Trawitzki L V V, Dantas R O, Mello-Filho F V, Marques W
Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Brazil.
Int J Oral Maxillofac Surg. 2006 Feb;35(2):170-3. doi: 10.1016/j.ijom.2005.07.008. Epub 2005 Sep 8.
Individuals with dentofacial deformities present changes in masticatory muscles. The objective of the present study was to determine the influence of interdisciplinary treatment in cases of class III dentofacial deformities regarding the EMG activity of the temporal (T) and masseter (M) muscles. The study was conducted on 15 patients with class III dentofacial deformities who were submitted to orthodontic, oromyofunctional and surgical treatment and assigned to groups P1 (before surgery) and P2 (6-9 months after surgery). Fifteen individuals with no alterations in facial morphology or dental occlusion and without signs or symptoms of temporomandibular joint dysfunction were used as controls (CG). The T and M muscles were submitted to EMG bilaterally in the situations of mastication and mastication plus biting, with analysis of amplitude interval and root mean square. For all muscles tested, there was a difference between CG, P1 and P2; CG was higher than P2 and P2 higher than P1 in all situations assessed. We conclude that there was an increase in EMG activity in the T and M muscles after surgical correction of the dentofacial deformity accompanied by interdisciplinary treatment, although the values were still lower than those obtained for CG.
患有牙颌面畸形的个体咀嚼肌会出现变化。本研究的目的是确定在III类牙颌面畸形病例中,多学科治疗对颞肌(T)和咬肌(M)肌电图活动的影响。该研究对15例III类牙颌面畸形患者进行,这些患者接受了正畸、口腔肌功能和外科治疗,并被分为P1组(术前)和P2组(术后6 - 9个月)。选取15名面部形态或牙合关系无改变且无颞下颌关节功能障碍体征或症状的个体作为对照组(CG)。在咀嚼以及咀嚼加咬合的情况下,对T肌和M肌进行双侧肌电图检查,并分析振幅间期和均方根。对于所有测试的肌肉,CG、P1和P2之间存在差异;在所有评估情况下,CG高于P2,P2高于P1。我们得出结论,在牙颌面畸形通过多学科治疗进行手术矫正后,T肌和M肌的肌电图活动增加,尽管其值仍低于CG组。