Electromyography evaluation of masseter and temporalis muscles in patients with temporomandibular joint dysfunction
DOI:
https://doi.org/10.32828/mdj.v13i1.818Keywords:
TMJ, Temporomandibular disorders, ElectromyographyAbstract
Aim: Temporomandibular disorders (TMD) are composed of heterogeneous masticatory disorders which include muscle and joint disorders, Major precipitating factors are occlusal, traumatic, psychosocial and systemic factors. The symptoms associated with this syndrome are due to hyper function and/or dysfunction of the masticatory muscles, rather than to degenerative or inflammatory changes of the TMJ. Various attempts have been made to demonstrate this hyperactivity via EMG recordings of the masticatory muscles. The aim of this investigation was to determine possible altered muscular function in patients with TMD, as well as to determine the need for EMG application in TMD diagnosis.
Methods: Thirty adults participated in this study: 20 subjects with signs and symptoms of TMD and 10 asymptomatic subjects. Surface EMG recordings were obtained from left and right anterior temporal muscle, left and right masseter muscle.
Results: of this investigation showed the presence of altered masticatory muscle activity in TMD patients and confirmed the use of electromyography in TMD diagnosis.
Conclusion: The investigation has confirmed that EMG is a useful and non-invasive method in TMD diagnosis.
References
- DuBrul El: Sicherʼs Oral Anatomy, 7ͭʰ ed. St. Louis, Mosby, 1980.
- Williams PL, Warwick R: Gray's Anatomy, 36ͭʰ ed. Churchill Livingstone, 1980 p, 252, 440.
- McMinn RMH: Last's Anatomy. Regional and Applied, 9ͭʰ ed. International Student Edition. Churchill Livingstone, 1997, p 523.
- Oberg T, Carlsson GE: Macroscopic and microscopic anatomy of the temporomandibular joint, in Zarb GA, Carlsson GE (eds): Temporomandibular Joint Function and Dysfunction. St. Louis, Mosby, 1979.
- Hylander WL: Functional anatomy, in Sarnat BG, Laskin DM (eds): The Temporomandibular Joint. A Biological for Clinical Practice, 4ͭʰ ed. Saunders, 1992, p 60.
- Mohl ND: A Textbook of Occlusion. Chicago, Illinois, Quintessence Publishing Co., 1988, p 81, 90.
- Rees, L.A.The structure and function of the mandibular joint.Be. Dent.J. 1954; 97: 126-134.
- Wilkinson, T., Marynuik, G.The correlation between sagittal anatomic Sections and computerized tomography of the temporomandibular joint.J. Craniomandib. Pract. 1983: 1(3):38-45.
- Juniper, R.P The superior pterygoid muscle?Br. J. Oral Surg. 1981; 19: 121-272.
- Helkimo M, Carlsson GE, Hedegard B, Helkimo E, Lewin T (1972). Function and dysfunction ofthe masticatory system in Lapps in northern Finland.SvenskTandlak-T 65:95-105.
- Helkimo M (1974a).Studies on function and dysfunction of the masticatory system. I. An epidemiological investigation of symptoms of dysfunction in Lapps in the north of Finland. Proc Finn Dent Soc 70:3749.
- Solberg WK, Woo MW, Houston JB (1979). Prevalence of mandibular dysfunction in young adults.JAm Dent Assoc 98:25-33.
- Eversole LR, Machado L (1985). Temporomandibular joint internal derangements and associated neuromuscular disorders.JAmDentAssoc 110:69-79.
- Naeije M, Hansson TL (1986).Electromyographic screening of myogenous and arthrogenous TMJ dysfunction patients.J Oral Rehabil 13: 433- 441.
- Schiffman EL, Fricton JR, Haley DP, Shapiro BL(1990). The prevalence and treatment needs of subjects with T.M. disorders. J Am Dent Assoc 120:295-303.
- PULLINGER, A.G.; MONTIERO, A.A.; and LUI, S. (1985): Etiological Factors Associated with Temporomandibular Disorders, J Dent Res 64 (Spec Iss):269, Abst. No. 848.
- IRBY, W.B. and ZETZ, M.R. (1983): Osteoarthritis and Rheumatoid Arthritis Affecting the Temporomandibular Joint. In: The President'sConference on the Examination, Diagnosis and Management of Temporomandibular Disorders,DM. Laskinet al, Eds. Chicago: Am Dent Assoc Press, pp. 106-111.
- WESTLING, L. (1989): Craniomandibular Disorders and General Joint Mobility, ActaOdontolScand47:293-299.
- OAKLEY, M.E.; McCREARY, C.P.; FLACK, J.F.; CLARK, G.T.; SOLBERG, W.K.; and PULLINGER, A.G. (1989): Dentists' Ability to Detect Psychological Problems in Patients with Temporomandibular Disorders and Chronic Pain, J Am Dent Assoc118:727-730.
- YEMM, R. (1985) Physiologic und Plmthologie des Kiefergelenks(Eds G.A. ZARB &G.E. CARLSSON), p. 241-265.QuintcsscnzVcrlags-GmbH, Berlin.
- EGERMARK-ERIKSSON. L. CARISSON. G.E. & MAGNUSSON.T. (1987) A long-term epidemiologic study of the relationship between occlusal factors and mandibular dysfunction in children and adolescents.Journal of Dental Research, 66. 67.
- BowEtY.J.F. & GALE.E.N. (1987) Experimental masticatory muscle pain.Journal of Dental Research, 66, 1765.
- DE LAAT.A.. GEAS. H.W. VAN DER. WEYTJENS.J.L.F. & STEENBEKGHE. D.VAN (1985) Themassctric post-stimulus electromyographic complex in people with dysfunction of the mandible joint. Archives of Oral Biology, 30. 177.
- PIERCE, C.J. & GALE, E.N. (1988) A comparison of different treatments for nocturnal bruxism.Journal of Dental Research, 67, 597.
- SioHLER. C.S., AsHTON-MiLLER, J.A. & CARLSON, D.S. (1988) The effects of pain from the mandibular joiiu and muscles on masticatory motor behavior in man. Archives of Oral Biology, 33, 175,
- Suvinen TI, Kemppainen P. Review of clinical EMG studies related to muscle and occlusal factors in healthy and TMD subjects. J Oral Rehabil. 2007;34:631–644.
- Kummoona R. Surgical reconstruction of the temporo-mandibular joint for chronic subluxation and dislocation.Int J Oral MaxillofacSurg 2001;30:344Y348
- ALBE-FHSSARD. D.. CORDES-LARA. M.. SANDERSON. P. &LEVANXt;. A. (1984) Advances in Pain Research and Therapy, Vol. 6: Neural Mechanisms of Pain (eds L. KRUGER & J.C. LIEBESKIND). p. 167-182. Raven Press. New York.
- PERL, E.R. (1984) Advances in Pain Research and Therapy. Vol. 6: Neural Mechanisms of Pain (Eds L. KRUGEK & J.C. LiEBESKiND), p. 23-51. Raven Press, New York.
- WALL. P. (1984) Aihaficcs in Pain Research and Therapy. Vol. 6: Neural Mechanisms of Pain (Eds L. KRUGER & J.C. LIEBESKIND), p. 95-104. Raven Press, Isfew York.
- MAGNI, G. (1987) On the relationship between chronic pain and depression when there is no organic lesion. Pain, 31, 1.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
