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由前牙和后牙接触引发的相互颌-肌肉反射——一种解释咀嚼肌控制的视角

The reciprocal jaw-muscle reflexes elicited by anterior- and back-tooth-contacts-a perspective to explain the control of the masticatory muscles.

作者信息

Vaahtoniemi Lauri

机构信息

Plusterveys Hammasateljee, Kokkola, Finland.

出版信息

BDJ Open. 2020 Dec 17;6(1):27. doi: 10.1038/s41405-020-00056-z.

Abstract

AIMS

Tooth-contact sensations are considered essential to boost jaw adductor muscles during mastication. However, no previous studies have explained the importance of the inhibitory reflex of human anterior-tooth (ANT)-contacts in mastication. Here I present the "reciprocal reflex-control-hypothesis" of mammalian mastication.

SUBJECTS AND SETTING OF THE STUDY

I demonstrate the hypothesis with the live kinematics of free jaw-closures as inferred from T-Scan recordings of dental patients.

RESULTS

The jaw-closures started with negligible force, predominantly with ANT-contacts (the AF-bites). The first ANT-contact inhibited the first kinematic tilt of the mandible, whereas the bites starting from a back-tooth (BAT)-contact (the BF-bites) accelerated the first tilt. The second tilt established a low-force static tripod of the ANT- and bilateral BAT-contacts for a fixed mandible-maxilla relation. Thereafter, semi-static bite force increased rapidly, relatively more in the BAT-area.

DISCUSSION AND CONCLUSIONS

In the vertical-closure phase of chewing, the primate joint-fulcrum (class 3 lever) conflicts with the food-bolus-fulcrum in the BAT-area (class 1 lever). The resilient class 3 and 1 lever systems are superseded by an almost static mechanically more advantageous class 2 lever with a more rigid fulcrum at the most anterior ANT-contact. For humans, the class 2 levered delivery of force also enables forceful horizontal food grinding to be extended widely to the BAT-area.

摘要

目的

牙齿接触感觉被认为对咀嚼过程中增强颌内收肌至关重要。然而,此前尚无研究解释人类前牙(ANT)接触的抑制反射在咀嚼中的重要性。在此,我提出哺乳动物咀嚼的“相互反射控制假说”。

研究对象与研究背景

我通过牙科患者的T-Scan记录所推断的自由闭口实时运动学来验证该假说。

结果

闭口始于可忽略不计的力,主要由ANT接触(AF咬合)开始。首次ANT接触抑制了下颌骨的首次运动倾斜,而从后牙(BAT)接触开始的咬合(BF咬合)则加速了首次倾斜。第二次倾斜建立了一个由ANT和双侧BAT接触构成的低力静态三脚架,以固定下颌骨与上颌骨的关系。此后,半静态咬合力迅速增加,在BAT区域增加得相对更多。

讨论与结论

在咀嚼的垂直闭口阶段,灵长类动物的关节支点(3类杠杆)与BAT区域的食物团支点(1类杠杆)相互冲突。有弹性的3类和1类杠杆系统被一个几乎静态的、机械上更有利的2类杠杆所取代,该杠杆在最前方的ANT接触处有一个更刚性的支点。对人类而言,2类杠杆的力传递还能使有力的水平食物研磨广泛扩展到BAT区域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52fc/7746706/dfc636fdec02/41405_2020_56_Fig1_HTML.jpg

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