Masticatory electromyographic activity in healthy young adults and myogenous craniomandibular disorder patients

The electromyographic (EMG) activity of the masseter and the anterior temporalis muscles were compared between 60 healthy controls and 61 myogenous craniomandibular disorder (CMD) patients. Subjects were asked to clench at 10% and at 50% of their maximum voluntary clenching level. The effects of CMD, age and gender were statistically analysed with the use of the analysis of covariance. The correlations between EMG asymmetries and the lateral slide from the retruded contact position to the intercuspal position and the asymmetry in the number of post-canine tooth contacts between the left and the right side were investigated. The CMD patients showed lower masseter EMG activities than the controls, whereas the anterior temporalis EMG activity was not different between the two groups. The activity index, relating the anterior temporalis EMG activity to the activity of the masseter muscles, confirmed the presence of a relatively high temporalis activity in the CMD group. No significant differences were found in the EMG asymmetries between the controls and the CMD patients. Males showed higher masticatory EMG activities than females. These gender effects were significant for the anterior temporalis at the 10% and 50% level and for the masseter muscle at the 10% level. The anterior temporalis EMG activity declined with age. No age related effects were observed in the masseter EMG. The lateral slide was larger and more prevalent in the CMD group. A significant correlation between the lateral slide and the anterior temporalis EMG was found for the CMD group at the 10% level. No correlation was found between the EMG asymmetry and the asymmetries in post-canine tooth contacts.

significant CMD, age and gender effects were observed in the masticatory EMG activities of a group of myogenous CMD patients and a control group.