Assessment of masticatory muscle activity and occlusion time in patients with advanced tooth wear

Abstract

Objective: Tooth wear is a basic physiological adjustment mechanism in the masticatory system. Unfortunately, it is not clear what the relationship is between the activity of the masticatory muscles and the tooth hard tissue loss (mainly enamel) in patients with advanced tooth wear. The aims of this study were (1) to compare the occlusion times and (2) to compare the EMG activity in maximal voluntary clench of the masseter and anterior temporalis muscles of patients with advanced tooth wear to the same activity of healthy volunteers.

Design: 50 (16F, 34M) patients and 30 (12F, 18M) age matched controls were clinically examined to assess the degree of wear (TWI). Each subject underwent electromyographic analysis (bilateral anterior temporalis, superficial masseter, anterior digastric and sternocleidomastoid muscles) and digital occlusal analysis.

Results: Mean values of the electrical potentials of the mandible elevating muscles during clench were higher in the study group compared to the controls. A negative correlation was found between the temporalis and masseter muscle activities during clench and the mean value of TWI (r=-0.383, p=0.009; r=-0.447, p=0.002). Occlusion time was longer in the study group compared to controls (p<0.05).

Conclusions: Mandibular adductors demonstrated lower muscular activities during clenching in the tooth wear patients; however, the cause of this finding is not certain. Prolongation of occlusion time may exacerbate occlusal surfaces wear or excessive wear may prolong occlusion time.

Keywords: Muscular activity; Occlusion time; Tooth wear.