(3.236.214.19) 您好!臺灣時間:2021/05/09 22:47
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果

詳目顯示:::

我願授權國圖
: 
twitterline
研究生:曾柏喬
研究生(外文):Po-Chiao Tseng
論文名稱:提高咬合垂直高度與吞嚥時舌頭形態變化之關係
論文名稱(外文):The relationship between increasing occlusal vertical dimension and tongue movement during swallowing
指導教授:林哲堂林哲堂引用關係
指導教授(外文):Che-Tong Lin
學位類別:碩士
校院名稱:臺北醫學大學
系所名稱:牙醫學系碩博士班
學門:醫藥衛生學門
學類:牙醫學類
論文種類:學術論文
論文出版年:2008
畢業學年度:96
語文別:中文
論文頁數:77
中文關鍵詞:咬合垂直高度吞嚥超音波
外文關鍵詞:occlusal vertical dimensionswallowingultrasound
相關次數:
  • 被引用被引用:0
  • 點閱點閱:358
  • 評分評分:系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:0
製作義齒過程中取得合適的咬合垂直高度(Occlusal vertical dimension)是很重要的。學者提出許多如何取得合適咬合垂直高度的方法,包括靜止垂直距離、吞嚥、側顱分析、發音及面部分析。但是並沒有學者利用超音波來觀察提高咬合垂直高度在吞嚥時舌頭的變化。10位牙醫學系學生(平均年齡26.6歲)參與實驗。利用光聚合性樹脂製作口內裝置來提高咬合垂直高度(提高3、6、9mm)。利用口腔超音波B+M模式防震測量技術(Computer-aided B mode plus M mode ultrasonography combined with the cushion scanning technique)測試受測者於咬合垂直高度在提高不同高度下,吞嚥時舌頭的變化。結果顯示在咬合垂直高度提高3mm下,吞嚥總時間及吞嚥振幅沒有統計上明顯差異存在。在咬合垂直高度提高6mm下,吞嚥總時間及吞嚥振幅相較於對照組有統計上差異存在( p=0.0443及p=0.0098)。咬合垂直高度提高9mm下,總吞嚥時間於戴入後立即測量、戴入1及3個小時後於統計上有明顯差異存在( p=0.0272,p=0.0174,p=0.0173)。吞嚥振幅於戴入後立即測量、戴入1、3及6個小時後於統計上有明顯差異存在( p=0.0039,p=0.0038,p=0.0018, p=0.0286)。在咬合垂直高度提高下,吞嚥總時間及吞嚥振幅有延長的現象產生,且吞嚥時舌頭能夠漸漸產生適應的現象。
To determine an optimal occlusal vertical dimension (OVD) is important in fabricating complete denture. Many methods have been proposed to establish a proper occlusal vertical dimension, such as using the rest of vertical dimension, swallowing methods, cephalometric radiography, speaking methods, and facial analysis. However, none of them has been widely recognized as the optimal. In this study a new approach using ultrasound was tested with the aim to determine scientifically the optimal occlusal vertical dimension. 10 volunteers (average 26.6) were enclosed to this study. The occlusal vertical dimension of each volunteer was raised by a custom made splint with the height of 3, 6, 9 minimeters respectively. The swallowings of every volunteer in different vertical dimensions were examined by the computer-aided B mode plus M mode ultrasonography combined with the cushion scanning technique. The result showed that no significant difference to total-duration and amplitude of swallowing at 3mm increasing height of OVD. The total-duration and amplitude of swallowing at 6mm increasing height of OVD were significantly higher than control group at immediate placement. (p=0.0443 and p=0.0098) Moreover, The duration of swallowing at 9mm increasing height of OVD were significantly higher than control group at immediate placement,1 and 3 hours later.(p=0.0272, p=0.0174, p=0.0173) The amplitude of swallowing at 9mm increasing height of OVD were also significantly higher than control group at immediate placement,1、3 and 6 hours later(p=0.0039, p=0.0038, p=0.0018, p=0.0286).Increasing occlusal vertical dimension would change the swallowing duration and amplitude. Furthermore, tongue could gradually adapt to the different occlusal vertical dimensions.
致 謝 ………………………………………………………. I
中文摘要 ………………………………………………………. II
英文摘要 ………………………………………………………. IV
目 錄 ………………………………………………………. VI
圖表目次 ………………………………………………………. VIII
第一章 緒論 1
第二章 文獻查證 3
第一節 臨床決定咬合垂直高度之各種定義 3
第二節 量取咬合垂直高度實驗方法之回顧 14
第三節 咬合垂直高度提高適應之探討 18
第四節 實驗提高咬合垂直高度之方法回顧 20
第五節 自由空隙(Freeway space)之高度探討 21
第三章 研究動機、假說、目的 23
第四章 研究材料與方法 24
第一節 研究對象 24
第二節 舌頭吞嚥運動之測量 25
第三節 口內裝置之製作及測量 28
第四節 統計方法 31
第五章 結果 32
第一節 實驗誤差值的評估 32
第二節 口內未佩戴口內裝置 35
第三節 咬合垂直高度提高3mm 35
第四節 咬合垂直高度提高6mm 36
第五節 咬合垂直高度提高9mm 37
第六節 咬合提高高度於不同時間點與未佩戴口內裝置之比較 38
第七節 同一時間點各不同提高咬合高度的比較 39
第六章 討論 42
第一節 實驗誤差之分析 42
第二節 咬合垂直高度提高與吞嚥時間的分析 43
第三節 咬合垂直高度提高與吞嚥時舌頭振幅的分析 46
第四節 咬合垂直高度提高與適應性的分析 48
第七章 結論 51
參考文獻 52
1. Chou TM, Moore DJ, Young LJ Jr, Glaros AG, Chou JI. Occlusal vertical dimension in prosthodontics. Kaohsiung J Med Sci, 1996 ; 12: 260-206. Review.
2. Orthlieb JD, Laurent M, Laplanche O. Cephalometric estimation of vertical dimension of occlusion. J Oral Rehabil, 2000 ; 27: 802-807.
3. Fayz F, Eslami A. Determination of occlusal vertical dimension: a literature review. J Prosthet Dent, 1988 ; 59: 321-323. Review.
4. Mack MR. Vertical dimension: a dynamic concept based on facial form and oropharyngeal function. J Prosthet Dent, 1991 ; 66: 478-485. Review.
5. Millet C, Jeannin C, Vincent B, Malquarti G. Report on the determination of occlusal vertical dimension and centric relation using swallowing in edentulous patients. J Oral Rehabil, 2003 ; 30: 1118-1122.
6. Unger JW. Comparison of vertical morphologic measurements on dentulous and edentulous patients. J Prosthet Dent, 1990 ; 64: 232-234. Review.
7. Mohindra NK. A preliminary report on the determination of the vertical dimension of occlusion using the principle of the mandibular position in swallowing. Br Dent J, 1996 ; 180: 344-348.
8. Pleasure MA. Correct vertical dimension and freeway space. J Am Dent Assoc, 1951 ; 43: 160-163.
9. Gross MD, Ormianer Z. A preliminary study on the effect of occlusal vertical dimension increase on mandibular postural rest position. Int J Prosthodont, 1994 ; 7: 216-226.
10. Burnett CA. Clinical rest and closest speech positions in the determination of occlusal vertical dimension. J Oral Rehabil, 2000 ; 27: 714-719.
11. Gross MD, Nissan J, Ormianer Z, Dvori S, Shifman A. The effect of increasing occlusal vertical dimension on face height. Int J Prosthodont, 2002 ; 15: 353-357.
12. Mack MR. Perspective of facial esthetics in dental treatment planning. J Prosthet Dent, 1996 ; 75: 169-176. Review.
13. Tryde G, McMillan DR, Christensen J, Brill N. The fallacy of facial measurements of occlusal height in edentulous subjects. J Oral Rehabil, 1976 ; 3: 353-358.
14. Ekfeldt A, Jemt T, Mansson L. Interocclusal distance measurement comparing chin and tooth reference points. J Prosthet Dent, 1982 ; 47: 560-563.
15. Mohindra NK, Bulman JS. The effect of increasing vertical dimension of occlusion on facial aesthetics. Br Dent J, 2002 ; 192: 164-168.
16. Ismail YH, George WA. The consistency of the swallowing technique in determining occlusal vertical relation in edentulous patients. J Prosthet Dent, 1968 ; 19: 230-236.
17. Gay T, Rendell JK, Spiro J, Mosier K, Lurie AG. Coordination of oral cavity and laryngeal movements during swallowing. J Appl Physiol, 1994 ; 77: 357-365.
18. Koller MM, Merlini L, Spandre G, Palla S. A comparative study of two methods for the orientation of the occlusal plane and the determination of the vertical dimension of occlusion in edentulous patients. J Oral Rehabil, 1992 ; 19: 413-425.
19. Pyott JE. Centric relation and vertical dimension by cephalometric roentgenograms. J Prosthet Dent, 1954 ; 4: 35-41.
20. Atwood DA. A critique of research of the rest position of the mandible. J Prosthet Dent, 1966 ; 16: 848-854.
21. Rivera-Morales WC, Mohl ND. Variability of closest speaking space compared with interocclusal distance in dentulous subjects. J Prosthet Dent, 1991 ; 65: 228-232.
22. Swerdlow BA. Roentgencephalometric study of vertical dimension changes in immediate denture patients. J Prosthet Dent, 1964 ; 14: 635-650.
23. Burnett CA. Reproducibility of the speech envelope and interocclusal dimensions in dentate subjects. Int J Prosthodont, 1994 ; 7: 543-548.
24. Rivera-Morales WC, Mohl ND. Anteroposterior and mediolateral variability of the closest speaking space. Int J Prosthodont, 1990 ; 3: 179-184.
25. Shpuntoff H, Shpuntoff W. A study of physiologic rest position and centric position by electromyography. J Prosthet Dent, 1956 ; 6: 621-628.
26. Garnik J, Ramfjord SP. Rest position: An electromyographic and clinical investigation. J Prosthet Dent, 1962 ; 12: 895-911.
27. Michelotti A, Farella M, Vollaro S, Martina R. Mandibular rest position and electrical activity of the masticatory muscles. J Prosthet Dent, 1997 ; 78: 48-53.
28. Manns A, Miralles R, Guerrero F. The changes in electrical activity of the postural muscles of the mandible upon varying the vertical dimension. J Prosthet Dent, 1981 ; 45: 438-445.
29. Stewart KL, Rudd KD, Kuebker WA. Clinical removable partial prosthodontics. Ishiyaku EuroAmerica, Inc., St. Louis: 393-396, 1992.
30. Tallgren A. The continuing reduction of the residual alveolar ridges in complete denture wearers: a mixed-longitudinal study covering 25 years. J Prosthet Dent, 1972 ; 27: 120-132.
31. Rugh JD, Drago CJ. Vertical dimension: a study of clinical rest position and jaw muscle activity. J Prosthet Dent, 1981 ; 45: 670-675.
32. Toolson LB, Smith DE. Clinical measurement and evaluation of vertical dimension. J Prosthet Dent, 1982 ; 47: 236-241.
33. Morikawa M, Kozono Y, Noguchi BS, Toyoda S. Reproducibility of the vertical dimension of occlusion with an improved measuring gauge. J Prosthet Dent, 1988 ; 60: 58-61.
34. Ramfjord SP, Blankenship JR. Increased occlusal vertical dimension in adult monkeys. J Prosthet Dent, 1981 ; 45: 74-83.
35. Schwestka R, Engelke D, Kubein-Meesenburg D, Luhr HG. Control of vertical dimension during maxillary orthognathic surgery. A clinical trial comparing internal and external fixed reference points. J Craniomaxillofac Surg, 1992 ; 20: 333-336.
36. Schwestka R, Engelke D, Kubein-Meesenburg D, Luhr HG. Control of vertical position of the maxilla in orthognathic surgery: clinical application of the sandwich splint. Int J Adult Orthodon Orthognath Surg, 1990; 5: 133-136.
37. Carlsson GE, Ingervall B, Kocak G. Effect of increasing vertical dimension on the masticatory system in subjects with natural teeth. J Prosthet Dent, 1979 ; 41: 284-289.
38. Mays KA. Reestablishing occlusal vertical dimension using a diagnostic treatment prosthesis in the edentulous patient: a clinical report. J Prosthodont, 2003 ; 12: 30-36. Review.
39. Michelotti A, Farella M, Vollaro S, Martina R. Mandibular rest position and electrical activity of the masticatory muscles. J Prosthet Dent, 1997 ; 78: 48-53.
40. Rivera-Morales WC, Mohl ND. Relationship of occlusal vertical dimension to the health of the masticatory system. J Prosthet Dent, 1991 ; 65: 547-553.
41. Peng CL, Jost-Brinkmann PG, Miethke RR, Lin CT. Ultrasonographic measurement of tongue movement during swallowing. J Ultrasound Med, 2000 ; 19: 15-20.
42. Peng CL, Miethke RR, Pong SJ, Lin CT. Investigation of tongue movements during swallowing with M-mode ultrasonograph. J Orofac Orthop, 2007 ; 68: 17-25.
43. Chiang YC, Lee FP, Peng CL, Lin CT. Measurement of tongue movement during vowels production with computer-assisted B-mode and M-mode ultrasonography. Otolaryngol Head Neck Surg, 2003 ; 128: 805-814.
44. Ekberg O, Hillarp B. Radiologic evaluation of the oral stage of swallowing. Acta Radiol Diagn, 1986 ; 27: 533-537.
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
系統版面圖檔 系統版面圖檔