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实验性咬合干扰。第二部分。咬肌肌电图对正中咬合干扰的反应。

Experimental occlusal interferences. Part II. Masseteric EMG responses to an intercuspal interference.

作者信息

Christensen L V, Rassouli N M

机构信息

Marquette University, School of Dentistry, Milwaukee, Wisconsin, USA.

出版信息

J Oral Rehabil. 1995 Jul;22(7):521-31. doi: 10.1111/j.1365-2842.1995.tb01198.x.

Abstract

In 12 subjects, a rigid unilateral intercuspal interference (minimum mean height of 0.24 mm) was placed on either the right or left mandibular second premolar and first molar (sagittal physiological equilibrium point of the hemimandibular dental arch). During brisk and forceful clenching on the interference, bipolar surface electromyograms were obtained from the right and left masseter muscles. On the side opposite the interference, myoelectric clenching activity was significantly reduced. Correlation analyses showed that the interference elicited a non-linear (complex) co-ordination of the amplitude, but not the duration, of bilateral masseteric clenching activity, i.e. frequently there was significant motor facilitation on the side of the interference, and significant motor inhibition on the side opposite the interference. Theoretical considerations predicted that brief clenching on the interference would easily lead to frontal plane rotatory motions of the mandible which, indeed, occurred clinically.

摘要

在12名受试者中,在右侧或左侧下颌第二前磨牙和第一磨牙(半侧下颌牙弓的矢状生理平衡点)上施加了刚性单侧牙尖干扰(最小平均高度为0.24毫米)。在对干扰物进行快速有力的紧咬过程中,从右侧和左侧咬肌获取了双极表面肌电图。在干扰物对侧,肌电紧咬活动显著降低。相关性分析表明,干扰引发了双侧咬肌紧咬活动幅度的非线性(复杂)协调,但不是持续时间的协调,即干扰侧经常有显著的运动促进,而干扰物对侧有显著的运动抑制。理论推测表明,对干扰物进行短暂紧咬很容易导致下颌在额状面的旋转运动,而这在临床上确实发生了。

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