OJST  Vol.2 No.1 , March 2012
Complete dentures with Nóbilo’s sliding plates: A condylar position and electromyograph analysis
Abstract: Objective: This study was performed with the purpose a report clinical cases involving condylar position and Nóbilo’s sliding plates. Background: Patients may present temporomandibular disorder (TMD), which is characterized by pain in masticatory muscles, temporomandibular joints and limited mandible movements. Treatment involving oral rehabilitation with the use of complete dentures with Nóbilo’s sliding plates has been an alternative for the treatment of TMD. Materials and Methods: Nine patients with a history of TMD signs and symptoms (RDC/TMD)—in particular, muscular and articular pain—received pain evaluations, mandibular movement analysis, transcranial radiography and an electromyographic analysis of the masseter and temporalis muscles before and after the use of complete dentures with Nóbilo’s sliding plates. Results: After treatment, the patients had reduced painful symptoms, an increase in mandibular movement and adequate electromyographic activity. The normalized EMG data were ta-bulated and analyzed statistically using SPSS version 17.0 for Windows (SPSS Inc., Chicago, IL, USA), and the values were compared by umpaired independent Student’s t-test. Conclusion: The use of Nóbilo’s sliding plates promoted improvements in electromyographic activity, muscular pain and man-dibular movement.
Cite this paper: Pavão, R. , Hotta, T. , Palinkas, M. , Nassar, M. , Siéssere, S. , Regalo, S. , Celino, C. , Semprini, M. and Bataglion, C. (2012) Complete dentures with Nóbilo’s sliding plates: A condylar position and electromyograph analysis. Open Journal of Stomatology, 2, 16-20. doi: 10.4236/ojst.2012.21003.

[1]   Zuccolotto, M.C.C., Vitti, M., Nóbilo, K.A., Regalo, S.C.H., Siéssere, S. and Bataglion, C. (2007) Electromyographic evaluation of masseter and anterior temporalis muscles in rest position of edentulous patients with temporomandibular disorders, before and after using complete dentures with sliding plates. Gerodontology, 24, 105-110. doi:10.1111/j.1741-2358.2007.00152.x

[2]   Hotta, P.T., Hotta, T.H., Bataglion, C., Bataglion, S.A., De Souza Coronatto, E.A., Siéssere, S. and Regalo, S.C. (2010) EMG analysis after laser acupuncture in patients with temporomandibular dysfunction (TMD). Implications for practice. Complementary Therapies in Clinical Practice, 16, 158-160. doi:10.1016/j.ctcp.2010.01.002

[3]   Rigon, M., Pereira, L.M., Bortoluzzi, M.C., et al. (2011) Arthroscopy for temporomandibular disorders. Cochrane Database of Systematic Reviews, 11, 5.

[4]   Troeltzsch, M., Troeltzsch, M., Cronin, R.J., et al. (2011) Prevalence and association of headaches, temporomandibular joint disorders, and occlusal interferences. Journal of Prosthetic Dentistry, 105, 410-417. doi:10.1016/S0022-3913(11)60084-X

[5]   Hotta, P.T., Hotta, T.H., Bataglion, C., et al. (2008) Bite force in temporomandibular dysfunction (TMD) and heal- thy complete denture wearers. Brazilian Dental Journal, 19, 354-357. doi:10.1590/S0103-64402008000400012

[6]   Dervis, E. (2004) Changes in temporomandibular disorders after treatment with new complete dentures. Journal of Oral Rehabilitation, 31, 320-326. doi:10.1046/j.1365-2842.2003.01245.x

[7]   Nowlin, T.P. and Nowlin, J.H. (1995) Examination and occlusal analysis of the masticatory system. Dental Clinics of North America, 39, 379-401.

[8]   Bataglion, C., Hotta, T.H., Borges, M.A.G., et al. (2003) Avalia??es clínica. electromiográfica e do posicionamento condilar de paciente tratado com placa oclusal: caso clínico. Stoma, 14, 17-21.

[9]   Zuccolotto, M.C.C., Nóbilo, K.A., Nunes, L.J., et al. (1999) Sliding plates on complete dentures as a treatment of temporomandibular disorder: A case report. Journal of Craniomandibular Practice, 17, 289-292.

[10]   Hermens, H.J., Freriks, B., Merletti, R., et al. (1999) European recommendations for surface electromyography, roessingh research and development B.V., results of SENIAN project. Enschede, Netherlands.

[11]   Di Paolo C., D’Ambrosio, F., Panti, F., et al. (2006) The condyle-fossa relationship in temporomandibular disorders. Considerations on the pathogenetic role of the disc. Minerva Stomatol, 55, 409-422.

[12]   Reis, A.C., Hotta, T.H., Ferreira-Jer?nymo, R.R., et al. (2000) Ear symptomatology and occlusal factors: A clinical report. Journal of Prosthetic Dentistry, 83, 21-24. doi:10.1016/S0022-3913(00)70084-9

[13]   Manfredini, D., Cocilovo, F., Favero, L., et al. (2011) Surface electromyography of jaw muscles and kinesiographic recordings: Diagnostic accuracy for myofascial pain. Journal of Oral Rehabilitation, 38, 791-799. doi:10.1111/j.1365-2842.2011.02218.x

[14]   De Félicio, C.M., Freitas, R.L. and Bataglion, C. (2007) The effects of orofacial myofunctional therapy combined with an occlusal splint on signs and symptoms in a man with TMD-hypermobility: Case study. International Journal of Orofacial Mycology, 33, 21-29.

[15]   Gross, S.M. and Vacchiano, R.B. (1973) Personality correlates of patients with temporomandibular pain dysfunction. Journal of Prosthetic Dentistry, 30, 326-329. doi:10.1016/0022-3913(73)90191-1

[16]   Ingawalé, S. and Goswami, T. (2009) Temporomandibular joint: Disorders, treatments, and biomechanics. Annals of Biomedical Engineering, 37, 976-996. doi:10.1007/s10439-009-9659-4

[17]   Silva, M.A., Issa, J.P., Vitti, M., et al. (2006) Electromyographical analysis of the masseter muscle in dentulous and partially toothless patients with temporomandibular joint disorders. Electromyography and Clinical Neurophysiology, 46, 263-268.

[18]   Hotta, T.H., Vicente, M.F., Dos Reis, A.C., et al. (2003) Combination therapies in the treatment of temporomandibular disorders: A clinical report. Journal of Prosthetic Dentistry, 89, 536-539. doi:10.1016/S0022-3913(03)00077-5

[19]   Landulpho, A.B., Silva, W.A., Silva, F.A., et al. (2004) Electromyographic evaluation of masseter and anterior temporalis muscles in patients with temporomandibular disorders following interocclusal appliance treatment. Journal of Oral Rehabilitation, 31, 95-98.