Electromyographic analysis of masticatory and neck muscles in subjects with natural dentition, teeth-supported and implant-supported prostheses

OBJECTIVES: To compare the electromyographic (EMG) characteristics of masticatory and neck muscles in patients with natural dentition, teeth-supported prostheses and implant-supported prostheses. MATERIALS AND METHODS: Twenty-five subjects aged 40-80 years were examined. Five patients had maxillary and mandibular implant-supported fixed prostheses; five patients had mandibular implant-supported fixed prosthesis and maxillary removable complete denture; seven patients had implant-supported fixed prosthesis (one arch) and natural dentition or full-arch tooth-fixed prosthesis (one arch); and eight control subjects had natural dentition or single tooth-fixed prostheses. Surface EMG of masseter, temporal and sternocleidomastoid muscles was performed during maximum teeth clenching and unilateral gum chewing. Interarch dental contacts were assessed with shim stocks. RESULTS: All groups had similar interarch dental contacts (P>0.05). During clenching, patients with maxillary and mandibular implant-supported fixed prostheses had unbalanced standardized masseter and temporalis anterior activities (74%), with significantly larger values found in the other patients and control subjects (all mean values larger than 86%, P=0.017). All patients chewed with significantly larger muscular potentials than control subjects (on average, 1434-2100 microV s vs. 980 microV s, P=0.04), and had altered muscular patterns (left side, P=0.021). The patients with one arch with natural dentition/tooth fixed prostheses had chewing muscular patterns similar to the control subjects. CONCLUSIONS: Clenching with the analyzed prostheses was performed with a relative increment of temporalis activity. Neuromuscular coordination during chewing was larger in patients who maintained their teeth or dental roots, independently from the number of dental contacts