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下颌边缘运动:两种运动范围。

Mandibular border movements: The two envelopes of motion.

机构信息

Dental School, Research Centre in Dental Sciences (CICO), Universidad de La Frontera, Temuco, Chile.

Department of Integral Adults Dentistry, Dental School, Universidad de La Frontera, Temuco, Chile.

出版信息

J Oral Rehabil. 2021 Apr;48(4):384-391. doi: 10.1111/joor.13124. Epub 2020 Nov 20.

Abstract

BACKGROUND

The envelope of motion is a diagrammatic representation of the mandibular border movements. Classically, those movements are carried out eccentrically; starting from the position of maximal intercuspation, the mandible describes an excursion movement until reaching maximal mouth opening. Reverse movements would describe a different path, but up to now concentric development of mandibular border movements has not been considered. Literature states that beyond mandibular border movements limits, no movement is possible. Therefore, it is of great interest to compare both paths-both envelopes of motion-and define the actual limits of mandibular movement.

OBJECTIVE

The aim of this study was to compare the geometric characteristics of mandibular border movements carried out eccentrically and concentrically by healthy subjects.

METHODS

Sixteen individuals aged between 18 and 27 years, molar class I and with no temporomandibular disorders, participated in the study. Eccentric and concentric mandibular movements were recorded using a 3D electromagnetic articulograph. Data were processed with computational scripts developed in MATLAB. Maximum mouth opening, trajectories, displacement ranges, polygon areas and chewing cycle area/ mandibular border movements area ratio were analysed.

RESULTS

The frontal plane showed significant differences in all the parameters evaluated. Higher values were registered in the concentric area of the border movement envelope (P = .008) and in the trajectories on both sides. Statistical differences were observed in polygon areas (P = .006) in the sagittal plane and right ranges (P = .046) in the horizontal plane.

CONCLUSION

Concentric mandibular movements revealed significant differences in three-dimensional trajectories in the frontal plane.

摘要

背景

运动轨迹包络是下颌边缘运动的图示表示。传统上,这些运动是偏心进行的;从最大咬合位置开始,下颌描述了一个直到达到最大开口的偏移运动。相反的运动将描述不同的路径,但到目前为止,下颌边缘运动的同心发展尚未被考虑。文献表明,超出下颌边缘运动范围,就不可能有运动。因此,比较两种路径——运动轨迹包络——并定义下颌运动的实际范围是非常有趣的。

目的

本研究旨在比较健康受试者进行的偏心和同心下颌边缘运动的几何特征。

方法

16 名年龄在 18 至 27 岁之间、磨牙 I 类、无颞下颌关节紊乱的个体参加了研究。使用 3D 电磁关节描记器记录偏心和同心下颌运动。使用 MATLAB 中开发的计算脚本处理数据。分析最大开口度、轨迹、位移范围、多边形面积和咀嚼周期面积/下颌边界运动面积比。

结果

额平面显示所有评估参数均有显著差异。在边界运动包络的同心区域(P=.008)和两侧轨迹中记录到更高的值。在矢状面的多边形面积(P=.006)和水平面上的右侧范围(P=.046)中观察到统计学差异。

结论

在额平面的三维轨迹中,同心下颌运动显示出显著差异。

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