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  1. NTU Theses and Dissertations Repository
  2. 醫學院
  3. 牙醫專業學院
  4. 臨床牙醫學研究所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/79833
完整後設資料紀錄
DC 欄位值語言
dc.contributor.advisor王東美(Tong-Mei Wang)
dc.contributor.authorYung-Hsiang Changen
dc.contributor.author張詠翔zh_TW
dc.date.accessioned2022-11-23T09:13:08Z-
dc.date.available2026-08-09
dc.date.available2022-11-23T09:13:08Z-
dc.date.copyright2021-08-30
dc.date.issued2021
dc.date.submitted2021-08-06
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Angle Orthod. 2007;77:254-9. 56. Hirao A, Murata S, Murata J, Kubo A, Hachiya M, Asami T. Relationships between the Occlusal Force and Physical/Cognitive Functions of Elderly Females Living in the Community. J Phys Ther Sci. 2014;26:1279-82. 57. Rentes AM, Gavião MB, Amaral JR. Bite force determination in children with primary dentition. J Oral Rehabil. 2002;29:1174-80. 58. Suzuki T, Watanabe T, Yoshitomi N, Ishinabe S, Kumagai H, Uchida T et al. Evaluation of a New Measuring System for Occlusal Force with Pressure Sensitive Sheet. Nihon Hotetsu Shika Gakkai Zasshi. 1994;38:966-73. 59. Ikebe K, Matsuda K, Morii K, Nokubi T, Ettinger RL. The relationship between oral function and body mass index among independently living older Japanese people. Int J Prosthodont. 2006;19:539-46. 60. Shiga H, Komino M, Uesugi H, Sano M, Yokoyama M, Nakajima K et al. Comparison of two dental prescale systems used for the measurement of occlusal force. Odontology. 2020;108:676-80. 61. Horibe Y, Matsuo K, Ikebe K, Minakuchi S, Sato Y, Sakurai K et al. Relationship between two pressure-sensitive films for testing reduced occlusal force in diagnostic criteria for oral hypofunction. Gerodontology. 2021. 62. Hidaka O, Iwasaki M, Saito M, Morimoto T. Influence of clenching intensity on bite force balance, occlusal contact area, and average bite pressure. J Dent Res. 1999;78:1336-44. 63. Kon K, Shiota M, Sakuyama A, Ozeki M, Kozuma W, Kawakami S et al. Evaluation of the Alteration of Occlusal Distribution in Unilateral Free-End and Intermediate Missing Cases. J Oral Implantol. 2017;43:3-7. 64. Motegi E, Nomura M, Tachiki C, Miyazaki H, Takeuchi F, Takaku S et al. Occlusal force in people in their sixties attending college for elderly. Bull Tokyo Dent Coll. 2009;50:135-40. 65. Kono R. Relationship between occlusal force and preventive factors for disability among community-dwelling elderly persons. Nihon Ronen Igakkai Zasshi. 2009;46:55-62. 66. Aras K, Hasanreisoğlu U, Shinogaya T. Masticatory performance, maximum occlusal force, and occlusal contact area in patients with bilaterally missing molars and distal extension removable partial dentures. Int J Prosthodont. 2009;22:204-9. 67. Makino E, Nomura M, Motegi E, Iijima Y, Ishii T, Koizumi Y et al. Effect of orthodontic treatment on occlusal condition and masticatory function. Bull Tokyo Dent Coll. 2014;55:185-97. 68. Hwang S, Choi YJ, Jung S, Kim S, Chung CJ, Kim KH. Posterior dental compensation and occlusal function in adults with different sagittal skeletal malocclusions. Korean J Orthod. 2020;50:98-107. 69. Iwase M, Ohashi M, Tachibana H, Toyoshima T, Nagumo M. Bite force, occlusal contact area and masticatory efficiency before and after orthognathic surgical correction of mandibular prognathism. Int J Oral Maxillofac Surg. 2006;35:1102-7. 70. Moroi A, Yoshizawa K, Iguchi R, Ikawa H, Kosaka A, Hotta A et al. The amount of mandibular setback influence on occlusal force following sagittal split ramus osteotomy. J Craniomaxillofac Surg. 2015;43:1743-8. 71. Adachi K, Yamamoto H, Watanabe R, Iwahori M, Miyao M, Yamauchi M. Reproducibility of the Newly Developed Dental Prescale II System and Bite Force Analyzer for Occlusal Measurements. J Gifu Dent Soc. 2020;46:123-6.
dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/79833-
dc.description.abstract"實驗目的: 本研究的目的在於了解Dental Prescale II (DPS II, GC Corp., Tokyo, Japan)於不同狀況下,記錄所受力量之數值變化,並且觀察其所呈現數值與實際受力大小之相關性。 材料與方法: 體外測試: 使用萬能試驗機(Instron 5566, Instron Corp., Canton, MA, USA)對DPS II以一12mm2圓形平面進行三項壓縮試驗,再以EPSON Perfection V600 Photo掃描機,搭配Bite Force Analyzer (GC Corp., Tokyo, Japan)進行力量(N)、面積(mm2)、平均壓力(MPa)及最大壓力(MPa)數值分析。三項試驗分別為: 1. 以Instron對DPS II以300 N進行壓縮,包含兩組,樣本數均為10張:(1) 壓縮第1次後立即掃描,並間隔1分鐘後進行第2次壓縮及掃描,重複進行至第11次壓縮及掃描後結束,其第1壓縮點與第11壓縮點間隔10分鐘;(2) 壓縮第1次後置於原包裝袋中避免光照,並間隔1分鐘後進行第2次壓縮,重複進行至第11次壓縮後立即掃描,其第1壓縮點與第11壓縮點間隔10分鐘。 2. 以Instron對DPS II以100 N ~ 800 N (中間間隔100N) 進行壓縮,三組測試狀況分別為: (1) 施壓時間3秒;(2) 施壓時間5秒;(3) 施壓時間5秒,並以樹脂板與橡皮障模擬自然牙硬度與牙周韌帶。每組均壓縮第1次後立即掃描,並間隔1分鐘後進行第2次壓縮及掃描,重複進行至第11次壓縮及掃描後結束,其第1壓縮點與第11壓縮點間隔10分鐘,樣本數均為10張: 3. 以Instron對DPS II以1Hz的頻率在300 N ~ 500 N之間模擬施力過程中力量大小無法維持恆定而有高低變化,壓縮時間5秒,壓縮第一次後立即掃描,並間隔1分鐘後進行第2次壓縮及掃描,重複進行至第11次壓縮及掃描後結束,其第1點與第11點間隔10分鐘,樣本數為1張。 體內測試: 實驗包含10位20歲以上健康受試者(男女比1:1),以主觀感覺咬牛排之力量咬住DPS II三秒鐘後進行掃描,掃描時機點為立即(設為0分鐘)至10分鐘(間隔1分鐘)、15分鐘、20分鐘、25分鐘、30分鐘、60分鐘、90分鐘、120分鐘。 統計分析: 實驗數據資料以 Excel 分類建檔後,使用統計軟體(IBM SPSS Statistics Version 27, USA)做分析,顯著值定在 p<0.05。若各組間有顯著差異,以Scheffé 法進行事後檢定。 體外測試: 1. 使用變異數分析,觀察不同光照次數、時間對DPS II的數值的影響 2. 使用變異數分析,觀察不同壓縮時間或是否模擬牙周韌帶,對DPS II數值的影響 3. 使用簡單線性回歸,觀察試驗機實際施力大小以及DPS II顯示數值之關係 體內測試: 使用變異數分析,觀察時間對DPS II數值的影響 實驗結果: 體外測試1: 1. 光照次數(1次與11次)不影響DPS II呈現之力量(p=0.939)、面積(p=0.785)、平均壓力(p=0.481)及最大壓力(p=0.900)四項數值。 2. 掃描延遲時間(0至10分鐘)對DPS II呈現之面積無顯著差異(p=1.000),力量、平均壓力、最大壓力則有顯著差異(p<0.05) 3. 對DPS II光照11次後之力量標準化,以0分鐘標準化後,增加1分上升9.7%,2分上升13.2%,至10分上升23.7%;以2分鐘標準化後,增加1分上升1.7%,2分上升3.2%,至8分增加9.6%。 體外測試2: 1. 施壓3秒與施壓5秒組別之間(p<0.001) 於力量數值有顯著差異,於面積、平均壓力與最大壓力數值無顯著差異、施壓5秒與施壓5秒並模擬自然牙組別之間(p<0.001)於四項數值有顯著差異。 2. 施壓3秒組別力量數值約為Instron數值之0.652倍(R2=0.981),去除最大壓力120MPa的資料後為0.693倍(R2=0.987);施壓5秒組別力量數值約為Instron數值之0.638倍(R2=0.966),去除最大壓力120MPa的資料後為0.655倍(R2=0.977);施壓5秒並模擬自然牙組別力量數值約為Instron數值之0.794倍(R2=0.991)。 體外測試3: 以300N~500N力量模擬施力過程中力量大小無法維持恆定而有高低變化之組別,與300N(p=0.000)、400N(p=0.000)、500N(p=0.024)組別均有顯著差異。 體內測試: 1. 力量以0分鐘數值標準化後,0分至60分組內無顯著差異,1分至120分組內無顯著差異。觀察上升比例時,0分至2分的變化量約為6%,至10分鐘時約13%,至120分鐘時約27%。 2. 面積以0分鐘數值標準化後,0分至120分組內無顯著差異。 3. 平均壓力以0分鐘數值標準化後,0分至90分組內無顯著差異,1分至120分組內無顯著差異。 4. 最大壓力以0分鐘數值標準化後,0分至15分組內無顯著差異,1分至60分組內無顯著差異,2分至120分組內無顯著差異。 結論: 1. 光照次數在11次以內不會對DPS II顯示之力量、面積、平均壓力及最大壓力有影響。 2. 掃描延遲時間對於DPS II顯示力量、平均壓力及最大壓力有影響,對面積則無影響。 3. 掃描延遲時間以2分鐘後的力量變化較0~2分鐘的數值穩定。 4. DPS II顯示力量數值與受壓時間有關。 5. DPS II顯示力量與實際力量相比,需一係數轉換,此係數視情況可能介於0.6至0.8之間。 6. DPS II顯示力量,若在最大壓力120MPa的狀況下,會有低估實際力量的情形。 7. 不論施力期間是否永遠保持最大力量,DPS II顯示力量仍會是最大力量。 8. 臨床或研究上使用,以測試後放置10分鐘的數值會比較穩定。"zh_TW
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dc.description.tableofcontents"口試委員會審定書 I 誌謝 i 中文摘要 ii ABSTRACT vii 目錄 xii 表目錄 xv 圖目錄 xvi Chapter 1 緒論 1 1.1 引言 1 1.2 文獻回顧 7 1.2.1 自然牙的咬合調整 7 1.2.2 咬合指示工具(occlusal indicator) 9 1.2.3 定性咬合指示工具(qualitative occlusal indicator) 9 1.2.4 自然牙與植體的差異 14 1.2.5 植體贋復物的咬合調整 15 1.2.6 定量咬合指示工具(quantitative occlusal indicator) 16 1.2.7 非電子式定量咬合指示工具The Dental Prescale System 18 Chapter 2 研究目的 21 2.1 研究假說 21 Chapter 3 材料與方法 22 3.1 測試工具 22 3.1.1 Dental Prescale II (DPS II, GC Corp., Tokyo, Japan) 22 3.1.2 萬能試驗機Universal Testing Machine (Instron 5566, Instron Corp., Canton, MA, USA) 22 3.2 體外測試 22 3.2.1 光照與掃描延遲時間對於DPS II顯示數值之影響 22 3.2.2 觀察DPS II顯示數值與Instron施力數值之關係 23 3.2.3 觀察模擬施力過程中力量大小無法維持恆定而有高低變化時,DPS II顯示數值之關係 24 3.3 體內測試 24 3.4 統計分析 26 Chapter 4 實驗結果 27 4.1 光照次數與掃描延遲時間對DPS II數值影響 27 4.1.1 光照次數 27 4.1.2 掃描延遲時間 27 4.1.3 標準化力量與掃描延遲時間 28 4.2 不同施力時間、有無橡皮障與DPS II數值 28 4.3 模擬施力過程中力量大小無法維持恆定而有高低變化狀況DPS II力量數值 29 4.4 體內測試 29 Chapter 5 討論 31 5.1 樣本數設定 31 5.2 光照次數與掃描延遲時間對DPS II數值影響 31 5.3 不同壓縮時間以及是否有緩衝對DPS II數值影響 33 5.3.1 壓縮時間影響 33 5.3.2 牙周韌帶影響 33 5.3.3 DPS II測量壓力範圍之影響 34 5.4 模擬施力過程中力量大小無法維持恆定而有高低變化狀況下的DPS II力量數值 35 5.5 體內測試 35 Chapter 6 總結 36 Chapter 7 實驗設計之限制與未來展望 37 7.1 以平面或以標準齒模進行實驗的考量 37 7.2 實驗數值的樣本數 37 7.3 未來展望 37 參考文獻 93 附錄 100"
dc.language.isozh-TW
dc.subject自然牙與植體贋復物zh_TW
dc.subjectDental Prescale II (DPS II)zh_TW
dc.subject咬合力zh_TW
dc.subject掃描延遲時間zh_TW
dc.subject咬合指示工具zh_TW
dc.subject咬合調整zh_TW
dc.subjectDental Prescale II (DPS II)en
dc.subjectnature tooth and implant prosthesesen
dc.subjectocclusal adjustmenten
dc.subjectocclusal indicatoren
dc.subjectscan delayen
dc.subjectbite forceen
dc.title影響Dental Prescale II 測量值之因子探討zh_TW
dc.titleInvestigation of factors affecting Dental Prescale II measurementsen
dc.date.schoolyear109-2
dc.description.degree碩士
dc.contributor.oralexamcommittee林立德(Hsin-Tsai Liu),洪志遠(Chih-Yang Tseng)
dc.subject.keywordDental Prescale II (DPS II),咬合力,掃描延遲時間,咬合指示工具,咬合調整,自然牙與植體贋復物,zh_TW
dc.subject.keywordDental Prescale II (DPS II),bite force,scan delay,occlusal indicator,occlusal adjustment,nature tooth and implant prostheses,en
dc.relation.page108
dc.identifier.doi10.6342/NTU202102098
dc.rights.note同意授權(全球公開)
dc.date.accepted2021-08-06
dc.contributor.author-college醫學院zh_TW
dc.contributor.author-dept臨床牙醫學研究所zh_TW
dc.date.embargo-lift2026-08-09-
顯示於系所單位:臨床牙醫學研究所

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