Activity of jaw muscles in unilateral cross-bite without mandibular shift. 2009

Jose Antonio Alarcón, and Conchita Martín, and Juan Carlos Palma, and Mario Menéndez-Núñez
Department of Stomatology, School of Dentistry, University of Granada, Granada, Spain. jalarcon@ugr.es

OBJECTIVE To evaluate and compare electromyographic activity of jaw muscles at rest and during maximal voluntary clenching in maximal intercuspation between growing individuals with unilateral posterior cross-bite without functional mandibular lateral shift during closure and matched individuals with normal occlusion. These findings may help elucidate the impact of this occlusal condition on jaw muscle function and the therapeutic implications. METHODS 30 growing children (10-12 years) with unilateral cross-bite without functional mandibular lateral shift during closure (cases) and 30 age- and sex-matched children with normal occlusion (controls) were consecutively selected applying highly restrictive criteria. Electromyographic activity coming from the areas of right and left anterior temporalis, posterior temporalis, masseter, and supra-hyoid muscles was evaluated at rest and during clenching. The asymmetry index was calculated for each muscle area to quantify the degree of asymmetry between sides. The masseter/anterior temporalis ratio during clenching was also recorded. RESULTS No significant differences were found between groups at rest. During clenching, activity of the cross-bite side masseter area was significantly lower in cases versus controls but no difference was found between cross-bite and non-cross-bite sides of this muscle. CONCLUSIONS Unilateral posterior cross-bite without functional mandibular lateral shift is associated with a lower electromyographic activity of masseter muscle area of the cross-bite side during maximal clenching in maximal intercuspation, compared to the children with normal occlusion. This result could suggest a functional adaptation that should be carefully considered. Long-term studies are needed to determine future repercussions and to evaluate the benefit of an early treatment.

UI MeSH Term Description Entries
D008297 Male Males
D008310 Malocclusion Such malposition and contact of the maxillary and mandibular teeth as to interfere with the highest efficiency during the excursive movements of the jaw that are essential for mastication. (Jablonski, Illustrated Dictionary of Dentistry, 1982) Angle's Classification,Crossbite,Tooth Crowding,Cross Bite,Angle Classification,Angles Classification,Bite, Cross,Bites, Cross,Classification, Angle's,Cross Bites,Crossbites,Crowding, Tooth,Crowdings, Tooth,Malocclusions
D008334 Mandible The largest and strongest bone of the FACE constituting the lower jaw. It supports the lower teeth. Mylohyoid Groove,Mylohyoid Ridge,Groove, Mylohyoid,Grooves, Mylohyoid,Mandibles,Mylohyoid Grooves,Mylohyoid Ridges,Ridge, Mylohyoid,Ridges, Mylohyoid
D008406 Masseter Muscle A masticatory muscle whose action is closing the jaws. Masseter Muscles,Muscle, Masseter,Muscles, Masseter
D008410 Masticatory Muscles Muscles arising in the zygomatic arch that close the jaw. Their nerve supply is masseteric from the mandibular division of the trigeminal nerve. (From Stedman, 25th ed) Masticatory Muscle,Muscle, Masticatory,Muscles, Masticatory
D009119 Muscle Contraction A process leading to shortening and/or development of tension in muscle tissue. Muscle contraction occurs by a sliding filament mechanism whereby actin filaments slide inward among the myosin filaments. Inotropism,Muscular Contraction,Contraction, Muscle,Contraction, Muscular,Contractions, Muscle,Contractions, Muscular,Inotropisms,Muscle Contractions,Muscular Contractions
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D004576 Electromyography Recording of the changes in electric potential of muscle by means of surface or needle electrodes. Electromyogram,Surface Electromyography,Electromyograms,Electromyographies,Electromyographies, Surface,Electromyography, Surface,Surface Electromyographies
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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