Surface electromyography of the masseter and anterior temporalis muscles in patients with malocclusion types I and II

Authors

Keywords:

Electromyography, malocclusion, masseter muscle, temporal muscle, Peru

Abstract

Introduction: Depending on the type of malocclusion, the masticatory muscles transmit tension and pressure forces to the craniofacial structures, causing hyperactivity or muscle fatigue responses. Understanding muscle function facilitates early detection of dysfunction. Electromyographic evaluation is a reliable and unbiased diagnostic tool that records the electrical activity of muscle tissue.

Objective: To evaluate the masseter and anterior temporalis muscles by surface electromyography in patients with type I and type II malocclusion.

Methods: A quantitative, relational, cross-sectional study was performed. The study group consisted of 32 patients from 18 to 25 years of age (16 females, 16 males) attending the Hospital Militar Central in Lima (Peru), equally divided into groups with type I and II malocclusion according to the selection criteria. Mean muscle amplitude was measured according to site, jaw position status and sex, following the recommendations of the Surface Electromyography Non Invasive Methods Project. Data were analyzed using SPSS23 software and within-subject and between-subject hypothesis testing using ANOVA (Bonferroni). The study was approved by the institutional ethics committee (Ofic. No. 314//AA-11/8/HMC/DADCI).

Results: In occlusion and for both types of malocclusion, the highest mean muscle amplitude were recorded for the masseter (type I = 2.4 µV; type II = 2.7 µV) and anterior temporalis (type I = 3.6 µV; type II = 4.7 µV) muscles. The group with type II anterior temporalis malocclusion had the highest mean (4.7 µV). A main effect malocclusion type was found for the mean amplitude variable for masseter (µV [F (1,28) = 74.257; p<0.05]) and anterior temporalis (µV [F (1,28) = 57.228; p < 0.05]).

Conclusions: The distribution of mean muscle amplitude values was different in each type of malocclusion (I and II) in both the masseter and the anterior temporalis.

Downloads

Download data is not yet available.

Author Biography

Vilma Mamani-Cori, Universidad Nacional del Altiplano, Puno-Perú.

Doctora en Ciencias de la Salud y Especialista en Odontopediatría. Cirujano dentista certificada por el Colegio Odontológico del Perú, Investigadora RENACYT calificada por CONCYTEC - Perú. Docente Asociado en Pregrado de la Universidad Nacional del Altiplano Puno-Perú. Pertenezco a la Sociedad Hispana de Investigadores Científicos. Línea de investigación; odontología preventiva del niño. Autora de libro y artículos científicos en revistas nacionales e internacionales indexadas, tengo 15 años de experiencia laboral brindada en el sector público (Ministerio de Salud y Universidad) y en el sector privado.

References

Organización Mundial de la Salud (OMS). Salud bucodental. Ginebra: OMS; 2024 [acceso 03/12/2024]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/oral-health

González Campoverde L, Rodríguez Soto A, Soto Cantero L. Factores de riesgo de la malocusión. Medicen Electrón. 2020 [acceso 30/06/2024];24(4):753-66. Disponible en: https://medicentro.sld.cu/index.php/medicentro/article/view/3090/2621

Ghodasra R, Brizuela M. Orthodontics, Malocclusion. 2023. En: StatPearls Treasure Island (FL): StatPearls Publishing; 2025 [acceso 28/01/2025]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK592395/

Rathi S, Gilani R, Kamble R, Bhandwalkar S. Temporomandibular Joint Disorder and Airway in Class II Malocclusion: A Review. Cureus. 2022;14(10):e30515. DOI: https://doi.org/10.7759/cureus.30515

Costanzo A, Abecasis M, Kanevsky D, Elverdin J. La electromiografía en el diagnóstico y tratamiento odontológico. Rev Fac Odontología (UBA). 2010 [acceso 15/04/2024];25(58):21-7. Disponible en: http://odontologia.uba.ar/wp-content/uploads/2018/06/vol25_n58_2010_art3.pdf

Ginszt M, Zieliński G, Byś A, Gawda P, Majcher P. Masticatory Muscles Activity in Sport Climbers. Int J Environ Res Public Health. 2020;17(4):1378. DOI: https://doi.org/10.3390/ijerph17041378

Pires PF, Rodrigues-Bigaton D. Evaluation of integral electromyographic values and median power frequency values in women with myogenous temporomandibular disorder and asymptomatic controls. J Bodyw Mov Ther. 2018 [acceso 15/04/2024];22(3):720-6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30100303/

Nishi SE, Basri R, Alam MK, Komatsu S, Komori A, Sugita Y, et al. Evaluation of Masticatory Muscles Function in Different Malocclusion Cases Using Surface Electromyography. J Hard Tissue Biol. 2017;26(1):23-8. DOI: https://doi.org/10.2485/jhtb.26.23

Lekavičiūtė R, Paldauskaitė S, Stučinskaitė S, Trakinienė G. The effect of clear aligner treatment on masticatory muscles (masseter, temporalis) activity in adults: a systematic review and meta-analysis. Eur J Orthod. 2024 [acceso 01/07/2024];46(4). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11213980/

Kulchutisin P, Sowithayasakul T, Pumklin J, Piyapattamin T. Electromyographic Evaluations of Masticatory Muscle Activity between Patients with Skeletal Class I and III Relationships. Eur J Dent. 2023 [acceso 01/07/2024];17(03):910-6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/36513336/

Corrêa de Mello E, Hallak Regalo SC, Honorato Diniz L, Brandão Lage J, Fernandes Ribeiro M, Bevilacqua DE, et al. Electromyographic analysis of stomatognathic muscles in elderly after hippotherapy. PLOS One. 2020;15(8):e0238036. DOI: https://doi.org/10.1371/journal.pone.0238036

Gómez J, Lezcano F, Peldoza V, Fuentes R. Electromiografía de Superficie y Articulografía Electromangética para Análisis de Dimensión Vertical. Reporte de Protocolo. Av Odontoestomatol. 2020 [acceso 02/07/2024];36(3):151-9. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-12852020000300004

Saker AA, Mousa MM, Hajeer MY, Haddad I, Alhaffar JB, Youssef M. A Comparison Between Skeletal Class II and Class III Malocclusion Patients in Terms of the Masticatory Muscles’ Activity: A Cross-Sectional Study. Cureus. 2024 [acceso 02/07/2024];16(5). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11079702/

Gaszynska E, Kopacz K, Fronczek-Wojciechowska M, Padula G, Szatko F. Electromyographic activity of masticatory muscles in elderly women - a pilot study. Clin Interv Aging. 2017;12:111-6. DOI: https://doi.org/10.2147/CIA.S118338

Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kinesiol. 2000;10(5):361-74. DOI: https://doi.org/10.1016/s1050-6411(00)00027-4

Tomonari H, Seong C, Kwon S, Miyawaki S. Electromyographic activity of superficial masseter and anterior temporal muscles during unilateral mastication of artificial test foods with different textures in healthy subjects. Clin Oral Investig. 2019;23(9):3445-55. DOI: https://doi.org/10.1007/s00784-018-2754-x

Bakradze A, Vadachkoria Z, Kvachadze I. Electrophysiological corralates of masticatory muscles in nasal and oral breathing modes. Georgian Med News. 2020 [acceso 11/06/2024];(303):55–8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32841181/

Ferrario VF, Sforza C, Miani JR A, D’Addona A, Barbini E. Electromyographic activity of human masticatory muscles in normal young people. Statistical evaluation of reference values for clinical applications. J Oral Rehabil. 1993;20(3):271-80. DOI: https://doi.org/10.1111/j.1365-2842.1993.tb01609.x

Cha BK, Kim CH, Baek SH. Skeletal sagittal and vertical facial types and electromyographic activity of the masticatory muscle. Angle Orthod. 2007 [acceso 01/02/2025];77(3):463–70. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/17465654

Pumklin J, Sowithayasakul T, Thaweemonkongsap C, Saptasevee P, Sangprasert P. Effects of occlusal conditions on masseter and temporalis muscle activity: An electromyographic evaluation. Saudi Dent J. 2023;35(8):946-52. DOI: https://doi.org/10.1016/j.sdentj.2023.07.018

She X, Sun S, Damon BJ, Hill CN, Coombs MC, Wei F, et al. Sexual dimorphisms in three-dimensional masticatory muscle attachment morphometry regulates temporomandibular joint mechanics. J Biomech. 2021;126:110623. DOI: https://doi.org/10.1016/j.jbiomech.2021.110623

Published

2025-03-01

How to Cite

1.
Mendoza-Gil A, Molina-Delgado CA, Mamani-Cori V, Arcos-Gordillo SD, Quispe Flores W, Mamani Calsín K del R. Surface electromyography of the masseter and anterior temporalis muscles in patients with malocclusion types I and II. Rev Cubana Estomatol [Internet]. 2025 Mar. 1 [cited 2025 Mar. 10];62:e4786. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/4786

Issue

Section

Research Article