[A clinical study on occlusal plane in relation with orofacial morphology and stomatognathic function].

T Okuda
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Abstract

Occlusal plane is one of the important and fundamental factors that establish the mandibular position and the form of dental arch and prosthesis. The aim of this study is to investigate the morphological and functional importance of occlusal plane in relation with orofacial morphology and stomatognathic function. Cephalograms were taken and electromyograms of masseter, anterior and posterior temporal muscles were recorded during clenching, tapping and chewing movements in 30 normal young adult subjects. Mandibular movements were simultaneously recorded using Sirognathograph (Siemens, West Germany). A correlation analysis was performed to study the relationship between the occlusal plane and morphological and functional parameters. As a result, the occlusal plane angle showed; 1) close correlations with the mandibular plane angle, Camper's plane angle and palatal plane angle, 2) correlations with the duration of activity of anterior temporal muscles and the sagittal angle of chewing pathway. The results suggest that there is a close relationship between the occlusal plane and orofacial morphology. Furthermore, the morphological parameters closely related to the occlusal plane were found to affect stomatognathic function. It is concluded that the occlusal plane is the important factor which harmonizes morphology and function of the stomatognathic system.

颌面平面与口腔面部形态及口颌功能关系的临床研究。
咬合平面是决定下颌位置和牙弓及义齿形态的重要基础因素之一。本研究的目的是探讨咬合平面在口腔面部形态和口颌功能中的形态学和功能重要性。对30名正常青年进行握紧、叩击、咀嚼运动时的咬肌、颞前肌、颞后肌的脑电图和肌电图进行记录。下颌运动同时用Sirognathograph (Siemens, West Germany)记录。通过相关分析研究了咬合平面与形态学和功能参数之间的关系。结果:牙合平面角度为;1)与下颌平面角、坎普氏平面角、腭平面角密切相关;2)与颞前肌活动持续时间和咀嚼通路矢状角相关。结果表明,咬合平面与口腔面部形态有密切的关系。此外,还发现与咬合平面密切相关的形态学参数会影响口颌功能。结果表明,咬合平面是协调口颌系统形态和功能的重要因素。
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