title: Effect of surgically assisted rapid maxillary expansion on masticatory muscle activity: A pilot study.
abstract: BACKGROUND
  The aim of the present study was to analyze the electromyographic (EMG) activity of masseter and temporal muscles of adult patients submitted to surgically assisted rapid maxillary expansion (SARME) before and after the surgery.
  
  
  METHODS
  The sample consisted of 19 adults, with ages ranging from 20 to 47 years (mean 25.4 years), with bilateral posterior cross bite requiring SARME treatment. The electromyographic activity of masseter and temporal muscles was analyzed before treatment (T1) and after the surgical procedure (T2). The mean interval between the two electromyographic analyses was 15 days.
  
  
  RESULTS
  The muscular active was electromyographically analyzed during the clinical situation of habitual gum chewing (10 sec), dental clenching (4 sec), mouth opening and closing (10 sec), rest (10 sec), protrusion (10 sec), and right and left laterality (10 sec). The measured differences between T1 and T2 data were evaluated using the paired t-test (SPSS 17.0 for Windows). The electromyographic analysis showed that the activity of the masseter and temporal muscles decreased significantly after the SARME in all the clinical situations after the surgery.
  
  
  CONCLUSIONS
  According to the results of the present study, individuals after SARME surgery presented patterns of electromyographic contraction similar to those developed by dentate individuals during the movements of mandibular excursion.
authors.affiliation: Department of Oral and Maxillofacial Surgery and Periodontology, Ribeirão Preto, School of Dentistry, University of São Paulo, São Paulo, Brazil.
authors.forename: Cássio E
authors.initials: CE
authors.lastname: Sverzut
authors.forename: Karinna
authors.initials: K
authors.lastname: Martorelli
authors.forename: Roberto
authors.initials: R
authors.lastname: Jabur
authors.forename: Alice D
authors.initials: AD
authors.lastname: Petri
authors.forename: Alexandre E
authors.initials: AE
authors.lastname: Trivellato
authors.forename: Selma
authors.initials: S
authors.lastname: Siéssere
authors.forename: Simone C H
authors.initials: SC
authors.lastname: Regalo
keywords: Electromyography; masticatory muscles; surgically assisted rapid maxillary expansion