Effects of a functional appliance on masticatory muscles of young adults suffering from muscle-related temporomandibular disorders.

The aim of this study was to investigate the effects of an original orthodontic functional appliance [function generating bite for deep bite correction (FGB-D)] on masticatory muscle activity in subjects suffering from muscle-related temporomandibular disorders (TMD). Electromyographic (EMG) analysis was performed on 33 young adults (nine men, 24 women) to evaluate the contractile symmetry of the right and left masseter and anterior temporalis muscles. The subjects were divided into three groups: a muscle-related TMD group requiring orthodontic treatment for deep bite correction (three men, eight women) and treated with FGB-D; a muscle-related TMD group not requiring orthodontic treatment (three men, eight women) and treated with a Michigan occlusal splint; and a TMD-free group (three men, eight women) as a control group. Records were made by surface EMG of maximum voluntary teeth clenching, with and without the functional appliance or occlusal splint in place, before and after 12 months of therapy. A torque index was derived from the surface EMG recordings to estimate lateral displacement of the mandible. The results show that the FGB-D corrects the torque index and thus the lateral displacement of the mandible.