Moriya Y, Tuchida K, Moriya Y, Sawada T, Koga J, Sato J, Nishikawa M, Takizawa T, Uematsu H, Ozaki T, Gionhaku N
Department of Complete Denture Prosthodontics, Nihon University School of Dentistry, Tokyo, Japan.
J Oral Sci. 1999 Mar;41(1):19-27. doi: 10.2334/josnusd.41.19.
Today, Japan as a society is aging. The average life expectancy of Japanese people is approximately 80 years. One result of this is that preservation of masticatory functions in elderly people has become increasingly important from the viewpoint of quality of life. In the future, the use of dentures in facilitating masticatory functions as a substitute for teeth that are lost during the aging process will assume greater significance. Accordingly, appropriate evaluation and judgment of complete dentures for edentate jaws is crucial. This study was designed to elucidate the effects of the craniofacial form in complete denture wearers on the mode of activity of gnathic functions. First, subjects wearing complete dentures in both the upper and lower jaws were instructed to carry out vertical clenching, and bite force direction was determined. These data were then related to the subject's craniofacial morphology. These results suggest that the bite force direction in complete denture wearers is not affected by gender differences, but is closely associated with lateral craniofacial morphology, and that appropriate setting of occlusal plane and the occluded vertical dimension is extremely important in the preparation of complete dentures.
如今,日本社会正趋于老龄化。日本人的平均预期寿命约为80岁。由此产生的一个结果是,从生活质量的角度来看,老年人咀嚼功能的维持变得越来越重要。未来,假牙作为衰老过程中缺失牙齿的替代品在促进咀嚼功能方面的应用将具有更大的意义。因此,对无牙颌全口义齿进行恰当的评估和判断至关重要。本研究旨在阐明全口义齿佩戴者的颅面形态对咀嚼功能活动模式的影响。首先,指导上下颌均佩戴全口义齿的受试者进行垂直咬合,并确定咬合力方向。然后将这些数据与受试者的颅面形态相关联。这些结果表明,全口义齿佩戴者的咬合力方向不受性别差异的影响,而是与颅面横向形态密切相关,并且在全口义齿修复中,咬合平面和咬合垂直距离的恰当设定极其重要。