Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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THE OCCLUSAL FORCE AND EMG CHANGE AFTER BSSRO

양측성 하악지 시상분할술을 이용한 악교정 수술시술 후 교합력과 근전도 변화

  • Lee, Sung-Kyu (Department of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University) ;
  • Choi, Yong-Kwan (Department of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University) ;
  • Hwang, Dae-Yong (Department of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University) ;
  • Kim, Kyung-Wook (Department of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University)
  • 이성규 (단국대학교 치과대학 구강악안면외과학교실) ;
  • 최용관 (단국대학교 치과대학 구강악안면외과학교실) ;
  • 황대용 (단국대학교 치과대학 구강악안면외과학교실) ;
  • 김경욱 (단국대학교 치과대학 구강악안면외과학교실)
  • Published : 2008.10.31
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Abstract

BSSRO is most frequently operated among orthognathic surgery techniques for repairment of maxillofacial deformities. In case of patients with maxillofacial asymmetry accompanying mandibular protrusion who are operated by BSSRO, this study considers the recovering time for masticatory force of each tooth and Masseteric EMG and the adequate time enabling normal occlusion. The patients who are operated with BSSRO under general anesthesia in Dankook Dental Hospital, Department of OMS are selected for this study. The control group is devided into 2. 26 patients with facial asymmetry accompanying mandibular protrusion are selected for group 1 and their maximum voluntary bite force and masseteric EMG are measured. Group 2 is formed by volunteers with healthy dentition who are measured maximum bite force and masseteric EMG on both sides of the mouth. At the week of 3rd, 5th, 7th, 9th and 11th, Mann-Whitney U test is carried on for statistical analysis and the result is as follows. 1. Patients with mandibular protrusion showed apparently low maximum bite force and masseteric EMG than patients with normal occlusion. 2. In comparison with control group 1, Occlusal force is regained in incisors and canines at the 9th week and in premolars and molars, 11th week and masseteric EMG is regained at 11th week. 3. Comparing to normal occlusal patients, no recovery could be found in experimental group in every parts of the mouth.

Keywords

References

  1. Proffit WR, White RP, Saver DM, Contemporary Treatment of Dentofacial Deformity, 판수, 출판도시: 출판사, 2003
  2. Peterson LJ, Indresano AT, Marciano RD, Roser SM, Principle of Oral and Maxillofacial Surgery, 판수, 출판도시: 출판사, 1992
  3. Shiratsuchi Y, Kouno K, Tashiro H. : Evaluation of masticatory function following orthognathic surgical correction of mandibular prognathism J CranioMax-Fac Surg 1991;19;299-303 https://doi.org/10.1016/S1010-5182(05)80336-1
  4. 이종흔, 김중수 공저, 구강 생리학, 제 4판, 서울: 의치학사, 1994
  5. 김명국, 머리 및 목해부학, 제7판, 서울: 의치학사, 2002
  6. Ahlgren J, Thilander BL: Muscle activity in normal and positional occlusion Am J Orthod 1973;64;445-56
  7. 김명국, 정상인 하악운동시에 있어서 저작근의 근전도 분석, 서 울대학교 논문집 1968;19:76-92
  8. Georgiakaki I, Tortopidis D, Garefis P, Kiliaridis S : Ultrasonographic thickness and electromyographic activity of masseter muscle of human females J of Oral Rehabilitation 2007;34;121- 8 https://doi.org/10.1111/j.1365-2842.2006.01677.x
  9. Armijo-Olivo S, Gadotti I, kornerup N, Lagravere MO, Flores C : Quality of reporting masticatory muscle electromyography in 2004: asystemic review J of Oral Rehabilitation 2007;34;397-405 https://doi.org/10.1111/j.1365-2842.2007.01706.x
  10. Teenier TJ, Throckmorton GS, Ellis E III: Effect of Local Anesthesia on Bite Force Generation and Electromyographic Activity. J Oral Maxillofac Surg 1991;49;360-5 https://doi.org/10.1016/0278-2391(91)90371-R
  11. Miralles R et al: Pattern of electromyographic activity in subjects with different skeletal facial types Angle Orthod 1991;61(4);277-84
  12. Reena M, Talwar, Ellis E III, Gaylord S Throckmorton: Adaptation of the Masticatory System After Bilateral Fractures of the Mandibular Condylar Process J Oral Maxillofac Surg 1998;56;430-9 https://doi.org/10.1016/S0278-2391(98)90707-8
  13. Finn RA, Throckmorton GS, Bell WH, et al: Biomechanical considerations in the surgical correction of mandibular deficiency J Oral Surg 1980;38;257
  14. Kikuta T, Hara I, Seto T, et al: Evaluation of masticatory function after sagittal split ramus osteotomy for patients with mandibular prognathism Int J Adult Orthdont Orthognath Surg 1994;9;9
  15. Ingervall B, Ridell A, Thilander B: Change in activity of the temporal, masseter and lip muscle after surgical correction of the mandibular prognathism Int J Oral Surg 1979;8;290 https://doi.org/10.1016/S0300-9785(79)80051-4
  16. Raustia AM, Kyosti SO: Changes in electronical activity of masseter and temporal muscles after mandibular sagittal split osteotomy Int J Oral Maxillofac Surg 1994;23;180 https://doi.org/10.1016/S0901-5027(05)80297-8
  17. Schuchardt K: Ein Betrag chirurgischen Kieferorthodopadie unter Berucksichtigung ihrer Bedeutung fur die Behandlung angeborener und erworbener kieferdeformitaten bei Soldaten. Dtsch Zahn mund Kieferheil 1942;9;73
  18. Trauner R, Obwegeser H: The surgical correction of mandibular prognathism and retrognathia with consideration of genioplasty. Part I. Surgical procedures to correct mandibular prognathism and reshaping of chin Oral Surg 1957;10;677 https://doi.org/10.1016/S0030-4220(57)80063-2
  19. Trauner R, Obwegeser H: The surgical correction of mandibular prognathism and retrognathia with consideration of genioplasty. Part II. Operating method for micriognathia and distocclusion Oral Surg 1957;10;899 https://doi.org/10.1016/S0030-4220(57)80041-3
  20. Hunsuck EE: A modified intraoral sagittal splitting technique for correction of mandibular prognatjism J Oral Maxillofac Surg 1968;26:250
  21. 박재억, 김종렬, 백형선 등, 악교정 수술학, 서울: 나래출판사, 2003
  22. Feinerman DM, Dieeunch JF: Long-term effect for the orthognathic surgery observation of the Temporomandibular joint: Comparision of rigid and nonrigid fixation method Int J Oral maxillofac Surg 1995;24;268-72 https://doi.org/10.1016/S0901-5027(95)80026-3
  23. Skoczylas LJ, Ellis E 3rd, Fonseca RJ, Gallo WJ: Stability of stimultaneous maxillary intrusion and mandibular advance : a comparision of rigid and nonrigid fixation technique J Oral Maxillofac Surg 1988;46;156-64
  24. Ellis E III, Gaylord S, Throckmorton, Duglas P: Bite force before and after surgical correction of mandibular prognathism J Oral Maxillofac Surg 1996;54;176-81 https://doi.org/10.1016/S0278-2391(96)90443-7
  25. Throckmorton GS, Buschang PH, Ellis E: Improvement of maximum occlusal forces after orthognathic surgery 1996;54;1080 https://doi.org/10.1016/S0278-2391(96)90165-2
  26. Zarrinkelk HM, Throckmorton GS, Ellis E: Function and morphologic changes combined maxillary intrusion and mandibular advancement surgery J Oral Maxillofac Surg 1996;54;929
  27. 서울대학교 치과대학편: 악안면 신경과학,1995
  28. MacIntosh R: Experience with the sagittal osteotomy of the mandibular ramus: A 13 year review J Maxillofac Surg 1981;8;51
  29. Behrman S: Complications associated with orthognathic surgery, in Irby E Current advances in Oral Surgery St. Louis, CV Mosby Co 1989
  30. Cook R, hinrichsen G: The mandibular sagittal split osteotomy.A clinical and cephalometric review Trans Conger Int Assoc Oral Surg 1973;4;252
  31. Freihofer H: Result of osteotomies of the facial skeletal in adolescence J Maxillofac Surg 1977;5;267 https://doi.org/10.1016/S0301-0503(77)80121-5
  32. Soutris F: Sagittal splitting and bicortical screw fixation of the ascending ramus J Maxillofac Surg 1978;6;196