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[天然牙触觉阈值的测量及其临床意义]

[Measurement of tactile threshold of natural teeth and its clinical significance].

作者信息

Li Na, Xie Qiu-fei, Lin Ye, Zheng Qi

机构信息

Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing 100081, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2010 Oct;45(10):635-9.

Abstract

OBJECTIVE

To measure passive tactile threshold of natural teeth in six orthogonal orientations, to analyze impact factors, and to guide the occlusal adjustment in a personalized manner.

METHODS

The passive tactile thresholds of 218 natural teeth from 20 healthy subjects were measured in six orthogonal orientations using a digital test system for tactile function of teeth. The subjects were composed of 10 males and 10 females, with a mean age of 25 years. The natural teeth were tested from central incisors to first molars in maxilla and mandible. The passive tactile thresholds of teeth were measured respectively in the four horizontal orientations of labial (buccal), lingual, mesial and distal, and the two axial orientations of apical and coronal. The multilevel modeling (MLM) was used to analyze impact factors.

RESULTS

The passive tactile thresholds of anterior teeth, premolars and molars were 16 (18), 38(57) and 105 (115) mN respectively. The difference between subjects was of statistical significance (P < 0.05). The three factors of tooth, gender and orthogonal orientation were disclosed to influence the passive tactile threshold of natural teeth (P < 0.01). The influence level of the factors was tooth > gender > orthogonal orientation.

CONCLUSIONS

A force level of 10 mN could be detected by natural teeth. There was statistical difference in the passive tactile threshold between subjects. The passive tactile threshold was affected with tooth, gender and orthogonal orientation.

摘要

目的

测量天然牙在六个正交方向上的被动触觉阈值,分析影响因素,以个性化方式指导咬合调整。

方法

使用牙齿触觉功能数字测试系统,对20名健康受试者的218颗天然牙在六个正交方向上测量被动触觉阈值。受试者包括10名男性和10名女性,平均年龄25岁。对上颌和下颌从中央切牙到第一磨牙的天然牙进行测试。分别在唇(颊)、舌、近中、远中四个水平方向以及根尖和冠方两个轴向方向测量牙齿的被动触觉阈值。采用多水平模型(MLM)分析影响因素。

结果

前牙、前磨牙和磨牙的被动触觉阈值分别为16(18)、38(57)和105(115)mN。受试者之间的差异具有统计学意义(P<0.05)。发现牙齿、性别和正交方向这三个因素影响天然牙的被动触觉阈值(P<0.01)。各因素的影响程度为牙齿>性别>正交方向。

结论

天然牙能检测到10 mN的力水平。受试者之间的被动触觉阈值存在统计学差异。被动触觉阈值受牙齿、性别和正交方向的影响。

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