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[咬合力致下颌位移的研究。2. 髁突位移分析]

[A study on mandibular displacement due to biting force. 2. Analysis of condylar displacement].

作者信息

Inoue T

出版信息

Nihon Hotetsu Shika Gakkai Zasshi. 1989 Feb;33(1):215-24. doi: 10.2186/jjps.33.215.

Abstract

Part of the biting force is believed to be transmitted to the temporomandibular joint and cause interarticular pressure. This pressure's degree and function, however, are not clarified. In this paper, I shall examine this pressure from condylar movement measured by the face-bow. For the measurement of condylar movement caused by biting-pressure, I used an intraoral appliance which consisted of a pair of Co-Cr clutches and a pivot. While the patient exerted both maximum and medium biting force on the pivot located at the first molar, mandibular movements were measured. Both sides of the condyle tended to move anterosuperiorly. Condylar movement averaged 0.29 mm on the working side, and 0.46 mm on the balancing side during maximum bite force. Distance and direction of the condylar movements were equal to the results of previous investigations, excepting the direction of working side condyle. The difference was considered to be primarily due to experimental variables. The condylar movement during biting was smaller than that during pushing the jaw upward with manual forces. This suggests that interarticular pressure is only slight on both sides during first molar bite action.

摘要

部分咬合力被认为会传递至颞下颌关节并导致关节内压力。然而,这种压力的程度和作用尚未明确。在本文中,我将通过面弓测量髁突运动来研究这种压力。为了测量由咬合力引起的髁突运动,我使用了一种口腔内装置,该装置由一对钴铬卡环和一个枢轴组成。当患者对位于第一磨牙处的枢轴施加最大和中等咬合力时,测量下颌运动。两侧髁突均倾向于向前上方移动。在最大咬合力时,工作侧髁突运动平均为0.29毫米,平衡侧为0.46毫米。髁突运动的距离和方向与先前研究结果一致,但工作侧髁突的方向除外。这种差异主要被认为是由于实验变量所致。咬合时的髁突运动小于用手向上推颌时的髁突运动。这表明在第一磨牙咬合动作时,两侧的关节内压力都很小。

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