Review Article

Evaluation of Electromyographic Activity of Masticatory Muscles in Adults with Posterior Crossbite

Table 3

Characteristics of the included studies.

Author/yearDesignSample detailsSample age (sd)Control groupControl age (sd)Evaluated musclesApplied testsElectromyographerElectromyographic parametersConclusion

Dong et al. [15], 2008Cross-sectional study with control groupN = 15 (8F and 7M) UPXB = 9; PXB = 623.0 (4.78)N = 21 (10F and 11M)22.0 (0.92)SM, SC, SH, STMaximum jaw opening and closing, head and neck flexion-extension, shoulder lifting and loweringK7 Evaluation System: 8 channelsRMS, MPFIndividuals with mandibular asymmetry and PXB are associated with more asymmetric electromyographic patterns
Moreno et al. [18], 2008Observational studyN = 3 UPXB24AbsentAbsentSM, AT, PT, DGSwallowing record (water), chewing record for 15 sec (3 chips), MVC for 3 secMyotronics ® K6-i: 8 channelsSignal amplitude (µV)Individuals with UPXB presented increased electromyographic activity of the AT on the cross-side during MVC
Saifuddin et al. [16], 2003Cross-sectional study with control groupN = 15 (5F and 10M) PXB19.9 (5.3)N = 15 (2F and 13M)28.6 (1.9)SM and ATDiurnal recording (2 periods: meals + regular activities) and night recording (sleep)Muscle Tester ME3000P (Mega Electronics Ltd, Kuopio, Finland)Signal amplitude (µV), asymmetry indexIndividuals with mandibular deviation associated to PXB presented lower electromyographic activity in SM and AT muscles during diurnal recordings
Sverzut et al. [40], 2011Quasiexperimental clinical trialN = 19 (13F and 6M) PXB25.4N = 19 (13F and 6M)25.4SM and ATUsual chewing (gum), dental tightening, mouth opening and closing, rest, protrusion, and laterality (D and E)MyoSystem-Br1 (São Paulo, Brazil)RMSElectromyographic activity decreases in SM and AT muscles after SARME during chewing and dental tightening
Takeshita et al. [41], 2013Case reportN = 1 (1F); skeletal class III with mandibular asymmetry, UPXB and AXB18.8AbsentAbsentSM, AT, and PTLeft and right unilateral chewing and dental tighteningNo informationElectromyographic activity µV/sOrthosurgical treatment determined a balanced and symmetrical chewing muscle activity
Tecco et al. [7], 2010Cross-sectional study with control groupN = 75 (30F and 45M) UPXB: 50; bilateral PXB:25M: 19.5 (5.6); F: 20.4 (3.2)N = 25 (6F and 19M)22.5 (5.8)SM, AT, PT, SC, PC, ST, and LTRest and MVCKey-Win 2.0 (Biotronic s.r.l., San Benedetto Del Tronto, Ascoli Piceno, Italy): 60 channelsElectromyographic activity µV/sPatients with PXB present electromyographic changes in the chewing muscles, neck, and upper trunk
Woźniak [17], 2015Cross-sectional study with control groupN = 50 (22F and 28M) UPXB and TMD20.84 (1.14)N = 100 (54F and 46M)21.42 (1.06)SM and ATRest and MVCDAB-Bluetooth Instrument (Zebris Medical GmbH, GermanyAsymmetry index (AI) and torque coefficient (TC)UPXB was associated with changes in SM and AT muscle activity
Yamasaki, et al. [42], 2015Observational studyN = 2 PXB31.3AbsentAbsentSMLeft and right unilateral chewing of different types of food (peanut, beef jerk, and chewing gum), and MVCProComp INFINITI; Thought Technology, (Montreal, Canada)RMSIndividuals with PXB present an altered level of agreement regarding the parameters of identification of the preferred side of the bite

F, female gender; M, male gender; PXB, posterior crossbite; UPXB, unilateral posterior crossbite; AXB, anterior crossbite; TMD, temporomandibular disorder; sd: standard deviation; AT, anterior temporal muscle; PT, posterior temporal muscle; SM, superficial masseter muscle; SC, sternocleidomastoid muscle; SH, suprahyoid muscles; UT, upper trapezium muscle; LT, lower trapezius muscle; DG, digastric muscle; PC, posterior cervical muscles; SARME, surgically assisted rapid maxillary expansion; POC, percent overlapping coefficient; RMS, root mean square; MPF, mean power frequency; MVC, maximum voluntary contraction; µV, microvolts; R, right; L, left.