Beta
382203

Comparison of Electromyographic Muscle Activity and Occlusal Accuracy Between the Conventional and CAD/CAM Neutral Zone Complete Dentures (Randomized Controlled Clinical Trial)

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Prosthodontics

Abstract

Aim: This study aimed to evaluate and compare the occlusal force distribution, measured with the T-Scan system, and electromyographic activity, assessed during static and dynamic tests with the Myowise device, between conventional and CAD/CAM neutral zone (NZ) complete dentures. Materials and Methods: This within-subject randomized controlled clinical trial involved eight completely edentulous patients, each receiving two types of NZ complete dentures: Conventionally (Group I) and CAD/CAM (Group II). The patients were randomly assigned to use one of the dentures first before switching to the other. At the time of denture insertion, occlusal force distribution was assessed using a T-scan. After two months, electromyographic activity was measured with a Myowise device. The independent t-test was used for intergroup comparisons. Results: Group II showed higher occlusal force distribution and greater mean muscle activity of the temporalis (TA) and masseter (MM) muscles during the static test (clenching) compared to Group I; however, these differences were not statistically significant. Group II also exhibited less asymmetry in TA and MM muscle activity between the right and left sides during the static test, without statistical significance difference. During the dynamic test (chewing), no significant differences in muscle activity were observed between the two groups on the "working side" and "balancing side" (p > 0.05). Conclusion: The NZ technique ensures balanced occlusal forces and optimal muscle coordination in complete dentures, whether created with CAD/CAM or conventional methods. Both approaches are equally successful in producing stable and functional dentures.

DOI

10.21608/asdj.2024.310965.1431

Keywords

electromyography, CAD/CAM, Dental impression technique, complete denture

Authors

First Name

Omnia

Last Name

Refai

MiddleName

M.

Affiliation

23 Ahmed Alzhomour 10th district , nasr city.

Email

omnia_refaie@dent.asu.edu.eg

City

-

Orcid

0000-0002-4912-6515.

First Name

Sara

Last Name

Soliman

MiddleName

Ibrahim

Affiliation

oral and maxillofacial prosthodontics, faculty of dentistry, Ain shams universitty

Email

saraibrahim@dent.asu.edu.eg

City

cairo

Orcid

0000-0003-0953-6402

First Name

Omar

Last Name

Al-Sadat

MiddleName

Abbas

Affiliation

Oral and Maxillofacial Prosthodontics,Faculty of Dentistry, Ain Shams University

Email

omar.elsadat@asfd.asu.edu.eg

City

Cairo

Orcid

0009000851109782

Volume

35

Article Issue

3

Related Issue

50595

Issue Date

2024-09-01

Receive Date

2024-08-18

Publish Date

2024-09-01

Page Start

12

Page End

23

Print ISSN

1110-7642

Online ISSN

2735-5039

Link

https://asdj.journals.ekb.eg/article_382203.html

Detail API

https://asdj.journals.ekb.eg/service?article_code=382203

Order

382,203

Type

Original articles

Type Code

1,638

Publication Type

Journal

Publication Title

Ain Shams Dental Journal

Publication Link

https://asdj.journals.ekb.eg/

MainTitle

Comparison of Electromyographic Muscle Activity and Occlusal Accuracy Between the Conventional and CAD/CAM Neutral Zone Complete Dentures (Randomized Controlled Clinical Trial)

Details

Type

Article

Created At

28 Dec 2024