Neuromuscular diagnosis in orthodontics: effects of TENS on the sagittal maxillo-mandibular relationship. 2008

A Monaco, and R Cattaneo, and A Spadaro, and G Marzo
Department of Gnatology Clinic. School of Dentistry. University of L'Aquila-Italy. annalisamonaco@yahoo.it

OBJECTIVE This study was conducted in order to assess the changes in the occlusal position of the mandible after ULF (Ultra Low Frequency)-TENS relaxing procedure in subjects in pubertal growth phase with diagnosed Angle Class II division 1 and mandibular dentoalveolar retrusion. METHODS This study was performed on 19 patients (13 females, 6 males) with an Angle Class II division 1, aged between 10 and 15 years old (mean age 12.26, SD 1.32), characterised by mandible dentoalveolar retrusion and optimal vertical facial dimension, diagnosed by clinical and cephalometric evaluation. Diagnostic neuromuscular registrations were made for all subjects. The casts were mounted on articulator in habitual intercuspal position with a tooth-guided wax bite registration. Reference points were chosen at molar level. Subsequently the same casts were mounted in myocentric position and compared to the habitual intercuspal position, assessing the sagittal shift after TENS procedure. METHODS Mean and standard deviation were calculated on the amount of shifting at the left molar reference point after TENS procedure. Analysis of variance (ANOVA), using STATA statistics package, was carried out in order to evaluate the influence of sex and age on the amount of molar shift. RESULTS Nine subjects showed, in the sagittal plane, a forward mandibular shift in neuromuscular myocentric position compared to habitual intercuspal position. Six subjects showed no differences between habitual and myocentric position in the sagittal plane. Four individuals showed a backward mandible shift after TENS indicating worsening of the II molar class in the sagittal plane. CONCLUSIONS This study suggests that TENS recorded occlusion in subjects with Class II division 1 with mandible dentoalveolar retrusion allows to visualise an unusual trend of growth. The advancements of the mandible were not taken into account. These results could offer new diagnosis and prognosis methods for Class II malocclusions.

UI MeSH Term Description Entries
D007574 Jaw Relation Record A registration of any positional relationship of the mandible in reference to the maxillae. These records may be any of the many vertical, horizontal, or orientation relations. (Jablonski, Illustrated Dictionary of Dentistry) Axiography,Bite Registration,Sirognathography,Record, Jaw Relation,Records, Jaw Relation,Bite Registrations,Jaw Relation Records,Registration, Bite,Registrations, Bite
D008297 Male Males
D008312 Malocclusion, Angle Class II Malocclusion in which the mandible is posterior to the maxilla as reflected by the relationship of the first permanent molar (distoclusion). Angle Class II,Angle Class II, Division 1,Angle Class II, Division 2,Class II Malocclusion, Division 1,Class II Malocclusion, Division 2,Malocclusion, Angle Class II, Division 1,Malocclusion, Angle Class II, Division 2,Class II, Angle
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
D008335 Mandibular Condyle The posterior process on the ramus of the mandible composed of two parts: a superior part, the articular portion, and an inferior part, the condylar neck. Condyle, Mandibular,Condyles, Mandibular,Mandibular Condyles
D009126 Muscle Relaxation That phase of a muscle twitch during which a muscle returns to a resting position. Muscle Relaxations,Relaxation, Muscle,Relaxations, Muscle
D002508 Cephalometry The measurement of the dimensions of the HEAD. Craniometry
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003765 Models, Dental Presentation devices used for patient education and technique training in dentistry. Dental Models,Dental Model,Model, Dental
D003766 Dental Occlusion The relationship of all the components of the masticatory system in normal function. It has special reference to the position and contact of the maxillary and mandibular teeth for the highest efficiency during the excursive movements of the jaw that are essential for mastication. (From Jablonski, Dictionary of Dentistry, 1992, p556, p472) Canine Guidance,Occlusal Guidance,Occlusal Plane,Occlusion, Dental,Dental Occlusions,Guidance, Canine,Guidance, Occlusal,Occlusal Guidances,Occlusal Planes,Occlusions, Dental,Plane, Occlusal,Planes, Occlusal

Related Publications

A Monaco, and R Cattaneo, and A Spadaro, and G Marzo
January 1994, Revue de stomatologie et de chirurgie maxillo-faciale,
A Monaco, and R Cattaneo, and A Spadaro, and G Marzo
January 1974, Revista da Faculdade de Odontologia de Sao Jose dos Campos,
A Monaco, and R Cattaneo, and A Spadaro, and G Marzo
April 1989, Odontologia chilena,
A Monaco, and R Cattaneo, and A Spadaro, and G Marzo
November 1973, Journal of the Canadian Dental Association,
A Monaco, and R Cattaneo, and A Spadaro, and G Marzo
January 1988, L' Orthodontie francaise,
A Monaco, and R Cattaneo, and A Spadaro, and G Marzo
September 2004, Journal of the Indian Society of Pedodontics and Preventive Dentistry,
A Monaco, and R Cattaneo, and A Spadaro, and G Marzo
July 1972, Journal of the Indian Dental Association,
A Monaco, and R Cattaneo, and A Spadaro, and G Marzo
January 1971, Annali di stomatologia,
A Monaco, and R Cattaneo, and A Spadaro, and G Marzo
January 2005, Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi,
A Monaco, and R Cattaneo, and A Spadaro, and G Marzo
December 1985, Nichidai koku kagaku = Nihon University journal of oral science,
Copied contents to your clipboard!