Naeije M
Vakgroep Orale Functieleer, Academisch Centrum Tandheelkunde Amsterdam (ACTA), Louwesweg 1, 1066 EA, Amsterdam.
Ned Tijdschr Tandheelkd. 1997 Dec;104(12):463-6.
The movement paths of the kinematic center of the temporomandibular joint were recorded by means of a jaw movement recording system (OKAS-3D) under 3 conditions: 1. free open and close movements; 2. free opening and loaded closing movements (subjects closed against a small, manually applied, downward directed force on the chin); and 3. during chewing of chewing gum. During free jaw movements, the opening path of the kinematic center lies above the closing path. During loaded closing movements, the opening and closing paths coincide. This indicates that during opening and loaded closing, the condyle-disc complex is slightly pressed against the articular eminence. However, during free closing, there is more space between the articulating surfaces. During gum chewing, the opening and closing paths of the condyle coincide on the balancing side, on the working side they don't. Thus, the joint on the balancing side is loaded and the joint on the working side is not.
采用颌运动记录系统(OKAS - 3D)在以下3种情况下记录颞下颌关节运动中心的运动轨迹:1. 自由开闭运动;2. 自由开口和负重闭口运动(受试者在下巴上受到一个手动施加的小的向下的力时闭口);3. 咀嚼口香糖时。在自由颌运动过程中,运动中心的开口轨迹位于闭口轨迹上方。在负重闭口运动过程中,开口和闭口轨迹重合。这表明在开口和负重闭口时,髁突 - 盘复合体被轻微压向关节结节。然而,在自由闭口时,关节面之间有更多空间。在咀嚼口香糖时,平衡侧髁突的开口和闭口轨迹重合,工作侧则不重合。因此,平衡侧的关节受力,工作侧的关节不受力。