Institute of Stomatology, Nanjing Medical University, China.
J Oral Rehabil. 2011 Aug;38(8):571-8. doi: 10.1111/j.1365-2842.2010.02194.x. Epub 2011 Feb 5.
The objective was to characterise the patterns and forces of occlusal contacts during lateral mandibular excursions in a young Chinese adult population. Angle Class I normal occlusions in 85 dental students aged 20-29 were evaluated using the T-Scan II occlusal imaging and analysis system. The frequency of occlusal contacts was recorded for right and left lateral excursions at the position of lateral disclusion, at the canine-to-canine position and at the lateral maximal position. At the canine-to-canine position, the occlusal contact patterns were classified, and the relative forces were compared by multiple regression analysis, with α = 0·05. At the position of lateral disclusion, a high percentage of canine contacts (58·5%) and individual posterior tooth contacts on the working side was observed. At the canine-to-canine position, the canines on the working side contacted most frequently (68·9%), and the occlusal contact patterns could be classified into six groups. At the lateral maximal position, incisors (39·0%) and canines (32·3%) contacted most frequently. At the canine-to-canine position, subjects with occlusal contacts only on canines or on first premolars on the working side had the lowest relative occlusal forces (P < 0·001). Canine protection and group function do not identify all descriptors for lateral occlusal contact patterns in the natural dentition. Six occlusal contact patterns were found at the lateral canine-to-canine position.
目的是描述中国年轻成年人人群在侧方下颌运动过程中咬合接触的模式和力。使用 T-Scan II 咬合成像和分析系统,评估了 85 名年龄在 20-29 岁的牙科学生的 Angle Class I 正常咬合。记录了右侧和左侧侧方运动在侧方分离位、尖牙间位和侧方最大位的咬合接触频率。在尖牙间位,对咬合接触模式进行分类,并通过多元回归分析比较相对力,α=0·05。在侧方分离位,观察到较高比例的尖牙接触(58·5%)和工作侧个别后牙接触。在尖牙间位,工作侧的尖牙接触最频繁(68·9%),可以将咬合接触模式分为六组。在侧方最大位,切牙(39·0%)和尖牙(32·3%)接触最频繁。在尖牙间位,工作侧仅有尖牙或第一前磨牙接触的患者的相对咬合力最低(P < 0·001)。尖牙保护和组功能并不能确定自然牙列中所有的侧方咬合接触模式的描述符。在侧方尖牙间位发现了六种咬合接触模式。