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佩戴全口义齿可减少咬肌中的慢肌纤维,并增加混合纤维比例。

Wearing of complete dentures reduces slow fibre and enhances hybrid fibre fraction in masseter muscle.

机构信息

Institute of Anatomy, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

出版信息

J Oral Rehabil. 2012 Aug;39(8):608-14. doi: 10.1111/j.1365-2842.2012.02294.x. Epub 2012 Apr 10.

Abstract

Edentulous conditions and use of complete dentures alter the function of jaw muscles, which is presumably reflected in the myosin heavy chain (MyHC) isoform composition. This study is the first dealing with MyHC isoforms expression in edentulous persons with the aim to clarify to which extent the decreased functional load following teeth loss contributes to the changed muscle phenotype during ageing. We analysed MyHC expression in old masseter muscle at decreased and full functional load by comparing age-matched edentulous and dentate subjects. Edentulous subjects had upper and lower complete dentures. Dentate subjects had at least 24 natural teeth in continuous dental arches with two molars present in each quadrant and normal intermaxillary relationship. The adaptive response to the reduced masticatory load was lower numerical and area proportion of MyHC-1 expressing fibres and higher numerical proportion of hybrid fibres in edentulous compared with dentate subjects with no significant difference in the proportion of MyHC-neo-expressing fibres between both groups. We conclude that the observed differences in the proportion of fibre types between denture wearers and dentate subjects cannot be ascribed to degenerative changes intrinsic to the ageing muscle, but to functional differences in muscle activity and to morphological alterations of stomatognathic system accompanying the complete teeth loss.

摘要

无牙颌状态和全口义齿的使用改变了颌骨肌肉的功能,这可能反映在肌球蛋白重链(MyHC)同工型组成上。本研究首次探讨了无牙颌患者 MyHC 同工型的表达,旨在阐明牙齿缺失后功能负荷的降低在多大程度上导致了衰老过程中肌肉表型的改变。我们通过比较年龄匹配的无牙颌和有牙颌受试者,分析了减少和完全功能负荷下的老年咬肌 MyHC 表达。无牙颌受试者佩戴上、下颌全口义齿。有牙颌受试者的连续牙弓中至少有 24 颗天然牙,每个象限有两个磨牙,且颌间关系正常。与有牙颌受试者相比,无牙颌受试者的咀嚼负荷降低,MyHC-1 表达纤维的数量和面积比例降低,杂交纤维的数量比例升高,但两组间 MyHC-新生表达纤维的比例无显著差异。我们得出结论,义齿佩戴者和有牙颌受试者之间纤维类型比例的差异不能归因于肌肉衰老的内在退行性变化,而是咀嚼肌活动的功能差异以及伴随全牙缺失的咀嚼系统形态改变所致。

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