Repeatability of the calibration protocol for EMG evaluation of the occlusion with the Teethan device

Authors

  • V. Bogdanov Department of Orthodontics, Faculty of Dental Medicine, Medical University – Sofia, Bulgaria Author

DOI:

https://doi.org/10.2478/AMB-2024-0059

Keywords:

surface EMG, Teethan, calibration, standardization of EMG signal

Abstract

Objective. The aim of the study was to investigate the repeatability of the calibration protocol performed by the Teethan® device (Teethan S.p.A. Italy) for surface electromyography (sEMG) when biting on cotton rolls to eliminate the effect of occlusal contacts. Materials and methods. Thirty-three fully dentate subjects aged 13-43 years (mean 21.33 years) of which 15 men and 18 women were enrolled in the study. All subjects had a good state of dental and periodontal health without temporomandibular disorders (TMDs). 
Each examined participant performed two distinct maximal voluntary clenches on cotton rolls: the first one for calibration of the device and the second one for recording of the signals. The results were presented as the indices: Percentage overlapping coefficient 
(POC), Barycenter (BAR), Torsion (TORS), Impact (IMPACT), Global index and Asymmetry (ASIM). Results. All the examined indices showed good repeatability during the test, compared with the normal values, determined by the manufacturer of the device. Some of 
the recorded indices were insignificantly lower than the norm (POC TA, POC MM, BAR and TORS). Global index and IMPACT were within the reference values and showed highest repeatability in this study. Conclusion. Instrument calibration is an important prerequisite 
for exact testing. The indices, recorded by this device are rather repeatable, with Global index and Impact found to be the most repeatable ones. The values of the measured indices show that the process of calibration is highly reliable.

References

Sforza C, Montagna S, Rosati R, De Menezes M. Immediate effect of an elastomeric oral appliance on the neuromuscular coordination of masticatory muscles: a pilot study in healthy subjects. J Oral Rehabil 2010; 37:840-7.

Sforza C, Rosati R, De Menezes M, et al. EMG analysis of trapezius and masticatory muscles: experimental protocol and data reproducibility. J Oral Rehabil. 2011 February 18. doi: 10.1111/j.1365-2842.2011.02208.x.

Suvinen TI, Malmberg J, Forster C, Kemppainen P. Postural and dynamic masseter and anterior temporalis muscle EMG repeatability in serial assessments. J Oral Rehabil 2009; 36:814-20.

Tartaglia GM, Lodetti G, Paiva G, et al. Surface electromyographic assessment of patients with long lasting temporomandibular joint disorder pain. J Electromyogr Kinesiol 2011; 21:659-64.

Tecco S, Crincoli V, Di Bisceglie B, et al. Relation between facial morphology on lateral skull radiographs and sEMG activity of head, neck, and trunk muscles in Caucasian adult females. J Electromyogr Kinesiol 2011; 21:298-310.

Castroflorio T, Bracco P, Farina D. Surface electromyography in the assessment of jaw elevator muscles. J Oral Rehabil 2008; 35:638-45.

Ferrario VF, Tartaglia GM, Luraghi FE, Sforza C. The use of surface electromyography as a tool in differentiating temporomandibular disorders from neck disorders. Man Ther. 2007 Nov; 12(4):372-9. doi: 10.1016/j.math.2006.07.013.

Forrester SE, Allen SJ, Presswood RG, et al. Neuromuscular function in healthy occlusion. J Oral Rehabil 2010; 37:663-9.

Hugger A, Hugger S, Schindler HJ. Surface electromyography of the masticatory muscles for application in dental practice. Current evidence and future developments. Int J Comput Dent. 2008; 11(2):81-106.

Ferrario VF, Serrao G, Dellavia C, et al. Relationship between the number of occlusal contacts and masticatory muscle activity in healthy young adults. Cranio. 2002 Apr; 20(2):91-8. doi: 10.1080/08869634.2002.11746196.

Trovato F, Orlando B, Bosco M. Occlusal features and masticatory muscles activity. A review of electromyographic studies. Stomatologija. 2009; 11(1):26-31.

Helkimo E, Carlsson GE, Helkimo M. Bite force and state of dentition. Acta Odontol Scand. 1977; 35(6):297-303. doi: 10.3109/00016357709064128.

Bakke M. Mandibular elevator muscles: physiology, action, and effect of dental occlusion. Scand J Dent Res. 1993 Oct; 101(5):314-31. doi: 10.1111/j.1600-0722.1993.tb01127.x.

Kerstein RB. Combining technologies: a computerized occlusal analysis system synchronized with a computerized electromyography system. Cranio. 2004 Apr; 22(2):96-109. doi: 10.1179/crn.2004.013.

Christensen LV, Rassouli NM. Experimental occlusal interferences. Part II. Masseteric EMG responses to an intercuspal interference. J Oral Rehabil. 1995 Jul; 22(7):521-31. doi: 10.1111/j.1365-2842.1995.tb01198.x.

Baba K, Tsukiyama Y, Clark GT. Reliability, validity, and utility of various occlusal measurement methods and techniques. J Prosthet Dent. 2000 Jan; 83(1):83-9. doi: 10.1016/s0022-3913(00)70092-8.

Burden A, Bartlett R. Normalisation of EMG amplitude: an evaluation and comparison of old and new methods. Med Eng Phys. 1999; 21:247-257.

Ferrario VF, Sforza C, Tartaglia GM. Commentary to Suvinen and Kemppainen (JOR 2007;34:631-44). J Oral Rehabil. 2009 Jan; 36(1):9-10. doi: 10.1111/j.1365-2842.2008.01889.x.

De Felício CM, Sidequersky FV, Tartaglia GM, Sforza C. Electromyographic standardized indices in healthy Brazilian young adults and data reproducibility. J Oral Rehabil. 2009 Aug; 36(8):577-83. doi: 10.1111/j.1365-2842.2009.01970.x.

Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kinesiol. 2000;10(5):361-74. 11.

Ferrario VF, Sforza C, Colombo A, Ciusa V, An electromyographic investigation of masticatory muscles symmetry in normo-occlusion subjects. J Oral Rehabil, 2000 Jan; 27(1):33-40.

Ferrario VF, Sforza C, Zanotti G, Tartaglia GM. Maximal bite forces in healthy young adults as predicted by surface electromyography. J Dent. 2004 Aug; 32(6):451-7. doi: 10.1016/j.jdent.2004.02.009.

Naeije M, McCarroll RS, Weijs WA. Electromyographic activity of the human masticatory muscles during submaximal clenching in the inter-cuspal position. J Oral Rehabil. 1989 Jan; 16(1):63-70. doi: 10.1111/j.1365-2842.1989.tb01318.x.

Klasser GD, Okeson JP. The clinical usefulness of surface electromyography in the diagnosis and treatment of temporomandibular disorders. J Am Dent Assoc. 2006 Jun;137(6):763-71. doi: 10.14219/jada.archive.2006.0288.

Manfredini D, Cocilovo F, Favero L. Surface electromyography of jaw muscles and kinesiographic recordings: diagnostic accuracy for myofascial pain. J Oral Rehabil. 2011 Nov;38(11):791-9. doi: 10.1111/j.1365-2842.2011.02218.x.

Saracutu OI, Pollis M, Cagidiaco EF, et al. Repeatability of Teethan® indexes analysis of the masseter and anterior temporalis muscles during maximum clenching: a pilot study. Clin Oral Investig. 2023 Sep; 27(9):5309-5316. doi: 10.1007/s00784-023-05150-8. Epub 2023 Jul 28.

Ferrario VF, Sforza C, D’Addona A, Miani A Jr. Reproducibility of electromyographic measures: a statistical analysis. J Oral Rehabil. 1991; 18(6):513-21. 12.

Im YG, Han SH, Park JI, et al. Repeatability of measurements of surface electromyographic variables during maximum voluntary

contraction of temporalis and masseter muscles in normal adults. J Oral Sci. 2017;59(2):233-245. doi: 10.2334/josnusd.16-0434.

Castroflorio T, Icardi K, Torsello F, et al. Reproducibility of surface EMG in the human masseter and anterior temporalis muscle areas. Cranio. 2005 Apr; 23(2):130-7. doi: 10.1179/crn.2005.018.

Ferrario VF, Sforza C, Miani A Jr, et al. Electromyographic activity of human masticatory muscles in normal young people. Statistical evaluation of reference values for clinical applications. J Oral Rehabil. 1993 May; 20(3):271-80. doi: 10.1111/j.1365-2842.1993.tb01609.x.

Downloads

Published

04.10.2024

How to Cite

Bogdanov, V. (2024). Repeatability of the calibration protocol for EMG evaluation of the occlusion with the Teethan device. Acta Medica Bulgarica, 51(Suppl 2), 95-101. https://doi.org/10.2478/AMB-2024-0059