华西口腔医学杂志

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磨牙症患者咀嚼肌肌电特征的研究

李雪铃 林雪峰 滕伟 李少华   

  1. 中山大学光华口腔医学院附属口腔医院修复科, 广东广州510055
  • 收稿日期:2008-12-25 修回日期:2008-12-25 出版日期:2008-12-20 发布日期:2008-12-20
  • 通讯作者: 林雪峰,Tel:020-83870378
  • 作者简介:李雪铃(1979-),女,广东人,硕士

The characteristics of masticatory muscle activity in bruxers

LI Xue -ling, LIN Xue -feng, TENG Wei, LI Shao-hua   

  1. Dept. of Prosthodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou 510055, China
  • Received:2008-12-25 Revised:2008-12-25 Online:2008-12-20 Published:2008-12-20
  • Contact: LIN Xue -feng,Tel:020-83870378

摘要:

目的探讨磨牙症对咀嚼肌功能的影响以及咀嚼肌受损的肌电表现。方法收集24例磨牙症患者和16例无磨牙症学生分别作为磨牙症组和正常组。用Bio PAK口颌功能诊疗系统测量双侧颞肌前束(TA)、咬肌(MM)、二腹肌前腹(DA)和胸锁乳突肌(SCM)在姿势位、牙尖交错位(ICP)最大紧咬和吞咽时的表面肌电活性。结果磨牙症组姿势位时TA和MM的肌电幅值明显高于正常组,而ICP最大紧咬时TA和MM的肌电幅值明显低于正常组,以上差异均有统计学意义(P<0.05);吞咽时2组各肌肉的肌电幅值没有明显差别。磨牙症组ICP最大紧咬时TA和MM的不对称指数与正常组无统计学差异(P>0.05)。结论磨牙症患者的咀嚼肌功能紊乱主要表现为颞肌前束和咬肌在姿势位呈高电位,而在ICP最大紧咬时呈低电位。

关键词: 磨牙症, 咀嚼肌, 肌电灵敏度

Abstract:

Objective To evaluate the effects of bruxism on masticatory muscle electromyographic(EMG) activity. Methods Twenty-four bruxers and sixteen asymptomatic control subjects were included through questionnaire and clinical examination. EMG activity was recorded by placing surface electrodes on bilateral anterior temporalis(TA), masseters(MM), anterior digastrics(DA) and sternocleidomastoid(SCM) muscles. EMG activities at rest, during maximal voluntary clenching in intercuspal position and swallowing were recorded by means of Bio PAK system. Results EMG activities of TA and MM at rest were significantly higher in bruxism group than in control group(P< 0.05). When subjects clenched their teeth in intercuspal position, the activities of TA and MM were much lower in bruxism group than in control one(P<0.05). EMG activity during swallowing was no significant difference between the two groups. The asymmetry index of bilateral TA and MM in bruxism group was a little higher than the control group, but there was no significant difference between the two groups(P >0.05). Conclusion Masticatory muscle dysfunction of bruxers is mainly represented as higher potential in postural position and lower potential during maximal voluntary clenching in intercuspal position of anterior temporalis and masseters.

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