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对下颌运动中无症状受试者下颌髁突轨迹的数学分析。

Mathematical analysis of the condylar trajectories in asymptomatic subjects during mandibular motions.

机构信息

Key Lab for Biomechanical Engineering of Sichuan Province, Sichuan University, No. 24 South Section 1, Ring Road No.1, Chengdu, 610065, China.

Yibin Institute of Industrial Technology/Sichuan University Yibin Park, Yibin Lingang Economic and Technological Development Zone, Yibin, 644600, China.

出版信息

Med Biol Eng Comput. 2021 Apr;59(4):901-911. doi: 10.1007/s11517-021-02346-6. Epub 2021 Mar 28.

Abstract

The understandings of motional regular and dynamic information during the mandibular motions are essential to investigate the dysfunctions of temporomandibular joints (TMJ). This study aims to develop a method to record the mandibular movements and analyze the condylar trajectory, velocity, and acceleration in asymptomatic individuals during mandibular motions. Thirteen asymptomatic subjects were strictly selected without symptoms of temporomandibular disorders (TMDs). An optical tracking system was chosen for recording mandibular motions. Curve fitting was used for fitting the trajectories of condyles, notches and lower incisor, and the articular eminence outlines. The sagittal plane (YoZ) provided a better view for condylar trajectories during mouth opening and mandibular protrusion, whereas the coronal plane (XoZ) offered a superior view during lateral protrusions. A parabola had good performance in fitting the trajectories of the condyle, incisor, and outlines with a superior goodness of fit (r) during mouth opening and mandibular protrusion; linear functions were suitable for fitting the trajectories of the contralateral condyle during lateral protrusions. The velocity during the opening process was lower than that during the closing process, and so were the accelerations. The sagittal space between the articular eminences and condyles during mouth opening and mandibular protrusion were close, 2.8 and 2.7 mm, respectively. The sagittal space, velocity, and acceleration can provide dynamic information of TMJs. Three-dimensional motion analyses of temporomandibular joints during the mandibular motions were conducted to exact the mathematic information of temporomandibular joints. From curve fitting process, the fluctuation can be eliminated and the dynamic information can be obtained. And the parabola was better for the condylar trajectories in the sagittal plane of opening and mandibular protrusion. As to the lateral protrusions, the linear function is suitable for the condylar trajectories in coronal plane. The condylar curve of asymptomatic subjects can set as a reference to diagnose and treat for the patients with associated dysfunctions.

摘要

下颌运动过程中的运动规律和动态信息的理解对于研究颞下颌关节(TMJ)的功能障碍至关重要。本研究旨在开发一种方法来记录无症状个体在下颌运动期间的下颌运动,并分析髁突轨迹、速度和加速度。严格选择了 13 名无症状受试者,他们没有颞下颌关节紊乱(TMD)的症状。选择光学跟踪系统记录下颌运动。曲线拟合用于拟合髁突、髁突切迹和下颌切牙以及关节结节轮廓的轨迹。矢状面(YoZ)在开口和下颌前伸过程中提供了更好的髁突轨迹视图,而冠状面(XoZ)在侧向突出过程中提供了更好的视图。在开口和下颌前伸过程中,抛物线在拟合髁突、切牙和轮廓轨迹方面表现良好,具有较高的拟合优度(r);在侧向突出过程中,线性函数适合拟合对侧髁突的轨迹。开口过程中的速度低于闭合过程中的速度,加速度也是如此。开口和下颌前伸过程中关节结节和髁突之间的矢状间隙分别为 2.8mm 和 2.7mm。矢状间隙、速度和加速度可以提供 TMJ 的动态信息。对下颌运动期间颞下颌关节的三维运动分析得出了颞下颌关节的数学信息。从曲线拟合过程中,可以消除波动并获得动态信息。在矢状面开口和下颌前伸过程中,抛物线更适合髁突轨迹。对于侧向突出,线性函数适用于冠状面的髁突轨迹。无症状受试者的髁突曲线可以作为诊断和治疗相关功能障碍患者的参考。

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