CC BY 4.0 · Eur J Dent
DOI: 10.1055/s-0044-1795124
Original Article

Detection of Lip, Tongue, Masseter, and Temporalis Muscle Contractions with Electromyography Tools as an Early Diagnostic Medium for Dentoalveolar Malocclusion

Harun Achmad
1   Department of Pediatric Dentistry, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia
,
Intan Sari Areni
2   Departement of Electrical Engineering, Faculty of Engineering, Hasanuddin University, Makassar, Indonesia
,
Sumintarti Sumintarti
3   Department of Oral Medicine, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia
,
Sri Ramadhany
4   Department of Public Health and Preventive Medicine, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
,
Reza Ardiansya
1   Department of Pediatric Dentistry, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia
,
Sarwo Edy
1   Department of Pediatric Dentistry, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia
,
Wesley Kuandinata
1   Department of Pediatric Dentistry, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia
› Author Affiliations

Abstract

Objectives This study aims to detect early class I, II, and III malocclusions through the muscle strength of the lips, tongue, masseter, and temporalis.

Materials and Methods The study subjects were 30 pediatric patients with predetermined criteria. The subjects were divided into class I, II, and III malocclusions where each classification of malocclusion amounted to 10 people. Subjects were differentiated according to gender and age. Tongue pressure during swallowing was recorded by a palatal measurement sensor system. The strength of the activity was assessed when the lip muscles resisted as hard as possible the traction plate placed between the teeth and the lips, then the force was connected to an electromyograph (EMG) to be measured. Temporal and masseter muscle contractions were assessed when the muscles performed swallowing, chewing, mouth opening, resting, mouth closing, and biting movements.

Statistical Analysis Data analysis using the SPSS application was performed with the ANOVA test if the data distribution was normal, and if the data distribution was not normal, then the Kruskal–Wallis test was used. Significant data were evaluated by post-hoc tests using least significant difference if the data distribution was normal or the Mann–Whitney test if the data distribution was not normal.

Results It was found that there was a significant difference in the left masseter muscle and left temporalis muscle.

Conclusion EMG can be considered as a tool to detect class I, II, and III malocclusions through muscle contraction. Biting and chewing positions have satisfactory EMG examination results for malocclusion detection. Age and gender of the child may affect the results of EMG examination in certain conditions.



Publication History

Article published online:
30 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Messina G, Giustino V, Martines F, Rizzo S, Pirino A, Scoppa F. Orofacial muscles activity in children with swallowing dysfunction and removable functional appliances. Eur J Transl Myol 2019; 29 (03) 8267
  • 2 Rosero Salazar DH, Carvajal Monroy PL, Wagener FADTG, Von den Hoff JW. Orofacial muscles: embryonic development and regeneration after injury. J Dent Res 2020; 99 (02) 125-132
  • 3 Marquezin MCS, Gavião MBD, Alonso MBCC, Ramirez-Sotelo LR, Haiter-Neto F, Castelo PM. Relationship between orofacial function, dentofacial morphology, and bite force in young subjects. Oral Dis 2014; 20 (06) 567-573
  • 4 Alhammadi MS, Halboub E, Fayed MS, Labib A, El-Saaidi C. Global distribution of malocclusion traits: a systematic review. Dental Press J Orthod 2018; 23 (06) 40.e1-40.e10
  • 5 Hu J, Dong Y, Widmalm SE. et al. Is SEMG recorded “hyperactivity” during mandibular rest a sign of dysfunctional jaw muscle activity and temporomandibular disorders (TMD)?. J Oral Rehabil 2020; 47 (08) 930-938
  • 6 González Olivares H, García Pérez A, López Saucedo F, Ángeles Medina F. Electromyographic changes in the masseter and temporalis muscles before and after orthognathic surgery in patients with mandibular prognathism. J Craniofac Surg 2019; 30 (05) 1539-1543
  • 7 Nishi SE, Basri R, Alam MK. Uses of electromyography in dentistry: an overview with meta-analysis. Eur J Dent 2016; 10 (03) 419-425
  • 8 Takada JI, Miyamoto JJ, Sato C, Dei A, Moriyama K. Comparison of EMG activity and blood flow during graded exertion in the orbicularis oris muscle of adult subjects with and without lip incompetence: a cross-sectional survey. Eur J Orthod 2018; 40 (03) 304-311
  • 9 Kurihara K, Fukui T, Sakaue K, Hori K, Ono T, Saito I. The effect of tongue thrusting on tongue pressure production during swallowing in adult anterior open bite cases. J Oral Rehabil 2019; 46 (10) 895-902
  • 10 Ocak I, Soylu AR, Aksu M. Changes in orbicularis oris superior and masseter muscle activities after upper incisor protrusion in class II division 2 malocclusion: an electromyographic study. Turk J Orthod 2022; 35 (04) 231-238
  • 11 Corrêa EC, Maeda FA, de Miranda ALR, Carvalho PEG, da Silva LH, Torres FC. Masticatory evaluation of anterior open bite malocclusion using the colorimetric capsule method. Gen Dent 2018; 66 (06) 56-59
  • 12 Grzegorz Z, Aleksandra B, Zuzanna F. et al Comparison of resting masticatory muscle activity among women of different ages. J Educ Health Sport 2018; 8 (12) 79-86
  • 13 Komisarek O, Malak R, Kwiatkowski J. et al. The evaluation of facial muscles by surface electromyography in very preterm infants. Biomedicines 2022; 10 (11) 2921
  • 14 Nishi SE, Rahman NA, Basri R. et al. Surface electromyography (sEMG) activity of masticatory muscle (masseter and temporalis) with three different types of orthodontic bracket. BioMed Res Int 2021; 2021: 6642254
  • 15 Inchingolo AD, Pezzolla C, Patano A. et al. Experimental analysis of the use of cranial electromyography in athletes and clinical implications. Int J Environ Res Public Health 2022; 19 (13) 7975
  • 16 Hurjui L, Claudia Tarniceriu C, Iulia Saveanu C. et al. Electromyography and its importance for dental practice. Rom J Med Dent Educ 2020; 9 (02) 6-20
  • 17 Rahmawati D, Ardani IGAW, Hamid T. et al Surface electromyography reveal association between masticatory muscles with malocclusion class I and class III skeletal in Javanese ethnic patient. J Int Dent Med Res 2021; 14 (04) 1542-1546
  • 18 Patil SR, Doni BR, Patil C, Nawab S, Alam MK. Role of electromyography in dental research: a review. J Res Dent Maxillofac Sci 2023; 8 (01) 71-78
  • 19 Achmad H, Areni IS, Ramadany S, Inayah NH, Agustin R, Ardiansya R. Reduction of excessive overjet in pediatric malocclusion using myofunctional therapy accompanied by electromyography activity evaluation in orofacial muscles. J Int Dent Med Res 2022; 15 (02) 656-668
  • 20 Antolis M, Noerhadi NAI, Purbiati M. Masseter muscle activity in dolichofacial patients with temporomandibular joint disorders: an electromyographic study. J Int Dent Med Res 2021; 14 (01) 253-256
  • 21 Pyo CY, Kim TH, Kim DH. Association between masticatory muscle activity and oral conditions in young female college students. Anat Cell Biol 2021; 54 (04) 479-488
  • 22 da Costa LMR, Graciosa MD, Coelho JJ, Rocha R, Ries LGK. Motor behavior of masticatory muscles in individuals with unilateral trans-incisive foramen cleft lip and palate. Cranio 2018; 36 (04) 257-263
  • 23 Yoon YJ, Kang JY, Kim KH, Cha JY, Ahn HJ, Choi YJ. Correlation of masticatory muscle activity and occlusal function with craniofacial morphology: a prospective cohort study. Clin Oral Investig 2023; 27 (09) 5367-5376
  • 24 Zhang Y, Liu K, Shao Z, Lyu C, Zou D. The effect of asymmetrical occlusion on surface electromyographic activity in subjects with a chewing side preference: a preliminary study. Healthcare (Basel) 2023; 11 (12) 1718
  • 25 Izach AI, , Christnawati, Sutantyo D. The effects of unilateral posterior crossbite toward the superficial masseter and anterior temporalis on muscle activity during mastication: a surface electromyographic study. Dent J 2022; 55 (01) 38-43
  • 26 Lan KW, Jiang LL, Yan Y. Comparative study of surface electromyography of masticatory muscles in patients with different types of bruxism. World J Clin Cases 2022; 10 (20) 6876-6889
  • 27 Aggarwal R, Ahluwalia R, Verma D, Kaur P, Chugh T. A cross-sectional observational study to assess mastication muscle function by using surface electromyography. Cardiometry 2023; (25) 1319-1325
  • 28 Nalamliang N, Thongudomporn U. Masticatory muscle responses to mandibular forward positioning appliances. J Dent Assoc Thai 2020; 70 (02) 94-105
  • 29 Spolaor F, Mason M, De Stefani A. et al. Effects of rapid palatal expansion on chewing biomechanics in children with malocclusion: a surface electromyography study. Sensors (Basel) 2020; 20 (07) 2086
  • 30 Prado DG de A, Berretin-Felix G, Migliorucci RR. et al Effects of orofacial myofunctional therapy on masticatory function in individuals submitted to orthognathic surgery: A randomized trial. J Appl Oral Sci 2018; 26: e20170164
  • 31 Achmad H, Areni IS. , Indrabayu, et al. Detection of temporomandibular muscle disorders in children. development of android-based electromyography tools (EMG dentosmart). Syst Rev Pharm 2020; 11 (06) 129-135
  • 32 Michelotti A, Rongo R, Valentino R. et al. Evaluation of masticatory muscle activity in patients with unilateral posterior crossbite before and after rapid maxillary expansion. Eur J Orthod 2019; 41 (01) 46-53
  • 33 Dellavia C, Rosati R, Musto F, Pellegrini G, Begnoni G, Ferrario VF. Preliminary approach for the surface electromyographical evaluation of the oral phase of swallowing. J Oral Rehabil 2018; 45 (07) 518-525
  • 34 Regalo SCH, de Lima Lucas B, Díaz-Serrano KV. et al. Analysis of the stomatognathic system of children according orthodontic treatment needs. J Orofac Orthop 2018; 79 (01) 39-47
  • 35 Nishi SE, Basri R, Rahman NA, Husein A, Alam MK. Association between muscle activity and overjet in class II malocclusion with surface electromyography. J Orthod Sci 2018; 7 (01) 3
  • 36 Celakil D, Ozdemir F, Eraydin F, Celakil T. Effect of orthognathic surgery on masticatory performance and muscle activity in skeletal Class III patients. Cranio 2018; 36 (03) 174-180
  • 37 Singh S, Sandhu N, Kashyap R. A study of bite force and various variables in children segregated by Angle's classification. Int J Clin Pediatr Dent 2012; 5 (02) 118-123
  • 38 Oncins MC, Vieira MM, Bommarito S. Electromyography of the masticatory muscles: Analysis in the original and RMS value. Rev CEFAC 2014; 16 (04) 1215-1220
  • 39 Kuwajima Y, Kim G, Ishida Y. et al Tongue pressure declines early on in patients with malocclusion. Appl Sci 2022; 12 (09) 4618
  • 40 Kurabeishi H, Tatsuo R, Makoto N, Kazunori F. Relationship between tongue pressure and maxillofacial morphology in Japanese children based on skeletal classification. J Oral Rehabil 2018; 45 (09) 684-691
  • 41 Martins FAG, Motta AR, Neves LS, Furlan RMMM. Evaluation of the maximum tongue and lip pressure in individuals with Class I, II, or III Angle malocclusions and different facial types. CoDAS 2023; 35 (05) e20220102
  • 42 Sasaki Y, Yamamoto JI, Kanzaki H. et al Association between severity of malocclusion and parameters of oral functions in permanent dentition with various malocclusion: case-control study. Clin Investig Orthod 2023; 82 (04) 212-221
  • 43 Fujita Y, Ohno Y, Ohno K, Takeshima T, Maki K. Differences in the factors associated with tongue pressure between children with class I and Class II malocclusions. BMC Pediatr 2021; 21 (01) 476
  • 44 Lambrechts H, De Baets E, Fieuws S, Willems G. Lip and tongue pressure in orthodontic patients. Eur J Orthod 2010; 32 (04) 466-471
  • 45 Sangamesh B. Multistage treatment of a class II division 1 malocclusion with severe crowding. J Indian Orthod Soc 2020; 54 (04) 366-373
  • 46 Lipari MA, Pimentel G, Gamboa NA, Bayas I, Guerrero N, Miralles R. Electromyographic comparison of lips and jaw muscles between children with competent and incompetent lips: a cross sectional study. J Clin Pediatr Dent 2020; 44 (04) 283-288
  • 47 Yu M, Gao X. Tongue pressure distribution of individual normal occlusions and exploration of related factors. J Oral Rehabil 2019; 46 (03) 249-256
  • 48 Lee YS, Ryu J, Baek SH. et al. Comparative analysis of the differences in dentofacial morphology according to the tongue and lip pressure. Diagnostics (Basel) 2021; 11 (03) 503
  • 49 Kugimiya Y, Oki T, Ohta M. et al. Distribution of lip-seal strength and its relation to oral motor functions. Clin Exp Dent Res 2021; 7 (06) 1122-1130
  • 50 Murakami M, Adachi T, Nakatsuka K, Kato T, Oishi M, Masuda Y. Gender differences in maximum voluntary lip-closing force during lip pursing in healthy young adults. J Oral Rehabil 2012; 39 (06) 399-404
  • 51 Hansen SE, Petrone JFA, Burnheimer JM, Vieira AR. Influence of genotype and perioral musculature on maxillary and mandibular development. Angle Orthod 2022; 92 (05) 628-634
  • 52 Wong V, Abe T, Spitz RW. et al Effects of age, sex, disease, and exercise training on lip muscle strength. Cosmetics 2020; 7 (01) 18-27
  • 53 Clark HM, Solomon NP. Age and sex differences in orofacial strength. Dysphagia 2012; 27 (01) 2-9
  • 54 Szyszka-Sommerfeld L, Woźniak K, Matthews-Brzozowska T, Kawala B, Mikulewicz M. Electromyographic analysis of superior orbicularis oris muscle function in children surgically treated for unilateral complete cleft lip and palate. J Craniomaxillofac Surg 2017; 45 (09) 1547-1551
  • 55 Kaede K, Kato T, Yamaguchi M, Nakamura N, Yamada K, Masuda Y. Effects of lip-closing training on maximum voluntary lip-closing force during lip pursing in healthy young adults. J Oral Rehabil 2016; 43 (03) 169-175
  • 56 Ramsundar K, Rengalakshmi S, Venugopalan S, Jain RK, Nagesh S. Electromyographic assessment of the masseter and temporalis muscles in skeletal II malocclusion subjects with varying overjets: a pilot study. Cureus 2023; 15 (09) e44645
  • 57 Carvalho MR, Regalo SCH, Siéssere S. et al. Electromyographic analysis of the stomatognathic system of children with Molar-incisor hypomineralization. PLoS One 2023; 18 (02) e0277030
  • 58 Piancino MG, Tortarolo A, Di Benedetto L, Crincoli V, Falla D. Chewing patterns and muscular activation in deep bite malocclusion. J Clin Med 2022; 11 (06) 1702
  • 59 Piancino MG, Falla D, Merlo A. et al. Effects of therapy on masseter activity and chewing kinematics in patients with unilateral posterior crossbite. Arch Oral Biol 2016; 67: 61-67
  • 60 Melo DG, Bianchini EMG. Relationship between electrical activity of the temporal and masseter muscles, bite force, and morphological facial index. CoDAS 2016; 28 (04) 409-416
  • 61 Ardani GAW, Rahmawati D, Narmada IG. et al. Surface electromyography unveil the relationship between masticatory muscle tone and maloclusion class I & II in Javanese ethnic patient. J Int Dent Med Res 2020; 13 (04) 1447-1454
  • 62 Petrović D, Vujkov S, Petronijević B, Šarčev I, Stojanac I. Examination of the bioelectrical activity of the masticatory muscles during Angle’s Class II division 2 therapy with an activator. Vojnosanit Pregl 2014; 71 (12) 1116-1122
  • 63 Bratu DC, Popa G, Popa NS, Matichescu A, Petrescu PH. Surface electromyographic study in patients with Angle Class II malocclusion. Medicine in Evolution 2019; 25 (01) 44-50
  • 64 Singh Sandhu S, Utreja A, Prabhakar S, Sandhu N, Kashyap R. A study of electromyographic activity of masseter and temporalis muscles and maximum bite force in patients with various malocclusions. J Indian Orthod Soc 2013; 47: 53-61