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  masticatory
Paradox activity of masticatory muscles was observed clinically and electromyographically in 4 patients with brain stem lesions who had trismus.
      
Five cases of facio-pharyngo-glosso-masticatory diplegia with automatic voluntary dissociation, i.e., bilateral anterior opercular syndrome (Foix-Chavany-Marie syndrome), are described together with the morphological correlations in four.
      
Three familial cases of idiopathic hypertrophy of the masticatory muscles are reported.
      
Anarthria and bilateral central facio-linguovelo-pharyngeo-masticatory paralysis with "automatic voluntary dissociation" are the clinical hallmarks of Foix-Chavany-Marie syndrome (FCMS), the corticosubcortial type of suprabulbar palsy.
      
In elderly persons, it is thought that maintenance of masticatory function may have a beneficial effect on maintenance of cerebral function.
      
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The prognathism are frequentlyoccurred in adult. Maxillary and man-dibular discrepancy,which produce theclinical appearance of mandibular pro-gnathism, and mandibular overclosurecombined with a poorly supported up-per lip, thus it is distressing for theaffected individual. The facial appea-rance is like dish and the co--existingabnormal occlusion is frequently thecauses of temporomandibular joint pa-thology and masticatory problems.Usually these patients have particulardento--facial deformities. The application...

The prognathism are frequentlyoccurred in adult. Maxillary and man-dibular discrepancy,which produce theclinical appearance of mandibular pro-gnathism, and mandibular overclosurecombined with a poorly supported up-per lip, thus it is distressing for theaffected individual. The facial appea-rance is like dish and the co--existingabnormal occlusion is frequently thecauses of temporomandibular joint pa-thology and masticatory problems.Usually these patients have particulardento--facial deformities. The application of diphyosont den-ture in the prosthodontic prognathismwere described in this article. Tech-niques were for establishing the oc-clusal vertical dimension of occlusion,and support for the upper. lip. Thecombination of these treatment plan-nings aids the prosthodontic rehabilita-tion for four adult cases,from 1973 to1980, one male and three females. This article reported twe cases, withparticular dento--facial deformities forapplication of the diphyosont dentureto the prothodontic rehabilitation. Case A. A female of 34 years oldwas referred who has symptoms of tem-poromandibular joint dysfunction dur-ing mastication, with class Ⅲ maloc-clusion. This patient was distressedaware of her prognathic and dish likeappearance. Case B. A female of 24 years oldwhose teeth 4321|1234/54321|1234 were cross-bite. Lower anterior teeth bite in thegingivae of the labial surface of theupper anterior teeth during mastication. The diphyosont denture in the pros-thodontic prognathism is an effectivemethod. Altogether five removablepartial dentures were constructed andobtained satifactory results, for examplein esthetics and functions. The indication and prostheticmethod were discussed.

本文报导应用双牙列修复体矫治4例下颌前突畸形,达到矫正畸形,恢复功能,增进美观的目的。并对修复体的适应症,矫治方法等进行讨论。

Experiments were performed on 14volunteers, 7 females and 7 males, atthe age of 18-36 with neutro-occlusionwithout signs or symptoms of neuro-muscular diseases or disorders of thetemporomandibular joint. Their teethwere in good condition. The electromyogram (EMG) ofmasseter (middle part) and temporal(anterior part) muscles was recordedwith concentric needle electrodes duringunilateral mastication of a piece ofchewing gum for 6 times in a trial andthe masticatory side was refered to asthe functioning side...

Experiments were performed on 14volunteers, 7 females and 7 males, atthe age of 18-36 with neutro-occlusionwithout signs or symptoms of neuro-muscular diseases or disorders of thetemporomandibular joint. Their teethwere in good condition. The electromyogram (EMG) ofmasseter (middle part) and temporal(anterior part) muscles was recordedwith concentric needle electrodes duringunilateral mastication of a piece ofchewing gum for 6 times in a trial andthe masticatory side was refered to asthe functioning side while the oppositethe balancing side. In different trialsone and the same muscle was used asthe functioning side (masticatory side)or as the balancing side (contralateralside). The electromyographic analysis andlinear regression showed that the meanvoltage and number of discharge andduration of discharge of EMG recordedin either muscle of the functioning sideare greater than those of the balancingside,but the masticatory cycle time ofEMG recorded on the functioning sideis shorter than that of the balancingside. For instance, in the right massetermuscle, during the right side masticationit was found that the mean values ofthe mean voltage, the discharge number,and the discharge duration of the EMGrecorded on the functioning side were792.8±211.9μV, 39±5 times, and 331.7±28.4 msec respectively, while thoseof the balancing side were 482.7±118.5μV, 32.7±4 times, and 305.1±28.6msec respectively.However, the masti-catory cycle time of the functioningside EMG was 901.5±38.3 msec whichwas shorter than that of the balancingside (903.5±39.6 msec). Under the same conditions, theEMG of masseter (middle part)musclerecorded by concentric needle electrodewas compared with the EMG of thesame muscle recorded simultaneously bybipolar surface electrode at the samesite. The result showed that the abovementioned four parameters of EMGrecorded by concentric needle electrodeswere greater than those of the EMGrecorded by bipolar surface electrode. The possible causes of the resultsand their influential factors werediscussed.

作者分析了正常单侧自然咀嚼时嚼肌中份及颞肌前份咀嚼侧和未咀嚼侧的肌电图,并比较了用同心针电极和表面电极记录右侧嚼肌中份的肌电图。结果表明,咀嚼侧(功能侧)肌电图的平均电压、放电次数和放电持续时间等参数都大于未咀嚼侧(平衡侧);同心针电极较表面电极所得肌电图的各参数为大。作者还讨论了这些结果可能的原因及影响因素。

The etiology classification and treatment of temporomandibular joint dysfunction syndrome ( TMJD ) is analyzed.It is shown that the effect of occlusal therapy is noticeable.The muscle spasm of jaw must be relaxed before examination, diagnosis and treatment of occlusive factors. Furthermore, psychotherapy is also important. The result of treatment indicates that nonsurgical treatment may be chosen in the cases of organic lesion of TMJD.The effective rate is 77 percent.It is concluded that the recent therapeutic...

The etiology classification and treatment of temporomandibular joint dysfunction syndrome ( TMJD ) is analyzed.It is shown that the effect of occlusal therapy is noticeable.The muscle spasm of jaw must be relaxed before examination, diagnosis and treatment of occlusive factors. Furthermore, psychotherapy is also important. The result of treatment indicates that nonsurgical treatment may be chosen in the cases of organic lesion of TMJD.The effective rate is 77 percent.It is concluded that the recent therapeutic of masticatory muscle never blocking and occlusal splint relaxing are 85 percent and 83 percent, respectively.

对150例颞颌关节紊乱综合征进行病因分析、分类诊断和治疗后,表明(牙合)治疗效果是显著的,对(牙合)因素检查、确定、治疗前须缓解肌肉痉挛。本组资料表明TMJD的器质性病变可用非手术治疗,有效率77%,用(牙合)松弛夹板及咀嚼肌支封闭治疗,近期有效率分别是85和83%。

 
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