Braz J Oral Sci, Vol. 9, No. 2, April-June, 2010, pp.

142-332

Electromyographic evaluation from masseter muscle in pacient using

functional maxillary orthopedics appliance made by different ways (planas
indirect compound tracks)

CSK Koguti1, E Sakai1, CR Pedroni2, CT Fiúza3, DT Santos4, F Bérzin5

1
Araras Dental College - UNIARARAS/Sao Paulo,
2
Marilia Philosophy and Sciences College - UNESP,
3
FMU Dental College - Sao Paulo,
4
USP Dental College - FUNDECTO,
5
Piracicaba Dental School - FOP/UNICAMP,

Correspondence Address: CSK Koguti, Araras Dental College - UNIARARAS/Sao

Paulo, carlakido@yahoo.com.br

Introduction

Functional Maxillary Orthopedics (FMO) has closer relationship with mandibular

kinesiology and this is the reason for it′s proximity to Electromyography (EMG).

EMG is defined as muscle function study through the inquiry of the electrical signal the
muscles emanate. (BASMAJIAN & DE LUCA, 1985).

MOYERS (1949) published that electromyographic data from patients with malocclusion
were different than normal classified.

FMO under Neuro Oclusal Rehabilitation (NOR) has as deal the parallelism between
Oclusal Plane (OP) and Camper Plane (CP). For this author announced an appliance named
PLANAS INDIRECT COMPOUND TRACKS (PICT), where tracks is positioned in
parallel to Camper Plane for neutr-occlusions. (PLANAS, 1997) SIMOES (2003) described
that track must be parallel to OP and in the middle of interoclusal space gained after
Posture Modification (PM).

In the UNIARARASs FMO Course, it′s approved that the tracks position have to be
parallel in relation to Camper Plane (CP).

In this work it was analyzed if there is difference between EMG data when the appliance
PICT was made with tracks parallels to CP or OP.

Methods

A patient with malocclusion was selected for this work age 4 to 16. Exclusion criteria:
systemic disease historic that can falsify results. Appliance indications obey the suggested
by Triple List for Diagnosis, Projecting and Treatment (SAKAI & CORSI 2004).
Method was divided in following stages:

 Stage 1: volunteer was clinically evaluated and directed to radiographic

examinations.
 Stage 2: made gnatostatic casts and index card. (SIMOES, 2003).
 Stage 3: photos and films registrations as supported by Protocol for Diagnosis in
FMO. (SAKAI E CORSI, 2004).
 Stage 4: bilateral EMG registration from masseter muscle, following ISEK and
SENIAM suggested protocol, in rest and isometric contraction verbally stimulated,
three times pursued for each situation, as much as Diagnosis as with appliance. A 10
minutes interval was followed between registration in CP and OP.

EMG registration used:

 Signal acquiring System - Signal Conditioner Module with eight channels, 12 bites,
low-pass filter and high-pass with 500 and 20 Hz respectively, and 50 times of gain;
 A/D converter plate, CAD 12/32 model with 12 bites and AqDados Software
version 4.18, with 1000 Hz frequency of sampling. (equipments from Lynx
Electronics Ltda.).

Results and Discussion

EMG data shows a frequency decrease from PC to PO, and this could be accepted as an
indication of lower functional ask in isometrics for studied muscle, suggesting that muscles
used to work with lower energy demand, against various articles showed EMG registration
that suggests that patients with malocclusion present lower demand in comparison with
normal.

Conclusions

PICT construction with tracks parallels to CP, do the mouth of volunteer with malocclusion
while using appliance, simulate functioning in a understudied situation as ideal (OP parallel
to CP), preparing by this way muscles to work under this condition but permitting to gain it
by itself and not by technical imposition [Figure - 1] and [Figure - 2].[5]

References

1. Basmajian JV, De Luca CJ. (1985) Muscles Alive: Their Function Revealed by
Electromyography. 5. ed. Baltimore: Williams and Wilkins; p1. Back to cited text no.
1
2. Moyers R.E. (1991) Analise da musculatura mandibular. In Ortodontia, 4 a . edigao.
Rio de Janeiro: Guanabara Koogan; p167-86. Back to cited text no. 2
3. Planas P. (1994) Reabilitacao Neuroclusal. 2. ed. Barcelona; p165. Back to cited text
no. 3
4. Sakai E, Corsi MB. (2004) Protocolo de Diagnostico e Planejamento em Ortopedia
Funcional dos Maxilares. Nova Visao em Ortodontia e Ortopedia Funcional dos
Maxilares. Sao Paulo: Santos. Back to cited text no. 4
5. Simoes WA. (2003) Ortopedia Funcional dos Maxilares vista atraves da Reabilitagdo
Neuro Oclusal. Sao Paulo: Artes Medicas; p535-548,727. Back to cited text no. 5