Deglutition pattern in Angle's Class II malocclusion
Ana Clara Morari; Patricia Rafaela dos Santos; Mariana Nabarrette; Willian Cristofoletti; Carolina Carmo de Menezes; Giovana Cherubini Venezian; Mirian Hideko Nagae; Viviane Veroni Degan
Abstract
Purpose: to analyze the electromyographic activity of the suprahyoid muscles during deglutition in participants with Angle's Class II malocclusion.
Methods: electromyographic data recordings were performed in the supra-hyoid muscles during swallowing and at rest, in 30 volunteers, 15 Angle's Class I participants and 15 Angle's Class II malocclusion, aged 15-27 years old. The Root Means Square values for both tests were analyzed, and for the deglutition test, the Linear Envelope was used to observe the type of muscle activation pattern.
Results: during the test at rest, there was no significant difference in Root Means Square values (p=0.22) between Class I and Class II subjects. During deglutition, it was found that Angle's Class II subjects had significantly higher RMS values (p=0.01) as compared to Class I volunteers. Regarding the type of muscle activation pattern, there was a significant difference between Class I and Class II participants with a predominance of type 1 peak for Class I and type 2 peak for Class II.
Conclusion: there was a difference in electromyographic recordings during deglutition in participants with Angle's Class II as compared to Class I participants with a tendency towards two contraction peaks, showing a greater imbalance during the function. There was no difference between groups in the rest position.
Keywords
References
1. Joshi N, Hamdan AM, Fakhouri WD. Skeletal malocclusion: a developmental disorder with a life-long morbidity. J Clin Med Res. 2014;6(6):399-408.
2. Almeida KCM, Raveli TB, Vieira CIV, Pinto AS, Raveli DB. Influence of the cranial base flexion on Class I, II and III malocclusions: a systematic review. Dental Press J Orthod. 2017;22(5):56-66.
3. Rana N, Qu YY, Wei Y, Liu L. Comparison of cephalometric hard and soft tissues of adolescents with Angle Class II Division 1 Malocclusion between northern chinese population and northern indian population. Chin J Dent Res. 2017;20(1):33-42.
4. Menezes LF, Rocha Neto AM, Paulino CEB, Laureano Filho JR, Studart-Pereira LM. Tongue pressure and endurance in patients with Class II and Class III malocclusion. Rev. CEFAC. 2018;20(2):166-74.
5. Sun H, Shang HT, He LS, Ding MC, Su ZP, Shi YL. Assessing the quality of life in patients with dentofacial deformities before and after orthognathic surgery. J Oral Maxillofac Surg. 2018;76(10):2192-201.
6. Migliorucci RR, Passos DCBOF, Felix GB. Orofacial myofunctional therapy program for individuals undergoing orthognathic surgery. Rev. CEFAC. 2017;19(2):277-88.
7. Nagae MH, Alves MC. Estudo eletromiográfico da deglutição na musculatura supra-hióidea em sujeitos Classe I e III de Angle. Rev. CEFAC. 2009;11(3):355-62.
8. Caldas ASC, Coelho WK, Ribeiro RFG, Cunha DA, Silva HJ. Motor imagery and swallowing: a systematic literature review. Rev. CEFAC. 2018;20(2):247-57.
9. Souza DR de, Semechini TA, Kröll LB, Berzin F. Oral myofunctional and electromyographic evaluation of the anterior suprahyoid muscles and tongue thrust in patients with Class II/1 malocclusion submitted to first premolar extraction. J Appl Oral Sci. 2007;15(1):24-8.
10. Lobo MB, Luccia N, Nogueira AC, Silvério CC. The effect of the neuromuscular electrical stimulation on the suprahyoid muscle activity during swallowing in subjects with dysphagia. Rev. CEFAC. 2016;18(5):1179-88.
11. Pearson WG Jr, Hindson DF, Langmore SE, Zumwalt AC. Evaluating swallowing muscles essential for hyolaryngeal elevation by using muscle functional magnetic resonance imaging. Int J Radiat Oncol Biol Phys. 2013;85(3):735-40.
12. Kothari M, Stubbs PW, Pedersen AR, Jensen J, Nielsen JF. Reliability of surface electromyography measurements from the suprahyoid muscle complex. J Oral Rehabil. 2017;44(9):683-90.
13. Pernambuco LA, Silva HJ, Nascimento GKBO, Silva EGF, Balata PMM, Santos VS et al. Electrical activity of the masseter during swallowing after total laryngectomy. Braz J Otorhinolaryngol. 2011;77(5):645-50.
14. Dellavia C, Rosati R, Musto F, Pellegrini G, Begnoni G, Ferrario VF. Preliminary approach for the surface electromyographical evaluation of the oral phase of swallowing. J Oral Rehabil. 2018 doi: 10.1111/joor.12641.
15. Freitas GS, Mituuti CT, Furkim AM, Busanello-Stella AR, Stefani FM, Arone MMAS et al. Electromyography biofeedback in the treatment of neurogenicorofacial disorders: systematic review of the literature. Audiol Commun Res. 2016;21:e1671.
16. Bianchini EMG, Kayamori F. Surface electromyographic characterization of swallowing in subjects with and without swallowing disorders. Rev. CEFAC. 2012;14(5):872-82.
17. Marchetti PH, Duarte M. Instrumentação em eletromiografia. Laboratório de Biofísica, Escola de Educação Física e Esporte. São Paulo: Universidade de São Paulo; 2006. Disponível em: http://demotu.org/pubs/EMG.pdf
18. Prates LS, Gois M, Berwig LC, Blanco-Dutra AP, Busanello-Stella AR, Silva AMT. Clinical and electromyographic evaluation of mastication within different facial growth patterns. Rev. CEFAC. 2016;18(1):104-11.
19. Trevisan ME, Weber P, Ries LGK, Corrêa ECR. Relationship between the electrical activity of suprahyoid and infrahyoid muscles during swallowing and cephalometry. Rev. CEFAC. 2013;15(4):895-903.
20. Ferreira JTL, Lima MRF, Pizzolato LZ. Relation between Angle Class II malloclusion and deleterious oral habits. Dental Press J. Orthod. 2012;17(6):111-7.
21. Sousa V, Paço M, Pinho T. Implicações da respiração oral e deglutição atípica na postura corporal. Nascer e crescer. 2017;26(2):89-94.
22. Trench JA, Araújo RPC. Dentofacial deformities: orofacial myofunctional characteristics. Rev. CEFAC. 2015;17(4):1202-14.
23. Silva AP, Sassi FC, Andrade CRF. Oral-motor and electromyographic characterization of patients submitted to open and closed reductions of mandibular condyle fracture. CoDAS. 2016;28(5):558-66.
Submitted date:
12/07/2018
Accepted date:
03/12/2019
