Ogumi I
Department of Removable Partial Prosthodontics, Tokyo Dental College.
Shikwa Gakuho. 1990 Apr;90(4):489-523.
Many studies have made on the physiological significance of the periodontium in relation to oral functions. But, although its importance to oral functions has been pointed out, few investigations have been carried out on the periodontal pressoreceptive information system. To help rectify this situation, as a link in investigations of soft-food textures, the author attempted to determine how a sense of pressure was perceived when loads gradually increasing from very small were applied to the tooth surface. In addition, the author attempted to clarify the way the periodontium discerns differences between initial and secondary loadings in a range of small loads between the touch sensation and the pressure sensation. Subjects were 10 males with sound, natural dentition and no disorders in mandibular functions. In order to eliminate intervention from pressoreceptors in the masticatory muscles and the mandibular joints, the upper first premolar was chosen as the test tooth. Small loads were applied in 2 directions: parallel to the first premolar vertical axis (vertical) and from the lingual to the buccal sides parallel to the occlusal plane (horizontal). For vertical loading, the mesial pit on the occlusal surface was chosen as the loading point. The middle point on the lingual surface was chosen as loading point for horizontal loading. First, loading on the tooth surface was gradually increased to obtain (1) threshold value for touch sensation; that is, minimal load required to incite a touch sensation, and (2) critical value for pressure sensation; that is, minimal load required to incite the pressure sensation subsequent to the touch sensation. Each subject was requested to press a hand switch in the moment he experienced the sensation of being touched and then again when, during increases of load, the touch sensation changed to the pressure sensation. The loading device was built into an electric strain gauge. Loads were increased gradually from 0 g to 60 g, with an increase ratio of about 10 g/sec. Loading wave and switching signal were simultaneously recorded on an oscillograph. Second, in order to determine the ability to discriminate small loads, with the same loading device, initial load was applied to the tooth. This load served as control. As soon as the load was sensed, it was removed. Then the secondary (testing) load was applied. Subjects were requested to say whether the secondary load was larger, smaller than or same as the initial one.(ABSTRACT TRUNCATED AT 400 WORDS)
许多研究探讨了牙周组织与口腔功能相关的生理意义。然而,尽管其对口腔功能的重要性已被指出,但针对牙周压力感受信息系统的研究却很少。为了改善这种情况,作为对软食质地研究的一个环节,作者试图确定当从非常小的负荷开始逐渐增加负荷施加于牙齿表面时,压力感是如何被感知的。此外,作者试图阐明在触觉和压力感之间的小负荷范围内,牙周组织辨别初始负荷和二次负荷差异的方式。研究对象为10名男性,他们拥有健康、天然牙列且下颌功能无紊乱。为了消除咀嚼肌和下颌关节中压力感受器的干扰,选择上颌第一前磨牙作为测试牙。在两个方向上施加小负荷:平行于第一前磨牙垂直轴(垂直方向)以及平行于咬合平面从舌侧到颊侧(水平方向)。对于垂直加载,选择咬合面上的近中窝作为加载点。对于水平加载,选择舌面上的中点作为加载点。首先,逐渐增加牙齿表面的负荷以获得:(1)触觉阈值,即引发触觉所需的最小负荷;以及(2)压力感临界值,即在触觉之后引发压力感所需的最小负荷。要求每个受试者在感受到被触摸的瞬间按下手动开关,然后在负荷增加过程中触觉转变为压力感时再次按下。加载装置内置在一个电子应变仪中。负荷从0克逐渐增加到60克,增加速率约为10克/秒。加载波形和切换信号同时记录在示波器上。其次,为了确定辨别小负荷的能力,使用相同的加载装置,先对牙齿施加初始负荷。此负荷作为对照。一旦负荷被感知,就将其移除。然后施加二次(测试)负荷。要求受试者说出二次负荷比初始负荷大、小还是相同。(摘要截短于400字)