Yoshida K
Abteilung für Zahnärztliche Prothetik II, Propädeutik, Fachbereich Zahn-, Mund- und Kieferheilkunde, Universität Berlin, BRD.
Schweiz Monatsschr Zahnmed. 1995;105(1):24-9.
16 patients with painless temporomandibular joint clicking were investigated electromyographically. EMGs were recorded during open-close movement from the superior and inferior heads of the lateral pterygoid muscle, the anterior belly of the digastric muscle and the temporal muscle. TMJ clicking was recorded with a microphone located over the TMJ simultaneously with EMG and incisal movement and velocity. 13 of 16 patients showed various changes in EMG patterns. 3 patients showed no changes in EMG patterns. Evidence that a hyperactive muscle induces TMJ clicking, was not observed. These results indicate that there may be many types of adaptation for TMJ clicking from the viewpoint of the various EMG findings of masticatory muscles. It is suggested that most of the electromyographic changes are not the cause of painless TMJ clicking but their result.
对16例颞下颌关节无痛性弹响患者进行了肌电图检查。在张闭口运动过程中,记录了翼外肌上、下头、二腹肌前腹和颞肌的肌电图。用放置在颞下颌关节上方的麦克风同时记录颞下颌关节弹响、肌电图以及切牙运动和速度。16例患者中有13例肌电图模式出现了不同变化。3例患者肌电图模式无变化。未观察到肌肉活动亢进诱发颞下颌关节弹响的证据。这些结果表明,从咀嚼肌的各种肌电图表现来看,颞下颌关节弹响可能存在多种适应类型。提示大多数肌电图变化不是颞下颌关节无痛性弹响的原因,而是其结果。