ANALYSIS OF CHANGES IN BILATERAL MASSETER AND ANTERIOR TEMPORALIS MUSCLE EFFICIENCY IN COMPLETE DENTURE WEARERS. –AN EMG STUDY.
- Assistant Professor, Department Of Prosthodontics, Coorg Institute Of Dental Sciences Virajpet -571218 Karnataka India.
- Associate Professor, Department Of Prosthodontics, Sdm College Of Dental Sciences Sattur, Dharwad Karnataka India.
- Professor And Hod, Department Of Prosthodontics, Sdm College Of Dental Sciences Sattur, Dharwad Karnataka India.
- Abstract
- Keywords
- References
- Cite This Article as
- Corresponding Author
Purpose: The loss of natural teeth leads to bone resorption and muscular hypotonicity, which may affect the structures involved in mastication.Atrophy of supporting tissues, poor adaptation, reduced masticatory efficiency, and psychosocial embarrassment are major complaints of edentulous patient wearing old/faulty denture. The need for this study is to examine the effect of old/faulty dentures and a new denture on the masticatory muscle efficiency with the help of electromyography. Materials and methods: 15 edentulous patients wearing complete denture prosthesis selected as a subject for the investigation. Surface electrodes from electromyographic unit were placed in the region of right and left anterior Temporalis muscle and Masseter muscle, and the patients will be asked to perform maximum voluntary contraction. The muscle activity analyzed twice for each patient: (1) with the old/faulty dentures and (2) 5 month following insertion of new denture. Results: The electrical activity during maximum voluntary contraction exhibited statistically significant improved muscle efficiency with new denture when compared to those with old dentures in place for 5 months. Conclusion: New dentures or improvements in occlusion and vertical dimension produce a positive benefit to the patient by reducing the muscle effort during chewing without affecting masticatory performances. The reduction in muscle effort is likely to cause less tissue and in the end may minimize residual ridge resorption and new complete denture allows for neuromuscular reprogramming, which contributes to muscular balance of the masticatory system.
- Marcelo Coelho Goiato et al (2007):Electromyographic evaluation of Masseter and anterior Temporalis muscles in resting position and during maximum tooth clenching of edentulous patients before and after new complete dentures. Acta odontol. Latinoam; 20 (2): 67-72.
- Marcelo Coelho Goiato et al (2010): Analysis of Masticatory Cycle Efficiency in Complete Denture Wearers. J Prosthet Dent; 19: 10-13.
- Haifa Ashraf(2011). To determine the influence of complete denture prosthesis on masticatory muscle activity in elderly patients-an invivo study. Int J Prosthet Rest Dent; 1(1): 35-40.
- Juliana malta et al ( 2006): Electromyography applied to chewing muscles. Acta Ortop Bras.; 14(2): 106-107.
- Henrique Casselli et al (2007): Electromyographic evaluation of rehabilited edentulous patients. Braz Oral Res.; 21(4): 355-61.
- Gunne HS et al (1985): The effect of new complete dentures on mastication and dietary intake. Acta Odonto Scand.; 43: 257-268.
- Iva Alajbeg Melita et al (2003): Electromyographic evaluation of masticatory muscle activity in patients with temporomandibular dysfunction. Acta Stomat Croat.; 37(2): 141-145.
- Luis Angelone et al(1960): An approach to quantitative electromyography of the Masseter muscle. J D Res; 39(1): 17-23.
- Zarb GA (1982). Oral motor patterns and their relation to oral prostheses. J Prosthet Dent; 47:472-478.
- A. Pro¨ schel et al (2010):Indications for jaw gape-related control of relative muscle Activation in sequent chewing strokes. Journal of oral rehabilitation 37; 178–184.
- Iwao Hayakawa et al ( 2000): Changes in masticatory function of complete denture wearers after relining the mandibular denture with a soft denture liner. Int J Prosthodont; 13: 227-231.
- Maria Teresa Botti Rodrigues dos Santos et al (2008): Electromyographic evaluation of anterior Temporalis and Masseter muscles in patients with cerebral palsy before and after postural stabilization. Journal of Disability and Oral Health; 9(2): 59-62.
- Sven E. Widmalm et al (2007): Clinical Use of Qualitative Electromyography in the Evaluation of Jaw Muscle Function: A Practitioner's Guide. The journal of craniomandibular practice.; vol. 25 (1): 63-66 .
- H c. Karkazis et al (1998): Surface EMG activity of the Masseter muscle in denture wearers during chewing of hard and soft food. J Oral Rehabil; 25: 8-4.
- Kawazoe Y et al (1979): Relation between integrated electromyographic activity and biting force during voluntary isometric contraction in human masticatory muscles. J Dent Res; 58:1440-1449.
- Tallgren A et al (1986): Changes in jaw relations and activity of masticatory muscles in patients with immediate complete upper dentures. J Oral Rehabil; 13:311-324.
- Goiato MC et al (2008): Electromyographic activity of the mandible muscle s at the beginning and end of masticatory cycles in patients with complete dentures. Gerodontology; 54: 138-143.
- Peter A. Proschel et al (2001): Preconditions for estimation of masticatory forces from dynamic EMG and isometric bite force-Activity relation of elevator muscles. Int J Prosthodont; 14: 563-569.
- Gunne HS et al: Masticatory efficiency of complete denture patients. A clinical examination of potential changes at the transition from old to new denture Acta Odontol Scand. 1982; 40(5): 289-97.
- DcSven E. Widmalm et al (2007): Clinical Use of Qualitative Electromyography in the Evaluation of Jaw Muscle Function: A Practitioner's Guide. The journal of craniomandibular practice.; 25(1): 63-73.
- Ignacio Ardizone et al (2010): Electromyographic study of activity of the Masseter and anterior Temporalis muscles in patients with temporomandibular joint (TMJ) dysfunction- Comparison with the clinical dysfunction index. Med Oral Patol Oral Cir Bucal.; 15 (1): 14-19
- Sakar O et al (2011): Reliability and comparison of two facial measurements to detect changes of occlusal vertical dimension in complete denture wearers. ; 28(3): 205-8.
- Keith A et al (2003): Reestablishing occlusal vertical dimension using a diagnostic treatment prosthesis in the edentulous patient: a clinical report. J Prosthodont.; 12(1): 30-6.
- W. Olthoff et al:. Influence of occlusal vertical dimension on the masticatory performance during chewing with maxillary splints Journal of Oral Rehabilitation 2007 34; 560–565
- Olcay S et al (2011): Reliability and comparison of two facial measurements to detect changes of occlusal vertical dimension in complete denture wearers Gerodontology; 28: 205–208
- Jemt T ( 1981). Chewing patterns in dentate and complete denture wearers – recorded by light-emitting diodes. Swed Dent J; 5:199-205.
- Fujimori T et al (2002): Effects of a denture adhesive on mastication functions for complete denture wearers. J Med Dent Sci; 49:151-156.
- Agerberg G (1988). Mandibular function and dysfunction in complete denture wearers—a literature review. J Oral Rehabil; 15:237-249.
- Gervais RO et al (1989): Masseter and Temporalis eletromyographic activity in asymptomatic, subclinical and temporomandibular joint dysfunction patients. Cranio; 7:52-57.
- Hagberg C (1986). The amplitude distribution of electromyographic activity of masticatory muscles during unilateral chewing. J Oral Rehabil; 13:567-574.
[Shilpa Sinnurkar, Saquib Ahmed Shakh and Ramesh Nadiger. (2017); ANALYSIS OF CHANGES IN BILATERAL MASSETER AND ANTERIOR TEMPORALIS MUSCLE EFFICIENCY IN COMPLETE DENTURE WEARERS. –AN EMG STUDY. Int. J. of Adv. Res. 5 (Feb). 2672-2683] (ISSN 2320-5407). www.journalijar.com
ASSISTANT PROFESSOR IN DEPT OF PROSTHODONTICS