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侧向用力咬合儿童颞肌和咬肌的活动情况

Activity of temporal and masseter muscles in children with a lateral forced bite.

作者信息

Ingervall B, Thilander B

出版信息

Angle Orthod. 1975 Oct;45(4):249-58. doi: 10.1043/0003-3219(1975)045<0249:AOTAMM>2.0.CO;2.

Abstract

The activity of the temporal and masseter muscles with the mandible in postural position and during chewing, maximal bite in the intercuspal position, and swallowing were recorded electromyographically in nineteen children with laterally forced bite. Of the children, aged 8-12 years, sixteen had unilateral crossbite. In all of the individuals there was lateral deviation between the retruded contact position and the intercuspal position. The magnitude of the lateral deviation was measured with a modified gnathothesiometer. The muscle activity was recorded bilaterally from the temporal muscle and from the masseter muscle. In the postural position asymmetric activity was found in the temporal muscle suggesting that the mandible in postural position was still displaced to the side of forced bite. During chewing the activity was asymmetric both in the anterior and the posterior temporal portions. This asymmetric muscle activity was interpreted as an adaptation to avoid cuspal interferences. Also in maximal bite the muscle activity was asymmetric, while the activity during swallowing was affected less than in the other functions. The swallowing activity was, however, less in children with a forced bite than in children with normal occlusion.

摘要

对19名有侧向强迫咬合的儿童,通过肌电图记录了下颌处于姿势位、咀嚼、牙尖交错位最大咬合力以及吞咽时颞肌和咬肌的活动。这些儿童年龄在8至12岁之间,其中16名有单侧反合。在所有个体中,后退接触位与牙尖交错位之间存在侧向偏移。用改良的颌骨测量仪测量侧向偏移的大小。双侧记录颞肌和咬肌的肌肉活动。在姿势位时,颞肌出现不对称活动,提示下颌在姿势位时仍向强迫咬合侧移位。咀嚼时,颞肌前部和后部的活动均不对称。这种不对称的肌肉活动被解释为一种避免牙尖干扰的适应性反应。在最大咬合力时肌肉活动也不对称,而吞咽时的活动受影响程度小于其他功能。然而,有强迫咬合的儿童的吞咽活动比咬合正常的儿童少。

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