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双侧基托延伸可摘局部义齿不同牙尖斜度对咀嚼肌活动和咀嚼效能的影响。

Muscle activity and masticatory efficiency with bilateral extension base removable partial dentures with different cusp angles.

机构信息

Professor and Senior Consultant, Department of Prosthodontics, School of Dentistry, University of Jordan, Amman, Jordan; and Professor, The City of London School of Dentistry, London, United Kingdom.

出版信息

J Prosthet Dent. 2018 Mar;119(3):369-376. doi: 10.1016/j.prosdent.2017.05.001. Epub 2017 Jun 20.

Abstract

STATEMENT OF PROBLEM

Whether masticatory efficiency and electromyographic activity are influenced by type of artificial teeth and food is unclear.

PURPOSE

The purpose of this clinical study was to evaluate the influence of extension base removable partial dentures (RPDs) with different cusp angles: anatomic (33 degrees), semianatomic (20 degrees), and nonanatomic (0 degrees) teeth on masticatory efficiency and muscle activity during the mastication of test foods with different textures.

MATERIAL AND METHODS

Twelve participants with RPDs were selected to perform masticatory efficiency and electromyographic tests. Surface electromyograms (EMGs) were used to record the activities of the masseter and temporalis muscles during the mastication of different types of test foods. The maximal voltage and duration were measured on the integrated EMG signal in each muscle during food mastication, and the mean reading of both sides was then recorded. Analysis of variance and the Tukey post hoc test were used to perform statistical analyses (α=.05).

RESULTS

The masticatory efficiency of RPDs with nonanatomic teeth was significantly inferior to that of RPDs with anatomic and semianatomic teeth (P<.05). However, masticatory efficiency did not differ between anatomic and semianatomic teeth (P>.05). Also, muscle activity (according to EMG) with RPDs with NA teeth was significantly higher than that with anatomic and semianatomic teeth (P<.05).

CONCLUSIONS

RPDs with NA teeth were associated with higher EMG muscle activity and reduced masticatory efficiency than anatomic or semianatomic teeth.

摘要

问题陈述

咀嚼效率和肌电图活动是否受人工牙类型和食物的影响尚不清楚。

目的

本临床研究的目的是评估不同牙尖角度(解剖型[33 度]、半解剖型[20 度]和非解剖型[0 度])延伸基可摘局部义齿(RPD)对咀嚼不同质地测试食物时咀嚼效率和肌肉活动的影响。

材料和方法

选择 12 名佩戴 RPD 的参与者进行咀嚼效率和肌电图测试。表面肌电图(EMG)用于记录咀嚼不同类型测试食物时咀嚼肌和颞肌的活动。在食物咀嚼过程中,对每个肌肉的整合 EMG 信号测量最大电压和持续时间,并记录两侧的平均值。采用方差分析和 Tukey 事后检验进行统计学分析(α=.05)。

结果

无牙尖角度 RPD 的咀嚼效率明显低于有牙尖角度的 RPD(解剖型和半解剖型)(P<.05)。然而,解剖型和半解剖型牙尖角度的 RPD 咀嚼效率无差异(P>.05)。此外,无牙尖角度 RPD 的肌肉活动(根据 EMG)明显高于有牙尖角度的 RPD(P<.05)。

结论

与解剖型或半解剖型牙尖角度相比,无牙尖角度的 RPD 与更高的 EMG 肌肉活动和降低的咀嚼效率相关。

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