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136 Masticatory muscle activity of the facial asymmetry cases —Fffeets of the different combination of bite blocks— (This arti in Journal of Japa -y of the original article published in Japanese 610, 1994) Orthodontic Soviety Vol. 58 : Susumu AKIMOTO, Kenji FUSHIMA, Sadao SATO and Yoshii SUZUKI Department of Orthodontics, Kanagawa Dental College Key words : MLD, bite block, EMG, maximal clenching, There are many factors which must be considered in treatment of adult patients with mandibular J laterodeviation (MLD) clusion has been considered one of the most difficult is variant of maloe- cases to treat orthodontically. Patients with this problem exhibit not only a skeletal mandibular deviation transversely but due to biomechanical influences such as and mastication, Morphological occlusal adapta tions corresponding to the deviation are also ob- served in the maxilla". Thus, the maxillofacial of patients with an MLD have been characterized iso functional problems ticulation morphologic feat Fig.1 The five maxillary bite blocks pre- pared! with celf-cureing aclytic resin. ‘The present study focused on masticatory muscle Ai Anterior teeth, Bb: Left-right first activity in order to clarify the functional character premolars, ( : Left-right most posterior istics of patients with MLD. Muscle activities dur molars. ingg maximal clenching were also examined, and Methods Eleven patients with MLD malocclusion who agreed to participate in an EMG examination were 1, Volunteers (Table 1) selected for this study. Material wo, | Bex ss Mialine discrepancy 1 | @ | 27m] Let 2.0mm hmm | 42.0 mm 2 | ¢ | iy 6m | Lett 20mm | =30mm | 1.5mm 3 | | 20 om homm | 0 mm| 0 mm 1 | & | 23yt1m | Left 3mm | 0 mm) ~20mm a y 6m | Left 0 mm | 0 mm 6 | 2 | My sm) Right | 0mm 470mm, 1] Jom | Right | 20mm | +20mm 9 | 2% yim } Left 25mm 40mm | +2.0mm w | a | asy om | Right | 13mm | 0 mm | —L0mm u ay 3m | Right | 20mm | 50mm | +5.0mm Masticatory muscle activity of the facial asymmetry cases 437. ‘Table 2-1 Masseter musele activity (¥ /see) Ice ALL ANT AR AL Ry a No] SS [Right Left |Right Left [Right Left [Right Left [Rihge Left [Right Left [Right Left 1| Lett ja7,236 26,452 2) Lett | 4,200 6.193 2,050] 5,890 2,586] 6,053 1,496] 4,926 1,410| 3,733 1,517] 3,085 1,378 & sete we ee te te Lett | 7.736 1] Lett [16,009 13] 5 | Left |o9,ais 8,243 25,202 60,468 5,297]43,217 7, 6 Right! 1,200 5,606] 2,012 6.022) 412 2,420 4,553 553 1,668] 982 2,912 ¢ ae 3) 9,088 38,383) 1,256 7,064] 3,498 9,925) 4.974 17,450] 7,723 18,860] 3,262 23,006 wee seve & fee tee Lt fina aaip.ro 1] Bice — slo af Gt ae) Baw wal 0 tw ‘Rixht 9 | Lett [27.189 26,872/ 18,058 22.970, 0 7/717 8.253, ood 6,537]19,657 3.550] Jo |Right|15,507 9,766] 3,484 s54] 1,101 ono] 25673] wo 02 267 Li[Righe| 10,060 3,781]12,168 2,902) 1,325 331) 3.071 a2] 3.209 20] 247 a7 $i p

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