Skip to main content
Top
Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 6/2011

01-11-2011 | Original article

Neuromuscular adaptations with flexible fixed functional appliance – a 2-year follow-up study

Authors: Dr. S. Sood, MDS, O.P. Kharbanda, R. Duggal, M. Sood, S. Gulati

Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Issue 6/2011

Login to get access

Abstract

Aim

To evaluate long-term neuromuscular adaptation with the flexible fixed functional appliance.

Patients and methods

Electromyography (EMG) was performed on 15 young, growing females with Class II Division 1 malocclusion treated with a flexible fixed functional appliance. Bilateral EMG activity from the anterior temporalis and masseter muscles was monitored longitudinally to determine changes in posture, swallowing, and maximum voluntary clenching during a 24-month observation period.

Results

There was a significant decrease in EMG activity during saliva swallowing (p < 0.05) and maximum clenching (p < 0.05 at 3 months and p < 0.01 at 1 month after treatment); this persisted for up to 1 month but gradually returned to pre-appliance levels near the end of 6 months. It remained stable from then on until the end of the observation period (24 months).

Conclusion

The anterior temporalis and masseter muscles clearly responded to appliance therapy. The neuromuscular adaptation documented after 6 months of treatment remained stable over a 24-month observation period.
Literature
1.
go back to reference Aggarwal P, Kharbanda OP, Mathur R et al (1999) Muscle response to the Twin-block appliance: an electromyographic study of the masseter and anterior temporal muscle. Am J Orthod Dentofacial Orthop 116:405–414PubMedCrossRef Aggarwal P, Kharbanda OP, Mathur R et al (1999) Muscle response to the Twin-block appliance: an electromyographic study of the masseter and anterior temporal muscle. Am J Orthod Dentofacial Orthop 116:405–414PubMedCrossRef
2.
go back to reference Ahlgren J (1960) An electromyographic analysis of the response to activator (Andresen-Häupl) therapy. Odontol Rev 11:125–151 Ahlgren J (1960) An electromyographic analysis of the response to activator (Andresen-Häupl) therapy. Odontol Rev 11:125–151
3.
go back to reference Ahlgren J, Bendeus M (1982) Changes in length and torque of the masticatory muscles produced by the activator appliance. Swed Dent J 15:15–35 Ahlgren J, Bendeus M (1982) Changes in length and torque of the masticatory muscles produced by the activator appliance. Swed Dent J 15:15–35
4.
go back to reference Akkaya S, Haydar S, Bilir E (2000) Effects of spring-loaded posterior bite-block appliance on masticatory muscles. Am J Orthod Dentofacial Orthop 118:179–183PubMedCrossRef Akkaya S, Haydar S, Bilir E (2000) Effects of spring-loaded posterior bite-block appliance on masticatory muscles. Am J Orthod Dentofacial Orthop 118:179–183PubMedCrossRef
5.
go back to reference Andresen V, Häupl K (1936) Funktionskieferorthopädie; Die Grundlagen des Norwegischen Systems, 1st edn. JA Barth, Leipzig Andresen V, Häupl K (1936) Funktionskieferorthopädie; Die Grundlagen des Norwegischen Systems, 1st edn. JA Barth, Leipzig
6.
go back to reference Baccetti T, Franchi L, McNamara JA Jr, Tollaro I (1997) Early dentofacial features of Class II malocclusion: A longitudinal study from the deciduous through the mixed dentition. Am J Orthod Dentofacial Orthop 111:502–509PubMedCrossRef Baccetti T, Franchi L, McNamara JA Jr, Tollaro I (1997) Early dentofacial features of Class II malocclusion: A longitudinal study from the deciduous through the mixed dentition. Am J Orthod Dentofacial Orthop 111:502–509PubMedCrossRef
7.
go back to reference Carlsöö S (1956) An electromyographic study of the activity of certain suprahyoid muscles (mainly the anterior belly of digastric muscle) and of the reciprocal innervation of the elevator and depressor musculature of the mandible. Acta Anat 26:81–93PubMedCrossRef Carlsöö S (1956) An electromyographic study of the activity of certain suprahyoid muscles (mainly the anterior belly of digastric muscle) and of the reciprocal innervation of the elevator and depressor musculature of the mandible. Acta Anat 26:81–93PubMedCrossRef
8.
go back to reference Ceneviz C, Mehta NR, Forgione A et al (2006) The immediate effect of changing mandibular position on the EMG activity of the masseter, temporalis, sternocleidomastoid, and trapezius muscles. Cranio 24:237–244PubMed Ceneviz C, Mehta NR, Forgione A et al (2006) The immediate effect of changing mandibular position on the EMG activity of the masseter, temporalis, sternocleidomastoid, and trapezius muscles. Cranio 24:237–244PubMed
9.
go back to reference Erdem A, Kikic N, Eroz B (2009) Changes in soft tissue profile and electromyographic activity after activator treatment. Aust Orthod J 25:116–122PubMed Erdem A, Kikic N, Eroz B (2009) Changes in soft tissue profile and electromyographic activity after activator treatment. Aust Orthod J 25:116–122PubMed
10.
go back to reference Ferrario VF, Tartaglia GM, Galletta A et al (2006) The influence of occlusion on jaw and neck muscle activity: a surface EMG study in healthy young adults. J Oral Rehabil 33:341–348PubMedCrossRef Ferrario VF, Tartaglia GM, Galletta A et al (2006) The influence of occlusion on jaw and neck muscle activity: a surface EMG study in healthy young adults. J Oral Rehabil 33:341–348PubMedCrossRef
11.
go back to reference Forrester SE, Allen SJ, Presswood RG et al (2010) Neuromuscular function in healthy occlusion. J Oral Rehabil 37:663–639PubMedCrossRef Forrester SE, Allen SJ, Presswood RG et al (2010) Neuromuscular function in healthy occlusion. J Oral Rehabil 37:663–639PubMedCrossRef
12.
go back to reference Fulton JF (1955) A textbook of physiology, 17th edn. WB Saunders, Philadelphia, PA Fulton JF (1955) A textbook of physiology, 17th edn. WB Saunders, Philadelphia, PA
13.
go back to reference Graber TM, Rakosi T, Petrovic AG (1985) Dentofacial orthopaedics with functional appliances. CV Mosby, St Louis, MO Graber TM, Rakosi T, Petrovic AG (1985) Dentofacial orthopaedics with functional appliances. CV Mosby, St Louis, MO
14.
15.
go back to reference McNamara JA Jr (1973) Neuromuscular and skeletal adaptations to altered function in the orofacial region. Am J Orthod 64:578–606PubMedCrossRef McNamara JA Jr (1973) Neuromuscular and skeletal adaptations to altered function in the orofacial region. Am J Orthod 64:578–606PubMedCrossRef
16.
go back to reference Moreno I, Sanchez T, Ardizone I et al (2008) Electromyographic comparisons between clenching, swallowing and chewing in jaw muscles with varying occlusal parameters. Med Oral Patol Oral Cir Bucal 13:207–213 Moreno I, Sanchez T, Ardizone I et al (2008) Electromyographic comparisons between clenching, swallowing and chewing in jaw muscles with varying occlusal parameters. Med Oral Patol Oral Cir Bucal 13:207–213
17.
go back to reference Pancherz H (1980) Activity of temporal and masseter muscles in Class II division 1 Malocclusions: An EMG investigation. Am J Orthod 77:679–688PubMedCrossRef Pancherz H (1980) Activity of temporal and masseter muscles in Class II division 1 Malocclusions: An EMG investigation. Am J Orthod 77:679–688PubMedCrossRef
18.
go back to reference Pancherz H, Anehus-Pacherz M (1980) Muscle activity in Class II division 1 malocclusion treated by bite jumping with Herbst appliance – An EMG study. Am J Orthod 78:321–329PubMedCrossRef Pancherz H, Anehus-Pacherz M (1980) Muscle activity in Class II division 1 malocclusion treated by bite jumping with Herbst appliance – An EMG study. Am J Orthod 78:321–329PubMedCrossRef
19.
go back to reference Rosa LB, Semprini M, Siéssere S et al (2009) Correlation between bite force and electromyographic activity in dentate and partially edentulous individuals. Electromyogr Clin Neurophysiol 49:291–297PubMed Rosa LB, Semprini M, Siéssere S et al (2009) Correlation between bite force and electromyographic activity in dentate and partially edentulous individuals. Electromyogr Clin Neurophysiol 49:291–297PubMed
20.
go back to reference Schwartz G, Enomoto S, Valiquette C, Lund JP (1989) Mastication in the rabbit: a description of movement and muscle activity. J Neurophysiol 62:273–287PubMed Schwartz G, Enomoto S, Valiquette C, Lund JP (1989) Mastication in the rabbit: a description of movement and muscle activity. J Neurophysiol 62:273–287PubMed
21.
go back to reference Selmer-Olsen R (1937) En Kritisk betraktning over “Det norske system”. Nor Tannlaegeforen Tid 47:85–91, 134–142; 176–193 Selmer-Olsen R (1937) En Kritisk betraktning over “Det norske system”. Nor Tannlaegeforen Tid 47:85–91, 134–142; 176–193
22.
go back to reference Sessle BJ, Woodside DG, Bourque P et al (1990) Effects of functional appliances on jaw-muscle activity. Am J Orthod Dentofacial Orthop 98:222–230PubMedCrossRef Sessle BJ, Woodside DG, Bourque P et al (1990) Effects of functional appliances on jaw-muscle activity. Am J Orthod Dentofacial Orthop 98:222–230PubMedCrossRef
23.
go back to reference Tabe H, Ueda HM, Kato M et al (2005) Influence of functional appliances on masticatory muscle activity. Angle Orthod 75:616–624PubMed Tabe H, Ueda HM, Kato M et al (2005) Influence of functional appliances on masticatory muscle activity. Angle Orthod 75:616–624PubMed
24.
go back to reference Tallgren A, Christiansen RL, Ash M Jr, Miller RL (1998) Effects of a myofunctional appliance on orofacial muscle activity and structures. Angle Orthod 68:249–258PubMed Tallgren A, Christiansen RL, Ash M Jr, Miller RL (1998) Effects of a myofunctional appliance on orofacial muscle activity and structures. Angle Orthod 68:249–258PubMed
25.
go back to reference Tecco S, Epifania E, Festa F (2008) An electromyographic evaluation of bilateral symmetry of masticatory, neck and trunk muscles activity in patients wearing a positioner. J Oral Rehabil 35:433–439PubMedCrossRef Tecco S, Epifania E, Festa F (2008) An electromyographic evaluation of bilateral symmetry of masticatory, neck and trunk muscles activity in patients wearing a positioner. J Oral Rehabil 35:433–439PubMedCrossRef
26.
go back to reference Umehara Y (1941) An experimental study on the functional jaw orthopedics. J Stomatol Soc 15:482 Umehara Y (1941) An experimental study on the functional jaw orthopedics. J Stomatol Soc 15:482
27.
go back to reference Uner O, Darendeliler N, Bilir E (1999) Effects of an activator on the masseter and anterior temporal muscle activities in Class II malocclusions. J Clin Pediatr Dent 23:327–332PubMed Uner O, Darendeliler N, Bilir E (1999) Effects of an activator on the masseter and anterior temporal muscle activities in Class II malocclusions. J Clin Pediatr Dent 23:327–332PubMed
28.
go back to reference Van der Bilt A, Tekamp A, Van der Glas H, Abbink J (2008) Bite force and electromyograpy during maximum unilateral and bilateral clenching. Eur J Oral Sci 116:217–222CrossRef Van der Bilt A, Tekamp A, Van der Glas H, Abbink J (2008) Bite force and electromyograpy during maximum unilateral and bilateral clenching. Eur J Oral Sci 116:217–222CrossRef
29.
go back to reference Wang MQ, He JJ, Wang K, Svensson P (2009) Influence of changing occlusal support on jaw-closing muscle electromyographic activity in healthy men and women. Acta Odontol Scand 67:187–192PubMedCrossRef Wang MQ, He JJ, Wang K, Svensson P (2009) Influence of changing occlusal support on jaw-closing muscle electromyographic activity in healthy men and women. Acta Odontol Scand 67:187–192PubMedCrossRef
30.
go back to reference Witt E (1966) Investigations into orthodontic forces of different appliances. Trans Eur Orthod Soc 391–406 Witt E (1966) Investigations into orthodontic forces of different appliances. Trans Eur Orthod Soc 391–406
31.
go back to reference Yuen SWH, Hwang JCC, Poon PWF (1990) Changes in power spectrum of electromyograms of masseter and anterior temporalis muscles during functional appliance therapy in children. Am J Orthod Dentofacial Orthop 97:301–307PubMedCrossRef Yuen SWH, Hwang JCC, Poon PWF (1990) Changes in power spectrum of electromyograms of masseter and anterior temporalis muscles during functional appliance therapy in children. Am J Orthod Dentofacial Orthop 97:301–307PubMedCrossRef
Metadata
Title
Neuromuscular adaptations with flexible fixed functional appliance – a 2-year follow-up study
Authors
Dr. S. Sood, MDS
O.P. Kharbanda
R. Duggal
M. Sood
S. Gulati
Publication date
01-11-2011
Publisher
Springer-Verlag
Published in
Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Issue 6/2011
Print ISSN: 1434-5293
Electronic ISSN: 1615-6714
DOI
https://doi.org/10.1007/s00056-011-0048-x

Other articles of this Issue 6/2011

Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 6/2011 Go to the issue

Informationen

DGKFO-Seiten