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Postural and maximal activity in elevators of mandible before and after treatment of functional disorders
Author(s) -
SHEIKHOLESLAM AKBAR,
MÖLLER EIGILD,
LOUS INGER
Publication year - 1982
Publication title -
european journal of oral sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.802
H-Index - 93
eISSN - 1600-0722
pISSN - 0909-8836
DOI - 10.1111/j.1600-0722.1982.tb01522.x
Subject(s) - elevator , mandible (arthropod mouthpart) , medicine , orthodontics , physical medicine and rehabilitation , dentistry , biology , engineering , botany , structural engineering , genus
– In a longitudinal study we compared clinical data on pain and tenderness and electromyographic recordings of postural and maximal activity from 37 patients before and after treatment of functional disorders of the masticatory system. Forty‐three dental students served as controls. Treatment was followed by a concomitant decrease of pain, tenderness and postural activity. Muscle strength in terms of the activity during maximal bite in the intercuspal position was not altered by treatment, but activiation of the night and left anterior temporal muscle became more uniform. The relative postural loading of the elevators was assessed as their activity in percent of full effort. Following treatment, loading in patients decreased significantly and became more symmetrical in the anterior temporal muscles. Loading also tended to decrease in the posterior temporal and masseter muscles. However, it still significally exceeded postural activity in percent of full effort in the controls. Since treatment involved correction of the occlusion we conclude that the intermaxillary conditions of tooth contact during function play a role in the etiology of functional disorders and that the reduction of the relative postural loading of the elevators of the patients due to this treatment contributed to thier relief. The relatively high percentage of full effort displayed as postural activity by the patients even after treatment may explain flucturation of symptoms and signs of functional disorders of the masticatory system. It also emphasizes the need for improved of treatment to reduce the probality of recurrence.