬合力的影响很大,而咬合力与肌电活动之间的相关性很小。
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Correlation between bite force and electromyographic activity in dentate and partially edentulous individuals.

Dental absence interferes in the physiological functioning of the masticatory system, promoting occlusal and functional alterations. The purpose of this study was to verify maximal bite force and maximal bite force correlated with electromyographic activity in 14 partially edentulous and 14 dentate individuals. Bite force in right and left molar and incisor regions were registered using a dynamometer with capacity of up to 1000N, adapted for oral conditions and at the same time electromyography was performed using Myosystem-Br1 with electrodes positioned on right and left masseter and temporalis muscles, and one reference electrode on the frontal bone. The highest value out of three recordings was considered the individual's maximal bite force. Statistical analysis of the bite force data was performed by means of t-test and Pearson's bivariate correlation test was used for the analysis between bite and electromyographic activity using SPSS 12.0 software. Dentate individuals showed greater maximal bite force in the three regions. Correlations between electromyographic activity and bite force in the dentate group obtained positive coefficients for every muscle in the right molar region, for the left temporalis in the left molar region, and for every muscle in the incisive region. For the partially edentulous group, only the left temporalis muscle presented a positive correlation in the right molar region, there was positive correlation for the right masseter and right and left temporalis in the left molar region, and, in the incisive region, every muscle presented negative correlation. These data evidence the strong influence of dental loss over the maximal bite force and small correlation between bite force and electromyographic activity.

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