Key Lab for Biomechanical Engineering of Sichuan Province, Sichuan University, Chengdu, 610065, China; Yibin Institute of Industrial Technology, Sichuan University Yibin Park, Yibin, 644600, China.
Yibin Institute of Industrial Technology, Sichuan University Yibin Park, Yibin, 644600, China; Basic Mechanics Lab, Sichuan University, Chengdu, 610065, China.
Med Eng Phys. 2023 Jun;116:103989. doi: 10.1016/j.medengphy.2023.103989. Epub 2023 May 8.
Mastication displays much importance in people's lives. The masticatory mandibular motion associated with dental kinematics also impacts temporomandibular joint (TMJ) kinematics and even TMJ health status. How food properties impact kinematical parameters of TMJs is a meaningful question for the conservative treatment of temporomandibular disorders (TMD) and evidence for the diet recommendation of TMD patients. The aim of this study was to find the primary mechanical properties influencing the masticatory motion. The potato boluses with different boiling times and sizes were chosen. The optical motion tracking system was adopted to record the masticatory trials of chewing boluses with various mechanical properties. The mechanical experiments revealed that increasing boiling time could reduce compressive strength. Moreover, multiple regression models were built to find the primary property of food influencing the TMJ kinematics, including condylar displacement, velocity, acceleration, and crushing time. The results showed that the bolus size had a significant primary influence on condylar displacements. The chewing times had a significantly minor influence on condylar displacements, while bolus strength had only a small impact on condylar displacements. Furthermore, condylar displacements on the non-working side were more affected by bolus size and chewing times than on the working sides. The crushing time of the bolus was significantly influenced by the compressive strength. Meals with small sizes and soft properties were therefore advised to lessen condylar displacements and relax the crushing process, and further reduce the loadings in the TMJ.
咀嚼在人们的生活中具有重要意义。与牙齿运动学相关的咀嚼下颌运动也会影响颞下颌关节(TMJ)的运动学,甚至影响 TMJ 的健康状况。食物特性如何影响 TMJ 的运动学参数,对于 TMJ 紊乱(TMD)的保守治疗以及为 TMD 患者提供饮食建议的证据来说,是一个有意义的问题。本研究旨在找出影响咀嚼运动的主要力学特性。选择了不同煮制时间和大小的土豆丸。采用光学运动跟踪系统记录具有不同力学特性的咀嚼丸的咀嚼试验。力学实验表明,增加煮制时间可以降低抗压强度。此外,还建立了多元回归模型,以找出影响 TMJ 运动学的主要食物特性,包括髁突位移、速度、加速度和压碎时间。结果表明,丸块尺寸对髁突位移有显著的主要影响。咀嚼时间对髁突位移的影响较小,而丸块强度对髁突位移的影响较小。此外,非工作侧的髁突位移受丸块尺寸和咀嚼时间的影响比工作侧更大。丸块的压碎时间受抗压强度的显著影响。因此,建议食用小尺寸和软特性的食物,以减少髁突位移并放松压碎过程,从而进一步减轻 TMJ 的负荷。