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[下颌髁突运动与咬合力量平衡的关系]

[Relationship of the movement of mandibular condyle and occlusal force balance].

作者信息

Yamamura Yoshiharu, Kurachi Masakazu, Yokoya Ryuji, Murata Tatuo, Nonogaki Ryugo

机构信息

Division of Prosthetic Dentistry, Department of Oral Rehabilitation, School of Dentistry Asahi University.

出版信息

Nihon Hotetsu Shika Gakkai Zasshi. 2005 Feb;49(1):56-64. doi: 10.2186/jjps.49.56.

Abstract

PURPOSE

The present investigation evaluated the relation between the dynamic properties of the bilateral condyle in habitual maximum opening and closing movement and the occlusal force balance with clenching force.

METHODS

Nine normal adults participated in this study. The translation of bilateral condyle and the rotation of intercondylar axis in habitual maximum opening and closing movement was measured using Cadiax, (ver. 3.0). The amount of translation and the rotation were converted into percentages and plotted on a graph using the translation-rotation relative chart. The maximun difference (d) between right condyle and left condyle of translation in rotation was calculated. The maximum clenching force was measured using Dental prescale 50H, type R and Occluzer FPD-703 (Fujifilm Co., Ltd.) and the center of gravity of the occlusal force was plotted on the drawings in two dimensions (anterior-posterior, right-left).

RESULTS

  1. The reproducibility of the dynamic properties of bilateral condyle in habitual maximum opening and closing movement and (d) were shown on the translation-rotation relative chart. 2. It was observed that the center of gravity of the occlusal force of a number of subjects was almost localized on the median line with right-left dimension and was localized on the molar tooth area with anterior-posterior dimension. 3. The correlation coefficient was 0.33 between the coordinate value of the center of gravity of the occlusal force with right-left dimension and the path of opening's (d). The coefficient was 0.71 between the coordinate value of the center of gravity of the occlusal force with right-left dimension and the path of closing's (d).

CONCLUSIONS

The present study showed the correlation between the dynamic properties of the bilateral condyle in habitual maximum opening and closing movement and the occlusal force balance with maximum clenching force.

摘要

目的

本研究评估了习惯性最大张闭口运动中双侧髁突的动态特性与咬合力平衡及紧咬力之间的关系。

方法

九名正常成年人参与了本研究。使用Cadiax(版本3.0)测量习惯性最大张闭口运动中双侧髁突的平移及髁间轴的旋转。将平移量和旋转量转换为百分比,并使用平移-旋转相对图表绘制在图表上。计算旋转中右侧髁突与左侧髁突平移的最大差值(d)。使用牙科预刻度50H、R型和Occluzer FPD - 703(富士胶片株式会社)测量最大紧咬力,并将咬合力的重心在二维图(前后、左右)上绘制出来。

结果

  1. 双侧髁突在习惯性最大张闭口运动中的动态特性及(d)的可重复性在平移-旋转相对图表上显示出来。2. 观察到许多受试者咬合力的重心在左右维度上几乎位于中线,在前后维度上位于磨牙区域。3. 咬合力重心在左右维度的坐标值与开口路径的(d)之间的相关系数为0.33。咬合力重心在左右维度的坐标值与闭口路径的(d)之间的系数为0.71。

结论

本研究显示了习惯性最大张闭口运动中双侧髁突的动态特性与最大紧咬力时咬合力平衡之间的相关性。

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