Electromyographic Analysis of the Masticatory Muscles of Patients After Complete Rehabilitation of Occlusion with Protection by Non-working Side Contacts

Surface electromyography was used to study the function of the anterior temporal, surface masseter, deep masseter and anterior digastric muscles of 14 patients after complete rehabilitation of occlusion with fixed prostheses and/or removable partial prostheses. All patients had a balanced occlusion with protection by non-working side contacts during lateral excursion. Mean resting myoelectric activity was 2.5-3.8 microV, showing no hypertonia or muscular spasm. When patients clenched their teeth (i.e. exerted maximum voluntary occlusal force in centric occlusion), the anterior temporal muscles were the most active, followed by the surface masseters; the digastrics were significantly less active. During lateral displacements, the muscles exhibiting significantly higher potentials than the other muscles monitored were the working side anterior temporal muscle and the contralateral surface masseter. During mastication, the muscle that was most active in relation to its contralateral homologue was the working side surface masseter, the difference between the two being statistically significant.