Ispitivanje bioeleketrične aktivnosti mastikatornih mišića kod strmog zagrižaja tokom terapije aktivatorom

  • Djordje Petrović Dental Clinic of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
  • Sanja Vujkov Dental Clinic of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
  • Branislava Petronijević Dental Clinic of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
  • Ivan Šarčev Dental Clinic of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
  • Igor Stojanac Dental Clinic of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
DOI: https://doi.org/10.2298/4398
Ključne reči: electromyography||, ||elektromiografija, masticatory muscles||, ||mišići, mastikatorni, malocclusion, angle class I||, ||malokluzija, klase I, angle class II||, klase II, activator appliances||, ||ortodontski aparati, treatment outcome||, ||lečenje, ishod,

Sažetak


Uvod/Cilj. Mišići orofacijalne regije imaju veliki uticaj na razvoj zubnih nizova i formiranje okluzije. Poznato je da je nepravilna funkcija mišića jedan od značajnih etioloških faktora u nastanku malokluzija. Takođe, potvrđena je uzajamna povezanost poremećaja funkcije orofacijalnih mišića i poremećaja okluzije, kao i korelacija između bioelektrične aktivnosti mastikatornih mišića, registrovane elektromiografskom metodom, i ispoljene sile zagrižaja pri maksimalnoj voljnoj kontrakciji ovih mišića. Cilj studije bio je analiza bioelektrične aktivnosti temporalnog i maseteričnog mišića. Metode. Uzorak je činilo 100 osoba oba pola, podeljenih u kontrolnu grupu (n = 30) sa neutrookluzijom i potpunim zubnim nizom, i ispitivanu grupu (n = 70) sa distookluzijom. Kod svih ispitanika sprovedeno je elektromiografsko merenje bioelektričnog potencijala za ispitivane mišiće u položaju fiziološkog mirovanja, centralne okluzije mandibule, i pri maksimalnoj voljnoj kontrakciji mišića i gutanju pljuvačke, kod klase I i II/2 okluzalnih odnosa po Anglu, i to pre lečenja, nakon jedne godine ortodontskog lečenja i po završetku lečenja sa aktivatorom. Rezultati. Poređenjem vrednosti biolektričnog potenicijala pre lečenja utvrđena je smanjena aktivnost u sva tri položaja praćenih mišića u ispitivanoj grupi u odnosu na kontrolnu. Nakon prve godine ortodontskog tretmana utvrđeno je povišenje bioelektrične aktivnosti oba mišića. Po završetku tretmana aktivatorom, bioelektrična aktivnost oba mišića u ispitivanoj grupi bila je viša u odnosu na vrednosti pre tretmana, što dokazuje pozitivan, veoma značajan koeficijent korelacije. Zaključak. U sve tri merene pozicije, pri različitim položajima mandibule kod strmog zagrižaja, bioelektrična aktivnost je bila najmanja na početku terapije i povećavala se tokom prve godine lečenja, da bi se na kraju terapije delimično smanjila na vrednosti približne vrednostima normalne okluzije. Istraživanja elektromiografske aktivnosti mastikatornih mišića imaju smisla u svakodnevnoj kliničkoj praksi, kod izrazitih skeletnih diskrepanci pre, u toku i nakon ortodontske terapije, ukoliko na osnovu njih možemo vrednovati rezultate lečenja, ali i odrediti početak i dužinu trajanja retencionog perioda i vrstu retencionog aparata.

 

Biografija autora

Djordje Petrović, Dental Clinic of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
Prof. dr.

Reference

Kahl-Nieke B. Einführung in die Keiferortopädie. 2nd ed. München-Jena: Aufl. Urban & Fischer; 2001.

Cuevas MJ, Cacho A, Alarcón JA, Martín C. Longitudinal evalua-tion of jaw muscle activity and mandibular kinematics in young patients with Class II malocclusion treated with the Teuscher activator. Med Oral Patol Oral Cir Bucal 2013; 18(3): 497−504.

Moss JP, Chalmers CP. An electromyographic investigation of patients with a normal jaw relationship and a Class III jaw relationship. Am J Orthod 1974; 66(5): 538−56.

Meenakshi I, Ashima V. Electromyography and its application in orthodontics. Curr Sci 2001; 80(4): 503−7.

Cuccia AM. Interrelationships between dental occlusion and plantar arch. J Bodyw Mov Ther 2011; 15(2): 242−50.

Marquezin M, Gavião M, Alonso M, Ramirez-Sotelo L, Haiter-Neto F, Castelo P. Relationship between orofacial function, dentofa-cial morphology, and bite force in young subjects. Oral Dis 2013; doi: 10.1111/odi.12174. (In Press)

Marquezin MC, Kobayashi FY, Montes AB, Gavião MB, Castelo PM. Assessment of masticatory performance, bite force, or-thodontic treatment need and orofacial dysfunction in children and adolescents. Arch Oral Biol 2013; 58(3): 286−92.

Dolce C, Mansour DA, McGorray SP, Wheeler TT. Intrarater agreement about the etiology of Class II malocclusion and treatment approach. Am J Orthod Dentofacial Orthop 2012; 141(1): 17−23.

Lin LH, Huang GW, Chen CS. Etiology and Treatment Modali-ties of Anterior Open Bite Malocclusion. J Experiment Clin Med 2013; 5(1): 1−4.

Sciote JJ, Raoul G, Ferri J, Close J, Horton MJ, Rowlerson A. Masse-ter function and skeletal malocclusion. Rev Stomatol Chir Maxillofac Chir Orale 2013; 114(2): 79−85.

Uysal T, Yagci A, Okkesim KS. Influence of Pre-Orthodontic Trainer treatment on the perioral and masticatory muscles in patients with Class II division 1 malocclusion. Eur J Ortho-dont 2012; 34(1): 96−101.

Proffit WR, Fields HW, Sarver DM. Contemporary orthodontics. 4th ed. St. Louis, Mo: Mosby Year Book; 2006.

Ambrosio AR, Trevilatto PC, Martins LP, Santos-Pinto AD, Shimizu RH. Electromyographic evaluation of the upper lip according to the breathing mode: a longitudinal study. Braz Oral Res 2009; 23(4): 415−23.

Tuijt M, Koolstra JH, Lobbezoo F, Naeije M. Differences in load-ing of the temporomandibular joint during opening and clos-ing of the jaw. J Biomech 2010; 43(6): 1048−54.

Tecco S, Crincoli V, Di Bisceglie B, Caputi S, Festa F. Relation be-tween facial morphology on lateral skull radiographs and sEMG activity of head, neck, and trunk muscles in Caucasian adult females. J Electromyogr Kinesiol 2011; 21(2): 298−310.

Linsen S, Schmidt-Beer U, Fimmers R, Grüner M, Koeck B. Crani-omandibular pain, bite force, and oral health-related quality of life in patients with jaw resection. J Pain Symptom Manage 2009; 37(1): 94−106.

Shi CS, An Y. Observation of proportionality of myoelectrical activity of anterior temporalis to masseter muscle during clenching at varied jaw positions. J Oral Rehabil 1992; 19(5): 539−43.

Ingervall B, Bitsanis E. Function of masticatory muscles during the initial phase of activator treatment. Eur J Orthod 1986; 8(3): 172−84.

Ma SY, Whittle T, Descallar J, Murray GM, Darendeliler MA, Cis-tulli P, et al. Association between resting jaw muscle electro-myographic activity and mandibular advancement splint out-come in patients with obstructive sleep apnea. Am J Orthod Dentofacial Orthop 2013; 144(3): 357−67.

Castroflorio T, Falla D, Tartaglia GM, Sforza C, Deregibus A. Myoelectric manifestations of jaw elevator muscle fatigue and recovery in healthy and TMD subjects. J Oral Rehabil 2012; 39(9): 648−58.

Lowe AA, Takada K, Taylor LM. Muscle activity during function and its correlation with craniofacial morphology in a sample of subjects with Class II, Division 1 malocclusions. Am J Orthod 1983; 84(3): 204−11.

Miralles R, Berger B, Bull R, Manns A, Carvajal R. Influence of the activator on electromyographic activity of mandibular elevator muscles. Am J Orthod Dentofacial Orthop 1988; 94(2): 97−103.

Antonarakis GS, Kjellberg H, Kiliaridis S. Bite force and its asso-ciation with stability following Class II/1 functional appliance treatment. Eur J Orthod 2012; 35(4): 434−41.

Tuncer BB, Ozogul B, Akkaya S. Differences in opening and protrusive mandibular movements between Class I and II ma-locclusions in healthy adolescents. Korean J Orthod 2011; 41(2): 127−37.

Stavridi R, Ahlgren J. Muscle response to the oral-screen activa-tor. An EMG study of the masseter, buccinator, and mentalis muscles. Eur J Orthod 1992; 14(5): 339−49.

Uner O, Darendeliler N, Bilir E. Effects of an activator on the masseter and anterior temporal muscle activities in Class II malocclusions. J Clin Pediatr Dent 1999; 23(4): 327−32.

Pancherz H, Anehus-Pancherz M. Muscle activity in class II, divi-sion 1 malocclusions treated by bite jumping with the Herbst appliance. An electromyographic study. Am J Orthod Den-tofacial Orthop 1980; 78(3): 321−9.

Objavljeno
2015/04/24
Broj časopisa
Vol. 71 Br. 12 (2014)
Rubrika
Originalni članak