Christensen L V, Rassouli N M
Marquette University, School of Dentistry, Milwaukee, Wisconsin, USA.
J Oral Rehabil. 1995 Nov;22(11):835-44. doi: 10.1111/j.1365-2842.1995.tb00231.x.
In 12 subjects, a pliable, yet unbreakable, intercuspal interference (aluminum shim onlay splint; uniform height of 0.25 mm) was placed between either the right or left maxillary and mandibular second premolars and first molars. During brief and forceful biting (dynamic chewing stroke of about 20 kg force) the interference emulated a semisoft food bolus, and at the end of biting (subsequent static clenching stroke of about 20 kg force) it emulated a rigid metal interference. During dynamic/static biting, rotational electrognathography measured maximum frontal and horizontal plane torque of the right and left mandibular condyles. Eleven subjects (92%) showed frontal plane upward rotation (mean of 1.0 degree) of the condyle contralateral to the interference, and one subject (8%) showed frontal plane upward rotation (0.4 degree) of the condyle ipsilateral to the interference. Two subjects (17%) showed no horizontal plane rotation; seven subjects (58%) showed backward rotation (mean of 0.4 degree) of the condyle contralateral to the interference; and three subjects (25%) showed backward rotation (mean of 0.3 degree) of the condyle ipsilateral to the interference. It is suggested that, in the presence of an occlusal interference, mastication may have both short- and long-term detrimental effects.
在12名受试者中,在右侧或左侧上颌第二前磨牙与第一磨牙以及下颌第二前磨牙与第一磨牙之间放置了一种柔韧但不易折断的牙尖交错干扰物(铝制垫片式嵌体夹板;均匀高度为0.25毫米)。在短暂而有力的咬合过程中(动态咀嚼冲程约为20千克力),该干扰物模拟半软食团,而在咬合结束时(随后的静态紧咬冲程约为20千克力),它模拟刚性金属干扰物。在动态/静态咬合期间,旋转式下颌电图测量了左右下颌髁突的最大额平面和水平面扭矩。11名受试者(92%)表现出干扰物对侧髁突在额平面向上旋转(平均1.0度),1名受试者(8%)表现出干扰物同侧髁突在额平面向上旋转(0.4度)。2名受试者(17%)未表现出水平面旋转;7名受试者(58%)表现出干扰物对侧髁突向后旋转(平均0.4度);3名受试者(25%)表现出干扰物同侧髁突向后旋转(平均0.3度)。研究表明,在存在咬合干扰的情况下,咀嚼可能会产生短期和长期的有害影响。