Lin Xue-feng, Li Shao-hua, Huang Zhuo-shan, Wu Xia-yi
Department of Prosthodontics, Sun Yat-sen University, Guangzhou 510055, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2010 Jun;45(6):370-5.
To investigate the characteristics of and relationship between occlusal plane and masticatory path in young adults with individual normal occlusion, and to provide clinical implications on both morphological and functional reference of occlusal plane location.
Forty-three young adults with individual normal occlusion were included. Lateral projections of cephalometric radiographs were taken. The parameters of anatomical landmarks were analyzed. The BioEGN mandibular kinesiography analyzer was used to record the path of incisal edge of mandibular central incisor movement during mastication. The Pearson's linear correlation analysis was performed to analyze the relationship of inclination of occlusal plane and data mentioned above with SPSS13.0 software.
The inclination of occlusal plane (the angle between occlusal plane and Camper's line OP-CP) was (2.1 ± 3.8)° in youth with normal occlusion. Means of maximal distances of 3-dimensional masticatory mandibular movement paths were as follow: the vertical length was (20.22 ± 4.28) mm, the anterior-posterior width was (11.42 ± 2.45) mm, and the lateral width was (8.62 ± 1.52) mm. The inclination of occlusal plane was negatively correlated to the lateral width of masticatory path in frontal plane (r = -0.39, P < 0.05). Occlusal plane was approximately vertical to the opening and closing path in the vicinity of intercuspal position during mastication. The inclination of occlusal plane was positively related to occlusal plane-closing angles in the upper segments of closing path during mastication (P < 0.05). Masticatory axis angle was (66.50 ± 7.98)° with no significant correlation to the inclination of occlusal plane (P > 0.05).
These results suggest that the sagittal inclination of occlusal plane can influence 3-dimensional morphology of masticatory path.The inclination of occlusal plane has a guiding effect on masticatory movement in the upper segments of closing path.
研究个别正常 牙合 年轻成人的 牙合 平面与咀嚼路径的特征及两者之间的关系,为 牙合 平面位置的形态和功能参考提供临床依据。
纳入 43 例个别正常 牙合 的年轻成人。拍摄头颅侧位 X 线片,分析解剖标志点参数。使用 BioEGN 下颌运动描记分析仪记录咀嚼过程中下颌中切牙切缘的运动轨迹。采用 SPSS13.0 软件进行 Pearson 线性相关分析,分析 牙合 平面倾斜度与上述数据的关系。
正常 牙合 青年的 牙合 平面倾斜度(牙合 平面与坎贝尔线的夹角 OP-CP)为(2.1±3.8)°。三维咀嚼下颌运动轨迹的最大距离均值如下:垂直长度为(20.22±4.28)mm,前后宽度为(11.42±2.45)mm,左右宽度为(8.62±1.52)mm。 牙合 平面倾斜度与额状面咀嚼路径的左右宽度呈负相关(r = -0.39,P < 0.05)。咀嚼过程中,在牙尖交错位附近, 牙合 平面与开闭路径近似垂直。 牙合 平面倾斜度与咀嚼过程中闭口路径上段的 牙合 平面 - 闭口角度呈正相关(P < 0.05)。咀嚼轴角为(66.50±7.98)°,与 牙合 平面倾斜度无显著相关性(P > 0.05)。
这些结果表明, 牙合 平面的矢状倾斜度可影响咀嚼路径的三维形态。 牙合 平面倾斜度对闭口路径上段的咀嚼运动有指导作用。