国际口腔医学杂志

国际口腔医学杂志 ›› 2023, Vol. 50 ›› Issue (6): 723-728.doi: 10.7518/gjkq.2023109

• 综述 • 上一篇    下一篇

舌位的影响因素及临床意义

杨冬叶1(),朱萍1,吴淑仪2()   

  1. 1.中山大学附属口腔医院口腔颌面外科 广州 510055
    2.中山大学附属口腔医院口腔修复科 广州 510055
  • 收稿日期:2023-03-02 修回日期:2023-07-06 出版日期:2023-11-01 发布日期:2023-10-24
  • 通讯作者: 吴淑仪
  • 作者简介:杨冬叶，副主任护师，硕士，Email：yangdy@mail.sysu.edu.cn
  • 基金资助:
    广东省卫生健康适宜技术推广项目(202207021102078724)

The influencing factors and clinical significance of tongue position

Yang Dongye1(),Zhu Ping1,Wu Shuyi2()   

  1. 1.Dept. of Oral and Maxillofacial Surgery, Hospital of Stomatology, Sun Yat-sen University, Guangzhou 510055, China
    2.Dept. of Prosthodontics, Hospital of Stomatology, Sun Yat-sen University, Guangzhou 510055, China
  • Received:2023-03-02 Revised:2023-07-06 Online:2023-11-01 Published:2023-10-24
  • Contact: Shuyi Wu
  • Supported by:
    Appropriate Health Technology Promotion Project of Guangdong Province(2022-07021102078724)

RichHTML

19

PDF (PC)

453

摘要：

舌是一个具有多种功能的器官，其所在位置与口颌系统功能密切相关，受遗传或习得行为、呼吸模式、牙缺失/不良义齿等因素的影响。考虑到舌的解剖和生理联系，医务人员应意识到不正确的舌位可能导致不同的局部或全身功能障碍。为了提高治疗效果，建议在临床检查中增加舌位评估。国内关于舌位的介绍极少，本文通过对舌位的定义及影响因素、舌位对机体的影响、舌位的评估和治疗等内容进行综述，旨在提高临床医务工作者对正确的舌位知识的重视，以期为临床工作的开展提供参考。

关键词: 舌位, 口面肌功能治疗, 错𬌗畸形

Abstract:

The tongue is an organ with multiple functions. Tongue position is closely related to the function of the stomatognathic system. Tongue position is affected by inheritance, acquired behavior, respiratory pattern, teeth loss, defective denture, and other factors. Considering the tongue’s anatomical and physiological connections, medical staff should be conscious of the fact that incorrect tongue position may lead to different local and systemic dysfunctions. Tongue position assessment should be included in clinical examinations to improve the effect of treatments. Knowledge of tongue position is limited in China. This paper reviews the definition and influencing factors of tongue position, the influence of tongue position on the body, and the evaluation and treatment of tongue position to improve the correct knowledge of tongue position among medical staff and to provide references for clinical work.

Key words: tongue position, orofacial myofunctional therapy, malocclusion

中图分类号: 

  • R 783.5

表 1

不同的舌休息位可能出现的情况对比"

不同的舌休息位可能出现的情况
舌紧贴上腭理想??
舌接触上牙牙齿轻度拥挤
舌覆盖牙的舌尖/下颌牙颊尖深覆??或开??
舌紧贴下牙Ⅲ类错??畸形
1 何三纲. 口腔解剖生理学[M]. 8版. 北京: 人民卫生出版社, 2020: 112.
He SG. Oral anatomy and physiology[M]. 8th ed. Beijing: People’s Medical Publishing House, 2020: 112.
2 Rajeshwari K, Kohli S, Mathew XK. Evaluation of resting tongue position in recently extracted and long term completely edentulous patients: a prospective interventional study[J]. J Clin Diagn Res, 2017, 11(4): ZC61-ZC63.
3 史真. 口面肌功能治疗临床诊疗手册[M]. 北京: 人民卫生出版社, 2016.
Shi Z. Clinical diagnosis and treatment manual of orofacial myofunctional therapy[M]. Beijing: People’s Medical Publishing House, 2016.
4 Hanson ML, Mason RM. 口面肌肉学国际共识[M]. 贺红, 史真, 主译. 沈阳: 辽宁科学技术出版社, 2020: 3-30.
Hanson ML, Mason RM. International consensus on orofacial muscularity[M]. He H, Shi Z, transl. Shenyang: Liaoning Science and Technology Press, 2020: 3-30.
5 D’Onofrio L. Oral dysfunction as a cause of malocclusion[J]. Orthod Craniofac Res, 2019, 22(): 43-48.
6 Shah SS, Nankar MY, Bendgude VD, et al. Orofacial myofunctional therapy in tongue thrust habit: a narrative review[J]. Int J Clin Pediatr Dent, 2021, 14(2): 298-303.
7 Rogers AP. Exercises for the development of muscles of face with view to increasing their functional activity[J]. Dental Cosmos, 1918, 59: 857-876.
8 林川, 李宇, 刘媛, 等. 基于CBCT矢状向切片图像的静息舌位研究初探[J]. 实用口腔医学杂志, 2020, 36(3): 469-472.
Lin C, Li Y, Liu Y, et al. A study of resting tongue position based on the sagittal slice images of CBCT[J]. J Pract Stomatol, 2020, 36(3): 469-472.
9 Buscemi A, Coco M, Rapisarda A, et al. Tongue stretching: technique and clinical proposal[J]. J Complement Integr Med, 2022, 19(2): 487-491.
10 Gurani SF, Cattaneo PM, Rafaelsen SR, et al. The effect of altered head and tongue posture on upper airway volume based on a validated upper airway analysis-an MRI pilot study[J]. Orthod Craniofac Res, 2020, 23(1): 102-109.
11 卢红云, 黄昭鸣. 口部运动治疗学[M]. 上海: 华东师范大学出版社, 2010: 36-77.
Lu HY, Huang ZM. Mouth kinematics[M]. Shanghai: East China Normal University Press, 2010: 36-77.
12 黄昭鸣, 杜晓新. 言语障碍的评估与矫治[M]. 上海: 华东师范大学出版社, 2006: 9.
Huang ZM, Du XX. Evaluation and correction of speech disorders[M]. Shanghai: East China Normal University Press, 2006: 9.
13 Kotsiomiti E, Farmakis N, Kapari D. Factors related to the resting tongue position among partially and completely edentulous subjects[J]. J Oral Rehabil, 2005, 32(6): 397-402.
14 Wright CR. Evaluation of the factors necessary to develop stability in mandibular dentures[J]. J Prosthet Dent, 1966, 16(3): 414-430.
15 Assaf DDC, Knorst JK, Busanello-Stella AR, et al. Association between malocclusion, tongue position and speech distortion in mixed-dentition schoolchildren: an epidemiological study[J]. J Appl Oral Sci, 2021, 29: e20201005.
16 Campanha SMA, Martinelli RLC, Palhares DB. Position of lips and tongue in rest in newborns with and without ankyloglossia[J]. Codas, 2021, 33(6): e20200069.
17 Martinelli RLC, Marchesan IQ, Gusmão RJ, et al. Effect of lingual frenotomy on tongue and lip rest position: a nonrandomized clinical trial[J]. Int Arch Otorhinolaryngol, 2022, 26(1): e069-e074.
18 Baxter R. Tongue tied: how a tiny string under the tongue impacts nursing, speech, feeding, and more[M]. Pelham, The United States of America: Alabama Tongue-Tie Center, 2018: 51.
19 Abate A, Cavagnetto D, Fama A, et al. Relationship between breastfeeding and malocclusion: a systema-tic review of the literature[J]. Nutrients, 2020, 12(12): 3688.
20 Neiva FC, Wertzner HF. A protocol for oral myofunctional assessment: for application with children[J]. Int J Orofacial Myology, 1996, 22: 8-19.
21 Silveira LM, Prade LS, Ruedell AM, et al. Influence of breastfeeding on children’s oral skills[J]. Rev Saude Publica, 2013, 47(1): 37-43.
22 Boronat-Catalá M, Montiel-Company JM, Bellot-Arcís C, et al. Association between duration of breastfeeding and malocclusions in primary and mixed dentition: a systematic review and meta-ana-lysis[J]. Sci Rep, 2017, 7(1): 5048.
23 Marchesan IQ, Berretin-Félix G, Genaro KF. MBGR protocol of orofacial myofunctional evaluation with scores[J]. Int J Orofacial Myology, 2012, 38: 38-77.
24 Bordoni B, Morabito B, Mitrano R, et al. The anatomical relationships of the tongue with the body system[J]. Cureus, 2018, 10(12): e3695.
25 杨冬叶, 何杏芳, 沙秀娟, 等. 上颌阻塞器序列修复联合口面肌功能治疗促进牙龈癌患者口颌功能康复的个案管理[J]. 中国实用护理杂志, 2021, 37(18): 1432-1435.
Yang DY, He XF, Sha XJ, et al. Case management of a patient with gingival cancer who took the obturator prosthesis combined with orofacial myofunctional therapy to promote the rehabilitation of oral and maxillofacial function[J]. Chin J Prac Nurs, 2021, 37(18): 1432-1435.
26 Fatima F, Fida M. The assessment of resting tongue posture in different sagittal skeletal patterns[J]. Dental Press J Orthod, 2019, 24(3): 55-63.
27 van Dyck C, Dekeyser A, Vantricht E, et al. The effect of orofacial myofunctional treatment in children with anterior open bite and tongue dysfunction: a pilot study[J]. Eur J Orthod, 2016, 38(3): 227-234.
28 John M. The cause and cure of malocclusion[EB/OL]. [2020-09-04]. .
29 Iwasaki T, Sato H, Suga H, et al. Relationships among nasal resistance, adenoids, tonsils, and tongue posture and maxillofacial form in Class Ⅱ and Class Ⅲ children[J]. Am J Orthod Dentofacial Orthop, 2017, 151(5): 929-940.
30 Primozic J, Farcnik F, Perinetti G, et al. The association of tongue posture with the dentoalveolar maxillary and mandibular morphology in Class Ⅲ malocclusion: a controlled study[J]. Eur J Orthod, 2013, 35(3): 388-393.
31 Maspero C, Prevedello C, Giannini L, et al. Atypical swallowing: a review[J]. Minerva Stomatol, 2014, 63(6): 217-227.
32 Villa MP, Evangelisti M, Martella S, et al. Can myofunctional therapy increase tongue tone and reduce symptoms in children with sleep-disordered brea-thing[J]. Schlaf Atmung, 2017, 21(4): 1025-1032.
33 Corrêa CC, Weber SAT, Evangelisti M, et al. The short evaluation of orofacial myofunctional protocol (ShOM) and the sleep clinical record in pediatric obstructive sleep apnea[J]. Int J Pediatr Otorhinolaryngol, 2020, 137: 110240.
34 Fougeront N, Fleiter B. Temporomandibular disorder and comorbid neck pain: facts and hypotheses regarding pain-induced and rehabilitation-induced motor activity changes[J]. Can J Physiol Pharmacol, 2018, 96(11): 1051-1059.
35 Schmidt JE, Carlson CR, Usery AR, et al. Effects of tongue position on mandibular muscle activity and heart rate function[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2009, 108(6): 881-888.
36 杨冬叶, 陈莺, 黄紫娴, 等. 颞下颌关节不可复性盘前移位患者的口面肌功能训练[J]. 护理学杂志, 2021, 36(4): 73-75.
Yang DY, Chen Y, Huang ZX, et al. Orofacial myofunctional therapy for patients with temporomandi-bular joint anterior disc displacement without reduction[J]. J Nurs Sci, 2021, 36(4): 73-75.
37 de Felício CM, Ferreira CLP. Protocol of orofacial myofunctional evaluation with scores[J]. Int J Pe-diatr Otorhinolaryngol, 2008, 72(3): 367-375.
38 Bakke M, Bergendal B, McAllister A, et al. Deve-lopment and evaluation of a comprehensive scree-ning for orofacial dysfunction[J]. Swed Dent J, 2007, 31(2): 75-84.
39 杨冬叶, 余晓曼, 何一青. 口面肌功能治疗在口颌系统疾病中的应用进展[J]. 中国康复医学杂志, 2022, 37(4): 562-565.
Yang DY, Yu XM, He YQ. Application progress of functional therapy of orofacial muscles in diseases of oral and maxillofacial system[J]. Chin J Rehabil Med, 2022, 37(4): 562-565.
[1] 赵志河. 基于治疗方案和牙移动方式的无托槽隐形矫治难度评估[J]. 国际口腔医学杂志, 2022, 49(4): 373-379.
[2] 贺红. 伴扁桃体肥大Ⅲ类错𬌗畸形儿童早期矫治的临床诊疗策略[J]. 国际口腔医学杂志, 2022, 49(3): 249-254.
[3] 刘艳丽,赵薇,张碧莹,安晓莉. 生长发育期骨性Ⅲ类错畸形骨支抗上颌前牵引的研究进展[J]. 国际口腔医学杂志, 2019, 46(1): 112-118.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] 张京剧. 青年期至中年期颅面复合体变化的头影测量研究[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 刘玲. 镍铬合金中铍对可铸造性和陶瓷金属结合力的影响[J]. 国际口腔医学杂志, 1999, 26(06): .
[3] 王昆润. 在种植体上制作固定义齿以后下颌骨密度的动态变化[J]. 国际口腔医学杂志, 1999, 26(06): .
[4] 王昆润. 修补颌骨缺损的新型生物学相容材料[J]. 国际口腔医学杂志, 1999, 26(06): .
[5] 陆加梅. 不可复性关节盘移位患者术前张口度与关节镜术后疗效的相关性[J]. 国际口腔医学杂志, 1999, 26(06): .
[6] 王昆润. 重型颌面部炎症死亡和康复病例的实验室检查指标比较[J]. 国际口腔医学杂志, 1999, 26(06): .
[7] 王昆润. 二甲亚砜和双氯芬酸并用治疗根尖周炎[J]. 国际口腔医学杂志, 1999, 26(06): .
[8] 汤庆奋,王学侠. 17β-雌二醇对人类阴道和口腔颊粘膜的渗透性[J]. 国际口腔医学杂志, 1999, 26(06): .
[9] 王昆润. 咀嚼口香糖对牙周组织微循环的影响[J]. 国际口腔医学杂志, 1999, 26(06): .
[10] 宋红. 青少年牙周炎外周血分叶核粒细胞的趋化功能[J]. 国际口腔医学杂志, 1999, 26(06): .