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颌面部区域感觉功能评估:一项双病例试点研究。

An Assessment of the Sensory Function in the Maxillofacial Region: A Dual-Case Pilot Study.

作者信息

Aguiar João Maia, Machado da Silva José, Fonseca Carlos, Marinho Jorge

机构信息

INESC TEC-INESC Technology and Science, 4200-465 Porto, Portugal.

Faculdade de Engenharia, Universidade do Porto, 4200-465 Porto, Portugal.

出版信息

Sensors (Basel). 2025 May 26;25(11):3355. doi: 10.3390/s25113355.

Abstract

Trigeminal somatosensory-evoked potentials (TSEPs) provide valuable insight into neural responses to oral stimuli. This study investigates TSEP recording methods and their impact on interpreting results in clinical settings to improve the development process of neurostimulation-based therapies. The experiments and results presented here aim at identifying appropriate stimulation characteristics to design an active dental prosthesis capable of contributing to restoring the lost neurosensitive connection between the teeth and the brain. Two methods of TSEP acquisition, traditional and occluded, were used, each conducted by a different volunteer. Traditional TSEP acquisition involves stimulation at different sites with varying parameters to achieve a control base. In contrast, occluded TSEPs examine responses acquired under low- and high-force bite conditions to assess the influence of periodontal mechanoreceptors and muscle activation on measurements. Traditional TSEPs demonstrated methodological feasibility with satisfactory results despite a limited subject pool. However, occluded TSEPs presented challenges in interpreting results, with responses deviating from expected norms, particularly under high force conditions, due to the simultaneous occurrence of stimulation and dental occlusion. While traditional TSEPs highlight methodological feasibility, the occluded approach highlights complexities in outcome interpretation and urges caution in clinical application. Previously unreported results were achieved, which underscores the importance of conducting further research with larger sample sizes and refined protocols in order to strengthen the reliability and validity of TSEP assessments.

摘要

三叉神经体感诱发电位(TSEPs)为了解对口腔刺激的神经反应提供了有价值的见解。本研究调查了TSEP记录方法及其在临床环境中对解释结果的影响,以改进基于神经刺激的治疗方法的开发过程。本文介绍的实验和结果旨在确定合适的刺激特征,以设计一种有源假牙,有助于恢复牙齿与大脑之间失去的神经敏感连接。使用了两种TSEP采集方法,即传统方法和咬合方法,每种方法由不同的志愿者进行。传统的TSEP采集包括在不同部位以不同参数进行刺激,以建立一个对照基线。相比之下,咬合TSEPs检查在低咬合力和高咬合力条件下获得的反应,以评估牙周机械感受器和肌肉激活对测量的影响。尽管受试者群体有限,但传统TSEPs证明了方法的可行性,结果令人满意。然而,咬合TSEPs在解释结果方面存在挑战,由于刺激和牙齿咬合同时发生,其反应偏离了预期标准,尤其是在高咬合力条件下。虽然传统TSEPs突出了方法的可行性,但咬合方法突出了结果解释的复杂性,并敦促在临床应用中谨慎行事。取得了以前未报告的结果,这强调了进行更大样本量和完善方案的进一步研究的重要性,以加强TSEP评估的可靠性和有效性。

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