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无牙颌受试者的咀嚼-腮腺唾液反射

The masticatory-parotid salivary reflex in edentulous subjects.

作者信息

Scott B J, Hassanwalia R, Linden R W

机构信息

Department of Prosthetics, King's Dental Institute, University of London, UK.

出版信息

J Oral Rehabil. 1998 Jan;25(1):28-33. doi: 10.1046/j.1365-2842.1998.00203.x.

Abstract

The parotid-masticatory salivary reflex has been studied in edentulous subjects. Salivary flow was recorded by siting a modified Lashley cup over the orifice of the parotid duct on one side of the mouth. Subjects chewed on small pieces of silicone rubber with their complete dentures for 1 min periods which resulted in a reflex secretion of parotid saliva. The secretion was greatest when the subject chewed on the same side of the mouth (ipsilateral) as the salivary flow was recorded. Less salivary flow resulted when the subjects chewed on the opposite side of the mouth (contralateral). Anaesthesia of the mucosa of the maxillary and mandibular denture-bearing area was achieved by placing a thin layer of anaesthetic ointment in the fitting surface of the dentures on the side ipsilateral to the Lashley cup. This resulted in a reduction of salivary flow in response to similar chewing cycles. The results confirmed the presence of a parotid-masticatory salivary reflex in edentulous subjects which appears similar in many respects to that of dentate subjects. It is likely that receptors in the oral mucosa are stimulated when an edentulous subject masticates with complete dentures and that activity in these mechanoreceptive neurones results in the reflex salivary secretion.

摘要

已对无牙颌受试者的腮腺 - 咀嚼性唾液反射进行了研究。通过将改良的拉什利杯放置在口腔一侧腮腺导管开口上方来记录唾液流量。受试者戴着全口义齿咀嚼小块硅橡胶1分钟,这会引发腮腺唾液的反射性分泌。当受试者在记录唾液流量的同侧口腔(同侧)咀嚼时,分泌量最大。当受试者在口腔的另一侧(对侧)咀嚼时,唾液流量较少。通过在与拉什利杯同侧的义齿贴合面上涂抹一层薄薄的麻醉药膏,对上颌和下颌义齿承托区的黏膜进行麻醉。这导致在类似咀嚼周期时唾液流量减少。结果证实了无牙颌受试者中存在腮腺 - 咀嚼性唾液反射,其在许多方面似乎与有牙受试者的反射相似。当无牙颌受试者戴着全口义齿咀嚼时,口腔黏膜中的感受器可能会受到刺激,并且这些机械感受神经元的活动会导致反射性唾液分泌。

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