Baba K
First Department of Prosthodontics, Faculty of Dentistry, Tokyo Medical and Dental University.
Kokubyo Gakkai Zasshi. 1991 Mar;58(1):118-37. doi: 10.5357/koubyou.58.118.
The influences of experimental balancing-side interference on the jaw function were investigated on 6 subjects. A specially designed onlay was fabricated for the lower second molar, which acted as an artificial balancing-side interference in the lateral mandibular position. The subjects were asked to do maximum clenching, lateral gliding and gum chewing with and without the device. Electromyographic activity of the masseter and the anterior and posterior temporal muscles were measured and the related mandibular movement was simultaneously recorded during these tasks. Introduction of the experimental interference caused alteration in the muscle activity as follows: 1. When the subjects exerted maximum clenching efforts in the lateral mandibular position, the ratio of the temporal muscle activity on the working-side to the balancing-side decreased, while that of the masseter muscle remained unchanged. 2. There was a tendency for the activity in the working-side posterior temporal muscle to increase during gliding from intercuspation. The ratio of the temporal muscle activity on the working-side to the balancing-side decreased during gliding into intercuspation. 3. Prolongation of the occlusal phase associated with the increase of the muscle activity was observed during gum chewing on the side opposite to the interference. It was suggested that the balancing-side interference might provoke a specific muscle activity in the temporal muscles during parafunctional clenching or grinding.
在6名受试者身上研究了实验性平衡侧干扰对下颌功能的影响。为下颌第二磨牙制作了一个特殊设计的嵌体,其在下颌侧方位置充当人工平衡侧干扰。要求受试者在佩戴和不佩戴该装置的情况下进行最大程度的紧咬、侧方滑动和咀嚼口香糖。在这些任务过程中,测量咬肌以及颞肌前、后部的肌电活动,并同时记录相关的下颌运动。引入实验性干扰后,肌肉活动发生了如下改变:1. 当受试者在下颌侧方位置进行最大程度的紧咬时,工作侧颞肌与平衡侧颞肌的活动比例降低,而咬肌的活动比例保持不变。2. 从牙尖交错位滑动时,工作侧颞肌后部的活动有增加的趋势。滑入牙尖交错位时,工作侧颞肌与平衡侧颞肌的活动比例降低。3. 在干扰对侧咀嚼口香糖时,观察到咬合期延长且肌肉活动增加。研究表明,平衡侧干扰可能在功能异常紧咬或磨牙时引发颞肌的特定肌肉活动。