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CC BY 4.0 · Eur J Dent 2023; 17(03): 910-916
DOI: 10.1055/s-0042-1758064
Original Article

Electromyographic Evaluations of Masticatory Muscle Activity between Patients with Skeletal Class I and III Relationships

Pakwan Kulchutisin 
1   Department of Preventive Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand
,
Thanaporn Sowithayasakul 
2   Department of Restorative Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand
,
Jittima Pumklin 
2   Department of Restorative Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand
,
Thosapol Piyapattamin 
1   Department of Preventive Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand
› Author Affiliations Funding This study was partially funded by The Royal College of Dental Surgeons of Thailand and NU Faculty of Dentistry.
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Abstract

Objective The aim of this study was to compare the muscle activity of the masseter muscle (MM) and anterior temporal muscle (TA) of patients with skeletal Class I and III during maximum voluntary clenching (MVC) at the intercuspal position (ICP) and during chewing.

Materials and Methods Twenty patients were divided into Steiner's skeletal Class I and III groups. MM and TA activity during each task was measured by using surface electromyography. Averaged MM and TA activity during both tasks, symmetry of each muscle activity, synergy between ipsilateral MMs and TAs, and muscle effort were compared.

Statistical Analysis Means and standard deviations of intergroup variables were compared by an independent sample t-test for parametric evaluations or by the Mann–Whitney U test for nonparametric evaluations. A probability value of p less than 0.05 was considered significant.

Results Averaged MM activity and muscle synergy during MVC at the ICP in skeletal Class III patients were lower than that in skeletal Class I patients. Neither symmetry nor muscle effort during both tasks was different.

Conclusion Masticatory muscle performance of skeletal Class III patients was inferior to that of skeletal Class I patients.

Keywords

electromyography - muscle activity - sagittal discrepancy - skeletal malocclusion


Publication History

Article published online:
13 December 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Joshi N, Hamdan AM, Fakhouri WD. Skeletal malocclusion: a developmental disorder with a life-long morbidity. J Clin Med Res 2014; 6 (06) 399-408
    PubMedGoogle Scholar
  • 2 Gomes SG, Custodio W, Faot F, Del Bel Cury AA, Garcia RC. Masticatory features, EMG activity and muscle effort of subjects with different facial patterns. J Oral Rehabil 2010; 37 (11) 813-819
    CrossrefPubMedGoogle Scholar
  • 3 Dalaie K, Behnaz M, Khodabakhshi Z, Hosseinpour S. Impact of malocclusion severity on oral health-related quality of life in an Iranian young adult population. Eur J Dent 2018; 12 (01) 129-135
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Pancherz H, Anehus-Pancherz M. Muscle activity in class II, division 1 malocclusions treated by bite jumping with the Herbst appliance. An electromyographic study. Am J Orthod 1980; 78 (03) 321-329
    CrossrefPubMedGoogle Scholar
  • 5 Silveira S, Valerio P, Machado Júnior AJ. The law of minimum vertical dimension: evidence for improvement of dental occlusion. Eur J Dent 2021; 00: 1-10
    Google Scholar
  • 6 Miralles R, Hevia R, Contreras L, Carvajal R, Bull R, Manns A. Patterns of electromyographic activity in subjects with different skeletal facial types. Angle Orthod 1991; 61 (04) 277-284
    PubMedGoogle Scholar
  • 7 Tartaglia GM, Moreira Rodrigues da Silva MA, Bottini S, Sforza C, Ferrario VF. Masticatory muscle activity during maximum voluntary clench in different research diagnostic criteria for temporomandibular disorders (RDC/TMD) groups. Man Ther 2008; 13 (05) 434-440
    CrossrefPubMedGoogle Scholar
  • 8 Ciavarella D, Monsurrò A, Padricelli G, Battista G, Laino L, Perillo L. Unilateral posterior crossbite in adolescents: surface electromyographic evaluation. Eur J Paediatr Dent 2012; 13 (01) 25-28
    PubMedGoogle Scholar
  • 9 Moreno I, Sánchez T, Ardizone I, Aneiros F, Celemin A. Electromyographic comparisons between clenching, swallowing and chewing in jaw muscles with varying occlusal parameters. Med Oral Patol Oral Cir Bucal 2008; 13 (03) E207-E213
    PubMedGoogle Scholar
  • 10 Ferrario VF, Sforza C, Serrao G. The influence of crossbite on the coordinated electromyographic activity of human masticatory muscles during mastication. J Oral Rehabil 1999; 26 (07) 575-581
    CrossrefPubMedGoogle Scholar
  • 11 Kumai T. Difference in chewing patterns between involved and opposite sides in patients with unilateral temporomandibular joint and myofascial pain-dysfunction. Arch Oral Biol 1993; 38 (06) 467-478
    CrossrefPubMedGoogle Scholar
  • 12 van den Braber W, van der Glas H, van der Bilt A, Bosman F. Masticatory function in retrognathic patients, before and after mandibular advancement surgery. J Oral Maxillofac Surg 2004; 62 (05) 549-554
    CrossrefPubMedGoogle Scholar
  • 13 Zarrinkelk HM, Throckmorton GS, Ellis III E, Sinn DP. A longitudinal study of changes in masticatory performance of patients undergoing orthognathic surgery. J Oral Maxillofac Surg 1995; 53 (07) 777-782 , discussion 782–783
    CrossrefPubMedGoogle Scholar
  • 14 Pereira LJ, Costa RC, França JP, Pereira SM, Castelo PM. Risk indicators for signs and symptoms of temporomandibular dysfunction in children. J Clin Pediatr Dent 2009; 34 (01) 81-86
    CrossrefPubMedGoogle Scholar
  • 15 Laskin DM, Ryan WA, Greene CS. Incidence of temporomandibular symptoms in patients with major skeletal malocclusions: a survey of oral and maxillofacial surgery training programs. Oral Surg Oral Med Oral Pathol 1986; 61 (06) 537-541
    CrossrefPubMedGoogle Scholar
  • 16 Daube JR, Rubin DI. Needle electromyography. Muscle Nerve 2009; 39 (02) 244-270
    CrossrefPubMedGoogle Scholar
  • 17 Castroflorio T, Farina D, Bottin A, Piancino MG, Bracco P, Merletti R. Surface EMG of jaw elevator muscles: effect of electrode location and inter-electrode distance. J Oral Rehabil 2005; 32 (06) 411-417
    CrossrefPubMedGoogle Scholar
  • 18 Nishi SE, Basri R, Alam MK. Uses of electromyography in dentistry: An overview with meta-analysis. Eur J Dent 2016; 10 (03) 419-425
    Article in Thieme ConnectPubMedGoogle Scholar
  • 19 Woźniak K, Szyszka-Sommerfeld L, Lichota D. The electrical activity of the temporal and masseter muscles in patients with TMD and unilateral posterior crossbite. BioMed Res Int 2015; 2015: 259372
    CrossrefPubMedGoogle Scholar
  • 20 Klasser GD, Okeson JP. The clinical usefulness of surface electromyography in the diagnosis and treatment of temporomandibular disorders. J Am Dent Assoc 2006; 137 (06) 763-771
    CrossrefPubMedGoogle Scholar
  • 21 Carlson KE, Alston W, Feldman DJ. Electromyographic study of aging in skeletal muscle. Am J Phys Med 1964; 43 (04) 141-145
    CrossrefPubMedGoogle Scholar
  • 22 Cecere F, Ruf S, Pancherz H. Is quantitative electromyography reliable?. J Orofac Pain 1996; 10 (01) 38-47
    PubMedGoogle Scholar
  • 23 Tsai CM, Chou SL, Gale EN, McCall Jr WD. Human masticatory muscle activity and jaw position under experimental stress. J Oral Rehabil 2002; 29 (01) 44-51
    CrossrefPubMedGoogle Scholar
  • 24 Kuiken TA, Lowery MM, Stoykov NS. The effect of subcutaneous fat on myoelectric signal amplitude and cross-talk. Prosthet Orthot Int 2003; 27 (01) 48-54
    CrossrefPubMedGoogle Scholar
  • 25 Cha BK, Kim CH, Baek SH. Skeletal sagittal and vertical facial types and electromyographic activity of the masticatory muscle. Angle Orthod 2007; 77 (03) 463-470
    CrossrefPubMedGoogle Scholar
  • 26 Panichsiti N, Wattanachai T, Suzuki B. Masseter and temporalis muscle activity in patients with Class III skeletal relationships. Chiang Mai Dent J 2018; 39 (02) 57-67
    Google Scholar
  • 27 Deguchi T, Garetto LP, Sato Y, Potter RH, Roberts WE. Statistical analysis of differential Lissajous EMG from normal occlusion and Class III malocclusion. Angle Orthod 1995; 65 (02) 151-160
    PubMedGoogle Scholar
  • 28 Custodio W, Gomes SG, Faot F, Garcia RC, Del Bel Cury AA. Occlusal force, electromyographic activity of masticatory muscles and mandibular flexure of subjects with different facial types. J Appl Oral Sci 2011; 19 (04) 343-349
    CrossrefPubMedGoogle Scholar
  • 29 Tecco S, Caputi S, Tete S, Orsini G, Festa F. Electromyographic activity of masticatory, neck and trunk muscles of subjects with different mandibular divergence. A cross-sectional evaluation. Angle Orthod 2007; 77 (02) 260-265
    CrossrefPubMedGoogle Scholar
  • 30 Vianna-Lara MS, Caria PH, Tosello DdeO, Lara F, Amorim MM. Electromyographic activity of masseter and temporal muscles with different facial types. Angle Orthod 2009; 79 (03) 515-520
    CrossrefPubMedGoogle Scholar
  • 31 Sunal Akturk E, Eren H, Gorurgoz C. et al. Electromyographic, ultrasonographic, and ultrasound elastographic evaluation of the masseter muscle in Class III patients before and after orthognathic surgery. J Craniofac Surg 2020; 31 (07) 2049-2053
    CrossrefPubMedGoogle Scholar
  • 32 Yang JH, Shin D, Yoo JH, Lim HJ, Lee J, Kim BC. Anatomical characteristics of the masseter muscle in mandibular prognathism. Appl Sci (Basel) 2021; 11 (10) 4444
    CrossrefGoogle Scholar
  • 33 MacDonald JW, Hannam AG. Relationship between occlusal contacts and jaw-closing muscle activity during tooth clenching: Part I. J Prosthet Dent 1984; 52 (05) 718-728
    CrossrefPubMedGoogle Scholar
  • 34 Koc D, Dogan A, Bek B. Bite force and influential factors on bite force measurements: a literature review. Eur J Dent 2010; 4 (02) 223-232
    Article in Thieme ConnectPubMedGoogle Scholar
  • 35 Tallgren A, Melsen B, Hansen MA. An electromyographic and roentgen cephalometric study of occlusal morphofunctional disharmony in children. Am J Orthod 1979; 76 (04) 394-409
    CrossrefPubMedGoogle Scholar
  • 36 Naeije M, McCarroll RS, Weijs WA. Electromyographic activity of the human masticatory muscles during submaximal clenching in the inter-cuspal position. J Oral Rehabil 1989; 16 (01) 63-70
    CrossrefPubMedGoogle Scholar
  • 37 Kubota T, Yagi T, Tomonari H, Ikemori T, Miyawaki S. Influence of surgical orthodontic treatment on masticatory function in skeletal Class III patients. J Oral Rehabil 2015; 42 (10) 733-741
    CrossrefPubMedGoogle Scholar
  • 38 Mioche L, Bourdiol P, Monier S. Chewing behaviour and bolus formation during mastication of meat with different textures. Arch Oral Biol 2003; 48 (03) 193-200
    CrossrefPubMedGoogle Scholar
  • 39 Di Palma E, Gasparini G, Pelo S, Tartaglia GM, Sforza C. Activities of masticatory muscles in patients before orthognathic surgery. J Craniofac Surg 2010; 21 (03) 724-726
    CrossrefPubMedGoogle Scholar
  • 40 Sonnesen L, Bakke M, Solow B. Temporomandibular disorders in relation to craniofacial dimensions, head posture and bite force in children selected for orthodontic treatment. Eur J Orthod 2001; 23 (02) 179-192
    CrossrefPubMedGoogle Scholar