Fitins D, Sheikholeslam A
Department of Clinical Research, Karolinska Institutet, Huddinge, Sweden.
Swed Dent J. 1993;17(6):235-41.
The effect of canine guidance of a full-arch maxillary flat occlusal splint on the level of activation of the anterior and posterior, temporal, masseter and suprahyoid muscles during maximal clenching, were studied in 14 subjects without craniomandibular disorders. The results revealed that, the level of electromyographic activity of anterior and posterior temporal and suprahyoid muscles during maximal clenching on the occlusal splint in habitual closure was unchanged, as compared to biting in the intercuspal position (ICP), while the activity in the masseter muscle, on average, was increased slightly (13 percent). In contrast, the level of activation of the jaw elevator muscles decreased significantly during maximal clenching on the cuspid ramp of the splint, as compared to the biting in ICP or clenching on the splint. However, the degree of reduction of activity was not symmetrical, and was most pronounced in the masseter muscle of the biting side and in the anterior and posterior temporal muscles of the non-biting side. No significant difference was observed in the activity of the suprahyoid muscles.
在14名无颅下颌疾病的受试者中,研究了全牙弓上颌平面咬合板的犬牙引导对最大紧咬时前、后颞肌、咬肌和舌骨上肌群激活水平的影响。结果显示,与在牙尖交错位(ICP)咬合相比,习惯性咬合时在咬合板上最大紧咬时,颞肌前、后肌和舌骨上肌群的肌电图活动水平没有变化,而咬肌的活动平均略有增加(13%)。相比之下,与在ICP咬合或在咬合板上紧咬相比,在咬合板尖牙斜面最大紧咬时,升颌肌的激活水平显著降低。然而,活动减少的程度并不对称,在咬合侧的咬肌以及非咬合侧的颞肌前、后肌中最为明显。舌骨上肌群的活动未观察到显著差异。