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短期针刺治疗对深覆合错牙合患者咬合力及下颌运动的影响。

Effects of short-term acupuncture treatment on occlusal force and mandibular movement in patients with deep-bite malocclusion.

作者信息

Fang Chih-Yu, Yu Jian-Hong, Chang Chia-Chi, Hsu Jui-Ting, Lee Yu-Chen, Huang Heng-Li

机构信息

School of Dentistry, China Medical University, No. 91 Hsueh-Shih Rd., Taichung 40402, Taiwan.

Department of Orthodontics, China Medical University Hospital, No. 2, Yude Rd., Taichung 40447, Taiwan.

出版信息

J Dent Sci. 2019 Mar;14(1):81-86. doi: 10.1016/j.jds.2018.11.003. Epub 2018 Dec 4.

Abstract

BACKGROUND/PURPOSE: Acupuncture is well known to be effective for pain relief and muscle relaxation, and hence it is feasible that acupuncture treatment could change the occlusal forces and mandibular movements in subjects with deep-bite malocclusion. The purpose of this research was to determine the distribution of occlusal force and the border movement of the mandible in patients with deep-bite malocclusion before and after acupuncture treatment.

MATERIALS AND METHODS

This study involved 17 volunteers with deep-bite malocclusion and aged 20-30 years. Before and after acupuncture treatment, the distribution of the occlusal-force percentage at each tooth was measured and the percentage biting force in the first molar area during maximal clenching was recorded. Additionally, the mandibular movements including the maximum mouth opening and maximum lateral border movement were also evaluated. All of the data were analyzed statistically using the Wilcoxon signed-rank test.

RESULTS

The percentage biting force at the first molar differed significantly between before and after the acupuncture treatments ( = 0.017). However, no treatment effects were seen for the maximum mouth opening and the maximum lateral border movement. Conclusion: Although the mandibular border movements did not change significantly, this study has confirmed that acupuncture treatment may become an alternative choice on improving the occlusal force of deep-bite patients.

摘要

背景/目的:众所周知,针灸对缓解疼痛和肌肉放松有效,因此针刺治疗有可能改变深覆合错牙合患者的牙合力和下颌运动。本研究的目的是确定深覆合错牙合患者针刺治疗前后的牙合力分布和下颌边缘运动。

材料与方法

本研究纳入了17名年龄在20 - 30岁之间的深覆合错牙合志愿者。在针刺治疗前后,测量每颗牙齿的牙合力百分比分布,并记录最大紧咬时第一磨牙区域的咬合力百分比。此外,还评估了下颌运动,包括最大张口度和最大侧方边缘运动。所有数据均采用Wilcoxon符号秩检验进行统计学分析。

结果

针刺治疗前后第一磨牙的咬合力百分比有显著差异(P = 0.017)。然而,最大张口度和最大侧方边缘运动未观察到治疗效果。结论:尽管下颌边缘运动没有显著变化,但本研究证实针刺治疗可能成为改善深覆合患者牙合力的一种替代选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ead3/6445974/7300104ba19c/gr1.jpg

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