Removable dentures and electrical activity of masticatory muscles in individuals with Parkinson’s disease

Jonatas Silva de Oliveira, Amanda do Vale Sobral, Taysa Vannoska de Almeida Silva, Maria das Graças Wanderley de Sales Coriolano, Carla Cabral dos Santos Accioly Lins
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Abstract

Purpose: to assess the influence of dentures on the electromyographic activity of masticatory muscles in individuals with Parkinson’s disease. Methods: an analytical, quantitative, cross-sectional study conducted at a public teaching hospital in 2017, assessing the stage of the disease, non-denture (ND) wearing, upper removable partial denture wearing (DW1), upper and lower removable partial denture wearing (DW2), and upper complete denture + lower removable partial denture wearing (DW3). The Student-Newman-Keuls test was used to compare the maximum voluntary muscle contraction between sides and between the denture wearing and non-denture wearing groups. Significance was set at α<0.05. Results: after applying the eligibility criteria, 41 patient records were included in the sample. The association between the stage of the disease and denture wearing showed predominance of DW2 in stage 1 (43%). A significant difference was found in the masseter muscle analysis between the non-denture wearing group and DW2 and DW3 (p=0.0018). As for the anterior temporalis muscle, there was a significant difference (p=0.0034) in three of the analysis groups (ND vs. DW2, ND vs. DW3, and DW1 vs. DW3). Conclusion: denture wearing has a negative impact on the electrical activity of masticatory muscles when compared with individuals who do not wear dentures and have natural teeth.
帕金森病患者的活动假牙和咀嚼肌的电活动
目的:探讨假牙对帕金森病患者咀嚼肌肌电活动的影响。方法:2017年在某公立教学医院进行分析、定量、横断面研究,评估疾病分期、非义齿(ND)佩戴、上肢可摘局部义齿佩戴(DW1)、上肢和下肢可摘局部义齿佩戴(DW2)、上肢全口义齿+下肢可摘局部义齿佩戴(DW3)情况。采用Student-Newman-Keuls试验比较两组间、两组间假牙佩戴组与非假牙佩戴组间的最大随意肌收缩量。显著性设为α<0.05。结果:应用入选标准后,入选病例41例。疾病分期与假牙佩戴之间的关联显示DW2在1期占优势(43%)。非义齿佩戴组与DW2、DW3的咬肌分析差异有统计学意义(p=0.0018)。在颞前肌方面,三个分析组(ND vs. DW2, ND vs. DW3, DW1 vs. DW3)差异有统计学意义(p=0.0034)。结论:佩戴假牙对咀嚼肌电活动有负面影响,与不佩戴假牙和拥有天然牙齿的个体相比。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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