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长期演奏乐器对口腔颌面部系统的影响——综述。

The impact of the long-term playing of musical instruments on the stomatognathic system - review.

机构信息

Department of Maxillofacial Orthopaedics and Orthodontics, University of Medical Science, Poznan, Poland.

出版信息

Adv Clin Exp Med. 2014 Jan-Feb;23(1):143-6. doi: 10.17219/acem/37038.

Abstract

In this article, we have made a review of the influence of playing musical instruments on the formation of malocclusion and TMJ disorders in musicians. Primary attention was paid to the effects of wind and stringed instruments. The aim of the article was the presentation of research and opinions about this problem in the last 25 years. It is reported that long-term and repetitive playing of musical instruments, particularly stringed (violin and viola) and wind instruments can cause dysfunctions of the stomatognathic system. The impact of wind instruments was assessed in terms of the type of mouthpiece. We studied the possibility of repositioning the front teeth and reducing the width of the upper dental arch and overbite. There were also reports on the use of a specific instrument to improve the child's occlusion. Studies have also been performed on the usefulness of relaxation plates in order to improve, and even prevent, dysfunction caused by the constant stress on the same parts of the stomatognathic system. The experiments were mainly based on interviews, dental cast analyses and cephalometric analyses. Additional methods were dynamometer tests and muscle tension palpation.

摘要

本文综述了演奏乐器对口颌系统及颞下颌关节紊乱的影响。重点关注管乐和弦乐乐器的影响。本文旨在展示过去 25 年来对该问题的研究和观点。有报道称,长期重复性演奏乐器,特别是弦乐器(小提琴和中提琴)和管乐器,会导致口腔颌面部系统功能紊乱。管乐器的影响是根据吹嘴的类型来评估的。我们研究了前牙重新定位和减少上牙弓宽度和覆颌的可能性。还有一些关于使用特定乐器改善儿童咬合的报道。为了改善甚至预防由于口腔颌面部系统同一部位持续受压而导致的功能障碍,人们还进行了关于松弛板的应用的研究。这些研究主要基于访谈、牙颌模型分析和头颅侧位片分析。其他方法包括测力计测试和肌肉张力触诊。

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