Laurell L, Lundgren D
J Oral Rehabil. 1984 Jan;11(1):39-44. doi: 10.1111/j.1365-2842.1984.tb00550.x.
A recently described method for studying occlusal forces in prosthetically restored dentitions (Lundgren & Laurell, 1984) was applied in a standardized programme to elucidate the occlusal force pattern and the functional capability of a dentition during chewing and biting. The method is based on the use of strain gauge transducers mounted into preformed matrices evenly distributed over the tooth-arch. The programme was tested in a subject prosthetically restored with a fixed bridge of cross-arch design in the upper jaw, and with unsplinted teeth in the lower jaw. It involved chewing of (a) peanuts, (b) roast beef with potato salad, biting with maximal strength in habitual occlusion and biting over one limited contact area at a time. The magnitude of the occlusal forces developed during chewing and swallowing was well below all biting forces. The magnitude of the total force acting over the entire dentition when biting at maximal strength in habitual occlusion did not seem to be limited by reactions from the teeth or the periodontal tissues but, seemingly, by the capability of the jaw-closing muscles themselves. The magnitude of the local bite force over one limited contact area at a time was much smaller than that which the jaw-closing muscles were able to develop. This indicated that feedback mechanisms in the periodontal tissues and/or the temporo-mandibular joints were limiting factors for these forces. The programme will be applied to studies of dentitions supplied with prosthetic constructions of various design and with different distribution of periodontal support.
一种最近描述的用于研究修复后牙列咬合力量的方法(Lundgren和Laurell,1984年)被应用于一个标准化方案中,以阐明在咀嚼和咬合过程中牙列的咬合力模式和功能能力。该方法基于使用安装在预制基质中的应变片传感器,这些基质均匀分布在牙弓上。该方案在一名受试者身上进行了测试,该受试者上颌用跨牙弓设计的固定桥进行修复,下颌牙齿未用夹板固定。它包括咀嚼(a)花生、(b)烤牛肉配土豆沙拉,在习惯性咬合时以最大力量咬合,以及一次在一个有限的接触区域咬合。咀嚼和吞咽过程中产生的咬合力大小远低于所有咬合力。在习惯性咬合时以最大力量咬合时,作用于整个牙列的总力大小似乎不受牙齿或牙周组织反应的限制,而似乎受咬肌自身能力的限制。一次在一个有限接触区域的局部咬合力大小远小于咬肌能够产生的力。这表明牙周组织和/或颞下颌关节中的反馈机制是这些力量的限制因素。该方案将应用于对具有各种设计的修复结构和不同牙周支持分布的牙列的研究。