[Facial and general growth and development of Valle del Aburra individuals].
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Biomedical subjects
Publications and source records attributed to I D Jiménez.
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The purpose of this study was to investigate whether anteroposterior changes in mandibular position affect masticatory muscle activity. The electromyographic (EMG) activity of masticatory muscles during full and partial (10%) clenching in three mandibular bite registration positions--retruded contact position (RCP), intercuspal position (IP), and muscular position (MP)--was studied. Three groups of subjects with different ranges of anteroposterior positioning of the condyles were evaluated (normal occlusion, Class II, Division 2 malocclusion, and dual bite malocclusion). A posterior stabilizing splint for each registration position was made. EMG data were obtained from three bilateral muscles (masseter, anterior temporal, and posterior temporal). Clenching in the RCP elicited the lowest masseter muscle activity during full clenching, and the highest anterior temporal and posterior temporal muscle activity during partial clenching. If the relationships of the masticatory muscles are analyzed through a ratio that represents the interaction between biting and positioning muscles (masseter/posterior temporal muscle ratio), the RCP as compared with other positions had the lowest ratio. The RCP required more positioning muscle activity and permitted less biting muscle activity. There was no significant difference in the muscle activity between the IP and MP registrations. Small changes in jaw position (anterior to RCP) are not critical for the masticatory apparatus provided there is good intercuspation. The results of this investigation suggest that intercuspation in RCP is not the optimal position.
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The electromyographical (EMG) activity of masticatory muscles during full clenching in the retruded contact position (RCP) and intercuspal position (IP) with and without a posterior stabilizing splint was studied. The linear envelope EMG signal from three bilateral muscles was recorded (masseter, anterior temporal and posterior temporal). Thirty-seven subjects were evaluated. Clenching in the RCP without the splint and with the presence of an unstable occlusal contact inhibited the masseter muscle activity and reduced anterior temporal and posterior temporal muscle activity. The masticatory muscle activity returned to normal when clenching in the RCP with a splint that permitted stability in the dentition. EMG activity was the same in the IP with and without the splint. The results indicate that the determinant of maximal masseter isometric muscle contraction is the amount of stability in the dentition rather than the jaw position. If the dentition takes the major role of stabilizing the mandible, i.e., there is good intercuspation, the masseter muscle can exert maximal isometric contraction. If the stability is not provided by the dentition, i.e., there is a premature contact, the jaw muscles must contribute to the stabilization and reduce the magnitude of the maximal contraction to avoid damage to the structures involved in the compensatory stabilization.
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