Manns A, Chan C, Miralles R
J Prosthet Dent. 1987 Apr;57(4):494-501. doi: 10.1016/0022-3913(87)90024-2.
A comparative EMG study was done between two types of occlusal guidances: group function and canine guidance. The purpose was to determine which of the two occlusal schemes causes a greater reduction in muscle activity and thereby a decrease in muscle tension in eccentric mandibular positions. Full-coverage occlusal splints were made for six test subjects with normal function of the stomatognathic system. Left- and right-side integrated EMG recordings were made of the masseter and temporal muscles during static (clenching) and dynamic (lateral excursion and clenching) maximal contractions. The results showed an EMG activity reduction of the elevator muscles with group function relative to their activity in centric occlusion. A more marked reduction was observed on the mediotrusive side, mainly in the temporal muscle. With canine guidance, the reduction in elevator muscle activity is much greater, more significant, and mainly in the temporal muscle of the mediotrusive side. The clinical implications of this study suggest the use of canine guidance in laterotrusion for therapy with full-coverage occlusal splints.
组功能和尖牙引导。目的是确定这两种咬合方案中哪一种能更大程度地降低肌肉活动,从而减少下颌偏位时的肌肉张力。为6名口颌系统功能正常的测试对象制作了全口咬合夹板。在静态(紧咬)和动态(侧方运动和紧咬)最大收缩过程中,对咬肌和颞肌进行左右侧综合肌电图记录。结果显示,与正中咬合时相比,组功能时升肌的肌电图活动降低。在中侧运动侧观察到更明显的降低,主要在颞肌。在尖牙引导时,升肌活动的降低更大、更显著,且主要在中侧运动侧的颞肌。本研究的临床意义表明,在使用全口咬合夹板进行治疗时,侧方运动采用尖牙引导。