RESUMO
This study aimed to comparatively analyse the electromyographic activity of the masseter and temporal muscles at rest and during mandible postural clinical conditions (right and left laterality, protrusion and maximum voluntary contraction), right and left maximum molar bite forces and the masticatory efficiency of individuals with schizophrenia or mood disorders - all medicated (medicated groups) compared with control group (healthy volunteers) via electromyography. Individuals were distributed into three groups: Group I (Schizophrenia - 20 individuals), Group II (mood disorders - 20 individuals) and Group III (Control - 40 individuals). Basically, the results were only statistically significant for the clinical mandible conditions and bite force. The most unsatisfactory results were observed in the medicated groups in relation to the control group. The group with mood disorders obtained the most unsatisfactory results compared with the group with schizophrenia. It was suggested by these observations that the association of mood disorders and schizophrenia with medication has negatively affected the stomatognathic system in relation to controls when the electromyography and bite force were used for the analysis.
Assuntos
Força de Mordida , Músculo Masseter/fisiopatologia , Mastigação/fisiologia , Transtornos do Humor/fisiopatologia , Esquizofrenia/fisiopatologia , Músculo Temporal/fisiopatologia , Adulto , Estudos de Casos e Controles , Eletromiografia/métodos , Feminino , Humanos , Masculino , Músculo Masseter/efeitos dos fármacos , Pessoa de Meia-Idade , Transtornos do Humor/tratamento farmacológico , Esquizofrenia/tratamento farmacológico , Músculo Temporal/efeitos dos fármacos , Adulto JovemRESUMO
This research evaluated the effects of Brånemark protocol on electromyography of the masseter and temporal muscles. The patients were divided into two groups: Group I: patients who wore an implant-supported prosthesis in the mandibular arch following Brånemark protocol, and maxillary removable complete dentures; Group II: dentate individuals (control). Electromyography was carried out at rest, right (RL) and left (LL) laterality, protrusion and maximum voluntary contraction (MVC). Data were compared by t-test. At rest, a higher electromyographic (EMG) activity was observed in Group I, and the values were significant in the right masseter and left temporal muscles. In RL, there were statistically significant differences for right masseter (P < 0·01), left masseter and temporal muscles and for the left temporal muscle in LL (P < 0·05). In protrusion, Group I presented a higher EMG activity, and there was a statistically significant difference for the right masseter muscle (RM) (P < 0·05). In MVC, the EMG values were higher in Group II (control), but significant just for the right temporal muscle (P < 0·05). In conclusion, individuals with mandibular fixed dentures supported according to the Brånemark protocol and maxillary removable complete dentures showed a higher activity of masticatory muscles during the mandibular postural clinical conditions examined; however, in the MVC, Group I presented lower values when compared to dentate group. Despite presenting different EMG values in all of the clinical conditions, both groups showed similar EMG patterns of muscle activation which demonstrates that the proposed treatment can be considered as a good option for oral rehabilitation.
Assuntos
Prótese Dentária Fixada por Implante , Prótese Total Superior , Músculo Masseter/fisiologia , Músculo Temporal/fisiologia , Idoso , Idoso de 80 Anos ou mais , Brasil , Estudos de Casos e Controles , Eletromiografia/métodos , Feminino , Humanos , Registro da Relação Maxilomandibular , Masculino , Mastigação/fisiologia , Pessoa de Meia-Idade , Contração Muscular/fisiologia , Guias de Prática Clínica como AssuntoRESUMO
The purpose of this study was to evaluate the influence of age on the electromyographic activity of masticatory muscles. All volunteers were Brazilian, fully dentate (except for Group I - mixed dentition), Caucasian, aged 7-80, and divided into five groups: I (7-12 years), II (13-20 years), III (21-40 years), IV (41-60 years) and V (61-80 years). Except for Group V, which comprised nine women and eight men, all groups were equally divided with respect to gender (20 M/20 F). Surface electromyographic records of masticatory muscles were obtained at rest and during maximal voluntary contraction, right and left laterality, maximal jaw protrusion and maximal clenching in the intercuspal position. Statistically significant differences (P < 0.05) were found in all clinical conditions among the different age groups. Considerably different patterns of muscle activation were found across ages, with greater electromyographic activity in children and youth, and decreasing from adults to aged people.
Assuntos
Envelhecimento/fisiologia , Força de Mordida , Mastigação/fisiologia , Músculos da Mastigação/fisiologia , Contração Muscular/fisiologia , Adolescente , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Criança , Eletromiografia , Feminino , Humanos , Masculino , Desenvolvimento Maxilofacial , Pessoa de Meia-Idade , Padrões de Referência , Adulto JovemRESUMO
Dental absence interferes in the physiological functioning of the masticatory system, promoting occlusal and functional alterations. The purpose of this study was to verify maximal bite force and maximal bite force correlated with electromyographic activity in 14 partially edentulous and 14 dentate individuals. Bite force in right and left molar and incisor regions were registered using a dynamometer with capacity of up to 1000N, adapted for oral conditions and at the same time electromyography was performed using Myosystem-Br1 with electrodes positioned on right and left masseter and temporalis muscles, and one reference electrode on the frontal bone. The highest value out of three recordings was considered the individual's maximal bite force. Statistical analysis of the bite force data was performed by means of t-test and Pearson's bivariate correlation test was used for the analysis between bite and electromyographic activity using SPSS 12.0 software. Dentate individuals showed greater maximal bite force in the three regions. Correlations between electromyographic activity and bite force in the dentate group obtained positive coefficients for every muscle in the right molar region, for the left temporalis in the left molar region, and for every muscle in the incisive region. For the partially edentulous group, only the left temporalis muscle presented a positive correlation in the right molar region, there was positive correlation for the right masseter and right and left temporalis in the left molar region, and, in the incisive region, every muscle presented negative correlation. These data evidence the strong influence of dental loss over the maximal bite force and small correlation between bite force and electromyographic activity.
Assuntos
Força de Mordida , Eletromiografia/instrumentação , Arcada Parcialmente Edêntula/fisiopatologia , Músculo Masseter/fisiopatologia , Dente Molar/fisiopatologia , Músculo Temporal/fisiopatologia , Adulto , Feminino , Humanos , Masculino , SoftwareRESUMO
AIM: The mandibular division of the trigeminal nerve is the largest of the three major divisions of the trigeminal nerve (fifth cranial nerve). In this way, many health professionals belonged to different fields are commonly evaluating patients suffering with orofacial pain and stomatognatic dysfunction associated to this structure. But, in the most cases, it is difficult to establish a correct diagnosis due to the anatomical complexity of the head and neck surfaces, especially when the focus is the trigeminal nerve. Thus, the objective of this research was to present the anatomical variations of the mandibular nerve and its branches correlated to more common clinical situations. METHODS: For this purpose, 20 human heads were anatomically dissected, so to study their structures, an external, medial and endocranial view. RESULTS: No significant variations related to ophthalmic and maxillary nerves were observed. Anatomical variations were observed in 20% of the total human heads dissected, all related to mandibular nerve and its branches: masseter, temporal, auriculotemporal and lingual. Variations in three to seven, on the number of the following nerves ramus, masseter and temporal were described. CONCLUSIONS: According to the present data using the described methodology, it was possible to conclude that anatomical variations are present in many subjects and they can explain many clinical situations that involve the stomatognathic structures.
Assuntos
Variação Genética , Nervo Mandibular/anatomia & histologia , Adulto , Nervo da Corda do Tímpano/anatomia & histologia , Dor Facial/etiologia , Humanos , Complicações Intraoperatórias/prevenção & controle , Nervo Lingual/anatomia & histologia , Traumatismos do Nervo Lingual , Masculino , Mandíbula/anatomia & histologia , Pessoa de Meia-Idade , Traumatismos do Nervo TrigêmeoRESUMO
UNLABELLED: The masseter and temporal muscles of patients with maxillary and mandibular osteoporosis were submitted to electromyographic analysis and compared with a control group. In conclusion, individuals with osteoporosis did not show significantly lower masticatory cycle performance and efficiency compared to the control group during the proposal mastications. INTRODUCTION: This study aimed to examine electromyographically the masseter and temporal muscles of patients with maxillary and mandibular osteoporosis and compare these patients with control patients. METHODS: Sixty individuals of both genders with an average age of 53.0 +/- 5 years took part in the study, distributed in two groups with 30 individuals each: (1) individuals with osteoporosis; (2) control patients during the habitual and non-habitual mastication. The electromyographic apparel used was a Myosystem-BR1-DataHomins Technology Ltda., with five channels of acquisition and electrodes active differentials. Statistical analysis of the results was performed using SPSS version 15.0 (Chicago, IL, USA). RESULTS: The result of the Student's t test indicated no significant differences (p > 0.05) between the normalized values of the ensemble average obtained in masticatory cycles in both groups. CONCLUSION: Based on the results of this study, it was concluded that individuals with osteoporosis did not show significantly lower masticatory cycle performance and efficiency compared to control subjects during the habitual and non-habitual mastications. This result is very important because it demonstrates the functionality of the complex physiological process of mastication in individuals with osteoporosis at the bones that compose the face.
Assuntos
Mandíbula/fisiopatologia , Mastigação/fisiologia , Maxila/fisiopatologia , Osteoporose/fisiopatologia , Idoso , Estudos de Casos e Controles , Eletromiografia , Feminino , Humanos , Masculino , Músculo Masseter/fisiopatologia , Pessoa de Meia-Idade , Músculo Temporal/fisiopatologiaRESUMO
OBJECTIVE: The purpose of this study was to investigate correlations between masseter muscle activity and cephalometric measures in Angle's class III dental malocclusion under the clinical rest position. METHODS: Eight volunteers, both sex, age 7-12, were submitted to an electromyographic analysis of the masseter muscle, subdivided in the upper, medium and lower regions, and to a cephalometric analysis of 15 angle and linear measurements. After normalization, the data was subjected to a statistical, non-parametric Spearman correlation test, by means of the SPSS 12.0 program. RESULTS: Statistically significant correlations were observed between the clinical rest condition before and after the execution of exercises (a serie of mandibular movements), and the cephalometric measurements angle SN GoGn, angle SNA, angle SNB, angle SND, upper incisive. NA angle, upper incisive-NA distance, lower incisive. NB angle, lower incisive-NB distance and angle IMPA, and the different regions of the masseter muscle. CONCLUSIONS: The significant statistical correlation found between the cephalometric analysis and the function of the masseter muscle indicate a strong influence of the musculature under a clinical rest condition over the cranial-facial development in the Angle's class III dental malocclusion. There is a selective activity of the different regions of the masseter muscle under the clinical rest condition in the Angle's class III dental malocclusion. There is a demand for research to complement these findings in other classes of dental malocclusion.
Assuntos
Cefalometria/métodos , Eletromiografia/métodos , Má Oclusão Classe III de Angle/patologia , Má Oclusão Classe III de Angle/fisiopatologia , Músculo Masseter/patologia , Músculo Masseter/fisiologia , Criança , Eletrodos , Feminino , Humanos , Masculino , Mandíbula/fisiologia , Descanso , Crânio/crescimento & desenvolvimentoRESUMO
The aim of this work was to analyze electromyographically the facial muscles: orbicularis oris (upper and lower fascicles), orbicularis oculi (right and left lateral portions) and frontal, in blind and clinically normal (control) individuals, in various clinical conditions. Electromyographic averages of all data collected were normalized by maximal voluntary contraction of the studied muscles and statistical analysis was performed by Student's t test, using "Statistical Package for the Social Sciences" software--SPSS 12.0 (Chicago, IL). It was found that electromyographic alterations occur in the facial musculature that influences facial expressions of individuals. Results for the orbicularis oris muscle demonstrated that myoelectric activity among blind and control subjects was greater for the control group at muscular rest, blowing, and in labial projection. Electromyographic analysis of the orbicularis oculi among blind and control subjects in three clinical conditions studied demonstrated that activity was greater for the control group at muscular rest, blinking, and forced blinking. For the frontal muscles were demonstrated that electromyographic activity was greater for blind individuals. These data suggest the influence of congenital blindness on muscular development, including alterations in electromyographic activity of skin musculature in individuals with visual impairment.
Assuntos
Cegueira/fisiopatologia , Piscadela/fisiologia , Eletromiografia , Expressão Facial , Músculos Faciais/fisiopatologia , Adolescente , Adulto , Cegueira/congênito , Eletrodos , HumanosRESUMO
AIM: To assess the effect of acupuncture on the temporal and masseter muscles activity employing surface electromyography. METHODS: Thirty volunteers were evaluated according to three groups of acupuncture application: selected local points, selected points at distance and association of local and distant points. Bipolar surface electrodes were positioned bilaterally on the anterior portion of temporal muscle, as well as in the median region of masseter muscle. An electromyograph connected to a computer and a specific software registered the muscular activity before and after acupuncture, in the following experimental conditions: 1- Rest Position (RP); 2- Maximum Intercuspation Clenching (MIC); 3- Bilateral Molar Clenching with Cotton Rolls (BMCCR). The mean values obtained for the activities of the studied muscles were submitted to Analysis of Variance and Tukey complementary test. RESULTS: The electromyographic activity of the studied muscles was lower after the application of the methods of acupuncture in the Rest, and higher after the application of the acupuncture in the Maximum Intercuspation Clenching; the electromyographic activity of the temporal muscle was higher than the masseter muscle in the Rest and lower in the Bilateral molar clenching with cotton rolls; the electromyographic activity showed to be modified after the three used methods of acupuncture in the Maximum Intercuspation Clenching. In this clinical condition, the method of long-distance acupuncture was higher than the application of local needles and the associated method. CONCLUSION: Acupuncture provided alterations in the activity of the studied muscles, favoring conditions of rest and muscular tightness.
Assuntos
Acupuntura , Eletromiografia , Músculo Masseter/fisiologia , Músculo Temporal/fisiologia , Pontos de Acupuntura , Adulto , Força de Mordida , Feminino , Humanos , Contração Isométrica/fisiologia , MasculinoRESUMO
This study had as objective to analyze with computerized electromyography the masseter muscles bilaterally in twenty individuals with temporomandibular joint dysfunction (DTM), being: the group I consisting of ten individuals with complete dentition and group II constituted by ten individuals with posterior dental absences; comparing nine clinical activities: rest before and after exercises, maximum habitual intercuspation (MIH), right and left laterality, forced centric occlusion, protrusion, bilateral molar bite and chewing. It was utilized the Electromyography K6I-Myotronics, with eight canals and surface silver electrodes. By means of the results analysis, we verified significant differences between the groups (p < 0.01), being group I, presented greater electromyographic activity (32.98 microvolts), than the group II (22.31 microvolts), suggesting that this individuals presented low muscular activity. The interaction between the groups and the clinical activities was significant (p < 0.01), as well as between the groups, clinical activities and muscles (p < 0.05). To clarify which amongst the relative averages the clinical activities were different, calculated the critical value of Tukey, being that rest before and after exercises, MIH, right and left laterality, presented averages with similar distributions, with values below of the values of Tukey, as well as forced centric occlusion, protrusion, bilateral molar bite and chewing presented higher values than Tukey. Based on this research's data, we concluded that the electromyographical analysis of the masseter muscles in Individuals with TMD, dentulous and with dental absence showed that individuals with TMD, dentulous or not, presented elevated muscular activity in rest position and individuals with TMD, dentulous, presented higher electromyographical activity than the individuals with TMD and lacking posterior teeth.