The contact relationship of teeth on the maxillary and mandibular jaw bones means a lot for chewing function and parafunction. Senses, including pain at teeth, muscles, jaw bones and TM joints are through the trigeminal nervous system before reaching the brain cortex. The afferent information of occlusal contacts from the bimaxillary teeth may directly or indirectly alter the nervous impulses via the efferent pathway of the trigeminal system to the related muscles. Thus the jaw movement and function will then be changed.
教學目標Course Objectives
人類之咀嚼系統由牙齒、顎骨、咀嚼肌群及神經系統，尤其是三叉神經組成。牙齒是咀嚼平台，其形狀、位置及排列直接影響咀嚼功能，咀嚼肌是咀嚼之動力施出者，需有頭頸部肌群之支持，而顎骨及顎關節為肌群與牙齒之基座與支撐者，在意識與神經反射系統之指導下，可順利進行攝取食物之功能。本課程即在提供此系統的解剖、生理與病理狀態之說明與討論，學生可獲口腔生理學之認識，以作為臨床牙醫學研修之基礎。
Human masticatory system is a combination of jaw bone, masticatory muscles directly or indirectly attached to the mandible and the nervous system, especially the trigeminal nervous system. Dentition is used mostly for breaking and grinding foods, and its size, form and relative positions in a jaw or between jaws are versatile and strongly related to the function of the masticatory system.
期中筆試
Midterm exam
隨堂筆試測驗
In-class exam
期末筆試
Final exam
出席狀況
Class attendance
課堂參與與表現
Class involvement
無
參考書目Reference
1.Occlusion Ash MM, 4th ed, 1995
2.Management of temporomandibular disorders and occlusion Okeson JP, Mosby, 5th ed, 2003
3.咬合板治療 蕭裕源主編， 日毅公司出版， 1997
4.顳顎障礙症的病徵與治療 蕭裕源 主編, 台灣顱顎障礙學會出版，2008
教學進度Course Schedule
2026/02/25 咬合學與牙醫學(線上授課/實體授課)
Occlusion and dentistry.
蕭裕源 2026/03/04 咀嚼系統的解剖與功能運動(線上授課/實體授課)
Functional anatomy and movement of the masticatory system
蕭裕源 2026/03/11 簡介咬合器與解剖型態關係
Introduction of relationship between aticulator and anatomy
傅立志(Lih-Jyh Fuh) 2026/03/18 咬合器的分類
The classification of articulators
傅立志(Lih-Jyh Fuh) 2026/03/25 咬合生理學(線上授課/實體授課)
Physiology of occlusion
蕭裕源 2026/04/01 咀嚼系統的肌神經生理學
Neurophysiology of the masticatory system
周曉帆傅立志(Lih-Jyh Fuh) 2026/04/08 慢性口顏面疼(線上授課/實體授課)
Chronic oro-facial pain
蕭裕源 2026/04/15 咀嚼系統的功能障礙
Functional disturbances of the masticatory system
傅立志(Lih-Jyh Fuh)周曉帆 2026/04/22 期中考
Mid-term exam
沈嬿文(Yen-Wen Shen) 2026/04/29 磨牙癖和口腔異功能動作(線上授課/實體授課)
Bruxism and oral parafunction
蕭裕源 2026/05/06 咬合平面板的使用(線上授課/實體授課)
The use of occlusal bite splint
蕭裕源 2026/05/13 顳顎障礙症的外科介入療法
Surgical intervention of TMD
張哲壽 2026/05/20 顎關節的內部紊亂症
Internal derangement of the TMJ
陳韻之沈嬿文(Yen-Wen Shen) 2026/05/27 咀嚼系統功能障礙的治療
Treatment of masticatory functional disorders
許明倫傅立志(Lih-Jyh Fuh) 2026/06/03 齒顎矯正與顳顎障礙症的關係
The relationship between Ortho. Tx. and TMD
余建宏(Chien-Hung Yu) 2026/06/10 咬合學與口腔重建(線上授課/實體授課)
Occlusion and oral rehabilitation
蕭裕源 2026/06/17 (自主學習週) 期末考
(Self-Learning Week) Final Exam.
傅立志(Lih-Jyh Fuh)沈嬿文(Yen-Wen Shen) 2026/06/24 (自主學習週) 觀看 moodle 平台的專題影片和繳交報告
(Self-Learning Week) Watch videos on the moodle platform and submit reports
傅立志(Lih-Jyh Fuh)沈嬿文(Yen-Wen Shen)