Kerstein Robert B
Department of Restorative Dentistry, Tufts University School of Dental Medicine, USA.
Cranio. 2004 Apr;22(2):96-109. doi: 10.1179/crn.2004.013.
Current advances in computer technologies have afforded dentists precision ways to examine occlusal contacts and muscle function. Recently, two separate computer technologies have been synchronized together, so that an operator can record their separate diagnostic data simultaneously. The two systems are: the T Scan II Occlusal Analysis System and the Biopak Electromyography Recording System. The simultaneous recording and playback capacity of these two computer systems allows the operator to analyze and correlate specific occlusal moments to specific electromyographic changes that result from these occlusal moments. This synchronization provides unparalleled evidence of the effect occlusal contact arrangement has on muscle function. Therefore, the occlusal condition of an inserted dental prosthesis or the occlusal scheme of the natural teeth (before and after corrective occlusal adjustments) can be readily evaluated, documented, and quantified for both, quality of occlusal parameters and muscle activity and the responses to the quality of the occlusal condition. This article describes their synchronization and illustrates their use in performing precision occlusal adjustment procedures on two patients: one who demonstrates occlusal disharmony while exhibiting the signs and symptoms of chronic myofascial pain dysfunction syndrome, and the other who had extensive restorative work accomplished but exhibits occlusal discomfort post-operatively.
计算机技术的当前进展为牙医提供了精确检查咬合接触和肌肉功能的方法。最近,两种独立的计算机技术已同步在一起,以便操作人员可以同时记录它们各自的诊断数据。这两种系统是:T Scan II咬合分析系统和Biopak肌电图记录系统。这两个计算机系统的同步记录和回放功能使操作人员能够分析特定的咬合瞬间,并将其与由这些咬合瞬间引起的特定肌电图变化相关联。这种同步提供了咬合接触排列对肌肉功能影响的无与伦比的证据。因此,可以很容易地评估、记录和量化植入假牙的咬合状况或天然牙的咬合方案(在进行矫正咬合调整之前和之后),包括咬合参数的质量、肌肉活动以及对咬合状况质量的反应。本文描述了它们的同步过程,并举例说明了它们在对两名患者进行精确咬合调整程序中的应用:一名患者表现出咬合不协调,同时伴有慢性肌筋膜疼痛功能障碍综合征的体征和症状;另一名患者完成了广泛的修复工作,但术后仍表现出咬合不适。