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Asymmetric muscle function in patients with developmental mandibular asymmetry
1Department of Oral Prosthodontics, College of Medicine, Second Affiliated Hospital, Zhe jiang University, Hang zhou, China. wenqing66_@yahoo.com.cn
Journal of Oral Rehabilitation
|January 15, 2008
Summary
Developmental mandibular asymmetry disrupts symmetric jaw and neck muscle activity, particularly in the sternocleidomastoid (SCM) and masseter muscles. This asymmetry may contribute to temporomandibular joint and cervical pain.
Area of Science:
- Biomedical Engineering
- Orthodontics
- Neuromuscular Physiology
Background:
- Developmental mandibular asymmetry, often linked to unilateral cross-bite, can affect craniofacial structures.
- Muscle activity patterns may be altered in individuals with mandibular asymmetry.
Purpose of the Study:
- To investigate the association between developmental mandibular asymmetry and muscle activity asymmetry.
- To compare muscle activation patterns in patients with mandibular asymmetry and healthy controls.
Main Methods:
- Electromyography (EMG) recorded muscle activity in masseter, suprahyoid, sternocleidomastoid (SCM), and upper trapezius muscles.
- EMG data (RMS and MPF) analyzed during jaw and head movements in patients with unilateral cross-bite and healthy subjects.
- Statistical analysis using ANOVA and t-tests to determine significance (P < 0.05).
Main Results:
- Significantly greater asymmetry in SCM and masseter muscle co-activation during jaw and head movements was observed in patients.
- Higher RMS and MPF values in SCM and suprahyoid muscles were found in patients during jaw opening-closing.
- Evidence of co-activation between jaw and neck muscles during jaw opening and postural activity in the masseter during head extension.
Conclusions:
- Patients with developmental mandibular asymmetry exhibit disturbed symmetric jaw and neck muscle activity.
- Asymmetric muscle activity is a potential etiologic factor for temporomandibular joint and cervical pain.
- Further research on early-stage patients is warranted to confirm activity sources and pain associations.
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