Comparative study on muscle activities of pre-and post-orthognathic surgery in skeletal Class III malocclusion patients and normal group

Jung, Kyung Jin; Sohn, Byung Wha

Abstract

Craniofacial region is a musculodentoskeletal system that consists of many anatomical structures ; cranioskeletal structures, dental arches, and formation and functions of masticatory muscles have close correlations. Growth and development of craniofacial region are influenced by not only hereditory factors, but also environmental factors such as craniofacial muscles and surrounding tissues. On the contrary, however, study on changes in functions or adaptations of craniofacial muscles following changes of craniofacial skeletal structures has been somewhat insufficient. The author's purpose was to observe correlations between masticatory muscular functions and change patterns according to cranial skeletal structures and occlusion patterns ; for this, comparative study of muscle activity changes of preand post- orthognathic surgery states in skeletal Cl III malocclusion patients was performed. The selected sample groups were 15 normal male patients, 15 skeletal CI Ill pre-orthognatic surgery patients and 15 skeletal CI Ill post-orthognatic surgery patients. For each sample groups, cephalometric x-ray taking, masticatory efficiency test and measurements of muscle activities in anterior temporal muscle, masseter and upper lip in rest, clenching, chewing and swallowing were carried out. The following results were obtained: 1. In resting state of mandible, pre-surgery malocclusion group showed higher m activities in ant. temporalis, masseter and upper lip than post-surgery group. Post-surg, malocc. group showed significantly high m. activity only in upper lip compared to the normal group. 2. In clenching state, post-surg. malocc. group showed higher m. activities in ant. temporalis, masseter and upper lip than pre-surg. malocc. group. 3. In chewing state, post-surg. malocc. group showed higher m. activities in ant. temporalis and masseter than pre-surg, malocc. group ; on the other hand, decreased upper lip activity was noticed. 4. In swallowing state, post-surg, malocc. group showed lower upper lip activity than pre-surg. malocc. group but higher than that of the normal group. No significant difference in m. activities of ant. temporalis and masseter was noticed among the three groups. 5. Masticatory efficiency was lower in pre-surg, malocc. group than normal group; masticatory efficiency showed an increase in post-surg. malocc. group compared to the pre-surg. malocc. group. However, both groups showed significant differences compared to the normal group.