咀嚼时的髁突运动。

T Kuwahara, S Miyauchi, T Maruyama
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引用次数: 0

摘要

为了探讨咀嚼与颞下颌关节异常的关系,我们分析了2例正常受试者和6例口腔颌功能障碍患者咀嚼时切尖和髁突的运动情况。口颌功能障碍患者为单侧前盘移位伴复位2例,单侧前盘移位不复位2例,单侧骨关节炎2例。用信号分析系统记录切点运动,用受电弓记录髁突运动。单侧TMJ异常患者使用其非异常侧咀嚼时,非工作髁的运动路径比工作髁短,导致拐点(口由开到闭的点)向非咀嚼侧偏移。此外,开放路径的凹凸度受异常侧TMJ的髁突活动度的影响。异常侧TMJ髁突后脱位导致切点在额平面或水平平面运动的交叉咀嚼模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Condylar movements during mastication.

To investigate the relationship between mastication and TMJ abnormalities, the incisal point and condylar movements during mastication were analysed in two normal subjects and six patients with stomatognathic dysfunction. The patients with stomatognathic dysfunction were two patients with unilateral anterior disk displacement with reduction, two with unilateral anterior disk displacement without reduction, and two with unilateral osteoarthritis. The incisal point movement was recorded using Sirognathograph Analysing System, and condylar movement was recorded with a pantograph. The movement path of the non-working condyle was shorter than that of the working condyle when patients with unilateral TMJ abnormalities used their non-abnormal side to chew, which resulted in deviation of the turning point (the point where the mouth changes from opening to closing) to the non-chewing side. Also, the convexity of the opening path was influenced by the condylar mobility of the abnormal side TMJ. Posterior dislocation of the condyle of the abnormal side TMJ resulted in a crossover chewing pattern of incisal point movement in the frontal or horizontal planes.

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