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Predictors of the masticatory muscle activity during chewing in patients with myogenous temporomandibular disorder

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Abstract

Objectives

The aim of the study was to identify predictors of the masticatory muscle activity during chewing (MMA) of the masseter and temporalis anterior (TA) muscles in patients with unilateral myogenous temporomandibular disorder (mTMD).

Materials and methods

This observational and cross-sectional study included 109 patients diagnosed with unilateral mTMD. Surface electromyography was used to separately evaluate the MMA of the masseter and TA on the affected and unaffected sides. Also, pain intensity (with a visual analog scale), pressure pain threshold (with an algometer), active pain-free maximum mouth opening and temporomandibular joint lateral movements (with a ruler), cervical range of motions (with a goniometer), and TMD severity (with a Fonseca Anamnestic Index) were assessed. Various statistical methods were used to predict the MMA of the masseter and TA, including standard, forward, and best subsets multiple regression models.

Results

While there were significant correlations between the MMA of the masseter and TA and pain intensity, pressure pain threshold values, and TMD severity, they were not found with other variables. These parameters were also predictive factors for MMA of both muscles (p < 0.05).

Conclusions

According to the present study, pain intensity, muscle and joint tenderness, and the severity of the disorder are predictive factors for MMA of the masseter and TA muscles in patients with mTMD. It is recommended that these parameters be considered when establishing clinical evaluation and treatment programs focusing on MMA in patients with mTMD.

Clinical relevance

The pain intensity, masticatory muscles and TMJ tenderness, and disorder severity are predictors for MMA of the masseter and TA in patients with mTMD. Pain intensity has the most significant importance.

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Funding

No funding was obtained for this study.

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Authors and Affiliations

  1. Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Karamanoğlu Mehmetbey University, Karaman, Turkey

    Nazım Tolgahan Yıldız & Hikmet Kocaman

  2. Kamil Özdağ Faculty of Science, Department of Mathematics, Karamanoğlu Mehmetbey University, Karaman, Turkey

    Hasan Yıldırım

Authors
  1. Nazım Tolgahan Yıldız
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  2. Hikmet Kocaman
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  3. Hasan Yıldırım
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Contributions

N.T.Y. and H.K. contributed to data acquisition, conception, design, and data interpretation, and drafted and critically revised the manuscript. H.Y. contributed to the conception, design, and data interpretation, performed the statistical analysis, and, drafted and critically revised the manuscript. All authors approved the final version of the manuscript.

Corresponding author

Correspondence to Nazım Tolgahan Yıldız.

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Competing interests

The authors declare no competing interests.

Ethics approval and consent to participate

This study was approved by the Karamanoğlu Mehmetbey University Faculty of Medicine Clinical Research Ethics Committee (Decision no: 06–2022/12). Written informed consent was obtained from all patients who were given detailed information about the study. The study was conducted in accordance with the principles of the Declaration of Helsinki.

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The authors declare no competing interests.

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Yıldız, N.T., Kocaman, H. & Yıldırım, H. Predictors of the masticatory muscle activity during chewing in patients with myogenous temporomandibular disorder. Clin Oral Invest 27, 6547–6558 (2023). https://doi.org/10.1007/s00784-023-05260-3

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  • DOI: https://doi.org/10.1007/s00784-023-05260-3

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