Orthodontic Unit, School of Dental Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
Hospital Universiti Sains Malaysia, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
Biomed Res Int. 2021 Apr 21;2021:6642254. doi: 10.1155/2021/6642254. eCollection 2021.
This pre-post study is aimed at determining the effects of masticatory muscle activity (masseter and temporalis) measured via sEMG between conventional, self-ligating, and ceramic bracket after six months of orthodontic treatment.
A total of eighteen (18) malocclusion patients were identified. Malocclusion patients were subdivided into 3 groups based on the bracket selection (conventional, self-ligating, and ceramic bracket) with 6 patients for each group. sEMG of muscles were done using a two-channel electromyography device, where pregelled and self-adhesive electrodes (bilateral) were applied. Chewing and clenching of masseter and temporalis muscle activity were recorded for 20 s pre and 6 months of orthodontic treatment using sEMG (frequency 60 Hz). The data were analysed by using repeated measures ANOVA in IBM SPSS Statistics Version 24.0.
Chewing and clenching for masseter muscle showed no significant difference ( > 0.05) in sEMG activity of three types of the brackets. However, for temporalis muscle, there was a significant difference found in sEMG activity during chewing ( < 0.05) and clenching ( < 0.05) between these three brackets.
The activity of temporalis muscle showed significant changes in chewing and clenching, where the conventional group demonstrated better muscle activity pre and at six months of fixed appliances.
本前瞻性研究旨在比较传统金属托槽、自锁托槽和陶瓷托槽在正畸治疗 6 个月后,通过表面肌电(sEMG)测量咀嚼肌(咬肌和颞肌)活动的影响。
共纳入 18 例错颌畸形患者。根据托槽选择(传统金属托槽、自锁托槽和陶瓷托槽)将错颌畸形患者分为 3 组,每组 6 例。使用双通道肌电图仪进行肌电图检查,使用预凝胶和自粘电极(双侧)。使用 sEMG(频率 60Hz)记录咀嚼和咬牙时的咬肌和颞肌活动 20s,在正畸治疗前和 6 个月进行记录。使用 IBM SPSS Statistics 版本 24.0 的重复测量方差分析对数据进行分析。
咀嚼时,三种托槽的咬肌 sEMG 活动无显著差异(>0.05)。然而,在咀嚼和咬牙时,颞肌的 sEMG 活动有显著差异(<0.05)。
咀嚼和咬牙时,颞肌的活动有显著变化,传统组在固定矫治器治疗前和 6 个月时表现出更好的肌肉活动。