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口腔特征和食品对咀嚼功能的影响。

Influence of oral characteristics and food products on masticatory function.

作者信息

Pereira Luciano Jose, Duarte Gaviao Maria Beatriz, Van Der Bilt Andries

机构信息

Department of Oral Physiology, State University of Campinas (FOP/UNICAMP), Piracicaba/SP, Brazil.

出版信息

Acta Odontol Scand. 2006 Aug;64(4):193-201. doi: 10.1080/00016350600703459.

Abstract

Mastication is a complex process that involves activities of the facial muscles, the elevator and suprahyoidal muscles, and the tongue. These activities result in patterns of rhythmic mandibular movements, food manipulation, and the crushing of food between the teeth. Saliva facilitates mastication by moistening food particles, making a bolus, and assisting swallowing, whereas food consistency modifies masticatory forces, the mandibular jaw movements, the duration of the mastication cycle, and the number of cycles preceding the first swallow. Jaw elevator EMG activity research shows a clear relation between muscular activity and food properties. The teeth, masticatory muscles, and temporomandibular joints are also important because together they form the mechanism by which the food particles are fragmented. Hard and dry foods require more chewing cycles and a longer time in the mouth until swallowing for sufficient breakdown to take place and for enough saliva to be added to form a coherent bolus safe enough for swallowing. Product characteristics, the amount of saliva, dentition, and bite force affect the chewing performance. This study presents an update and synopsis of the effects of saliva, food, dentition, muscle force, and temporomandibular disorders on the masticatory process.

摘要

咀嚼是一个复杂的过程,涉及面部肌肉、升颌肌和舌骨上肌群以及舌头的活动。这些活动会产生有节奏的下颌运动、食物操控以及牙齿间食物的碾碎模式。唾液通过湿润食物颗粒、形成食团和辅助吞咽来促进咀嚼,而食物的质地会改变咀嚼力、下颌运动、咀嚼周期的时长以及首次吞咽前的咀嚼周期数。下颌升肌肌电图活动研究表明肌肉活动与食物特性之间存在明显关联。牙齿、咀嚼肌和颞下颌关节也很重要,因为它们共同构成了食物颗粒破碎的机制。坚硬干燥的食物需要更多的咀嚼周期,在口腔中停留更长时间直至吞咽,以便充分分解并添加足够的唾液形成一个连贯且安全可吞咽的食团。产品特性、唾液量、牙列和咬合力会影响咀嚼性能。本研究介绍了唾液、食物、牙列、肌肉力量和颞下颌关节紊乱对咀嚼过程影响的最新情况和概述。

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