Kuboki T, Shinoda M, Orsini M G, Yamashita A
Department of Fixed Prosthodontics, Okayama University Dental School, Japan.
J Dent Res. 1997 Nov;76(11):1760-9. doi: 10.1177/00220345970760110701.
It has been suggested that a sustained loading condition such as clenching could compress the temporomandibular joint (TMJ) articular soft tissues. However, there is still no clear understanding of how the TM joint articular tissues respond under compression. To answer this question, we performed in vitro indentation tests on fresh articular discs and cartilage-bone systems of the condyles of 10 Yorkshire pigs (aged 7 months) using a self-developed indentation tester. The indenter was 5 mm in diameter and was controlled by means of a computer-aided feedback mechanism. Bilateral condyles from the same mandible were uniformly prepared; one was used for measurements under sustained compression (SC) and the other for measurements under intermittent compression (IC). The displacements of the indenter induced by a SC of 10, 20, and 30 Newtons (N, units of force) for 10 min and by an IC, also of 10, 20, and 30 N, with one-second duration and two-second intervals for 10 min were measured by means of a displacement sensor with a resolution of 0.001 mm. From these data, the indentation curves of the articular discs and the cartilage-bone systems were calculated. Both the disc and the articular cartilage showed characteristic displacement vs. time curves-namely, an instantaneous deformation upon load application, followed by a time-dependent creep phase of asymptotically increasing deformation under constant load. However, the indentation curves of the two tissues were not identical: The deformation of the articular cartilage was dose-dependent, but that of the disc was not. Moreover, the articular cartilage deformed significantly less under IC than under SC. This difference was not found in the disc. It can be concluded that both the disc and the articular cartilage of the pig temporomandibular joint have viscoelastic properties against compression; however, the disc is stiffer than the articular cartilage.
有人提出,诸如咬紧牙关之类的持续加载条件可能会压缩颞下颌关节(TMJ)的关节软组织。然而,对于TM关节的关节组织在压缩状态下如何反应,目前仍没有清晰的认识。为了回答这个问题,我们使用自行研发的压痕测试仪,对10只7个月大的约克郡猪的新鲜关节盘和髁突软骨-骨系统进行了体外压痕测试。压头直径为5毫米,并通过计算机辅助反馈机制进行控制。对同一下颌骨的双侧髁突进行均匀制备;一个用于持续压缩(SC)下的测量,另一个用于间歇压缩(IC)下的测量。通过分辨率为0.001毫米的位移传感器,测量由10、20和30牛顿(N,力的单位)的持续压缩10分钟以及同样为10、20和30 N的间歇压缩(持续时间为1秒,间隔时间为2秒,共10分钟)所引起的压头位移。根据这些数据,计算出关节盘和软骨-骨系统的压痕曲线。关节盘和关节软骨均呈现出特征性的位移-时间曲线,即在加载时瞬间变形,随后在恒定载荷下出现随时间变化的蠕变阶段,变形逐渐增加。然而,两种组织的压痕曲线并不相同:关节软骨的变形呈剂量依赖性,而关节盘的变形则不然。此外,关节软骨在间歇压缩下的变形明显小于持续压缩下的变形。在关节盘中未发现这种差异。可以得出结论,猪颞下颌关节的关节盘和关节软骨在抵抗压缩方面均具有粘弹性特性;然而,关节盘比关节软骨更硬。