Sierpińska T, Gołebiewska M, Długosz J W
Department of Prosthodontics, Medical University of Białystok, Poland.
Adv Med Sci. 2006;51 Suppl 1:196-9.
Factors believed to affect masticatory efficiency include loss of postcanine teeth, bite force, severity of malocclusion, occlusal contact area, body size and oral motor function.
to record if there is relationship between masticatory efficiency and the state of dentition at patients whose occlusion has never been rehabilitated.
The study was performed in 22 patients who were missing over 50% of their functional dental units and never used any prosthetic appliances and in 15 healthy completely dentate controls.
The masticatory efficiency was measured using Optosil test for 20 and 80 cycles of chewing. The occlusal conditions were analyzed by means of the computerized T-Scan II System which registered the maximal force of pressure during the maximal occlusal contacts, the time which passed between the first contact and the maximal force of pressure and the occlusal platform area.
It was observed a considerable difference in the integrity of the masticatory system between both groups. The force of pressure on the indicator, chewing platform area and the time from the first contact to the maximal force calculated in T-Scan II System differs significantly between both groups. The value of X50 for 20 and 80 cycles of chewing estimated in Optosil test were statistically significant only for 80 cycles of chewing.
The severe reduction of the number of functional dental units is caused of the impairment of chewing ability but prolongation of mastication could improve the comminution of hard food.
据信影响咀嚼效率的因素包括后牙缺失、咬合力、错牙合畸形的严重程度、咬合接触面积、身体大小和口腔运动功能。
记录从未进行过咬合修复的患者咀嚼效率与牙列状态之间是否存在关联。
该研究对22名功能性牙单位缺失超过50%且从未使用过任何假牙装置的患者以及15名健康的全口有牙对照者进行。
使用Optosil测试在咀嚼20次和80次循环时测量咀嚼效率。通过计算机化的T-Scan II系统分析咬合情况,该系统记录最大咬合接触时的最大压力、从首次接触到最大压力之间经过的时间以及咬合平台面积。
观察到两组之间咀嚼系统完整性存在显著差异。两组之间在T-Scan II系统中计算的指示剂上的压力、咀嚼平台面积以及从首次接触到最大压力的时间有显著差异。在Optosil测试中估计的咀嚼20次和80次循环的X50值仅在咀嚼80次循环时具有统计学意义。
功能性牙单位数量的严重减少导致咀嚼能力受损,但延长咀嚼时间可改善硬食物的粉碎程度。