Mason Robert M
Department of Surgery, Duke University Medical Center, USA.
Int J Orofacial Myology. 2011 Nov;37:26-38.
This article addresses many myths that have persisted over the years in dentistry and orofacial myology regarding the nature of orofacial myofunctional disorders (OMD's). Myths include 1) the concept that the term "tongue thrusting" includes the rest posture; 2) that there is an excessive amount of pressure exerted against the anterior teeth in swallows, that swallowing pressures add up, and the frequency of swallowing has an impact on the dentition; 3) the idea that the tongue is the strongest muscle in the body; 4) the view that a muscle will be the winner in any tug of war between muscle and bone; 5) the claim that a tongue thrust can cause an open bite malocclusion; 6) the claim that a tongue thrust can cause a Class II malocclusion; 7) the claim that the tongue molds the palatal vault; 8) the notion that a low tongue tip posture at rest presents a problem; and 9) the claim that OMD's represent a muscle imbalance that can be brought into balance with therapy. Each of these false claims or "myths" is discussed and corrected, with the positive acknowledgement that clinicians are abandoning the incorrect notion of muscle balance and imbalance as had been claimed previously.
本文探讨了多年来在牙科和口面部肌功能学领域中,关于口面部肌功能紊乱(OMD)本质的诸多误区。这些误区包括:1)认为“吐舌”一词涵盖了休息位;2)吞咽时对前牙施加的压力过大,吞咽压力会累加,且吞咽频率会对牙列产生影响;3)认为舌头是人体最强壮的肌肉;4)认为在肌肉与骨骼的任何拔河比赛中肌肉都会获胜;5)声称吐舌会导致开牙合错牙合畸形;6)声称吐舌会导致安氏II类错牙合畸形;7)声称舌头塑造腭穹窿;8)认为休息时舌尖低位姿势存在问题;9)声称OMD代表一种可通过治疗恢复平衡的肌肉失衡。本文对每一项错误说法或“误区”进行了讨论并予以纠正,同时肯定地指出临床医生正在摒弃此前所宣称的关于肌肉平衡与失衡的错误观念。