Electromyographic evaluation of masticatory function in denture wearers in related to existing occlusal support.
The aim of this study was to clarify the relationship between partially edentulous pattern and the masticatory function in removable partial denture wearers. Eighty eight removable partial denture wearers and 7 subjects with intact dentition volunteered for this study. Using the Eichner's index, all subjects were divided into 6 groups. Electromyographic (EMG) activities of the masticatory muscle were recorded during chewing a piece of raw carrot. The masticatory function was analyzed by using the variation coefficient (VC) of the time parameter of EMG interval recorded during mastication. The association of the VC with group classification based on Eichner's index was analyzed using analysis of covariance with gender and age as the covariates. The result of the analysis revealed that the VC was significantly associated with group classification and the patients in groups without posterior occlusal supports exhibited significantly higher VC values than those in groups with posterior occlusal supports. These findings suggested that the reduced function in patients without the posterior occlusal contacts was difficult to attain improved and satisfactory outcome with removable partial dentures and that there is a significant need for posterior occlusal support for the preservation of masticatory function.
Nakamura
Teruyasu
T
Removable Prosthodontics, Department of Masticatory Function Rehabilitation, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University, Japan. teru.rpro@tmd.ac.jp
Baba
Kazuyoshi
K
Minami
Ichiro
I
Okano
Nobuhiko
N
Ohyama
Takashi
T
D000328:Adult; D000367:Age Factors; D000368:Aged; D000704:Analysis of Variance; D003832:Denture, Partial, Removable; D004576:Electromyography; D005260:Female; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000145:classification / Q000503:physiopathology*; D008297:Male; D008406:Masseter Muscle / Q000503:physiopathology; D008409:Mastication / Q000502:physiology*; D008875:Middle Aged; D012737:Sex Factors; D012815:Signal Processing, Computer-Assisted; D013703:Temporal Muscle / Q000503:physiopathology; D013997:Time Factors