Effect of Implant Support for Prostheses on Electromyographic Activity of Masseter Muscle and Jaw Movement in Patients After Mandibular Fibula Free Flap Reconstruction

Kenji Fueki, Eleni D. Roumanas, Keith E. Blackwell, Earl Freymiller, Elliot Abemayor, Weng Kee Wong, Krishan K. Kapur, Neal Garrett

研究成果: Article同行評審

6 引文 斯高帕斯(Scopus)

摘要

Purpose: Dental implants are used to stabilize, support, and retain prostheses in the mandible following fibula free ap reconstruction. A previous longitudinal prospective study showed that an implant-supported prosthesis (IP) provided additional improvement in masticatory performance compared to a conventional prosthesis (CP). Therefore, in this paper, the impact of implant retention and support of mandibular prostheses on neuromuscular function is reported via a within-subject analysis. Materials and Methods: Forty-six participants were enrolled in the study. Prosthetic treatment with a CP was completed in 33 subjects following oromandibular resection and fibula free ap reconstruction. Twenty-five subjects completed evaluation of the CP after an adaptation period. Standardized masticatory tests with peanuts were given to subjects on the defect and nondefect chewing sides. Electromyography (EMG) of masseter muscles and jaw movement was performed and recorded simultaneously in 19 of these subjects. IP treatment was then completed in 16 of these subjects, and 15 of them participated in the IP evaluation after an adaptation period. Of these 15 subjects, 13 completed EMG and jaw movement recordings for both CP and IP. Results: EMG activity of the defect-side masseter muscle increased significantly from CP to IP conditions when chewing on either side, but no significant change was found for nondefect-side muscle activity. Jaw movement parameters showed no significant changes from CP to IP. Conclusion: In patients restored with mandibular fibula free ap reconstruction, implant support for mandibular prostheses has the benefit of permitting greater muscle effort on the defect side, irrespective of the side on which the bolus is being chewed. The impact of an IP on jaw movements is limited. INT J ORAL MAXILLOFAC IMPLANTS 2014;29:162-170. doi: 10.11607/jomi.3197

原文English
頁(從 - 到)162-170
頁數9
期刊International Journal of Oral and Maxillofacial Implants
29
發行號1
DOIs
出版狀態Published - 2020

All Science Journal Classification (ASJC) codes

  • 口腔外科

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