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Influence of dental occlusion on oculomotory function—A pilot study
Annals of Anatomy ( IF 2.2 ) Pub Date : 2021-07-13 , DOI: 10.1016/j.aanat.2021.151804
Lydia Siebert 1 , Christian Kirschneck 2 , Karl-Friedrich Krey 1 , Anja Ratzmann 1
Affiliation  

The aim of this study was to examine the interaction between the oculomotory system and the stomatognathic system based on morphofunctional relationships between the corresponding cranial nerves, their core areas and the reticular formation as a "link" by means of optometric examinations.

Test subjects (N = 100) were prospectively recruited and divided into two groups: a young-age (N = 53, age 6–16 years) and old-age group (N = 47, 23–78 years). We determined the horizontal range of convergence and divergence as well as the near convergence point. These optometrically measured parameters were recorded in both groups in the resting position, at maximal mouth opening and with bite-blocking via tin foils (0.5 mm and 1 mm), which were inserted occlusally of the first lower left molar.

All oculomotory parameters were significantly altered by bite manipulation and maximal mouth opening. These effects could be observed regardless of age and gender and thus suggest an interaction between eye movement and the orofacial complex. Subjects with asthenopic symptoms showed no different reactions compared to healthy subjects.

For a final statement on the correlation between the oculomotory and stomatognathic system, further investigations are necessary. An interdisciplinary cooperation between the different subject areas is recommended for further studies.



中文翻译:

牙齿咬合对动眼神经功能的影响——一项初步研究

本研究的目的是根据相应的颅神经、它们的核心区域和作为“链接”的网状结构之间的形态功能关系,通过验光检查来检查动眼神经系统和口颌系统之间的相互作用。

测试对象(N = 100)被前瞻性招募并分为两组:年轻组(N = 53,年龄 6-16 岁)和老年组(N = 47,23-78 岁)。我们确定了会聚和发散的水平范围以及近会聚点。这些光学测量参数在两组中记录在静止位置、最大张口和通过锡箔(0.5 毫米和 1 毫米)阻塞咬合,锡箔插入左下第一磨牙的咬合处。

所有动眼神经参数都因咬合操作和最大张口而显着改变。无论年龄和性别如何,都可以观察到这些影响,因此表明眼球运动和口面部复合体之间存在相互作用。与健康受试者相比,有虚弱症状的受试者没有表现出不同的反应。

对于动眼神经和口颌系统之间相关性的最终陈述,需要进一步调查。建议在不同学科领域之间进行跨学科合作以进行进一步研究。

更新日期:2021-08-19
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