Correlation of masticatory muscle activity and occlusal function with craniofacial morphology: a prospective cohort study.
Craniofacial morphology
Masticatory function
Masticatory muscle activity
Occlusal function
Journal
Clinical oral investigations
ISSN: 1436-3771
Titre abrégé: Clin Oral Investig
Pays: Germany
ID NLM: 9707115
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
received:
08
01
2023
accepted:
11
07
2023
medline:
11
9
2023
pubmed:
20
7
2023
entrez:
19
7
2023
Statut:
ppublish
Résumé
Masticatory function, including masticatory muscle activity and occlusal function, can be affected by craniofacial morphology. This study aimed to investigate the relationship between craniofacial morphology and masticatory function in participants who had completed orthodontic treatment at least two years before and had stable occlusion. Fourty-two healthy participants were prospectively enrolled and divided into three vertical cephalometric groups according to the mandibular plane angle. Masticatory muscle activity (MMA) in the masseter and anterior temporalis muscles was assessed using surface electromyography. The occlusal contact area (OCA) and occlusal force (OF), defined as occlusal function in this study, were evaluated using occlusal pressure mapping system. Masticatory muscle efficiency (MME) was calculated by dividing MMA by OF. The craniofacial morphology was analyzed using a lateral cephalogram. The masticatory function was compared using one-way analysis of variance. Pearson correlations were used to assess relationships between craniofacial morphology and masticatory function. The hypodivergent group had the lowest MMAand the highest MME in the masseter (167.32 ± 74.92 µV and 0.14 ± 0.06 µV/N, respectively) and anterior temporalis muscles (0.18 ± 0.08 µV/N, p < 0.05). MMA in the masseter showed a positive relationship with mandibular plane angle (r = 0.358), whereas OCA (r = -0.422) and OF (r = -0.383) demonstrated a negative relationship (p < 0.05). The anterior temporalis muscle activity negatively correlated with ramus height (r = -0.364, p < 0.05). Vertical craniofacial morphology was related to masticatory function. Hypodivergent individuals may have low MMA and high occlusal function, resulting in good masticatory muscle efficiency. Hypodivergent individuals require careful consideration in orthodontic diagnosis and prosthetic treatment planning.
Identifiants
pubmed: 37468596
doi: 10.1007/s00784-023-05156-2
pii: 10.1007/s00784-023-05156-2
doi:
Substances chimiques
MME
78185-58-7
Types de publication
Journal Article
Langues
eng
Pagination
5367-5376Subventions
Organisme : National Research Foundation of Korea
ID : NRF-2020R1F1A1069316
Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Moss ML, Salentijn L (1969) The primary role of functional matrices in facial growth. Am J Orthod 55:566–577. https://doi.org/10.1016/0002-9416(69)90034-7
doi: 10.1016/0002-9416(69)90034-7
pubmed: 5253955
van der Bilt A (2015) Human oral function: a review. Braz J Oral Sci 1:7–18. https://doi.org/10.20396/bjos.v1i1.8640964
doi: 10.20396/bjos.v1i1.8640964
Hatch JP, Shinkai RS, Sakai S et al (2001) Determinants of masticatory performance in dentate adults. Arch Oral Biol 46:641–648. https://doi.org/10.1016/s0003-9969(01)00023-1
doi: 10.1016/s0003-9969(01)00023-1
pubmed: 11369319
Lujan-Climent M, Martinez-Gomis J, Palau S et al (2008) Influence of static and dynamic occlusal characteristics and muscle force on masticatory performance in dentate adults. Eur J Oral Sci 116:229–236. https://doi.org/10.1111/j.1600-0722.2008.00530.x
doi: 10.1111/j.1600-0722.2008.00530.x
pubmed: 18471241
Suvinen TI, Kemppainen P (2007) Review of clinical EMG studies related to muscle and occlusal factors in healthy and TMD subjects. J Oral Rehabil 34:631–644. https://doi.org/10.1111/j.1365-2842.2007.01769.x
doi: 10.1111/j.1365-2842.2007.01769.x
pubmed: 17716262
Yoon WK, Hwang SS, Chung CR et al (2017) Changes in occlusal function after extraction of premolars: 2-year follow-up. Angle Orthod 87:703–708. https://doi.org/10.2319/112116-836.1
doi: 10.2319/112116-836.1
pubmed: 28485615
pmcid: 8357216
Nishi SE, Basri R, Rahman NA et al (2018) Association between muscle activity and overjet in class II malocclusion with surface electromyography. J Orthod Sci 7:3. https://doi.org/10.4103/jos.JOS_74_17
doi: 10.4103/jos.JOS_74_17
pubmed: 29765915
pmcid: 5952254
Ueda HM, Ishizuka Y, Miyamoto K et al (1998) Relationship between masticatory muscle activity and vertical craniofacial morphology. Angle Orthod 68:233–238. https://doi.org/10.1043/0003-3219(1998)068%3c0233:Rbmmaa%3e2.3.Co;2
doi: 10.1043/0003-3219(1998)068<0233:Rbmmaa>2.3.Co;2
pubmed: 9622760
Gomes SG, Custodio W, Jufer JS et al (2010) Mastication, EMG activity and occlusal contact area in subjects with different facial types. Cranio 28:274–279. https://doi.org/10.1179/crn.2010.035
doi: 10.1179/crn.2010.035
pubmed: 21032982
Singh S, Sandhu N, Kashyap R (2012) A study of bite force and various variables in children segregated by angle’s classification. Int J Clin Pediatr Dent 5:118–123. https://doi.org/10.5005/jp-journals-10005-1148
doi: 10.5005/jp-journals-10005-1148
pubmed: 25206150
pmcid: 4148746
Cha BK, Kim CH, Baek SH (2007) Skeletal sagittal and vertical facial types and electromyographic activity of the masticatory muscle. Angle Orthod 77:463–470. https://doi.org/10.2319/0003-3219(2007)077[0463:Ssavft]2.0.Co;2
doi: 10.2319/0003-3219(2007)077[0463:Ssavft]2.0.Co;2
pubmed: 17465654
Tecco S, Caputi S, Tete S et al (2007) Electromyographic activity of masticatory, neck and trunk muscles of subjects with different mandibular divergence. A cross-sectional evaluation. Angle Orthod 77:260–265. https://doi.org/10.2319/0003-3219(2007)077[0260:Eaomna]2.0.Co;2
doi: 10.2319/0003-3219(2007)077[0260:Eaomna]2.0.Co;2
pubmed: 17319760
Huang YF, Wang CM, Shieh WY, Liao YF, Hong HH, Chang CT (2022) The correlation between two occlusal analyzers for the measurement of bite force. BMC Oral Health 22:472. https://doi.org/10.1186/s12903-022-02484-9
doi: 10.1186/s12903-022-02484-9
pubmed: 36335336
pmcid: 9636614
Kwon H, Park SH, Jung HI, Hwang WC, Choi YJ, Chung C, Kim KH (2022) Comparison of the bite force and occlusal contact area of the deviated and non-deviated sides after intraoral vertical ramus osteotomy in skeletal Class III patients with mandibular asymmetry: Two-year follow-up. Korean J Orthod 52:172–181. https://doi.org/10.4041/kjod21.236
doi: 10.4041/kjod21.236
pubmed: 35504730
pmcid: 9117793
Quiudini PR Jr, Pozza DH, Pinto ADS, de Arruda MF, Guimarães AS (2017) Differences in bite force between dolichofacial and brachyfacial individuals: Side of mastication, gender, weight and height. J Prosthodont Res 61:283–289. https://doi.org/10.1016/j.jpor.2016.10.003
doi: 10.1016/j.jpor.2016.10.003
pubmed: 27866879
Wang MQ, He JJ, Zhang JH et al (2010) SEMG activity of jaw-closing muscles during biting with different unilateral occlusal supports. J Oral Rehabil 37:719–725. https://doi.org/10.1111/j.1365-2842.2010.02104.x
doi: 10.1111/j.1365-2842.2010.02104.x
pubmed: 20492441
Ferrario VF, Serrao G, Dellavia C et al (2002) Relationship between the number of occlusal contacts and masticatory muscle activity in healthy young adults. Cranio 20:91–98. https://doi.org/10.1080/08869634.2002.11746196
doi: 10.1080/08869634.2002.11746196
pubmed: 12002835
Zanon G, Contardo L, Reda B (2022) The impact of orthodontic treatment on masticatory performance: a literature review. Cureus 14:e30453. https://doi.org/10.7759/cureus.30453
doi: 10.7759/cureus.30453
pubmed: 36415350
pmcid: 9674042
Dinçer M, Meral O, Tümer N (2003) The investigation of occlusal contacts during the retention period. Angle Orthod 73:640–646. https://doi.org/10.1043/0003-3219(2003)073%3c0640:Tioocd%3e2.0.Co;2
doi: 10.1043/0003-3219(2003)073<0640:Tioocd>2.0.Co;2
pubmed: 14719727
Yoon H, Choi Y, Kim K, Chung C (2010) Comparisons of occlusal force according to occlusal relationship, skeletal pattern, age and gender in Koreans. Korean J Orthod 40:304–313. https://doi.org/10.4041/kjod.2010.40.5.304
doi: 10.4041/kjod.2010.40.5.304
Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, List T, Svensson P, Gonzalez Y, Lobbezoo F, Michelotti A, Brooks SL, Ceusters W, Drangsholt M, Ettlin D, Gaul C, Goldberg LJ, Haythornthwaite JA, Hollender L, Jensen R, John MT, De Laat A, de Leeuw R, Maixner W, van der Meulen M, Murray GM, Nixdorf DR, Palla S, Petersson A, Pionchon P, Smith B, Visscher CM, Zakrzewska J, Dworkin SF (2014) Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. J Oral Facial Pain Headache 28:6–27. https://doi.org/10.11607/jop.1151
doi: 10.11607/jop.1151
pubmed: 24482784
pmcid: 4478082
Choy OW (1964) Steiner’s cephalometric analyses in clinical practice. Orthod Fr 35:74–79
pubmed: 14318298
Knigge RP, McNulty KP, Oh H, Hardin AM, Leary EV, Duren DL, Valiathan M, Sherwood RJ (2021) Geometric morphometric analysis of growth patterns among facial types. Am J Orthod Dentofacial Orthop 160:430–441. https://doi.org/10.1016/j.ajodo.2020.04.038
doi: 10.1016/j.ajodo.2020.04.038
pubmed: 34175161
pmcid: 8405563
Ueda HM, Miyamoto K, Saifuddin M et al (2000) Masticatory muscle activity in children and adults with different facial types. Am J Orthod Dentofacial Orthop 118:63–68. https://doi.org/10.1067/mod.2000.99142
doi: 10.1067/mod.2000.99142
pubmed: 10893474
Faul F, Erdfelder E, Lang AG, Buchner A (2007) G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 39:175–191. https://doi.org/10.3758/bf03193146
doi: 10.3758/bf03193146
pubmed: 17695343
Faul F, Erdfelder E, Buchner A, Lang AG (2009) Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods 41:1149–1160. https://doi.org/10.3758/brm.41.4.1149
doi: 10.3758/brm.41.4.1149
pubmed: 19897823
Ferrario VF, Sforza C, Colombo A, Ciusa V (2000) An electromyographic investigation of masticatory muscles symmetry in normo-occlusion subjects. J Oral Rehabil 27:33–40. https://doi.org/10.1046/j.1365-2842.2000.00490.x
doi: 10.1046/j.1365-2842.2000.00490.x
pubmed: 10632841
García-Morales P, Buschang PH, Throckmorton GS et al (2003) Maximum bite force, muscle efficiency and mechanical advantage in children with vertical growth patterns. Eur J Orthod 25:265–272. https://doi.org/10.1093/ejo/25.3.265
doi: 10.1093/ejo/25.3.265
pubmed: 12831216
Rask H, English JD, Colville C, Kasper FK, Gallerano R, Jacob HB (2021) Cephalometric evaluation of changes in vertical dimension and molar position in adult non-extraction treatment with clear aligners and traditional fixed appliances. Dental Press J Orthod 26:e2119360. https://doi.org/10.1590/2177-6709.26.4.e2119360.oar
doi: 10.1590/2177-6709.26.4.e2119360.oar
pubmed: 34524380
pmcid: 8439186
Bakke M (2006) Bite force and occlusion. Semin Orthod 12:120–126. https://doi.org/10.1053/j.sodo.2006.01.005
doi: 10.1053/j.sodo.2006.01.005
Wang XR, Zhang Y, Xing N et al (2013) Stable tooth contacts in intercuspal occlusion makes for utilities of the jaw elevators during maximal voluntary clenching. J Oral Rehabil 40:319–328. https://doi.org/10.1111/joor.12044
doi: 10.1111/joor.12044
pubmed: 23480460
Lobbezoo F, Verheij JG, Naeije M (2001) Influence of periodontal receptors on the jaw-jerk reflex amplitude in man. Eur J Oral Sci 109:40–43. https://doi.org/10.1034/j.1600-0722.2001.00955.x
doi: 10.1034/j.1600-0722.2001.00955.x
pubmed: 11330933
Farella M, Van Eijden T, Baccini M et al (2002) Task-related electromyographic spectral changes in the human masseter and temporalis muscles. Eur J Oral Sci 110:8–12. https://doi.org/10.1034/j.1600-0722.2002.00128.x
doi: 10.1034/j.1600-0722.2002.00128.x
pubmed: 11878762
Al-Farra ET, Vandenborne K, Swift A et al (2001) Magnetic resonance spectroscopy of the masseter muscle in different facial morphological patterns. Am J Orthod Dentofacial Orthop 120:427–434. https://doi.org/10.1067/mod.2001.117910
doi: 10.1067/mod.2001.117910
pubmed: 11606968
Bakke M (1993) Mandibular elevator muscles: physiology, action, and effect of dental occlusion. Scand J Dent Res 101:314–331. https://doi.org/10.1111/j.1600-0722.1993.tb01127.x
doi: 10.1111/j.1600-0722.1993.tb01127.x
pubmed: 8248735
Sathyanarayana HP, Premkumar S, Manjula WS (2012) Assessment of maximum voluntary bite force in adults with normal occlusion and different types of malocclusions. J Contemp Dent Pract 13:534–538. https://doi.org/10.5005/jp-journals-10024-1181
doi: 10.5005/jp-journals-10024-1181
pubmed: 23151705
Throckmorton GS, Finn RA, Bell WH (1980) Biomechanics of differences in lower facial height. Am J Orthod 77:410–420. https://doi.org/10.1016/0002-9416(80)90106-2
doi: 10.1016/0002-9416(80)90106-2
pubmed: 6928742
Kubota M, Nakano H, Sanjo I et al (1998) Maxillofacial morphology and masseter muscle thickness in adults. Eur J Orthod 20:535–542. https://doi.org/10.1093/ejo/20.5.535
doi: 10.1093/ejo/20.5.535
pubmed: 9825556
Schantz P, Randall-Fox E, Hutchison W et al (1983) Muscle fibre type distribution, muscle cross-sectional area and maximal voluntary strength in humans. Acta Physiol Scand 117:219–226. https://doi.org/10.1111/j.1748-1716.1983.tb07200.x
doi: 10.1111/j.1748-1716.1983.tb07200.x
pubmed: 6223509
van Spronsen PH, Weijs WA, Valk J et al (1992) A comparison of jaw muscle cross-sections of long-face and normal adults. J Dent Res 71:1279–1285. https://doi.org/10.1177/00220345920710060301
doi: 10.1177/00220345920710060301
pubmed: 1613176
Kiliaridis S, Johansson A, Haraldson T, Omar R, Carlsson GE (1995) Craniofacial morphology, occlusal traits, and bite force in persons with advanced occlusal tooth wear. Am J Orthod 107:286–292
doi: 10.1016/S0889-5406(95)70144-3
Kitafusa Y (2004) Application of “prescale” as an aid to clinical diagnosis in orthodontics. Bull Tokyo Dent Coll 45:99–108. https://doi.org/10.2209/tdcpublication.45.99
doi: 10.2209/tdcpublication.45.99
pubmed: 15536861
Miralles R, Hevia R, Contreras L et al (1991) Patterns of electromyographic activity in subjects with different skeletal facial types. Angle Orthod 61:277–284. https://doi.org/10.1043/0003-3219(1991)061%3c0277:Poeais%3e2.0.Co;2
doi: 10.1043/0003-3219(1991)061<0277:Poeais>2.0.Co;2
pubmed: 1763838
Castroflorio T, Icardi K, Becchino B et al (2006) Reproducibility of surface EMG variables in isometric sub-maximal contractions of jaw elevator muscles. J Electromyogr Kinesiol 16:498–505. https://doi.org/10.1016/j.jelekin.2005.08.007
doi: 10.1016/j.jelekin.2005.08.007
pubmed: 16291500
Nishi SE, Basri R, Alam MK (2016) Uses of electromyography in dentistry: an overview with meta-analysis. Eur J Dent 10:419–425. https://doi.org/10.4103/1305-7456.184156
doi: 10.4103/1305-7456.184156
pubmed: 27403065
pmcid: 4926600
De la Barrera EJ, Milner TE (1994) The effects of skinfold thickness on the selectivity of surface EMG. Electroencephalogr Clin Neurophysiol 93:91–99. https://doi.org/10.1016/0168-5597(94)90071-x
doi: 10.1016/0168-5597(94)90071-x
pubmed: 7512925
van der Glas HW, Lobbezoo F, van der Bilt A, Bosman F (1996) Influence of the thickness of soft tissues overlying human masseter and temporalis muscles on the electromyographic maximal voluntary contraction level. Eur J Oral Sci 104:87–95. https://doi.org/10.1111/j.1600-0722.1996.tb00051.x
doi: 10.1111/j.1600-0722.1996.tb00051.x
pubmed: 8804895
Gaszynska E, Kopacz K, Fronczek-Wojciechowska M, Padula G, Szatko F (2017) Electromyographic activity of masticatory muscles in elderly women - a pilot study. Clin Interv Aging 12:111–116. https://doi.org/10.2147/cia.S118338
doi: 10.2147/cia.S118338
pubmed: 28138227
pmcid: 5238803