151. 573 Neuromuscular Activation During Reverse and Non-Reverse Chewing Cycles in Children with Unilateral Posterior Crossbite
- Author
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Piancino, M G, Farina, D, Talpone, F, Merlo, A, Vallelonga, T, Frongia, G, and Bracco, P
- Abstract
Introduction: Posterior unilateral crossbite is an asymmetric malocclusion developing early, during childhood, originating from a skeletal or dental malrelationship. Children with this malocclusion exibit diskinetic reverse chewing patterns which are characterized by a completely altered neuromuscular activation and coordination.Aim: The aim of this study was to characterize the mandibular kinematics and the neuromuscular of children with unilateral posterior crossbite.Material and Methods: Eighty-two children (8.6 +/-; 1.3 yr of age) with unilateral posterior crossbite and 12 children (8.9 +/-; 0.6 yr of age) with normal occlusion were selected for the study. Electromyography (EMG) and kinematics were concurrently recorded during mastication.Results: The percentage of reverse chewing in the group of patients was 59.0 +/-; 33.1% (soft bolus) and 69.7 +/-; 29.7% (hard bolus) when chewing on the crossbite side. When chewing on the nonaffected side, the number of reverse cycles was 16.7 +/-; 24.5% (soft bolus) and 16.7 +/-; 22.3% (hard bolus). The reverse cycles on the crossbite side were slgnificantly narrower with respect to the cycles on the non-affected side and resulted in lower EMG activity of the masseter of the crossbite side; the activity of the contralateral masseter was larger for reverse than non-reverse chewing cycles.Conclusions: The clinical significance of these results is that, in children with unilateral posterior crossbite, the neuromuscular coordination is completely altered establishing a severe functional and muscular asymmetry which should be corrected as early as possible to let the children a balanced growth.
- Published
- 2010
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