Short‐term effect of a stabilization splint on the asymmetry of submaximal masticatory muscle activity

Journal of Oral Rehabilitation - Tập 16 Số 2 - Trang 171-176 - 1989
R. S. McCARROLL1, M. Naeije1, Y. K. KIM2, Tommy Hansson1
1Department of Masticatory Function, Academic Centre for Dentistry, Amsterdam, The Netherlands
2Department of Oral Diagnosis, College of Dentistry, Seoul National University, Seoul, Korea

Tóm tắt

SummaryTen healthy subjects continuously wore equilibrated maxillary full‐arch stabilization splints in the retruded position for 7 days. The muscular activity balance of the masseter muscles during submaximal isometric clenching at 10% and 50% of the maximum voluntary contraction (MVC) did not change immediately on insertion of the splint, but was improved at the 50% level after 7 days (P<0.05). While the muscular balance of the anterior temporal muscles was not affected, either immediately on splint insertion, or after wearing it for 7 days, temporal muscle activity at 10% of the MVC was greater on the side to which the mandible moved from the retruded contact position (RCP) to the inter‐cuspal position (ICP), both before (P<0.025) and after (P<0.01) wearing the splint. Splint removal after 7 days resulted in increased awareness of interferences in the ICP and increases in masseter muscle asymmetry (10%, P<0.025; 50%, P<0.05) when the electromyograms in the ICP after splint removal were compared with those on the stabilization splint before removal. After wearing the splint, the masseter muscle activity at the 10% level was greater on the side where premature contacts were present in the RCP (P<0.01).The use of masticatory muscle asymmetry indices in the evaluation of splint treatment for craniomandibular dysfunction is indicated since submaximal masticatory muscle activity is related to occlusal stability, premature contacts in the RCP and the direction of lateral slides from the RCP to the ICP.

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Tài liệu tham khảo

Bakke M., 1980, Distortion of maximal elevator activity by unilateral premature tooth contact, Scandinavian Journal of Dental Research, 80, 67

Humsi A.N.K., 1988, The immediate effects of a stabilisation splint on the muscular symmetry in the masseter and anterior temporal muscles of patients with a cranio‐mandibular disorder, Journal of Prosthetic Dentistry

Ingervall B., 1975, Activity of temporal and masseter muscles in children with a lateral forced bite, Angle Orthodontist, 45, 249

10.1111/j.1365-2842.1989.tb01329.x

10.1111/j.1365-2842.1989.tb01318.x

Ramfjord S.P., 1966, Occlusion

10.1111/j.1365-2842.1986.tb00646.x