Teranelly, M., Gad, M., El Ashwah, A., Fahmy, R., Elemary, W. (2019). EMG COMPARISON BETWEEN MASTICATORY MUSCLES WHEN USING NARROW DIAMETER IMPLANT ASSISTED MANDIBULAR OVERDENTUES. test, 44(3), 22-27. doi: 10.21608/adjalexu.2019.63551
Mostafa M. Teranelly; Muhammed A. Gad; Adham A. El Ashwah; Rania A. Fahmy; Wafaa S. Elemary. "EMG COMPARISON BETWEEN MASTICATORY MUSCLES WHEN USING NARROW DIAMETER IMPLANT ASSISTED MANDIBULAR OVERDENTUES". test, 44, 3, 2019, 22-27. doi: 10.21608/adjalexu.2019.63551
Teranelly, M., Gad, M., El Ashwah, A., Fahmy, R., Elemary, W. (2019). 'EMG COMPARISON BETWEEN MASTICATORY MUSCLES WHEN USING NARROW DIAMETER IMPLANT ASSISTED MANDIBULAR OVERDENTUES', test, 44(3), pp. 22-27. doi: 10.21608/adjalexu.2019.63551
Teranelly, M., Gad, M., El Ashwah, A., Fahmy, R., Elemary, W. EMG COMPARISON BETWEEN MASTICATORY MUSCLES WHEN USING NARROW DIAMETER IMPLANT ASSISTED MANDIBULAR OVERDENTUES. test, 2019; 44(3): 22-27. doi: 10.21608/adjalexu.2019.63551

EMG COMPARISON BETWEEN MASTICATORY MUSCLES WHEN USING NARROW DIAMETER IMPLANT ASSISTED MANDIBULAR OVERDENTUES

Alexandria Dental Journal
Article 4, Volume 44, Issue 3, December 2019, Pages 22-27    PDF (508.39 K)
Document Type: Original Article
DOI: 10.21608/adjalexu.2019.63551
Authors
Mostafa M. Teranelly* 1; Muhammed A. Gad2; Adham A. El Ashwah3; Rania A. Fahmy4; Wafaa S. Elemary5
1Al-azhr University, Faculty of Dentistry, Cairo, Egypt
2Professor of Prosthodontics, Alexandria University Faculty of Dentistry, Alex
3Assist. Prof. Oral and Maxillofacial Surgery, Alexandria University Faculty of Dentistry
4Lecturer of Oral Medicine & Periodontology, Alexandria University Faculty of Dentistry
5Lecturer of Physical Medicine & Rheumatology, Alexandria University, Faculty of Medicine
Abstract
INTRODUCTION: One of the primary objectives of complete dentures is to restore masticatory function in people who have lost their natural teeth. Patients wearing conventional complete denture (CD) often complain of instability of the mandibular denture leading to a feeling of insecurity, inefficient mastication, and overall dissatisfaction with the prosthesis. Implant mandibular overdentures (IOD) constitute a secure therapeutic alternative, affording a great patient’s satisfaction and masticatory efficiency. The most common problem in implant dentistry is the presence of insufficient bone volume to receive the conventional size of dental implants. The 2-pieces narrow diameter implants were introduced into the market combining the undisturbed healing period required for proper osseointegration and the avoidance of time, cost and morbidity of extensive surgeries for bone augmentation. OBJECTIVES: The aim of the current work was to evaluate and compare the electromyographic (EMG) activity of masseter and anterior temporalis muscles when using three different treatment protocols i.e. (conventional CDs, two and four IODs). MATERIALS AND METHODS: Eight completely edentulous patients were selected from the prosthetic department, Faculty of dentistry, Alexandria University. Implant mandibular assisted overdentures were constructed for each patient using narrow diameter implants and delayed loading protocol. EMG activity of masseter and anterior temporalis muscles during habitual chewing and maximal voluntary clenching were recorded for each of the studied patients in the three different treatment protocols. RESULTS: EMG activity of masseter and anterior temporalis muscles of IOD was significantly lower with conventional CD than with IOD. Patients with four IOD showed higher EMG activity of masticatory muscles and better function compared to two IOD. Masticatory muscles activity during clenching was significantly higher than during chewing. CONCLUSIONS: It was concluded that IODs have great masticatory efficiency when compared to CD. Implants number affect masticatory efficiency and muscle activity in cases of severely resorbed mandibular ridge.
Keywords
Narrow implant; overdenture; masticatory efficiency and Electromyography
References
  1. Huumonen S, Haikola B, Oikarinen K, Soderholm AL, Remes-Lyly T, Sipila K. Residual ridge resorption, lower denture stability and subjective complaints among edentulous individuals. J Oral Rehabil. 2012;39:384-90.
  2. Branemark P-I. Osseointegration and its experimental background. J Prosthet Dent. 1983;50:399-410.
  3. Christensen GJ. The 'mini'-implant has arrived. J Am Dent Assoc. 2006;137:387-90.
  4. Andersen E, Saxegaard E, Knutsen BM, Haanaes HR. A prospective clinical study evaluating the safety and effectiveness of narrow-diameter threaded implants in the anterior region of the maxilla. Int J Oral Maxillofac Implants. 2001;16:217-24.
  5. Chiapasco M, Zaniboni M, Boisco M. Augmentation procedures for the rehabilitation of deficient edentulous ridges with oral implants. Clin Oral Implants Res. 2006;17:136-59.
  6. Nkenke E, Weisbach V, Winckler E, Kessler P, Schultze-Mosgau S, Wiltfang J, et al. Morbidity of harvesting of bone grafts from the iliac crest for preprosthetic augmentation procedures: a prospective study. Int J Oral Maxillofac Surg. 2004;33:157-63.
  7. Chiapasco M, Casentini P, Zaniboni M. Bone augmentation procedures in implant dentistry. Int J Oral Maxillofac Implants. 2009;24:237-59.
  8. Chiapasco M, Casentini P, Zaniboni M, Corsi E, Anello T. Titanium-zirconium alloy narrow-diameter implants (Straumann Roxolid (R)) for the rehabilitation of horizontally deficient edentulous ridges: prospective study on 18 consecutive patients. Clin Oral Implants Res. 2012;23:1136-41.
  9. Galindo-Moreno P, Nilsson P, King P, Becktor J, Speroni S, Schramm A, et al. Clinical and radiographic evaluation of early loaded narrow diameter implants - 1- year follow-up. Clin Oral Implants Res. 2012;23:609- 16.
  10. Davarpanah M, Martinez H, Tecucianu JF, Celletti R, Lazzara R. Small-diameter implants: indications and contraindications. J Esthet Dent. 2000;12:186-94.
  11. Morneburg TR, Proschel PA. Success rates of microimplants in edentulous patients with residual ridge resorption. Int J Oral Maxillofac Implants. 2008;23:270- 6.
  12. Al-Nawas B, Bragger U, Meijer HJ, Naert I, Persson R, Perucchi A, et al. A double-blind randomized controlled trial (RCT) of Titanium-13Zirconium versus Titanium Grade IV small-diameter bone level implants in edentulous mandibles--results from a 1-year observation period. Clin Implant Dent Relat Res. 2012;14:896-904.
  13. Cho SC, Froum S, Tai CH, Cho YS, Elian N, Tarnow DP. Immediate loading of narrow-diameter implants with overdentures in severely atrophic mandibles. Pract Proced Aesthet Dent. 2007;19:167-74.
  14. Ding X, Zhu XH, Liao SH, Zhang XH, Chen H. Implantbone interface stress distribution in immediately loaded implants of different diameters: a three-dimensional finite element analysis. J Prosthodont. 2009;18:393-402.
  15. Esposito M, Grusovin MG, Coulthard P, Worthington HV. Different loading strategies of dental implants: a Cochrane systematic review of randomised controlled clinical trials. Eur J Oral Implantol. 2008;1:259-76.
  16. Oliveira NM, Shaddox LM, Toda C, Paleari AG, Pero AC, Compagnoni MA. Methods for evaluation of masticatory efficiency in conventional complete denture wearers: a systematized review. Oral Health Dent Manag. 2014;13:757-62.
  17. Elsyad MA, Hegazy SA, Hammouda NI, Al-Tonbary GY, Habib AA. Chewing efficiency and electromyographic activity of masseter muscle with three designs of implant-supported mandibular overdentures. A cross-over study. Clin Oral Implants Res. 2014;25:742-8. 
  18. Lekholm U, Zarb GA. Patient selection and preparation. In: Branemark PI, Zarb GA, Albrektsson T (eds). Tissue integrated prostheses: osseointegration in clinical dentistry. Chicago: Quintessence Publishing Company; 1985. p 199-209.
  19. Wulfman C, Hadida A, Rignon-Bret C. Radiographic and surgical guide fabrication for implant-retained mandibular overdenture. J Prosthet Dent. 2010;103:53- 7.
  20. Boerrigter EM, Geertman ME, Van Oort RP, Bouma J, Raghoebar GM, van Waas MA, et al. Patient satisfaction with implant-retained mandibular overdentures. A comparison with new complete dentures not retained by implants--a multicentre randomized clinical trial. Br J Oral Maxillofac Surg. 1995;33:282-8.
  21. Feine JS, Carlsson GE, Awad MA, Chehade A, Duncan WJ, Gizani S, et al. The McGill consensus statement on overdentures. Mandibular two-implant overdentures as first choice standard of care for edentulous patients. Montreal, Quebec, May 24-25, 2002. Int J Oral Maxillofac Implants. 2002;17:601-2.
  22. Meijer HJ, Raghoebar GM, Batenburg RH, Visser A, Vissink A. Mandibular overdentures supported by two or four endosseous implants: a 10-year clinical trial. Clin Oral Implants Res. 2009;20:722-8.
  23. Kendrick S, Wong D. Vertical and horizontal dimensions of implant dentistry: numbers every dentist should know. Inside Dent. 2009:e4287.
  24. Sierra-Sanchez JL, Martinez-Gonzalez A, Garcia-Sala Bonmati F, Manes-Ferrer JF, Brotons-Oliver A. Narrow-diameter implants: are they a predictable treatment option? A literature review. Med Oral Patol Oral Cir Bucal. 2014;19:e74-81.
  25. Cochran DL, Morton D, Weber HP. Consensus statements and recommended clinical procedures regarding loading protocols for endosseous dental implants. Int J Oral Maxillofac Implants. 2004;19:109- 13.
  26. Esposito M, Grusovin MG, Chew YS, Coulthard P, Worthington HV. One-stage versus two-stage implant placement. A Cochrane systematic review of randomised controlled clinical trials. Eur J Oral Implantol. 2009;2:91-9.
  27. Elsyad MA, Hegazy SA, Hammouda NI, Al-Tonbary GY, Habib AA. Chewing efficiency and electromyographic activity of masseter muscle with three designs of implant-supported mandibular overdentures. A cross-over study. Clin Oral Implants Res. 2014;25:742-8.
  28. Abdelhamid A, Metwally N, Imam M. The effect of two different attachments with implant retained mandibular overdentures on the masticatory function. J Dent Oral Disord Ther. 2016;4:1-9.
  29. Kimoto K, Fushima K, Tamaki K, Toyoda M, Sato S, Uchimura N. Asymmetry of masticatory muscle activity during the closing phase of mastication. Cranio. 2000;18:257-63.
  30. Oncins MC, Vieira MM, Bommarito S. Electromyography of the masticatory muscles: analysis in the original and RMS value. Revista CEFAC. 2014;16:1215-21.
  31. Ciccone de Faria Tdos S, Hallak Regalo SC, Thomazinho A, Vitti M, de Felicio CM. Masticatory muscle activity in children with a skeletal or dentoalveolar open bite. Eur J Orthod. 2010;32:453-8.
  32. Preoteasa E, Imre M, Lerner H, Tancu AM, Preoteasa CT. Narrow Diameter and Mini Dental Implant Overdentures. Emerging Trends in Oral Health Sciences and Dentistry: In Tech; 2015.
  33. Burns DR, Unger JW, Elswick RK Jr, Beck DA. Prospective clinical evaluation of mandibular implant overdentures: Part I--Retention, stability, and tissue response. J Prosthet Dent. 1995;73:354-63.
  34. Bakke M, Holm B, Gotfredsen K. Masticatory function and patient satisfaction with implant-supported mandibular overdentures: a prospective 5-year study. Int J Prosthodont. 2002;15:575-81.
  35. van Kampen FM, van der Bilt A, Cune MS, Bosman F. The influence of various attachment types in mandibular implant-retained overdentures on maximum bite force and EMG. J Dent Res. 2002;81:170-3.
  36. Karkazis HC. EMG activity of the masseter muscle in implant supported overdenture wearers during chewing of hard and soft food. J Oral Rehabil. 2002;29:986-91.
  37. von der Gracht I, Derks A, Haselhuhn K, Wolfart S. EMG correlations of edentulous patients with implant overdentures and fixed dental prostheses compared to conventional complete dentures and dentates: a systematic review and meta-analysis. Clin Oral Implants Res. 2017;28:765-73.
  38. Ucankale M, Akoglu B, Ozkan Y, Ozkan YK. The effect of different attachment systems with implant-retained overdentures on maximum bite force and EMG. Gerodontology. 2012;29:24-9.
  39. Stellingsma K, Slagter AP, Stegenga B, Raghoebar GM, Meijer HJ. Masticatory function in patients with an extremely resorbed mandible restored with mandibular implant-retained overdentures: comparison of three types of treatment protocols. J Oral Rehabil. 2005;32:403-10
  40. Zitzmann NU, Marinello CP. [Patient satisfaction with removable implant-supported prostheses in the edentulous mandible]. Schweiz Monatsschr Zahnmed. 2006;116:237-44.
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