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下颌骨功能负荷的机械载体(作者译)

[A mechanical carrier for the functional load of the mandible (author's transl)].

作者信息

Junier N, Spiessl B

出版信息

Rev Stomatol Chir Maxillofac. 1981;82(4):265-72.

PMID:6944763
Abstract

An apparatus is described in which mandibles can be suspended according to natural conditions. The masticator muscles can be simulated so that static equilibrium is ensured between these muscles, the two joints, and a resting point corresponding to the site of the incisors. As far as this is possible direction and force of the simulated muscles are respected. The total force at site of the incisors is about 24 kg. Holes were perforated at chosen sites in the compact bone. The deformation of these holes produced by tension or compression in the compact bone was measured by a capacitive transducer. In the 8 mandibles measured, tension characterized the pars alveolaris, compression the inferior edge of the corpus mandibulae. The highest values (tensions) were observed at the angular mandibulae (superior edge) and the lowest at the inferior edge of the protuberantia mentalis. Three mandibles were fractured and reconstructed with osteo-synthesis-plates. The load of 24 kg were applied at a rate of 1 to 2 per sec for approx. 15 min. The dislocation of the bony fragments produced by these loads oscillated between 19 and 47 micrometer. Repeated application of the load never produced a systematic increase of the displacement. The sites of measurement did not always show the displacement that might have been expected.

摘要

描述了一种装置,在该装置中,下颌骨可以根据自然条件进行悬吊。可以模拟咀嚼肌,以确保这些肌肉、两个关节以及对应于切牙部位的静止点之间的静态平衡。只要有可能,都会考虑模拟肌肉的方向和力量。切牙部位的总力约为24千克。在密质骨的选定部位打孔。用电容式传感器测量密质骨中由拉伸或压缩产生的这些孔的变形。在所测量的8个下颌骨中,牙槽部表现为拉伸,下颌体下缘表现为压缩。在角部(上缘)观察到最高值(拉伸),而在颏隆突下缘观察到最低值。对三个下颌骨进行骨折并用接骨板重建。以每秒1至2次的速率施加24千克的负荷,持续约15分钟。这些负荷产生的骨碎片移位在19至47微米之间波动。重复施加负荷从未导致移位有系统性增加。测量部位并不总是显示出预期的移位。

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