Longitudinal changes in muscle activity of masseter and anterior temporalis before and after Lefort I osteotomies, An EMG study.

Abstract

Aims:The aim of this study was to compare the levels of electromyography (EMG) activity of masseter and anterior temporalis present presurgically with changes in the intensity of muscle activity that took place post surgically for a period of 6 months follow up.Settings and Design:Ten patients with vertical maxillary excess were selected from the department of Oral and Maxillofacial surgery at Saveetha Dental College and Hospitals, Chennai.Materials and Methods:Electromyography was used as a kinesiology tool to study muscle function of Masseter and Anterior Temporalis of all ten subjects pre surgically and post surgically with a 6 month follow up.Statistical Analysis Used:The statistical package SPSSPC+ (Statistical Package for Social Science, Version 4.0.1) was used for statistical analysis. Mean and standard deviation were estimated from the sample. The tests that were used for the statistical analysis were one way ANOVA and student's T test.Results:The final inference elucidates that the muscular activity of masseter and temporalis are improved during chewing and clenching in the postoperative 6 months period when compared to preoperative values. The duration was constant at 7 milliseconds for both the positions.Conclusions:From this study, it can be concluded that there is a strong correlation between vertical maxillary excess and associated weak musculature. Electromyography has been used as an important tool to demonstrate improved muscle activity after surgical correction of vertical maxillary excess and improvement in functional deficits associated with this dentofacial deformity. From this study it can be concluded that surgical correction of vertical maxillary excess improves occlusion, leading to increased eccentric tooth contacts, increased mean amplitude and increased mean power frequency of the muscles all of which translate into improved muscle activity.