226 research outputs found
Reverse cycle chewing before and after orthodontic-surgical correction in class III patients.
Objective: The aim of this study was to investigate the prevalence of reverse-sequence chewing cycles in skeletal class III patients before and after orthodontic-surgical therapy to evaluate whether the occlusal and skeletal correction is followed by a functional improvement. Study Design: Twenty skeletal class III patients (11 males and 9 females, 22.7 ± 3.0 years old) were recruited for this study. All patients received orthodontic and surgical treatment. Chewing cycles were recorded with a kinesiograph before (T0) and after (T1) therapy. Results: A significant decrease in the number of reverse chewing cycles after surgical correction was exhibited in all recordings, when chewing either soft or hard boluses, on both the right and the left side. Conclusions: Evaluation of the prevalence of reverse chewing cycles could be considered an indicator of functional adaptation after therapy and a method for the early detection of nonresponding patients who may require further consideration using a different approach
Chewing Patterns and Muscular Activation in Deep Bite Malocclusion
Background: Deep bite, a frequent malocclusion with a high relapse rate, is associated with
craniofacial features that need to be considered in the course of orthodontic treatment. Methods: This
study included 81 patients with deep bite malocclusion (11.4 1.1 [yr.mo]; M = 32 and F = 49), and
14 age- and gender-matched controls (9.11 1 [yr.mo]; M = 5 and F = 9). The patients with deep
bite malocclusion were treated with functional therapy. The chewing cycles and masticatory muscle
EMG activity were recorded concomitantly before treatment in both groups (n = 95). Following
correction of the malocclusion, a second recording took place (n = 25). Results: The kinematic
variables showed the same dependency on bolus hardness in those with deep bite and in the controls.
The masticatory muscle EMG activity was increased in those with deep bite, but decreased as a
result of functional treatment. The chewing patterns showed a tendency towards a reduced lateral
component, which significantly increased after treatment, indicating that functional therapy impacts
the neuromuscular coordination of mastication, as well as dental positioning. Conclusions: Deep
bite is a complex malocclusion, involving alterations in chewing and masticatory muscle activity.
Orthognathodontic treatment should not only consider and correct the teeth position, but should also
address muscular hyperactivity
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