Department of Physiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Department of Physiology, Medical School, Atatürk University, 25240, Erzurum, Turkey.
Acta Neurol Belg. 2023 Oct;123(5):1945-1956. doi: 10.1007/s13760-023-02283-1. Epub 2023 Jun 23.
Voluntary teeth clenching is shown to increase the strength of muscle reflexes contributing to the improvement of postural stability. However, the interaction between the handgrip strength and teeth clenching is not yet understood. In this study, we aimed to evaluate the change in handgrip force in response to voluntary teeth clenching, and its relation to the peripheral receptors that play a central role in the control of mastication.
Thirty-six healthy men were divided into two groups: aged 50-59 years, no dental prosthesis, and 53-62 years with total dental prosthesis. Each individual was given handgrip and teeth clenching instructions for five experiments: only handgrip, teeth clenching followed by handgrip without teeth clenching, teeth clenching followed by handgrip with teeth clenching, and the repetition of the last two instructions while wearing mouth guards.
Our findings showed that maximum handgrip force decreased and the resistance to fatigue increased in complete edentulous individuals using appropriate prostheses. Also, the significantly lower maximum handgrip force and higher resistance to fatigue values of the participants with dental prosthesis using a mouth guard while teeth clenching, revealed the central roles of periodontal mechanoreceptors.
Decreases in masticatory sensory information processes influence handgrip force values which is the most important indicator of motor function. The lack of periodontal mechanoreceptors associated with dental prosthesis usage may lead to a loss in muscle strength.
自愿咬牙被证明可以增强肌肉反射的强度,从而有助于提高姿势稳定性。然而,手的握力和咬牙之间的相互作用尚不清楚。在这项研究中,我们旨在评估在自愿咬牙时手的握力的变化,及其与在外周起中枢作用的咀嚼控制中发挥重要作用的感受器之间的关系。
36 名健康男性分为两组:50-59 岁,无义齿,53-62 岁,全口义齿。每位参与者都接受了握力和咬牙的五个实验指令:仅握力、咬牙后不咬牙握力、咬牙后咬牙握力、戴口内牙合垫重复后两个指令。
我们的研究结果表明,使用适当义齿的完全无牙个体的最大握力降低,抗疲劳能力增强。此外,戴口内牙合垫咬牙时义齿佩戴者的最大握力显著降低,抗疲劳能力增加,这表明牙周机械感受器起着重要作用。
咀嚼感觉信息处理的减少会影响手的握力值,这是运动功能的最重要指标。与义齿使用相关的牙周机械感受器的丧失可能导致肌肉力量的丧失。