The electromyographic activity of masseter and anterior temporalis during orofacial symptoms induced by experimental occlusal highspot

Abstract

The aim of the present study was to investigate the short-term impact of an occlusal highspot on the occurrence of orofacial symptoms by collecting self-evaluation and using electromyography (EMG) evaluation. A rigid unilateral intercuspal occlusal highspot (A cast onlay of 0.5 mm) was placed on the right lower first molar of six adult volunteers (three males, three females), and remained for 6 days. Continuously all the induced orofacial symptoms were collected and the subjects scored the orofacial pain on a 10-cm visual analogue scale (VAS) during the placement of onlay. The surface EMG was recorded before the placement of onlay, during (on the 3rd and 6th day) and after the onlay was removed. Then the contractile symmetry of bilateral masseter (MAL, MAR) and anterior temporalis (TAL, TAR) was measured by using an asymmetry index. On the 3rd day of the placement of the occlusal highspot, all subjects complained of headache in right temporal region (mean VAS +/- s.d.=3.7+/-0.5); the activity of TAR at rest position of mandible increased significantly (P=0.027). In addition, on the 3rd and 6th day with the highspot the EMG activity of the tested muscles during maximal voluntary contraction (MVC) was significantly reduced; the asymmetry index of bilateral anterior temporalis during MVC was increased significantly (P(3rd)=0.028; P(6th)=0.046). A unilateral occlusal highspot may make the ipsilateral anterior temporalis become tenser at rest position. Furthermore, the activity of bilateral anterior temporalis becomes more unsymmetrical during MVC although there are inter-individual differences between subjects. The changes in muscular activity may have some relationship with the occurrence of tension-type headache in temporal region.

Central Sensitization and MAPKs Are Involved in Occlusal Interference-Induced Facial Pain in Rats

“…The role of the dental occlusion as an etiological factor has been a controversial topic. Some clinical studies do not indicate that an occlusal interference is either predictive or causative of the pain 8,27,58 , while others suggest occlusal factors (especially an acute occlusal change) may contribute 29,31,34,36,46 .…”

Surface electromyography in orthodontics – a literature review

“…Li et al [27] investigated the short-term impact of occlusal disturbances such as an occlusal 0.5 mm high spot that was placed on the right lower first molar. On the 3 rd day following placement of these high spots, all the patients complained of headaches in the right temporal region and the activity of the right anterior temporalis muscle significantly increased at rest.…”

Oclusión terapéutica: Desde las escuelas de oclusión a la Odontología Basada en Evidencia

“…Además, si este contacto era de mayor grosor, la actividad EMG descendía hasta ser similar en ambos lados, lo que se explica por una actividad reducida de los mecanoreceptores periodontales. Más recientemente, Li (2008) concluye que una interferencia unilateral de 0.5 mm aumenta la actividad EMG del temporal ipsilateral causando síntomas tipo cefaleas tensionales (75) . Ferrario (2002) observó que la actividad EMG durante MAV en adultos jóvenes con mayor cantidad de contactos oclusales (> a 10) era más alta que aquéllas con menor cantidad (76) .…”