牙齿重度磨耗对最大最快张闭口运动影响.docVIP

牙齿重度磨耗对最大最快张闭口运动影响[摘要]目的:研究牙齿重度磨耗对最大最快张闭口运动的影响。方法:采用下颌运动轨迹描记仪,记录30例中老年重度牙齿磨耗患者的最大最快张闭口运动,并以8例正常患者的最大最快张闭口运动作为对照。结果:最快开闭口速度轨迹不规则、光滑;Ⅰ、II型磨耗最快张闭口速度显著高于对照组,III型磨耗最快张闭口速度显著低于对照组。结论:严重磨耗导致异常的最大最快张闭口运动。 [关键词]牙齿磨耗;最大最快张闭口运动;下颌运动轨迹描记仪 [中图分类号]R783 [文献标识码]A [文章编号]1008-6455(2010)07-1028-03 Kinesiographic study of the fast and wide opening-closing movement of severe tooth wear LIU Bo1,YAO Yue-ling2,ZHANG Min2,ZHANG Jun-hua2 (1.Center of Orthodontics,The 174th Hospital of PLA,Xiamen 361003,Fujian,China;2.Department of Prosthodontics,College of Stomatology,Fourth Military Medical University) Abstruct: ObjectiveTo study the influence of severe tooth wear on the fast and wide opening-closing mandibular movement. Methods K6-Ⅰ mandibular kinesiography(MKG)was used to record the movements of mandibular incisal point in 30 patients with severe tooth wear,the MKG of the patients was compared with that of 8 healthy subjects.ResultsThe fast and wide opening-closing trajectory of TW showed unregulation and unsmooth.The fast and wide opening-closing velocity of model Ⅰ,II increased significantly,the fast and wide opening-closing velocity of model III decreased significantly. ConclusionSevere tooth wear lead to abnormal the fast and wide opening-closing mandibular movement. Key words:tooth wear;fast and wide opening-closing mandibular movement;mandibular kinesiography 牙齿磨耗是指在咀嚼运动和非咀嚼运动过程中,由于牙面与牙面之间摩擦、牙面与食物之间摩擦,牙齿硬组织的丧失[1]。重度磨耗对患者的美观与功能均有影响,并与口颌系统的功能紊乱有密切关系。下颌运动是反映口颌系统功能状态的重要指标[2]。因此,牙齿重度磨耗对最大最快张闭口运动影响的研究有助于认识牙齿磨耗的致病机理。本实验采用下颌运动轨迹描记仪,从三维空间精确观察重度牙磨耗患者的最大最快张闭口运动,旨在发现其是否存在与正常人有差异的运动特征,为临床治疗提供一定的实验依据。 1资料和方法 1.1研究对象 1.1.1实验组:因严重牙合磨耗致牙齿过敏、疼痛或有个别缺牙伴严重牙合磨耗来我院就诊的患者中选择30例,均为男性,年龄49～69岁,平均56岁。受检者全口余留牙齿磨耗严重,但无明显倾斜,无颞下颌关节弹响、颞下颌关节和(或)咀嚼肌疼痛、张口受限或偏斜等颞下颌关节功能紊乱(temporomandibular joint disorders,TMJDS)的症状和体征,无夜磨牙病史,无游离端缺牙,单颌牙齿缺失2mm2,切端牙本质磨损重或牙合面釉质全部丧失,已露髓或露出继发牙本质。 1.1.2对照组:正常8例(男5例,女3例),年龄49～55岁,平均52岁,全口牙列完整、整齐,后牙面牙尖形态良好,沟窝清楚,牙冠外形无明显改变,覆牙合、覆盖正常,无TMJDS的症状和体征,牙齿磨耗多为1°或2°,即牙合面和