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全口义齿咀嚼力中心的计算机图形学

Computer graphics of center of masticatory forces in complete dentures.

作者信息

Ogata K, Kawahara K, Kishimoto E, Ogata S

机构信息

Department of Removable Prosthodontics, Oral Radiology, Preventive Dentistry and Pediatric Dentistry, Okayama University Dental School, Japan.

出版信息

Medinfo. 1995;8 Pt 2:1708.

PMID:8591563
Abstract
  1. INTRODUCTION. In dental education, it is valuable to show visually the differences between a good-fitting and an ill-fitting complete denture. A vector of masticatory forces across all the teeth of the denture is available to estimate the capability of the denture. The vector is simple while the forces exerted on a denture are very complex. A vector has only two factors, the point of application (center of force) and the magnitude. Because a complete denture acts as a unit, we can obtain the vector from electrical signals detected by transducers installed in the denture base. The aim of this study was to develop software which is able to show visually to dental students, the differences between the vectors of the dentures of three representative complete denture wearers. 2. METHODS. Three subjects, each with either a good, a moderate or an ill-fitting complete denture, were selected. Subject 1 could use the denture very comfortably during experiment. Subject 2 was uncomfortable at the insertion of the new denture, but after adaptations to the denture he could use it very well. Subject 3 had been uncomfortable during the experiment. A bottom complete denture was divided into upper and lower parts. These were connected by the four force-detecting units which were embedded in approximately the first premolar and second molar regions on both sides of the denture. The electric signals from these units during the chewing of peanuts and raisins (sampling time period: 30 msec) were recorded as digital signals and processed using the computer (Macintosh IIcx, Apple Computer) with the A/D converter (Lab-NB), National Instruments). Center and magnitudes of masticatory force were calculated from all sampling points using our newly developed software scripted by ¿C¿ (MPW C, Apple Computer). On the other hand, a tracing of the external shape of the dentition of the denture was made using the project (V-12, NIKON). The tracing of the dentition, with center and magnitude of masticatory forces was displayed successively on the screen like a movie. 3. RESULTS AND DISCUSSION. The typical scenes in each cases during one stroke of chewing were illustrated in Figure 1. The center of each circle is the point of application of the vector and the diameter of the circle is its magnitude. As time proceeded, the diameter of the circle became larger. As the period of denture insertion proceeded, the center of masticatory force was localized on the first molar region in subject 1, was shifted from the middle of the dental arch to the molar in subject 2, and was irregularly moved on the middle of the dental arch in subject 3. This software could visualize the center of masticatory force as an indicator of the type of fitting of the complete denture on display.
摘要
  1. 引言。在牙科教育中,直观展示合适与不合适的全口义齿之间的差异很有价值。义齿所有牙齿上的咀嚼力向量可用于评估义齿的性能。该向量很简单,而施加在义齿上的力却非常复杂。向量只有两个要素,即作用点(力的中心)和大小。由于全口义齿作为一个整体起作用,我们可以从安装在义齿基托中的传感器检测到的电信号中获取该向量。本研究的目的是开发一款软件,能够向牙科学生直观展示三位有代表性的全口义齿佩戴者义齿向量之间的差异。2. 方法。选择了三名受试者,每人分别佩戴合适、中等合适或不合适的全口义齿。受试者1在实验过程中能非常舒适地使用义齿。受试者2在佩戴新义齿时感到不舒服,但经过对义齿的适应后,他能很好地使用它。受试者3在实验过程中一直感到不舒服。将一副下颌全口义齿分为上下两部分。它们通过四个力检测单元连接,这些单元嵌入在义齿两侧大约第一前磨牙和第二磨牙区域。在咀嚼花生和葡萄干过程中(采样时间段:30毫秒)这些单元的电信号被记录为数字信号,并使用配备A/D转换器(Lab-NB,美国国家仪器公司)的计算机(苹果电脑Macintosh IIcx)进行处理。使用由“C”语言(MPW C,苹果电脑)编写的我们新开发的软件脚本,从所有采样点计算咀嚼力的中心和大小。另一方面,使用投影仪(尼康V-12)对义齿牙列的外部形状进行描绘。牙列的描绘以及咀嚼力的中心和大小像电影一样依次显示在屏幕上。3. 结果与讨论。图1展示了每种情况下一次咀嚼冲程中的典型场景。每个圆圈的中心是向量的作用点,圆圈的直径是其大小。随着时间推移,圆圈的直径变大。随着义齿佩戴时间的推移,受试者1咀嚼力的中心位于第一磨牙区域,受试者2的咀嚼力中心从牙弓中部移向磨牙,受试者3的咀嚼力中心在牙弓中部不规则移动。该软件可以将咀嚼力中心可视化,作为所展示全口义齿合适类型的一个指标。

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