The Diagnosis of Neuromuscular in Orthodontics Effects of TENS on The Antero-Posterior Maxilla-Mandibular Relationship

Thabet, Yasser; Aqrabe, Abumadyan; Alaslmy, Redwan; Mohamed, Mohamed

doi:10.21608/adjg.2016.5184

The Diagnosis of Neuromuscular in Orthodontics Effects of TENS on The Antero-Posterior Maxilla-Mandibular Relationship

Document Type : Original Article

Authors

¹ Associate Professor in Orthodontics Department, Faculty of Dentistry, Ibb University

² Associate Professor in Restorative Department, Faculty of Dentistry, Sana’a University.

³ Professor in Removable Prosthodontics Department, Faculty of Dentistry, Gazan University.

10.21608/adjg.2016.5184

Abstract

Objective:This study was conducted in order to assess the changes in the occlusal position of the mandible after ULF (Ultra Low Frequency)- TENS relaxing procedure in subjects in pubertal growth phase with diagnosed Angle Class II division I and mandibular dentoalveolar retrusion. Materials and methods: This study was performed on 70 patients (48 females,22 males) with an Angle Class II division I, aged between 10 and 15 years old (mean age 12.26, SD 1.32) characterized by mandible dentoalveolar retrusion and optimal vertical facial dimension, diagnosed by clinical
and cephalometric evaluation. Diagnostic neuromuscular registrations were made for all subjects. The casts were mounted on articulator in habitual intercuspal position with a tooth-guided wax bite registration. Reference points were chosen at molar level. Subsequently the same casts were mounted in myocentric position and compared to the habitual intercuspal position, assessing the antero-posterior shift after TENS procedure. Statistics: Mean and standard deviation were calculated on the amount of shifting at the left molar reference point after TENS procedure. Analysis of variance was carried out in order to evaluate the influence of sex and age on the amount of molar shift.
Results: Nine subjects showed, in the antero-posterior plane, a forward mandibular shift in neuromuscular myocentric position compared to habitual intercuspal position. Six subjects showed no differences between habitual and myocentric position in the antero-posterio plane. Four individuals showed a backward mandible shift after TENS indicating worsening of the II molar in the antero-posterior plane. Conclusion: This study suggests that TENS recorded occlusion in subjects with Class II division I with mandible dentoalveolar retrusion allows to visualize an unusual trend of growth.
The advancement of the mandible were not taken into account. These results could offer new diagnosis and prognosis methods for Class II malocclusions.

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