Electromyographic Evaluation of Jaw Muscles in Edentulous Patients with Implant-Supported Prosthesis

Document Type : Original Article

Authors

1 Lecturer of Removable Prosthodontics, Faculty of Dental Medicine For Girls, Al-Azhar University.

2 Assistant Professor of Removable Prosthodontics, Faculty of Dental Medicine For Girls, Al-Azhar University.

Abstract

The purpose of this study was to evaluate the effect of implant-supported oral rehabilitation in the mandible on the electromyographic (EMG) activity during chewing in completely edentulous individuals. Material and methods: Twelve completely edentulous patients were selected for this study, being six females and six males, aged 55 to 65 years old. The patients were divided into three groups according to the treatment protocol; (GI) All the completely edentulous patients had conventional maxillary and mandibular complete denture, (GII) six patients had two mandibular implants supported overdenture at the canine region and (GIII) six patients had one mandibular implant supported over-denture at the symphesial area. All patients were submitted to EMG evaluation of the masseter, and the temporalis muscles, after three months of placement of the conventional prosthesis and after three months of both implant-supported systems by using different textures of foods. The recordings data were analyzed using One Way ANOVA followed by post hoc analysis using LSD test.
P< 0.05 was considered statistically significant. Results: the highest EMG activity of the masseter and temporalis muscles was recorded by chewing soft and hard foods in GI, while the reduction of muscular activity after implant supported oral rehabilitation was seen. No significant differences in the analyzed EMG parameters were found between the patients in GII and GIII. Conclusion: mandibular implant-supported prosthesis in edentulous individuals revealed a decrease in EMG amplitude for the masseter and temporalis muscles during chewing, which may indicate adaptation to new conditions of stability provided by support of the complete denture in the mandibular arch

Keywords

Main Subjects


Alajbeg IZ, Valentic-Peruzovic M, Alajbeg I, Illes D, Celebic A. The influence of dental status on masticatory muscles activity in elderly patients. Int J Prosthodont. 2005; 18:333-8.
2.
Mericske-Stern R, SteinlinSchaffner T, Marti P, Geering AH. A Peri-implant mucosal aspect of ITI implants supporting overdentures. A five-year longitudinal study. Clin Oral Implants Res1994; 5:9-18.
3.
Morais JA, Heydecke G, Pawliuk J, Lund JP, Feine JS. The effects of mandibular two-implant overdentures on nutrition in elderly edentulous individuals. J Dent Res 2003;82:53-8
4.
Ekelund JA, Linquist LW, Carlsson GE, Jemt T. Implant treatment in the edentulous mandible: a prospective study on Branemark system implants over more than 20 years. Int J Prosthodont. 2003; 16:602–608.
5.
Jemt T, Johansson J. Implant treatment in the edentulous maxillae: a 15-year follow-up study on 76 consecutive patients provided with fixed prostheses. ClinImplant Dent R. 2006; 8:61–69. Bone quality. Int J Oral Maxillofac Implants. 2012; 27:318-28.
6.
De Rossi M, Santos CM, Migliorança R, Regalo SC. All on Four® fixed implant support rehabilitation: a masticatory function study. Clin Implant Dent Relat Res. 2014; 16:594-600.
7.
Maló P, de AraújoNobre M, Lopes A, Ferro A, Moss S. Extramaxillary surgical technique: Clinical outcome of 352 patients rehabilitated with 747 zygomatic implants with a follow-up between 6 months and 7 years. Clin Implant Dent Relat Res. 2015; 17:e153-62.
8.
Ferrario VF, Tartaglia GM, Maglione M, Simion M, Sforza C. Neuromuscular coordination of masticatory muscles in sub- jects with two types of implant-supported prostheses. Clin Oral Implan Res. 2004; 15:219–225.
9.
Bersani E, Regalo SC, Siéssere S, Santos CM, Chimello DT, De Oliveira RH, et al. Implant-supported prosthesis following Brånemark protocol on electromyography of masticatory muscles. J Oral Rehabil. 2011; 38:668–73.
10.
Kapur KK, Garret NR. Studies of biologic parameters for denture design. Part II: comparison of masseter muscle activity, masticator performance, and salivatory secretion rates between denture and natural dentition groups. J Prosthet Dent. 1984; 52:408-13.
11.
Veyrune JL, Mioche L. Complete denture wears: electromyography of mastication and texture perception whilst eating meat. Eur J Oral Sci. 2000; 108:83-92.
12.
Karkazis HC, Kossioni AE. Surface EMG activity of the masseter muscle in denture wearers during chewing of hard and soft food. J Oral Rehabil. 1998; 25:8-14.
13.
Ship JA, Duffy V, Jones JA, Langmore S. Geriatric oral health and its impact on eating. J Am Geriatr Soc. 1996; 44(4):456-64.
14.
Chen L, Xie Q, Feng H, Lin Y, Li J. The masticatory efficiency of mandibular implant-supported overdentures as compared with toothsupportedoverdentures and complete dentures. J Oral Implantol. 2002; 28:238-43.
15.
Bakke M, Holm B, Gotfredsen K. Masticator function and patient satisfaction with implant-supported mandibular overdentures: a prospective 5-year study. Int J Prosthodont. 2002; 15:575-81.
16.
Ferrario VF, Tartaglia GM, Maglione M, Simion M, Sforza C. Neuromuscular coordination of masticator muscles in subjects with two types of implant-supported prostheses. Clin Oral Implants Res. 2004; 15:219-25.
17.
Abdelhamid AM, Hanno KI, Imam MH.A prospective cross overstudy to evaluate the effect of two different occlusalconcepts on the masseter muscle activity in implant-retained mandibular .Int J Implant Dent. 2015 Dec; 1(1):32.
18.
de Rossi M, Palinkas M, de Lima-Lucas B, Santos CM, Semprini M, Oliveira LF, Hallak-Regalo I, Bersani EO, Miglioranca R, Siéssere S, Hallak-RegaloSC.Masticatory muscle activity evaluation by electromyography in subjects with zygomatic .implants Med Oral Patol Oral Cir Bucal. 2017 May 1; 22(3):e392-e397.
19.
Al-Omiri, M., Hantash, R.A. & Al-Wahadni, A. Satisfaction with dental implants: a literature review. Implant Dentistry. 2005;14: 399–406.
20.
Flanagan, D. An overview of complete artificial fixed dentition supported by endosseous implants. Artificial Organs.2005;29: 73–81.
Feine, J.S. & Lund, J.P. Measuring chewing ability in randomized controlled trials with edentulous populations wearing implant prostheses. Journal of Oral Rehabilitation.2006;33: 301–308.
22.
Hugger A, Hugger S, Schindler HJ. Surface electromyography of the masticatory muscles for application in dental practice. Current evidence and future developments. Int J Comput Dent. 2008; 11:81-106.
23.
Regalo SC, Santos CM, Vitti M, Regalo CA, de Vasconcelos PB, Mestriner W Jr, et al. Evaluation of molar and incisor bite force in indigenous compared with white population in Brazil. Arch Oral Biol.2008; 53:282-6.
24.
Mishellany-Dutour A, Renaud J, Peyron MA, Rimek F, Woda A. Is the goal of mastication reached in young dentatesageddentates and aged denture wearers? Brit J Nutr. 2008; 99:121–128.
25.
Veyrune JL, Lassauzay C, Nicolas E, Peyron MA, Woda A. Mastication of model products in complete denture wearers. Arch Oral Biol. 2007; 52:1180–1185.
26.
Berretin-Felix G, Nary Filho H, Padovani CR, Trindade Junior AS, Machado WM. Electromyographic evaluation of mastication and swallowing in elderly individuals with mandibular fixed implant-supported prostheses. J Appl Oral Sci. 2008 Mar-Apr; 16(2):116-21.
27.
Vaiman M, Evitar E, Segal S. Surface electromyographic studies of swallowing in normal subjects: a review of 440 adults. Report 1. Quantitative data: timing measures. Otolaryngol Head Neck Surg. 2004; 131:548-55.
28.
Vaiman M, Evitar E, Segal S. Surface electromyographic studies of swallowing in normal subjects: a review of 440 adults. Report 2. Quantitative data: amplitude measures. Otolaryngol Head Neck Surg. 2004; 131:773-80.
29.
Bakke M, Holm B, Gotfredsen K. Masticator function and patient satisfaction with implant-supported mandibular overdentures: a prospective 5-year study. Int J Prosthodont. 2002; 15:575-81.
30.
Chen L, Xie Q, Feng H, Lin Y, Li J. The masticatory efficiency of mandibular implant-supported overdentures as compared with toothsupportedoverdentures and complete dentures.J Oral Implantol. 2002; 28:238-43.
31.
De Rossi M, Santos CM, Migliorança R, Regalo SC. All on Four® fixed implant support rehabilitation: a masticatory function study. Clin Implant Dent Relat Res. 2014; 16:594-600.
32.
vanKampen FM, van der Bilt A, Cune MS, Fontijn-Tekamp FA, Bosman F. Masticatory function with implant-supported overdentures. J Dent Res. 2004; 83:708-11