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Marinelli F, Venegas C, Alarcón J, Navarro P, Fuentes R. Chewing Analysis by Means of Electromagnetic Articulography: Current Developments and New Possibilities. SENSORS (BASEL, SWITZERLAND) 2023; 23:9511. [PMID: 38067884 PMCID: PMC10708825 DOI: 10.3390/s23239511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Revised: 11/02/2023] [Accepted: 11/20/2023] [Indexed: 12/18/2023]
Abstract
Chewing is a complex procedure that involves sensory feedback and motor impulses controlled by the trigeminal system in the brainstem. The analysis of mandibular movement is a first approximation to understanding these mechanisms. Several recording methods have been tested to achieve this. Video, ultrasound, the use of external markers and kinesiographs are examples of recording systems used in research. Electromagnetic articulography is an alternative method to those previously mentioned. It consists of the use of electromagnetic fields and receiver coils. The receiver coils are placed on the points of interest and the 3D coordinates of movement are saved in binary files. In the Oral Physiology Laboratory of the Dental Sciences Research Center (Centro de Investigación en Ciencias Odontológicas-CICO), in the Faculty of Dentistry at the Universidad de La Frontera (Temuco, Chile) several research studies have been carried out using the AG501 3D EMA articulograph (Carstens Medizinelektronik, Lenglern, Germany). With this device, they developed a series of protocols to record mandibular movement and obtain new information, such as the 3D Posselt polygon, the area of each polygon, individualized masticatory cycles and speed and acceleration profiles. Other investigations have analyzed these parameters, but separately. The AG501 allows for holistic analysis of all these data without altering natural movement. A limitation of this technology is the interference generated by its metallic elements. The aim of the present work is to show the developed methods used to record mandibular movement in the CICO, using the AG501 and compare them with others used in several research studies.
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Affiliation(s)
- Franco Marinelli
- Research Centre in Dental Sciences (CICO-UFRO), Dental School—Facultad de Odontología, Universidad de La Frontera, Temuco 4780000, Chile; (F.M.); (C.V.); (J.A.); (P.N.)
| | - Camila Venegas
- Research Centre in Dental Sciences (CICO-UFRO), Dental School—Facultad de Odontología, Universidad de La Frontera, Temuco 4780000, Chile; (F.M.); (C.V.); (J.A.); (P.N.)
| | - Josefa Alarcón
- Research Centre in Dental Sciences (CICO-UFRO), Dental School—Facultad de Odontología, Universidad de La Frontera, Temuco 4780000, Chile; (F.M.); (C.V.); (J.A.); (P.N.)
- Doctoral Program in Morphological Sciences, Dental School, Universidad de La Frontera, Temuco 4780000, Chile
| | - Pablo Navarro
- Research Centre in Dental Sciences (CICO-UFRO), Dental School—Facultad de Odontología, Universidad de La Frontera, Temuco 4780000, Chile; (F.M.); (C.V.); (J.A.); (P.N.)
- Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Temuco 4780000, Chile
| | - Ramón Fuentes
- Research Centre in Dental Sciences (CICO-UFRO), Dental School—Facultad de Odontología, Universidad de La Frontera, Temuco 4780000, Chile; (F.M.); (C.V.); (J.A.); (P.N.)
- Department of Integral Adults Dentistry, Dental School—Facultad de Odontología, Universidad de La Frontera, Temuco 4780000, Chile
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Wiechens B, Paschereit S, Hampe T, Wassmann T, Gersdorff N, Bürgers R. Changes in Maximum Mandibular Mobility Due to Splint Therapy in Patients with Temporomandibular Disorders. Healthcare (Basel) 2022; 10:healthcare10061070. [PMID: 35742121 PMCID: PMC9222556 DOI: 10.3390/healthcare10061070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Revised: 06/06/2022] [Accepted: 06/07/2022] [Indexed: 11/16/2022] Open
Abstract
Splint therapy is widely used in the treatment of myofascial pain, but valid studies on the efficacy of this therapy are rare. The purpose of the present study was to investigate which qualifiable and quantifiable effects of splint therapy are detectable. For this purpose, 29 patients (21 women, mean age 44.6 ± 16 years) diagnosed with myofascial pain (RDC/TMD) were investigated in this prospective clinical trial (10/6/14An). Patients were treated with Michigan splints applied overnight for three months. Before (T1) and after three months of treatment (T2), patients were registered with an electronic ultrasound device with qualitative and quantitative evaluation of the registrations and a qualitative assessment of pain symptoms using a verbal analog scale. Significant differences were found between maximum mouth opening (MMP) (p < 0.001) and right condylar movement (CM) at MMP (p = 0.045). Qualitative assessment revealed that 24 of 29 patients experienced an improvement in pain symptoms, 17 of whom experienced complete remission. The results of the qualitative and quantitative analysis provide indications of the effectiveness of the splint therapy. In addition to quantitative measurements, the ultrasound facebow technique was also able to provide qualitative information.
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Affiliation(s)
- Bernhard Wiechens
- Department of Prosthodontics, University Medical Center Göttingen, 37075 Göttingen, Germany; (S.P.); (T.H.); (T.W.); (N.G.); (R.B.)
- Department of Orthodontics, University Medical Center Göttingen, 37075 Göttingen, Germany
- Correspondence:
| | - Svea Paschereit
- Department of Prosthodontics, University Medical Center Göttingen, 37075 Göttingen, Germany; (S.P.); (T.H.); (T.W.); (N.G.); (R.B.)
| | - Tristan Hampe
- Department of Prosthodontics, University Medical Center Göttingen, 37075 Göttingen, Germany; (S.P.); (T.H.); (T.W.); (N.G.); (R.B.)
| | - Torsten Wassmann
- Department of Prosthodontics, University Medical Center Göttingen, 37075 Göttingen, Germany; (S.P.); (T.H.); (T.W.); (N.G.); (R.B.)
| | - Nikolaus Gersdorff
- Department of Prosthodontics, University Medical Center Göttingen, 37075 Göttingen, Germany; (S.P.); (T.H.); (T.W.); (N.G.); (R.B.)
| | - Ralf Bürgers
- Department of Prosthodontics, University Medical Center Göttingen, 37075 Göttingen, Germany; (S.P.); (T.H.); (T.W.); (N.G.); (R.B.)
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Chuhuaicura P, Lezcano MF, Dias FJ, Fuentes AD, Arias A, Fuentes R. Mandibular border movements: The two envelopes of motion. J Oral Rehabil 2020; 48:384-391. [PMID: 33151578 DOI: 10.1111/joor.13124] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Accepted: 10/26/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND The envelope of motion is a diagrammatic representation of the mandibular border movements. Classically, those movements are carried out eccentrically; starting from the position of maximal intercuspation, the mandible describes an excursion movement until reaching maximal mouth opening. Reverse movements would describe a different path, but up to now concentric development of mandibular border movements has not been considered. Literature states that beyond mandibular border movements limits, no movement is possible. Therefore, it is of great interest to compare both paths-both envelopes of motion-and define the actual limits of mandibular movement. OBJECTIVE The aim of this study was to compare the geometric characteristics of mandibular border movements carried out eccentrically and concentrically by healthy subjects. METHODS Sixteen individuals aged between 18 and 27 years, molar class I and with no temporomandibular disorders, participated in the study. Eccentric and concentric mandibular movements were recorded using a 3D electromagnetic articulograph. Data were processed with computational scripts developed in MATLAB. Maximum mouth opening, trajectories, displacement ranges, polygon areas and chewing cycle area/ mandibular border movements area ratio were analysed. RESULTS The frontal plane showed significant differences in all the parameters evaluated. Higher values were registered in the concentric area of the border movement envelope (P = .008) and in the trajectories on both sides. Statistical differences were observed in polygon areas (P = .006) in the sagittal plane and right ranges (P = .046) in the horizontal plane. CONCLUSION Concentric mandibular movements revealed significant differences in three-dimensional trajectories in the frontal plane.
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Affiliation(s)
- Priscila Chuhuaicura
- Dental School, Research Centre in Dental Sciences (CICO), Universidad de La Frontera, Temuco, Chile.,Department of Integral Adults Dentistry, Dental School, Universidad de La Frontera, Temuco, Chile
| | - María Florencia Lezcano
- Dental School, Research Centre in Dental Sciences (CICO), Universidad de La Frontera, Temuco, Chile.,Department of Integral Adults Dentistry, Dental School, Universidad de La Frontera, Temuco, Chile.,Laboratorio de Cibernética, Departamento de Bioingeniería, Facultad de Ingeniería, Universidad Nacional de Entre Ríos, Entre Ríos, Argentina
| | - Fernando José Dias
- Dental School, Research Centre in Dental Sciences (CICO), Universidad de La Frontera, Temuco, Chile.,Department of Integral Adults Dentistry, Dental School, Universidad de La Frontera, Temuco, Chile
| | - Aler Daniel Fuentes
- Institute for Research in Dental Sciences, Faculty of Dentistry, Universidad de Chile, Santiago, Chile.,Oral Physiology Laboratory, Faculty of Medicine, Biomedical Sciences Institute, Universidad de Chile, Santiago, Chile
| | - Alain Arias
- Dental School, Research Centre in Dental Sciences (CICO), Universidad de La Frontera, Temuco, Chile.,Department of Integral Adults Dentistry, Dental School, Universidad de La Frontera, Temuco, Chile
| | - Ramón Fuentes
- Dental School, Research Centre in Dental Sciences (CICO), Universidad de La Frontera, Temuco, Chile.,Department of Integral Adults Dentistry, Dental School, Universidad de La Frontera, Temuco, Chile
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Adly MS, Adly AS, Adly AS. Assessment of early orthodontic treatment on functional shifts by telemonitoring mandibular movements using a smart phone. J Telemed Telecare 2018; 26:150-160. [PMID: 30373447 DOI: 10.1177/1357633x18800876] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Introduction To assess effect of orthodontic treatment on anterior or lateral functional shift in mixed dentition stage by telemonitoring mandibular movements in four-dimensions using a novel objective method that can assist in orthodontics and other dental specialties without the need of expensive, bulky or complicated equipment. Methods A sample of 60 patients was divided into two groups. Group I included 30 patients with normal occlusion and TMJ functions. Group II included 30 patients that were diagnosed with an abnormal path of closure in antero-posterior or transverse directions due to disharmony between centric occlusion and centric relation. The latter group was orthodontically treated and mandibular movements were measured before, during, directly after orthodontic treatment, and one year after treatment using our proposed method. To evaluate validity and reliability of our method, it was compared with two methods, a commercially available mandibular scanner, and a low-cost graphical method that utilizes a sheet of wax and a stylus. Results It was found that the overall differences between opening and closing curves of our proposed method and the other two methods were small and negligible (p > 0.05). Discussion It was found that our proposed method is offering a reasonably accurate, simple and rapid way to telemonitor the mandible movements in four-dimensions using the rear/front camera of any smart-phone.
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Affiliation(s)
- Mahmoud Sedky Adly
- Faculty of Oral and Dental Medicine, Orthodontics and Dentofacial Orthopedics, Bioinformatics, Cairo University, Egypt
| | - Aya Sedky Adly
- Faculty of Computers and Information, Computer Science, Helwan University, Egypt
| | - Afnan Sedky Adly
- Kasr El Aini Medical School, Laser Applications in Physical Medicine, Physical Therapy for Cardiovascular-Respiratory Disorders and Geriatrics, Cairo University, Egypt
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Affiliation(s)
- Angelika Rauch
- Department of Prosthodontics and Materials Science, University of Leipzig, Leipzig, Germany
| | - Oliver Schierz
- Department of Prosthodontics and Materials Science, University of Leipzig, Leipzig, Germany
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