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Miralles R, Valenzuela S, Marambio C, Gamboa NA, Fuentes AD, Santander H, Gutiérrez MF, Zúñiga C, Bull R. Effect of laterotrusive occlusal scheme on chewing duration, external intercostal muscular activity, heart rate, and oxygen saturation. Cranio 2020; 40:401-408. [PMID: 32362247 DOI: 10.1080/08869634.2020.1757893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Objective: To evaluate the effect of the laterotrusive occlusal scheme on chewing duration, external intercostal (EIC) electromyographic (EMG) activity, heart rate (HR), and oxygen saturation (OS) during different tasks in the upright seated position.Methods: Fifty young participants, 25 with canine guidance and 25 with group function, were included. Chewing duration, bilateral EIC EMG activity, HR, and OS were recorded during the following tasks: 1) chewing until swallowing threshold; 2) laterotrusive teeth grinding.Results: Chewing duration, bilateral EIC EMG activity, HR, and OS showed no significant differences between the two laterotrusive occlusal schemes during the tasks studied.Conclusion: These results suggest that chewing duration, EIC muscle activity, HR, and OS were not significantly influenced by the laterotrusive occlusal scheme. Therefore, when a modification of the laterotrusive occlusal scheme is needed during oral rehabilitation or orthodontic treatment, canine guidance or group function should not significantly change EMG activity of EIC muscles.
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Affiliation(s)
- Rodolfo Miralles
- Faculty of Medicine, Oral Physiology Laboratory, Biomedical Sciences Institute, University of Chile, Santiago, Chile
| | - Saúl Valenzuela
- Faculty of Medicine, Oral Physiology Laboratory, Biomedical Sciences Institute, University of Chile, Santiago, Chile.,Faculty of Dentistry, Institute for Research in Dental Sciences, University of Chile, Santiago, Chile
| | - Camila Marambio
- Faculty of Dentistry, Institute for Research in Dental Sciences, University of Chile, Santiago, Chile
| | - Natalia Andrea Gamboa
- Faculty of Medicine, Oral Physiology Laboratory, Biomedical Sciences Institute, University of Chile, Santiago, Chile.,Faculty of Dentistry, Institute for Research in Dental Sciences, University of Chile, Santiago, Chile
| | - Aler Daniel Fuentes
- Faculty of Medicine, Oral Physiology Laboratory, Biomedical Sciences Institute, University of Chile, Santiago, Chile.,Faculty of Dentistry, Institute for Research in Dental Sciences, University of Chile, Santiago, Chile
| | - Hugo Santander
- Faculty of Medicine, Oral Physiology Laboratory, Biomedical Sciences Institute, University of Chile, Santiago, Chile
| | - Mario Felipe Gutiérrez
- Faculty of Medicine, Oral Physiology Laboratory, Biomedical Sciences Institute, University of Chile, Santiago, Chile.,Faculty of Dentistry, Institute for Research in Dental Sciences, University of Chile, Santiago, Chile
| | - Claudia Zúñiga
- Faculty of Medicine, Oral Physiology Laboratory, Biomedical Sciences Institute, University of Chile, Santiago, Chile.,Faculty of Dentistry, Universidad Finis Terrae, Santiago, Chile
| | - Ricardo Bull
- Faculty of Medicine, Oral Physiology Laboratory, Biomedical Sciences Institute, University of Chile, Santiago, Chile
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Valenzuela S, Miralles R, Muñoz MI, Santander H, Zúñiga C, Cavada G, Bull R, Gamboa NA, Fuentes AD. Awake teeth grinding in participants with canine guidance or group function: Effect on diaphragm EMG activity, heart rate, and oxygen saturation. Cranio 2019; 38:412-418. [PMID: 30696376 DOI: 10.1080/08869634.2019.1572283] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Objective: To compare the effect of canine guidance or group function on diaphragm activity, heart rate, and oxygen saturation during awake teeth grinding at different body positions. Methods: Fifty healthy participants, 25 with canine guidance and 25 with group function, were included. Bilateral electromyographic (EMG) recordings of the diaphragm (DIA) during awake teeth grinding were performed in standing, seated upright, and right lateral decubitus positions. Simultaneously, heart rate and oxygen saturation were measured. Results: EMG activity of the DIA muscle was similar in the working side and non-working side between participants with canine guidance and group function in the different body positions studied. The heart rate and oxygen saturation showed no significant differences between the two groups. Conclusion: EMG activity of the DIA muscle, the heart rate, and oxygen saturation during teeth grinding are not significantly influenced by the type of laterotrusive occlusal scheme.
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Affiliation(s)
- Saúl Valenzuela
- Faculty of Dentistry, Institute for Research in Dental Sciences, University of Chile , Santiago, Chile.,Faculty of Medicine, Oral Physiology Laboratory, Biomedical Sciences Institute, University of Chile , Santiago, Chile
| | - Rodolfo Miralles
- Faculty of Medicine, Oral Physiology Laboratory, Biomedical Sciences Institute, University of Chile , Santiago, Chile
| | - María Ignacia Muñoz
- Faculty of Dentistry, Institute for Research in Dental Sciences, University of Chile , Santiago, Chile
| | - Hugo Santander
- Faculty of Medicine, Oral Physiology Laboratory, Biomedical Sciences Institute, University of Chile , Santiago, Chile
| | - Claudia Zúñiga
- Faculty of Medicine, Oral Physiology Laboratory, Biomedical Sciences Institute, University of Chile , Santiago, Chile.,Faculty of Dentistry, Universidad Finis Terrae
| | - Gabriel Cavada
- Faculty of Medicine, Public Health School, University of Chile , Santiago, Chile
| | - Ricardo Bull
- Faculty of Medicine, Oral Physiology Laboratory, Biomedical Sciences Institute, University of Chile , Santiago, Chile
| | - Natalia Andrea Gamboa
- Faculty of Dentistry, Institute for Research in Dental Sciences, University of Chile , Santiago, Chile.,Faculty of Medicine, Oral Physiology Laboratory, Biomedical Sciences Institute, University of Chile , Santiago, Chile
| | - Aler Daniel Fuentes
- Faculty of Dentistry, Institute for Research in Dental Sciences, University of Chile , Santiago, Chile.,Faculty of Medicine, Oral Physiology Laboratory, Biomedical Sciences Institute, University of Chile , Santiago, Chile
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Seifi M, Nodehi D, Ghahramanloo A, Ahmadi Z, Farhangnia A, Saedi M, Mozaffari HR, Sharifi R. Comparing the Electromyographic Features of the Masseter and Temporal Muscles in Patients with full Mouth Implant-supported FDPs and Natural Dentition. Acta Inform Med 2017; 25:49-53. [PMID: 28484298 PMCID: PMC5410628 DOI: 10.5455/aim.2017.25.49-53] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
BACKGROUND Due to increasing demands for a full mouth implant reconstructions and the fact that the most failures are associated with biomechanical complications, determining the effect of different occlusal patterns on these complications seems inevitable. The aim of this study is to compare affection of different occlusal designs in full mouth implant reconstructed patients on electromyographic activity of temporal and masseter muscles compared to natural dentition. METHODS Thirty-two patients were included in this study, considering that 16 patients had natural dentition and the other 16 were full mouth implant reconstruction patients. In both groups, the participants were divided into two subgroups: 8 patients had canine guidance occlusal pattern and the other eight had a group function occlusal pattern. Muscle contractions were studied during both maximum intercuspation and lateral excursions to the point of intercanine contact using an electromyography device. RESULTS The average percentages of masseter muscle contraction in lateral excursions relative to maximum intercuspation were as follows: 72.20% in full mouth implant reconstruction patients with group function occlusion 69.49% in natural dentition with group function occlusion 58.85% in full mouth implant reconstruction patients with canine guidance occlusion 30.91% in natural dentition with canine guidance occlusion. The average percentages of temporal muscle contraction in lateral excursions relative to maximum intercuspation were as follows: 70.87% in full mouth implant reconstruction patients with group function occlusion 78.57% in natural dentition with group function occlusion 51.99% in full mouth implant reconstruction patients with canine guidance occlusion 31.55% in natural dentition with canine guidance occlusion. CONCLUSION A canine guidance occlusal pattern in both, natural dentition and full mouth implant-supported FDP, patients resulted in decreased muscle contraction. This decreasing is more significant in natural dentition and it is better to establish a canine guided occlusion in a full mouth reconstruction patient.
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Affiliation(s)
- Mahdieh Seifi
- Department of Prosthodontics, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Davood Nodehi
- Department of Prosthodontics Dental School, North Khorasan University of Medical Sciences, Bojnurd, Iran
| | - Ahmad Ghahramanloo
- Department of Prosthodontics, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Zahra Ahmadi
- Department of Prosthodontics, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Azade Farhangnia
- Department of Prosthodontics Dental School, Zanjan University of Medical Sciences, Zanjan, Iran
| | - Morteza Saedi
- Neorology Department of Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Hamid Reza Mozaffari
- Department of Oral and Maxillofacial Medicine, School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Roohollah Sharifi
- Department of Endodontics, School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran
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Fuentes AD, Sforza C, Miralles R, Ferreira CL, Mapelli A, Lodetti G, Martin C. Assessment of electromyographic activity in patients with temporomandibular disorders and natural mediotrusive occlusal contact during chewing and tooth grinding. Cranio 2016; 35:152-161. [PMID: 27101810 DOI: 10.1080/08869634.2016.1173312] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVES The aim of this study was to investigate whether the presence of a natural mediotrusive contact influences electromyographic (EMG) pattern activity in patients with temporomandibular disorders (TMDs). METHOD Bilateral surface EMG activity of the anterior temporalis (AT), masseter (MM), and sternocleidomastoid (SCM) muscles was recorded in 43 subjects during unilateral chewing and tooth grinding. Thirteen patients had TMD and a natural mediotrusive contact (Group 1), 15 had TMD without a natural mediotrusive contact (Group 2), and 15 were healthy subjects without mediotrusive contacts (Group 3). All subjects were examined according to the Research Diagnostic Criteria for TMD (RDC/TMD). All EMG values were standardized as the percentage of EMG activity recorded during maximum isometric contraction on cotton rolls. RESULTS EMG activity from all muscles measured showed no significant differences between groups during chewing and grinding. Overall, in all groups, the EMG activity during chewing was higher in the working side than the non-working side in AT and MM muscles. During grinding, these differences were only found in masseter muscles (mainly in eccentric grinding). SCM EMG activity did not show significant differences during chewing and grinding tasks. Symmetry, muscular balance, and absence of lateral jaw displacement were common findings in all groups. DISCUSSION EMG results suggest that the contribution of a natural mediotrusive occlusal contact to EMG patterns in TMD patients is minor. Therefore, the elimination of this occlusal feature for therapeutic purposes could be not indicated.
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Affiliation(s)
- Aler D Fuentes
- a Faculty of Dentistry, Institute for Research in Dental Sciences , University of Chile , Santiago , Chile.,b Faculty of Medicine, Oral Physiology Laboratory, Biomedical Sciences Institute , University of Chile , Santiago , Chile
| | - Chiarella Sforza
- c Functional Anatomy Research Center, Department of Biomedical Sciences for Health , Università degli Studi di Milano , Milan , Italy
| | - Rodolfo Miralles
- b Faculty of Medicine, Oral Physiology Laboratory, Biomedical Sciences Institute , University of Chile , Santiago , Chile
| | - Cláudia L Ferreira
- c Functional Anatomy Research Center, Department of Biomedical Sciences for Health , Università degli Studi di Milano , Milan , Italy
| | - Andrea Mapelli
- c Functional Anatomy Research Center, Department of Biomedical Sciences for Health , Università degli Studi di Milano , Milan , Italy.,d Department of Otorhinolaryngology, Ophthalmology, and Head and Neck Surgery , School of Medicine of Ribeirão Preto, University of São Paulo , São Paulo , Brazil
| | - Gianluigi Lodetti
- c Functional Anatomy Research Center, Department of Biomedical Sciences for Health , Università degli Studi di Milano , Milan , Italy.,e Department of Medical and Surgical Specialties, Radiologic Sciences, and Public Health, Dental Clinic , Università degli Studi di Brescia , Brescia , Italy
| | - Conchita Martin
- f Department of Stomatology IV, School of Dentistry , Complutense University of Madrid , Madrid , Spain
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Miralles R. Canine-guide Occlusion and Group Function Occlusion are Equally Acceptable When Restoring the Dentition. J Evid Based Dent Pract 2016; 16:41-3. [PMID: 27132554 DOI: 10.1016/j.jebdp.2016.01.029] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION Impact of lateral occlusion schemes: A systematic review. Abduo J, Tennant M. J Prosthet Dent 2015;114(2):193-204 SOURCE OF FUNDING: Not reported TYPE OF STUDY/DESIGN Systematic review.
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Abduo J, Tennant M. Impact of lateral occlusion schemes: A systematic review. J Prosthet Dent 2015; 114:193-204. [PMID: 25957242 DOI: 10.1016/j.prosdent.2014.04.032] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2014] [Accepted: 04/21/2014] [Indexed: 01/09/2023]
Abstract
STATEMENT OF PROBLEM Although several lateral occlusion philosophies have been proposed in the literature, there is a lack of compelling evidence supporting any scheme. PURPOSE The purpose of this systematic review was to investigate the clinical implications of different lateral occlusion schemes. MATERIAL AND METHODS A literature search was completed through PubMed (MEDLINE), Google Scholar, and Cochrane Library, up to January 2014. The literature search aimed to retrieve 2 study categories: group 1: comparative studies; group 2: clinical outcome studies. The inclusion criteria were peer-reviewed human clinical studies published in English. The search was further supplemented by manual searching through the reference lists of the selected studies. RESULTS The initial search revealed a total of 680 studies; however, after applying the inclusion criteria, 26 studies were found suitable for the analysis (13 for group 1 and 13 for group 2). The most commonly evaluated lateral occlusion schemes were canine-guided occlusion (CGO) and group function occlusion (GFO). Group 1 studies evaluated the impact of lateral occlusion schemes on muscular electromyographic (EMG) activity, condylar displacement, mastication, and mandibular movement. Group 2 studies evaluated the impact of restored occlusion on longevity, patient comfort, and pathologic consequences. CGO was associated with narrower mastication and less EMG activity of the masticatory muscles during clenching. GFO was associated with wider mandibular movement and quicker mastication. During mastication, there was no difference in EMG activity between the 2 lateral occlusion schemes. Furthermore, the long-term studies indicated that there is no difference between the 2 schemes in patient comfort and restoration longevity. CONCLUSION Although there are immediate differences between the different lateral occlusion schemes, patients have the capability to successfully adapt to CGO or GFO.
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Affiliation(s)
- Jaafar Abduo
- Senior Lecturer, Melbourne Dental School, School of Anatomy, Physiology and Human Biology, University of Western Australia, Crawley, Western Australia, Australia.
| | - Marc Tennant
- Professor, School of Anatomy, Physiology and Human Biology, School of Anatomy, Physiology and Human Biology, University of Western Australia, Crawley, Western Australia, Australia
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Gutiérrez MF, Valenzuela S, Miralles R, Portus C, Santander H, Fuentes AD, Celhay I. Does breathing type influence electromyographic activity of obligatory and accessory respiratory muscles? J Oral Rehabil 2014; 41:801-8. [PMID: 25040551 DOI: 10.1111/joor.12209] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/13/2014] [Indexed: 11/28/2022]
Abstract
Craniomandibular electromyographic (EMG) studies frequently include several parameters, e.g. resting, chewing and tooth-clenching. EMG activity during these parameters has been recorded in the elevator muscles, but little is known about the respiratory muscles. The aim of this study was to compare EMG activity in obligatory and accessory respiratory muscles between subjects with different breathing types. Forty male subjects were classified according to their breathing type into two groups of 20 each: costo-diaphragmatic breathing type and upper costal breathing type. Bipolar surface electrodes were placed on the sternocleidomastoid, diaphragm, external intercostal and latissimus dorsi muscles. EMG activity was recorded during the following tasks: (i) normal quiet breathing, (ii) maximal voluntary clenching in intercuspal position, (iii) natural rate chewing until swallowing threshold, (iv) short-time chewing. Diaphragm EMG activity was significantly higher in the upper costal breathing type than in the costo-diaphragmatic breathing type in all tasks (P < 0·05). External intercostal EMG activity was significantly higher in the upper costal breathing type than in the costo-diaphragmatic breathing type in tasks 3 and 4 (P < 0·05). Sternocleidomastoid and latissimus dorsi EMG activity did not show significant differences between breathing types in the tasks studied (P > 0·05). The significantly higher EMG activity observed in subjects with upper costal breathing than in the costo-diaphragmatic breathing type suggests that there could be differences in motor unit recruitment strategies depending on the breathing type. This may be an expression of the adaptive capability of muscle chains in subjects who clinically have a different thoraco-abdominal expansion during inspiration at rest.
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Affiliation(s)
- M F Gutiérrez
- Faculty of Odontology, Institute for Research in Dental Sciences, University of Chile, Santiago, Chile; Faculty of Medicine, Oral Physiology Laboratory, Biomedical Sciences Institute, University of Chile, Santiago, Chile
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Subbarao VV, Regalla RR, Santi V, Anita G, Kattimani VS. Interarch tooth size relationship of Indian population: does Bolton's analysis apply? J Contemp Dent Pract 2014; 15:103-7. [PMID: 24939274 DOI: 10.5005/jp-journals-10024-1196] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND Orthodontists have several methods to detect inter arch-tooth size discrepancies in patients presenting for orthodontic treatment. Many methods such as Pont's analysis, Nance and Carey's analysis, Peck and Peck ratio, Bolton's analysis are commonly used methods. A thorough search of literature reveals a paucity of reliable data on the mesiodistal dimensions of the crowns of the permanent dentition of Indian population. Without information about the size of individual tooth and groups of teeth for Indian population, it is difficult for the clinician to make an adequate diagnosis and treatment plan and to carry out a plan of therapy. AIM To determine the size of individual permanent tooth and the sex differences, with tooth size ratios according to Bolton's formula and to evaluate the reliability of Bolton's norms (Anterior/ Posterior) in Indian population. MATERIALS AND METHODS One hundred and twenty cases in which an excellent occlusion was naturally existent with the mean age of 22 years (18-27 years) were selected in the study. The casts were prepared after taking alginate impression of maxillary and mandibular arches and pouring them immediately with dental stone. A sliding Digital Vernier calliper used to measure the teeth. The ratios of the mean of mesiodistal dimensions of types of teeth were computed. RESULTS The mean overall ratio for the Indian population is found to be 92.11 with a standard deviation of 2.12. The values ranged from 86.50-97.13 and the median is 92.16. The mean anterior ratio for the Indian population is found to be 78.14 with a standard deviation of 2.59. CONCLUSION Bolton's original data does not represent Indian population. In our study greater size variability was found in maxillary teeth as compared with mandibular teeth except mandibular first molar. Our study indicated that population-specific standards are necessary for clinical assessments. Significant differences were shown for the overall ratio and anterior ratio for both sexes as compared to Bolton's ratio.
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Affiliation(s)
- Vummidisetti V Subbarao
- Reader, Department of Conservative Dentistry and Endodontics, Lenora Institute of Dental Sciences, Rajamundry, Andhra Pradesh, India
| | - Ravindra Reddy Regalla
- Professor and Head, Department of Orthodontics and Dentofacial Orthopedics, Rajiv Gandhi Institute of Medical Sciences, Adilabad, Andhra Pradesh India
| | - V Santi
- Reader, Department of Conservative Dentistry and Endodontics, Drs Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinaoutpalli, Gannavaram, Andhra Pradesh, India
| | - G Anita
- Professor and Head, Department of Orthodontics and Dentofacial Orthopedics Rungta College of Dental Sciences and Research, Bhillai Chhattisgarh, India
| | - Vivekanand S Kattimani
- Assistant Professor, Department of Oral and Maxillofacial Surgery, SIBAR Institute of Dental Sciences, Takkelapadu, Guntur, Andhra Pradesh India
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WANG MQ, HE JJ, ZHANG JH, WANG K, SVENSSON P, WIDMALM SE. SEMG activity of jaw-closing muscles during biting with different unilateral occlusal supports. J Oral Rehabil 2010; 37:719-25. [DOI: 10.1111/j.1365-2842.2010.02104.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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