Liu Z J, Herring S W
Department of Orthodontics, School of Dentistry, University of Washington, Seattle, Washington 98195, USA.
J Orofac Pain. 2000 Fall;14(4):265-78.
An animal study of functional biomechanics was undertaken to understand normal loading of the temporomandibular joint (TMJ) and to provide insight into the pathogenesis of TMJ disorders.
Bone strain and ligamentous deformation were measured during mastication in 26 10-month-old minipigs. Half the subjects had undergone a surgical disruption of the left lateral capsular and disc attachments to the condyle 5 to 6 weeks previously. Rosette strain gauges were bonded to the left lateral surfaces of the squamosal bone near the TMJ, the condylar neck, and the mandibular corpus below the molar region. Differential variable reluctance transducers (DVRTs) were placed bilaterally in the lateral capsular tissue of the joints. Bone strains, ligamentous deformations, and the electromyographic activities of the masseters and lateral pterygoids were recorded during natural mastication.
In all animals on both working and balancing sides, mastication caused bone strains that were dominated by tension in the squamosal bone site and by compression in the other sites. Measurements from the DVRT revealed elongation of the lateral capsular tissue in the last phase of the power stroke and shortening in the initial phase of opening, which was almost simultaneous with the development of bone strain. Strain in the capsule ranged from 3 to 25%, with the strain of the balancing side exceeding that of the working side. The surgical disruption did not alter chewing side preference or bone strain, but a tendency toward more extensive ligamentous deformation on the intact side was observed. Furthermore, the ratio of masseter to lateral pterygoid activity was smaller on the disrupted side and larger on the intact side, in comparison to control pigs.
Both osseous and ligamentous components of the TMJ are strained during mastication, and the latter are more deformed on the balancing side. Disruption of the lateral attachment had little effect on strain in the osseous components but appeared to increase strain in the capsule and to modify the balance of masticatory muscle activity.
进行一项功能性生物力学的动物研究,以了解颞下颌关节(TMJ)的正常负荷,并深入了解颞下颌关节紊乱病的发病机制。
在26只10月龄小型猪咀嚼过程中测量骨应变和韧带变形。其中一半的实验对象在5至6周前接受了左侧关节囊和盘与髁突附着处的手术破坏。将应变片粘贴在颞下颌关节附近的鳞骨左侧表面、髁突颈部以及磨牙区下方的下颌体上。差动可变磁阻传感器(DVRTs)双侧放置在关节的外侧关节囊组织中。在自然咀嚼过程中记录骨应变、韧带变形以及咬肌和翼外肌的肌电图活动。
在所有动物的工作侧和平衡侧,咀嚼均会引起骨应变,其中鳞骨部位以张力为主,其他部位以压缩为主。DVRT的测量结果显示,在动力冲程的最后阶段外侧关节囊组织伸长,在开口初始阶段缩短,这几乎与骨应变的发展同时发生。关节囊中应变范围为3%至25%,平衡侧的应变超过工作侧。手术破坏并未改变咀嚼侧偏好或骨应变,但观察到完整侧有更广泛韧带变形的趋势。此外,与对照猪相比,手术破坏侧咬肌与翼外肌活动的比率较小,而完整侧较大。
颞下颌关节的骨性和韧带性成分在咀嚼过程中都会产生应变,后者在平衡侧变形更大。外侧附着的破坏对骨性成分的应变影响不大,但似乎会增加关节囊的应变并改变咀嚼肌活动的平衡。