Miyawaki S, Tanimoto Y, Kawakami T, Sugimura M, Takano-Yamamoto T
Department of Orthodontics, Okayama University Dental School, Japan.
J Dent Res. 2001 Feb;80(2):437-42. doi: 10.1177/00220345010800020701.
It has been reported that loading to the mandible during closing movement makes the condylar path move more in the superior direction than that during the free closing movement. In this study, the hypothesis was tested that the displacement of the condyle on the chewing side is greater in the direction of the mandibular fossa than that on the non-chewing side. Using a six-degrees-of-freedom jaw movement recording system, we recorded condylar motion in 12 healthy adults without TMD, during the chewing of a large hard gummy jelly. The maximum displacements at the condyle on the chewing side from the maximum intercuspation (CO) position were significantly larger in the superior and medial directions at the initial stage and in the posterior direction at all stages (0.5 mm, 0.5 mm, and 0.6 mm, respectively) than those on the non-chewing side (0.0 mm, 0.1 mm, and 0.1 mm, respectively). This suggests that, in healthy adults, the condyles at CO are located in a position such that excessive load is not applied to the temporomandibular joint when there are the aforementioned displacements.
据报道,在闭口运动过程中对下颌骨加载会使髁突路径比自由闭口运动时更多地向上移动。在本研究中,对以下假设进行了测试:咀嚼侧髁突在下颌窝方向上的位移大于非咀嚼侧。使用六自由度颌运动记录系统,我们记录了12名无颞下颌关节紊乱病(TMD)的健康成年人在咀嚼一大块硬软糖时的髁突运动。咀嚼侧髁突从最大牙尖交错位(CO)开始的最大位移在初始阶段向上和向内方向以及在所有阶段向后方向(分别为0.5毫米、0.5毫米和0.6毫米)均显著大于非咀嚼侧(分别为0.0毫米、0.1毫米和0.1毫米)。这表明,在健康成年人中,处于CO位时的髁突所处位置使得在出现上述位移时不会对颞下颌关节施加过大负荷。