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Clinical Oral Investigations
Published in: Clinical Oral Investigations 11/2023

22-09-2023 | Craniomandibular Dysfunction and Stress | Research

Predictors of the masticatory muscle activity during chewing in patients with myogenous temporomandibular disorder

Authors: Nazım Tolgahan Yıldız, Hikmet Kocaman, Hasan Yıldırım

Published in: Clinical Oral Investigations | Issue 11/2023

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Abstract

Objectives

The aim of the study was to identify predictors of the masticatory muscle activity during chewing (MMA) of the masseter and temporalis anterior (TA) muscles in patients with unilateral myogenous temporomandibular disorder (mTMD).

Materials and methods

This observational and cross-sectional study included 109 patients diagnosed with unilateral mTMD. Surface electromyography was used to separately evaluate the MMA of the masseter and TA on the affected and unaffected sides. Also, pain intensity (with a visual analog scale), pressure pain threshold (with an algometer), active pain-free maximum mouth opening and temporomandibular joint lateral movements (with a ruler), cervical range of motions (with a goniometer), and TMD severity (with a Fonseca Anamnestic Index) were assessed. Various statistical methods were used to predict the MMA of the masseter and TA, including standard, forward, and best subsets multiple regression models.

Results

While there were significant correlations between the MMA of the masseter and TA and pain intensity, pressure pain threshold values, and TMD severity, they were not found with other variables. These parameters were also predictive factors for MMA of both muscles (p < 0.05).

Conclusions

According to the present study, pain intensity, muscle and joint tenderness, and the severity of the disorder are predictive factors for MMA of the masseter and TA muscles in patients with mTMD. It is recommended that these parameters be considered when establishing clinical evaluation and treatment programs focusing on MMA in patients with mTMD.

Clinical relevance

The pain intensity, masticatory muscles and TMJ tenderness, and disorder severity are predictors for MMA of the masseter and TA in patients with mTMD. Pain intensity has the most significant importance.
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Metadata
Title
Predictors of the masticatory muscle activity during chewing in patients with myogenous temporomandibular disorder
Authors
Nazım Tolgahan Yıldız
Hikmet Kocaman
Hasan Yıldırım
Publication date
22-09-2023
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 11/2023
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-023-05260-3

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