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[全口义齿佩戴者咀嚼功能评价的临床研究。正常天然牙列与全口义齿佩戴者咀嚼运动的比较]

[Clinical study of evaluation on masticatory function in complete denture wearers. A comparison of masticatory movements between normal natural dentition and complete denture wearers].

作者信息

Shikano Y

机构信息

Department of Removable Prosthodontics, School of Dentistry, Iwate Medical University.

出版信息

Nihon Hotetsu Shika Gakkai Zasshi. 1990 Apr;34(2):318-32. doi: 10.2186/jjps.34.318.

Abstract

The purpose of this study was to comparatively study and elucidate the characteristics of masticatory function of the subjects with complete denture and those with normal natural dentition. The study were carried out on 20 subjects with normal natural dentition and 30 subjects with complete denture having clinically good prognosis. Masticatory movements were analyzed by electromyograph (EMG) and sirognathograph (SGG) when the subjects were chewing peanuts and kamaboko (boiled fish paste). The results were as follows: 1. The duration of chewing cycle, closing phase, occluding phase, and EMGs burst duration (especially after tooth contact) were significantly longer in the subjects with complete denture. 2. The maximum opening distance was significantly shorter, the maximum opening and closing velocity were significantly slower, in the subjects with complete denture. Further, the standard deviation of the coordinates of the sample points in the occluding phase was indisordered in the subjects with complete denture, and standard deviation of the coordinates of sample points in occluding phase were varied in complete denture wearers. 3. The frontal masticatory pattern tended to unstable and typical tear drop shape pattern was found in about 60% of the subjects with complete denture. 4. Different reactions to the test foods were observed in the subjects with normal natural dentition, while such was not noted in the cases of the subjects with normal natural dentition. These results was suggest that the masticatory function in the subjects with complete denture were obviously differ from those of normal natural dentition due to the difference in the sensory-motor-system.

摘要

本研究的目的是比较研究并阐明全口义齿患者和天然牙列正常患者的咀嚼功能特征。对20名天然牙列正常的受试者和30名临床预后良好的全口义齿患者进行了研究。当受试者咀嚼花生和鱼糕(水煮鱼酱)时,通过肌电图(EMG)和下颌运动描记仪(SGG)分析咀嚼运动。结果如下:1. 全口义齿患者的咀嚼周期、闭口期、咬合期的持续时间以及肌电图爆发持续时间(尤其是牙齿接触后)明显更长。2. 全口义齿患者的最大开口距离明显更短,最大开合速度明显更慢。此外,全口义齿患者咬合期采样点坐标的标准差紊乱,且全口义齿佩戴者咬合期采样点坐标的标准差各不相同。3. 全口义齿患者中约60%的人正面咀嚼模式趋于不稳定,且发现典型的泪滴形模式。4. 天然牙列正常的受试者对测试食物有不同反应,而全口义齿患者则未观察到这种情况。这些结果表明,由于感觉运动系统的差异,全口义齿患者的咀嚼功能明显不同于天然牙列正常的患者。

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