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[义齿佩戴者的咀嚼与肌电图静息期]

[Mastication and the electromyographic silent period in denture wearers].

作者信息

Verkindère M T, Lodter J P, Ricard G

出版信息

Cah Prothese. 1991 Jun(74):35-41.

PMID:1860079
Abstract

The purpose of this study is to compare the masticatory efficiency and the physiological activity of masticatory muscles among patients with removable partial dentures (R.P.D.) and patients with natural dentition. The masticatory efficiency is assessed from the duration of chewing sequences for various foods, from the first masticatory cycle to the swallowing. The physiological activity is tested by the duration of the inhibition reflex called the "silent period" (S.P.) obtained upon each muscle examined: 29 subjects are examined, 24 of them had a R.P.D.; they were divided into four groups according to the extent of their edentation; 5 control subjects have full natural dentition. The study is performed using global electromyography of the two masseter muscles and the two anterior temporal muscles. The mastication of the control subjects appears to have a regular alternance of working potential and periods of rest. The duration of the chewing sequences is determined by the nature of the food, brief for soft food, long for hard food. The mastication of patients with R.P.D. appears more irregular with a lengthening of active phases. The duration of chewing sequences is significantly longer for the control subjects. The duration of the S.P. is 19-21 milliseconds for the masseter muscles of the patients with dentures and the control patients, and 20-22 milliseconds for the temporal muscles for the same individuals. The differences of the S.P. durations between control subjects and patients with R.P.D. is never significant.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

本研究的目的是比较可摘局部义齿(R.P.D.)患者和天然牙列患者的咀嚼效率及咀嚼肌的生理活动。咀嚼效率通过各类食物从首次咀嚼循环到吞咽的咀嚼序列持续时间来评估。生理活动通过对每块被检查肌肉所获得的称为“静息期”(S.P.)的抑制反射持续时间进行测试:共检查了29名受试者,其中24名佩戴R.P.D.;根据缺牙范围将他们分为四组;5名对照受试者拥有完整的天然牙列。该研究采用双侧咬肌和双侧颞前肌的整体肌电图进行。对照受试者的咀嚼表现为工作电位和休息期有规律的交替。咀嚼序列的持续时间取决于食物的性质,软食的持续时间短,硬食的持续时间长。佩戴R.P.D.患者的咀嚼似乎更不规律,活跃期延长。对照受试者的咀嚼序列持续时间明显更长。义齿患者和对照患者咬肌的S.P.持续时间为19 - 21毫秒,同一受试者颞肌的S.P.持续时间为20 - 22毫秒。对照受试者和佩戴R.P.D.患者之间S.P.持续时间的差异无显著意义。(摘要截短于250字)

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