Saito T
Department of Orthodontics, Niigata University.
Nihon Kyosei Shika Gakkai Zasshi. 1990 Apr;49(2):87-99.
To investigate the effects on perioral muscles with mechanical stimulation to the mucosa electromyograms were recorded in nine subjects. Results were as follows: 1. Tonic excitatory reflex of m. orbicularis oris and m. mentalis was evoked by the non-painful pressure stimulation to lower lip mucosa. These responses were increased, as the stimulus strength was increased. 2. Reflex responses to stimulation of the corner of the mouth and lower lip mucosa were greater than that of buccal mucosa. The response in m. orbicularis oris superior (O.O.S.) to stimulation of upper lip mucosa was greater than in m. orbicularis oris inferior (O.O.I.). And the response in O.O.I. to stimulation of lower lip mucosa was greater than the response in O.O.S. 3. Tonic excitatory reflex was abolished after local anesthesia of the stimulation area. 4. Excitatory reflex was reversed to inhibitory reflex, when background activity of three muscles was changed by voluntary lip closure. When background activity was weak, excitatory reflex was induced by pressure stimulation. On the contrary, when background activity was strong, inhibitory reflex was induced by the same stimulation. When background activity was moderate, excitatory reflex in O.O.I. and inhibitory one in O.O.S. was easily induced by lower lip stimulation. On the other hand, by upper stimulation, excitatory reflex in O.O.S. and inhibitory one in O.O.I. was easily induced. These results suggest that the orthodontic appliance placed on the vestibular oris gives mechanical stimulation to oral mucosa, which induce reflex contraction in perioral muscles.
为了研究对口腔黏膜进行机械刺激时对口周肌肉的影响,记录了9名受试者的肌电图。结果如下:1. 对下唇黏膜进行非疼痛性压力刺激可诱发口轮匝肌和颏肌的紧张性兴奋性反射。随着刺激强度增加,这些反应增强。2. 对嘴角和下唇黏膜刺激的反射反应大于对颊黏膜刺激的反射反应。对上唇黏膜刺激时,口轮匝肌上部(O.O.S.)的反应大于口轮匝肌下部(O.O.I.)的反应。而下唇黏膜刺激时,O.O.I.的反应大于O.O.S.的反应。3. 刺激区域局部麻醉后,紧张性兴奋性反射消失。4. 当通过主动闭唇改变三块肌肉的背景活动时,兴奋性反射转变为抑制性反射。当背景活动较弱时,压力刺激诱发兴奋性反射。相反,当背景活动较强时,相同刺激诱发抑制性反射。当背景活动适中时,下唇刺激容易诱发O.O.I.的兴奋性反射和O.O.S.的抑制性反射。另一方面,上唇刺激时,容易诱发O.O.S.的兴奋性反射和O.O.I.的抑制性反射。这些结果表明,放置在前庭口的正畸矫治器对口腔黏膜给予机械刺激,从而诱发口周肌肉的反射性收缩。