Easton J W, Carlson D S
Department of Orthodontics and Pediatric Dentistry, University of Michigan.
Am J Orthod Dentofacial Orthop. 1990 Feb;97(2):149-58. doi: 10.1016/0889-5406(90)70088-t.
It has been suggested that protrusion of the mandible results in an alteration of the functional activity of the lateral pterygoid muscle. If this is true, however, it is unclear whether this altered muscle function is a transient phenomenon with no long-term effect or whether it results in structural and functional adaptation of the involved musculature. The purpose of this study was to determine whether or not physiologic and metabolic changes take place within two jaw-protruder muscles--the lateral pterygoid muscle and the superficial masseter muscle--in rats after treatment with a protrusive appliance. Thirty 45-day-old male Sprague-Dawley rats were divided equally into experimental and control groups. The experimental animals wore bonded protrusive-type appliances for 2 weeks. Histochemical analysis of muscle fiber types and in vivo whole-muscle contractile-property analysis were used to evaluate structural and functional muscle adaptations. Mandibular length was slightly but significantly greater in the experimental group, indicating that the protrusive appliance had the expected positive effect on mandibular growth. Histochemically, the lateral pterygoid muscle in the experimental group exhibited a significantly greater area occupied by type I fibers at the expense of type IIb fibers. The superficial masseter muscle exhibited a significantly greater percentage of areas for both type IIa and type IIb fibers in the experimental group. Contraction time (TPT) increased in both muscles; that is, the muscles became slower. The histochemical and contractile-properties data indicate that the protrusive appliance caused the lateral pterygoid muscle to become more active with respect to tonic (postural) activity, whereas the superficial masseter muscle became more active phasically.
有人提出,下颌前突会导致翼外肌功能活动的改变。然而,如果真是这样,尚不清楚这种改变的肌肉功能是一种无长期影响的短暂现象,还是会导致相关肌肉组织的结构和功能适应。本研究的目的是确定在用前突矫治器治疗后,大鼠的两块下颌前突肌——翼外肌和咬肌浅层——是否会发生生理和代谢变化。30只45日龄的雄性Sprague-Dawley大鼠被平均分为实验组和对照组。实验动物佩戴粘结式前突型矫治器2周。采用肌肉纤维类型的组织化学分析和体内全肌收缩特性分析来评估肌肉的结构和功能适应性。实验组的下颌长度略有增加,但差异显著,表明前突矫治器对下颌生长有预期的积极作用。组织化学分析显示,实验组翼外肌中I型纤维所占面积显著增大,而IIb型纤维所占面积减小。实验组咬肌浅层中IIa型和IIb型纤维的面积百分比均显著增加。两块肌肉的收缩时间(TPT)均增加,即肌肉收缩变慢。组织化学和收缩特性数据表明,前突矫治器使翼外肌在紧张性(姿势性)活动方面变得更加活跃,而咬肌浅层在相位性活动方面变得更加活跃。