Kiliaridis Stavros, Georgiakaki Ioanna, Katsaros Christos
Department of Orthodontics, University of Geneva, Switzerland.
Eur J Orthod. 2003 Jun;25(3):259-63. doi: 10.1093/ejo/25.3.259.
The purpose of the present investigation was to study the relationship between the ultrasonographic thickness of the masseter muscle and the width of the maxillary dental arch. The sample comprised 60 consecutive orthodontic patients (37 females, 23 males), 7-18 years of age with a Class I relationship and minor malocclusion. The thickness of the masseter muscle was measured ultrasonographically. Recordings were performed bilaterally with the muscles both in relaxation and under contraction. Maxillary intermolar width was measured with an electronic calliper as the distance between the palatal surfaces of the first permanent molars. Intermolar width showed no association with age and gender. However, masseter muscle thickness showed a direct, significant (P < 0.0001) association with these two factors together, i.e. the masseter muscle was thicker in older individuals and in males. In the female group, maxillary intermolar width showed a direct, significant association with masseter thickness both during contraction (P < 0.006) and relaxation (P < 0.013), i.e. females with thicker masseter muscles had a wider maxillary dental arch. In the male group, however, no significant relationship was found between maxillary intermolar width and masseter thickness. The findings of this study indicate that the functional capacity of the masticatory muscles may be considered as one of the factors influencing the width of the maxillary dental arch.
本研究的目的是探讨咬肌超声厚度与上颌牙弓宽度之间的关系。样本包括60例连续的正畸患者(37名女性,23名男性),年龄在7至18岁之间,均为I类咬合关系且存在轻度错颌畸形。采用超声测量咬肌厚度。在肌肉放松和收缩状态下双侧进行记录。使用电子卡尺测量上颌磨牙间宽度,即第一恒磨牙腭面之间的距离。磨牙间宽度与年龄和性别无关。然而,咬肌厚度与这两个因素共同存在直接且显著的关联(P < 0.0001),即年龄较大者和男性的咬肌更厚。在女性组中,上颌磨牙间宽度在收缩期(P < 0.006)和放松期(P < 0.013)均与咬肌厚度存在直接且显著的关联,即咬肌较厚的女性上颌牙弓更宽。然而,在男性组中,未发现上颌磨牙间宽度与咬肌厚度之间存在显著关系。本研究结果表明,咀嚼肌的功能能力可被视为影响上颌牙弓宽度的因素之一。