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Nocturnal masseter electromyographic activity of complete denture wearers
Ina Nitschke1, Leonardo Meier, Mauro Farella
1Clinic of Masticatory Disorders, Removable Prosthodontics, Geriatric and Special Care Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.
Objective:
Collection of normative data on activity patterns of the masseter during sleep in elderly denture wearers by portable electromyography (EMG) recorders.
Background:
Complete denture wearers might suffer from orofacial pain caused by myoarthropathies of the masticatory system. Indeed, denture instability may precipitate parafunctional habits and consequently muscle soreness and/or temporomandibular pain.
Materials And Methods:
We collected normative masseter EMG data during sleep in 15 complete denture wearers (five women, 10 men, 56-88 years) by portable recorders in their natural environment. Activity periods (AP) were signal portions including subthreshold intervals ≤5 s. Signal amplitude was expressed in per cent of maximum voluntary contraction (%MVC). For this reason, maximum bite force was assessed. Twenty age-matched dentate controls were also recorded for the maximum bite force.
Results:
We found 157.2 ± 86.5 AP per night, i.e. 24.0 ± 12.2 AP/h. Mean amplitude was 15.1 ± 4.3%MVC. AP lasted 6.8 ± 4.1 s, and their time integral was 126.3 ± 112.5%MVC•s. Maximum bite force was 116.8 ± 69.6 N in the edentulous, significantly lower than in controls (344.8 ± 150.4 N).
Conclusions:
Healthy complete denture wearers showed intermittent periods of nocturnal masseter activity of very low intensity and short duration.
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