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兔颞下颌关节手术诱发盘移位后咀嚼模式的变化。

Changes in chewing pattern after surgically induced disc displacement in the rabbit temporomandibular joint.

作者信息

Tominaga K, Yamada Y, Fukuda J

机构信息

First Department of Oral and Maxillofacial Surgery, Kyushu Dental College, Kitakyushu, Japan.

出版信息

J Oral Maxillofac Surg. 2000 Apr;58(4):400-5. doi: 10.1016/s0278-2391(00)90923-6.

Abstract

PURPOSE

This study investigated whether surgically induced disc displacement (DD) in the rabbit temporomandibular joint leads to joint dysfunction.

MATERIALS AND METHODS

Fourteen adult Japanese white rabbits were divided into two groups. Eight animals had surgically induced DD, and 6 were used as a sham operation group. Jaw movement trajectories during chewing were recorded preoperatively and 2 weeks after induction of DD. Postoperative recordings after administration of a nonsteroidal anti-inflammatory drug (NSAID) were also performed to eliminate any influence of joint pain on chewing. Vertical and horizontal ranges of chewing movement, duration of the opening and closing phase, and total cycle of chewing were analyzed. Thereafter, the presence of induced DD was confirmed histologically.

RESULTS

In the sham group, the rhythm and pattern of chewing were almost the same as preoperatively. In the experimental group, increase in the cycle duration and decrease in the vertical and horizontal ranges of movement were observed. When the sham and experimental groups were compared, there was a decreased ratio of vertical movement in the experimental animals. There was no effect of preadministration of the NSAID in either the DD or sham group. All of the experimental animals had total anterior DD histologically.

CONCLUSION

Changes in the chewing pattern of the experimental animals occurred from mechanical interference of the displaced disc. This animal model can be used as a model for human internal derangement.

摘要

目的

本研究调查了兔颞下颌关节手术诱发的椎间盘移位(DD)是否会导致关节功能障碍。

材料与方法

14只成年日本白兔分为两组。8只动物接受手术诱发DD,6只作为假手术组。在术前和诱发DD后2周记录咀嚼过程中的颌运动轨迹。在给予非甾体抗炎药(NSAID)后也进行术后记录,以消除关节疼痛对咀嚼的任何影响。分析咀嚼运动的垂直和水平范围、开闭阶段的持续时间以及咀嚼的总周期。此后,通过组织学确认诱发DD的存在。

结果

在假手术组中,咀嚼的节奏和模式与术前几乎相同。在实验组中,观察到周期持续时间增加,垂直和水平运动范围减小。当比较假手术组和实验组时,实验动物的垂直运动比例降低。在DD组或假手术组中,术前给予NSAID均无效果。所有实验动物在组织学上均有完全的前移位DD。

结论

实验动物咀嚼模式的改变是由移位椎间盘的机械干扰引起的。该动物模型可作为人类内部紊乱的模型。

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