Reinicke C, Obijou N, Tränkmann J
Poliklinik für Kieferorthopädie, Zentrum für Zahn-, Mund- und Kieferheilkunde der Medizinischen Hochschule Hannover, Germany.
J Orofac Orthop. 1998;59(4):202-7. doi: 10.1007/BF01579164.
In a clinical-experimental study the influence of variations in the palatal shape of upper removable appliances upon tongue position during swallowing was investigated. During a clinical examination of 35 dental students displaying a physiological swallowing pattern, the tongue position during swallowing was recorded by palatography on an individually adapted upper plate. During swallowing with a roughened plate with an individual palatal shape and an imitated palatal papilla, the tongue position was significantly more posterior than with a highly polished, unstructured plate. The number of students displaying a visceral swallowing pattern was significantly smaller with a roughened plate with palatal folds and papilla then with a polished, smooth appliance. A roughened, individually shaped appliance with palatal folds and palatal papilla should therefore be used after myofunctional therapy and in cases where disturbance of tongue function by the appliance is not desirable.
在一项临床实验研究中，调查了上颌可摘矫治器腭部形状变化对吞咽时舌位置的影响。在对35名表现出生理性吞咽模式的牙科学生进行临床检查时，通过腭描记法在个体适配的上颌板上记录吞咽时的舌位置。在使用具有个体腭部形状和模仿腭乳头的粗糙板吞咽时，舌位置比使用高度抛光、无结构的板时明显更靠后。与使用抛光、光滑的矫治器相比，使用具有腭褶和乳头的粗糙板时，表现出内脏性吞咽模式的学生数量明显更少。因此，在肌功能治疗后以及在不希望矫治器干扰舌功能的情况下，应使用具有腭褶和腭乳头的粗糙、个体化形状的矫治器。
