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切牙咬合力对髁突就位的影响。

The effect of incisal bite force on condylar seating.

作者信息

Wood D P, Floreani K J, Galil K A, Teteruck W R

机构信息

University of Western Ontario, London, Canada.

出版信息

Angle Orthod. 1994;64(1):53-61. doi: 10.1043/0003-3219(1994)064<0053:TEOIBF>2.0.CO;2.

Abstract

The purpose of this study was to investigate the relationship between different incisal biting forces and condylar seating. Bite force was measured with strain gauges at the incisors in 22 adult subjects. The subjects were positioned with mandibles in retruded centric and with an opening not exceeding the range of hinge axis movement. Condylar movement was measured using standard true hinge axis location procedures. Condylar position was measured with no force, then with bite forces of 4.5 kg, 7.5 kg and a comfortable maximum. Biting force significantly affected condylar movement (p < 0.001). As incisal bite forces increased, so did the amount of condylar seating to an average of 0.49 mm anteriorly and 0.27 mm superiorly using maximum biting force. Therefore, when taking a centric relation record, a technique involving an anterior stop and sufficient biting force should seat the condyles more fully.

摘要

本研究的目的是调查不同切牙咬合力与髁突就位之间的关系。使用应变片在22名成年受试者的切牙处测量咬合力。受试者的下颌处于后退正中位,开口不超过铰链轴运动范围。使用标准的真铰链轴定位程序测量髁突运动。在无咬合力时测量髁突位置,然后分别在咬合力为4.5千克、7.5千克和舒适的最大咬合力时测量髁突位置。咬合力显著影响髁突运动(p < 0.001)。随着切牙咬合力增加,使用最大咬合力时髁突向前平均就位0.49毫米,向上平均就位0.27毫米。因此,在记录正中关系时,采用涉及前止点和足够咬合力的技术应能使髁突更充分地就位。

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