employee
Moskva, Moscow, Russian Federation
graduate student
Moskva, Moscow, Russian Federation
employee
Moskva, Moscow, Russian Federation
employee
Moskva, Moscow, Russian Federation
Subject. The state of the stomatognathic system in patients who used removable implant-retained overdentures for a period more than 4 years was analyzed by evaluating the bioelectrical activity of temporal and masticatory muscles. Objectives ― to analyze the influence of long-term usage of removable implant-retained overdentures on the dynamic parameters of the stomatognathic system by evaluating the bioelectrical activity of temporal and masticatory muscles. Methods. Clinical studies of bioelectrical activity and symmetry of the temporal and masticatory muscles using surface electromyography were carried out. Electromyography was carried out in five probes: physiological rest, occlusion, natural swallowing, clench and clench on rolls. Results. It was revealed that in a state of physiological rest and occlusion, the absolute electromyography indicators were elevated. During natural swallowing, the bioelectric activity of the muscles in patients who used removable implant-retained overdentures was characterized as reduced. During clenching and clenching on rolls, the indicators were at the level of the lower limit of the norm. It was also found that the symmetry of the temporal and masticatory muscles was below the normal level. Conclusions. The obtained data is a sign of the modified dynamic state of the stomatognathic system in patients who used removable implant-retained overdentures. In addition to changes of the bioelectric activity of the muscles, a significant violation of the symmetry of the muscles has been revealed.
electromyography, bioelectrical activity of muscles, symmetry of muscles, implants, removable implant-retained overdenture
1. Adell, R., Eriksson, B., Lekholm, U., et al. (1990). Long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws. Int J Oral Maxillofac Implants, 5, 347–359.
2. Adell, R., Lekholm, U., Rockler, B., et al. (1981). A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg, 10, 387–416.
3. Ahmed Elmorsy, A. E., Ahmed Ibraheem, E. M., Ela, A. A., Fahmy, A., Nassani, M. Z. (2015). Do flexible acrylic resin lingual flanges improve retention of mandibular complete denture? J Int Soc Prev Community Dent, 5 (5), 365–371. doi: 10.4103/2231-0762.165928, PMID: 26539387, PMCID: PMC4606599.
4. Awad, M. A., Lund, J. P., Dufresne, E. et al. (2003). Comparing the efficacy of mandibular implant-retained overdentures and conventional dentures among middle-aged edentulous patients: satisfaction and functional assessment. Int J Prosthodont, 16, 117–122.
5. Basri, R., Nishi, S., Alam, M. (2016). Uses of electromyography in dentistry: An overview with meta–analysis. European Journal of Dentistry, 10, 419.
6. Bergman, B., Carlsson, G. E. (1985). Clinical long-term study of complete denture wearers. J Prosthet Dent, 53, 56–61.
7. Burns, D. R. (2009). Mandibular implant overdenture treatment; consensus and controversy. J Prosthodont, 9, 37–46. doi: 10.1111/j.1532-849X.2000.00037.x.
8. Carlsson, G. E. (2006). Facts and fallacies: an evidence base for complete dentures. Dent Update, 33, 134–136.
9. Cune, M. S., de Pattor, J. H. (1997). Evaluation study on implant retained overdentures. J Prosth Dent, 25, 53.
10. Doundoulakis, J. H., Eckert, S. E., Lindquist, C. C., Jeffcoat, M. K. (2003). The implant supported overdentures as an alternative to the complete mandibular denture. J Am Dent Assoc, 134, 1455–1458. doi: 10.14219/jada.archive.2003.0073
11. Elsayed, M. A., Hegazy, S. A., Hammoud, N. I., Altanbory, G. Y., Habib, A. A. (2014). Chewing efficiency and electromyographic activity of masseter muscle with three designs of implant supported mandibular overdentures. A cross-over study. Clin Oral Implants Res, 25, 742–748. doi: 10.1111/clr.12137, PMID: 23445173.
12. Hugger, A., Hugger, S., Schindler, H. J. (2008). Surface Electromyography of the masticatory muscles for application in dental practice: current evidence and future development. Int J Comput Dent, 11, 81–106.
13. Kuriki, H. U., De Azevedo, F. M., Takahashi, L. S. O., Mello, E. M., Filho, R. D. F. N., Alves, N. (2012). The Relationship Between Electromyography and Muscle Force, EMG Methods for Evaluating Muscle and Nerve Function. Mr. Mark Schwartz.
14. Lindquist, L. W., Rockler, B., Carlsson, G. E. (1988). Bone resorption around fixtures in edentulous patients treated with mandibular fixed tissue-integrated prostheses. J Prosthet Dent, 59, 59–63.
15. Melas, F., Marcenes, W., Wright, P. S. (2001). Oral health impact on daily performance in patients with implant-stabilized overdentures and patients with conventional complete dentures. Int J Oral Maxillofac Implants, 16, 700–712.
16. Pan, Y. H., Yu, L. M., Lin, T. M. (2014). Dental implant retained mandibular overdenture therapy: A clinical study of patients’ response. Journal of Dental Sciences, 9 (2), 118–124.
17. Shamnur, S. N., Jagadeesh, K. N., Kalavathi, S. D., Kashinath, K. R. (2005). “Flexible dentures”- an alternate for rigid dentures? J Dent Sci Res, 1, 74–79.
18. Vos, T. et al. (2012). Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. The Lancet, 380 (9859), 2163–2196.
19. Wright, P. S., Glantz, P. O., Randow, K. et al. (2002). The effects of fixed and removable implant-stabilised prostheses on posterior mandibular residual ridge resorption. Clin Oral Implants Res, 13, 169–174.
20. Zitzmann, N. U., Marinello, C. P. (2002). A review of clinical and technical considerations for fixed and removable implant prostheses in the edentulous mandible. Int J Prosthodont, 15, 65–72.
21. Dubova, L. V., Melnik, A. S., Stupnikov, A. A., Savelyev, V. V. (2016). Sravnitel'naya otsenka pokazateley kineziografii i elektromiografii u patsiyentov bez priznakov patologii VNCHS i s myshechno-sustavnoy disfunktsiyey [Comparative assessment of kinesiography and electromyography indices in patients without signs of TMJ pathology and muscular-articular dysfunction]. Endodontiya Today [Endodontics Today], 2, 11–15. (In Russ.)
22. Istomina, E. V., Tsalikova, N. A., Grishkina, M. G., Aller, H. A. (2016). Vzaimosvyaz' dekompensirovannoy formy povyshennogo stiraniya zubov i disfunktsii visochno- nizhnechelyustnogo sustava [The relationship of the decompensated form of increased tooth erasure and dysfunction of the temporomandibular joint]. Dental Forum [Dental Forum], 4 (63), 36. (In Russ.)
23. Ibragimov, T. I., Tsalikova, N. A., Ataeva, S. D., Grishkina, M. G. (2014). Vozmozhnosti primeneniya CAD/CAM tekhnologiy v klinike ortopedicheskoy stomatologii [Possibilities of applying CAD / CAM technologies in the clinic of orthopedic dentistry]. Dental Forum [Dental Forum], 4, 41–43. (In Russ.)
24. Malik, M. V., Stupnikov, A. A., Dzaurova, M. A. (2016). Otsenka funktsional'noy effektivnosti zhevaniya u patsiyentov s polnym otsutstviyem zubov na nizhney chelyusti pri pol'zovanii polnym s"yemnym protezom, a takzhe pokryvnym protezom s oporoy na implantaty na razlichnykh srokakh pol'zovaniya [Evaluation of the functional effectiveness of chewing in patients with a complete absence of teeth in the lower jaw when using a complete removable denture, as well as a cover prosthesis based on implants at different periods of use]. Rossiyskaya Stomatologiya [Russian Dentistry], 9, 35–36. (In Russ.)
25. Melnik, A. S., Savelyev, V. V. (2016). Analiz bioelektricheskikh potentsialov zhevatel'nykh myshts i trayektoriy dvizheniya nizhney chelyusti u patsiyentov ot 18 do 25 let bez priznakov patologii VNCHS diagnosticheskim kompleksom BioPAK [Analysis of bioelectric potentials of the masticatory muscles and trajectories of the lower jaw in patients aged 18 to 25 without signs of pathology of the TMJ by the BioPAK diagnostic complex]. Kachestvo Okazaniya Meditsinskoy Stomatologicheskoy Pomoshchi: Sposoby Dostizheniya, Kriterii I Metody Otsenki : sbornik Statey Mezhdunarodnoy Nauchno-Prakticheskoy Konferentsii [Quality of Medical Dental Care: Methods of Achievement, Criteria and Methods of Evaluation : collection of Articles of the International Scientific and Practical Conference], 115–120. (In Russ.)
26. Dubova, L. V., Malik, M. V., Ozhigov, E. M. (2017). Osobennosti pokazateley biopotentsiala zhevatel'noy gruppy myshts i vremennykh pokazateley zhevatel'noy tsikla u patsiyentov so s"yomnymi pokryvnymi protezami s oporoy na implantaty pri polnom otsutstvii zubov [Features of the biopotential indicators of the chewing muscle group and temporary indicators of the chewing cycle in patients with removable cover prostheses based on implants in the complete absence of teeth]. SOVREMENNAYA STOMATOLOGIYA Sbornik nauchnykh trudov, posvyashchonnyy 125-letiyu osnovatelya kafedry ortopedicheskoy stomatologii KGMU professora Isaaka Mikhaylovicha Oksmana [MODERN DENTISTRY A collection of scientific papers dedicated to the 125th anniversary of the founder of the Department of Orthopedic Dentistry of KSMU, Professor Isaak Oksman], 150–153. (In Russ.)
