Korean J Orthod.  2019 Jul;49(4):254-264. 10.4041/kjod.2019.49.4.254.

Short-term changes in muscle activity and jaw movement patterns after orthognathic surgery in skeletal Class III patients with facial asymmetry

Affiliations
  • 1Department of Orthodontics, Kyung Hee University School of Dentistry, Seoul, Korea. hyowon@khu.ac.kr
  • 2Department of Dentistry, Graduate School, Kyung Hee University, Seoul, Korea.
  • 3Department of Orthodontics, School of Dentistry, Seoul National University, Seoul, Korea.
  • 4Dental Research Institute, Seoul National University, Seoul, Korea.

Abstract


OBJECTIVE
To evaluate the short-term changes in masticatory muscle activity and mandibular movement patterns after orthognathic surgery in skeletal Class III patients with facial asymmetry.
METHODS
Twenty-seven skeletal Class III adult patients were divided into two groups based on the degree of facial asymmetry: the experimental group (n = 17 [11 male and 6 female]; menton deviation ≥ 4 mm) and control group (n = 10 [4 male and 6 female]; menton deviation < 1.6 mm). Cephalography, electromyography (EMG) for the anterior temporalis (TA) and masseter muscles (MM), and mandibular movement (range of motion [ROM] and average chewing pattern [ACP]) were evaluated before (T0) and 7 to 8 months (T1) after the surgery.
RESULTS
There were no significant postoperative changes in the EMG potentials of the TA and MM in both groups, except in the anterior cotton roll biting test, in which the masticatory muscle activity had changed into an MM-dominant pattern postoperatively in both groups. In the experimental group, the amount of maximum opening, protrusion, and lateral excursion to the non-deviated side were significantly decreased. The turning point tended to be shorter and significantly moved medially during chewing in the non-deviated side in the experimental group.
CONCLUSIONS
In skeletal Class III patients with facial asymmetry, the EMG activity characteristics recovered to presurgical levels within 7 to 8 months after the surgery. Correction of the asymmetry caused limitation in jaw movement in terms of both ROM and ACP on the non-deviated side.

Keyword

Class III orthognathic surgery; Facial asymmetry; Electromyography; Jaw movement

MeSH Terms

Adult
Electromyography
Facial Asymmetry*
Humans
Jaw*
Male
Masseter Muscle
Mastication
Masticatory Muscles
Orthognathic Surgery*

Figure

  • Figure 1 Cephalometric measurements. 1, Sella-Nasion to A Point angle (SNA); 2, sella-nasion to B point angle (SNB); 3, A point-Nasion to B point angle (ANB); 4, upper incisor to Frankfort plane angle (U1-FH); 5, lower incisor to mandibular plane angle (IMPA); 6, menton deviation-the distance from the perpendicular bisector line of both frontozygomatic points (FZPs) to the menton.

  • Figure 2 A, Electromyographic recording device (Bio-EMG III™; BioResearch, Inc., Milwaukee, WI, USA) and the data for clenching obtained from one subject. B, Jaw movement tracking device (JT-3D™; BioResearch, Inc.) and the sequence for right-sided gum chewing obtained from one subject.

  • Figure 3 Schematic drawing of the jaw movement. A, Two cycles of the three-dimensional mandibular incisor-point chewing sequences. The three graphs indicate the tracing in the vertical (upper), anteroposterior (middle), and lateral (lower) axes. The dotted vertical line indicates the “turning point” between opening and closing of the mouth. B, Average chewing pattern in the frontal and horizontal view. Opening and closing angles in the frontal or horizontal view were defined as the angles between each plane and the tangent line of the average chewing trajectory.

  • Figure 4 The mean paths of the average chewing pattern during unilateral gum chewing at T0 (blue) and T1 (red) in the frontal and horizontal views. T0, Initial; T1, 7–8 months after orthognathic surgery.


Cited by  1 articles

Comparison of the bite force and occlusal contact area of the deviated and non-deviated sides after intraoral vertical ramus osteotomy in skeletal Class III patients with mandibular asymmetry: Two-year follow-up
Hyejin Kwon, Sun-Hyung Park, Hoi-In Jung, Woo-Chan Hwang, Yoon Jeong Choi, Chooryung Chung, Kyung-Ho Kim
Korean J Orthod. 2022;52(3):172-181.    doi: 10.4041/kjod21.236..


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