Department of Orthodontics, Cayetano Heredia Peruvian University, Lima, Peru.
Braz Oral Res. 2010 Oct-Dec;24(4):419-24. doi: 10.1590/s1806-83242010000400008.
This study evaluated the relationship among malocclusion, number of occlusal pairs, masticatory performance, masticatory time and masticatory ability in completely dentate subjects. Eighty healthy subjects (mean age = 19.40 ± 4.14 years) were grouped according to malocclusion diagnosis (n = 16): Class I, Class Class II-2, Class III and Normocclusion (control). Number of occlusal pairs was determined clinically. Masticatory performance was evaluated by the sieving method, and the time used for the comminute test food was registered as the masticatory time. Masticatory ability was measured by a dichotomic self-perception questionnaire. Statistical analysis was done by one-way ANOVA, ANOVA on ranks, Chi-Square and Spearman tests. Class II-1 and III malocclusion groups presented a smaller number of occlusal pairs than Normocclusion (p < 0.0001), Class I (p < 0.001) and II-2 (p < 0.0001) malocclusion groups. Class I, and III malocclusion groups showed lower masticatory performance values compared to Normocclusion (p < 0.05) and Class II-2 (p < 0.05) malocclusion groups. There were no differences in masticatory time (p = 0.156) and ability (χ² = 3.58/p= 0.465) among groups. Occlusal pairs were associated with malocclusion (rho = 0.444/p < 0.0001) and masticatory performance (rho = 0.393/p < 0.0001), but malocclusion was not correlated with masticatory performance (rho = 0.116/p= 0.306). In conclusion, masticatory performance and ability were not related to malocclusion, and subjects with Class I, II-1 and III malocclusions presented lower masticatory performance because of their smaller number of occlusal pairs.
本研究评估了完全有牙颌人群的错颌畸形、咬合对数、咀嚼效能、咀嚼时间和咀嚼能力之间的关系。80 名健康受试者(平均年龄=19.40±4.14 岁)根据错颌畸形诊断分组(n=16):I 类、II-1 类、II-2 类、III 类和正常(对照)。通过临床确定咬合对数。咀嚼效能通过筛检法评估,粉碎试验食物所需的时间记录为咀嚼时间。咀嚼能力通过二项自我感知问卷测量。采用单向方差分析、秩和检验、卡方检验和斯皮尔曼检验进行统计学分析。II-1 和 III 类错颌组的咬合对数少于正常组(p<0.0001)、I 类(p<0.001)和 II-2 类(p<0.0001)错颌组。I 类和 III 类错颌组的咀嚼效能值低于正常组(p<0.05)和 II-2 类错颌组(p<0.05)。咀嚼时间(p=0.156)和能力(χ²=3.58/p=0.465)在各组之间无差异。咬合对数与错颌(rho=0.444/p<0.0001)和咀嚼效能(rho=0.393/p<0.0001)相关,但错颌与咀嚼效能不相关(rho=0.116/p=0.306)。结论:咀嚼效能和能力与错颌无关,I 类、II-1 和 III 类错颌患者的咀嚼效能较低,是因为他们的咬合对数较少。