肌等压区排牙法全口义齿对咀嚼肌肌电和咬合力的影响  

Effect of neutral zone dentures on EMG of masticatory muscles and biting force

作　　者：尹保迪[1] 陈震 韩栋伟[1] 

机构地区：[1]同济大学附属口腔医院修复科,上海200072 [2]普陀区人民医院口腔科,上海200060

出　　处：《同济大学学报（医学版）》2009年第1期60-64,共5页Journal of Tongji University(Medical Science)

基　　金：上海市科委科研计划项目(054119545)

摘　　要：目的比较肌等压区排牙法全口义齿(neutral zone dentures,ND)和传统全口义齿(conventional completedentures,CD)修复后无牙颌患者咀嚼肌肌电活动和咬合力的变化差异,以期了解肌等压区排牙法全口义齿的修复效果。方法选择10例牙槽嵴严重萎缩低平的无牙颌患者,记录其分别戴用ND和CD 1个月、3个月时的咬合力和颞肌前束(temporal anterior,TA)、嚼肌(masstter muscle,MM)、二腹肌前腹(diagastric anterior,DA)在咀嚼口香糖及花生米时的肌电图。根据记录阶段分为ND 1个月组、ND 3个月组、CD 1个月组和CD 3个月组。采用配对t检验分析ND 1个月-CD 1个月组、ND 3个月-CD 3个月组之间相应指标的差异。结果(1)咀嚼口香糖:TA、MM肌电活动ND 1个月组>CD 1个月组,ND组咀嚼周期(TCD)、活动期与间歇期比值(AP/RP)小于CD组(P<0.05);(2)咀嚼花生米:TA、MM肌电活动ND 3个月组>CD 3个月组,ND组咀嚼周期、活动期与间歇期比值小于CD组(P<0.05);(3)咬合力:ND 1个月组>CD 1个月组(P<0.05)。结论与传统全口义齿相比,肌等压区排牙法全口义齿戴用者显示出较好的咀嚼肌功能。Objective To evaluate the effectiveness of neutral zone dentures （ND） and conventional complete dentures （CD） on electric activities of masficatory muscles and biting force in edentulous patients. Methods Ten edentulous patients were selected either ND or CD was worn. Biting force and surface electromyogram of temporal anterior （TA）, masseter muscle （MM） and diagastric anterior （DA） were detected in these patients during clench and chewing movement after 1 and 3 months. The patients were recorded as 4 groups ： ND-1 month group, ND-3 months group, CD-1 month group and CD-3 months group. Corresponding parameters between ND-1 month group were compared by paired t-tests. Results and CD-1 month group, ND-3 months and CD-3 months （ 1 ） In chewing gum movement, muscular activity of TA and MM were higher in ND-1 month group than in CD1 month group; total cycle duration （TCD） and ratio of activation period to relaxation period （AP/RP） were lower in group ND than in group CD. （2） In chewing peanuts movement, muscular activity of TA, MM were higher in ND-3 months group than in CD-3 months group; TCD,AP/RP in group ND were lower than in group CD. （3） The biting force in ND-1 month group was higher than in CD-1 month group. Conclusion Compared with patients wearing CD, the patients wearing ND have better masticatory muscle functions.

关 键 词：全口义齿 中立区 肌电描记术 咬合力 

分 类 号：R783.6[医药卫生—口腔医学]