Aim: The aim of our investigations is to optimize the anatomical basis for the design of a sufficient occlusal relationship, especially in view of the innovative technologies by analyzing the occlusal contact point patterns at cusp structures according to A-, B-, C- localization tooth by tooth on the individual occlusal surfaces in the posterior region in static habitual occlusal position.
Materials And Methods: In 3300 subjects of the population-based Study of Health in Pomerania (SHIP 1) the interocclusal registration in habitual intercuspation using silicone registration was used and analyzed by using the special evaluation software Greifswald Digital Analyzing System (GEDAS II). Chi square test was used to investigate whether the distribution of contact areas differed in the group of premolars or molars - each considered separately for maxilla and mandible - on the basis of the probability of error p < 0.
When recording condylar movement paths with the aid of electronic measuring systems, it is often found that, especially in jaw opening and closing movements, excursive and incursive paths of movement are not congruent but run separately, independently of one another to a greater or lesser degree. The objective of the study was to investigate this phenomenon in the context of rotation vs translation behavior, also taking into consideration additional side-specific condylar movement patterns. For this purpose, the electronic movement records of habitual jaw opening of 259 participants of the associated project of the population-representative basic study SHIP 0 were evaluated.
View Article and Find Full Text PDFThe articulation parameters, especially the horizontal condylar inclination angle (HCI), the Bennett angle (BA), and the immediate side shift (ISS) were determined in 259 subjects (100 males; 159 females) of the associated project with reference to the population-representative baseline study (Study of Health in Pomerania, SHIP 0). The evaluations were based on a clinical functional status and electronic motion recording with the ultrasonic measuring system Jaw Motion Analyser (JMA, Zebris, Isny, Germany). The reference plane, to which all measured values were represented and the HCI calculated, was the hinge axis infraorbital plane (HA-IOP).
View Article and Find Full Text PDFThe aim of this study was to analyze the effect of occlusal modifications on the muscular activity of the masseter and anterior temporalis muscles. The study included 41 healthy dentate subjects who were examined in relation to the muscle activity of the masseter and anterior temporalis muscles recorded by surface electromyography (EMG) bilaterally in two different sessions. Occlusal plastic strips (thickness: 0.
View Article and Find Full Text PDFThe fourth part of this literature review on the clinical relevance of surface electromyography (EMG) of the masticatory muscles summarizes the results of clinical studies in patients with temporomandibular disorders (TMD), preferably randomized controlled trials, examining the impact of changes to the dynamic occlusion or the effects of occlusal splints and other treatment measures on electromyographic activity. Surface electromyography is a useful tool for neuromuscular functional analysis in the field of dentistry. In combination with a thorough history and detailed clinical examination, it is able to provide objective, documentable, valid and reproducible information about the individual functional status of the masticatory muscles if the user strictly adheres to the specific guidelines.
View Article and Find Full Text PDFZ Evid Fortbild Qual Gesundhwes
April 2014
Pharmacological interventions in temporomandibular joint (TMJ) pain differ from corresponding therapeutic interventions of jaw muscle (myofascial) pain. An actual systematic literature search lists and evaluates available articles on randomised controlled trials for treatment of arthralgia of the TMJ. On the basis of the few available trial reports, non-steroidal anti-inflammatory drugs (NSAIDs) seem to be effective, but side effects and drug interactions need to be considered.
View Article and Find Full Text PDFSleep bruxism is assumed to be triggered by a dysfunctional subcortical and cortical network. This study investigates sensorimotor cortical activation in patients with sleep bruxism during clenching and chewing. Nine polysomnographically diagnosed patients and nine healthy control subjects underwent magnetoencephalography (MEG).
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