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 | +5.0mmMasticatory 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
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