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To prevent relapse after orthodontic treatment, retention is often considered
indispensable. Soft tissues are thought to have a significant influence
on dental movements.To quantify the influence of masticatory
muscles on post-treatment relapse, and in an attempt to avoid unnecessary
procedures, 2 male orthodontic patients (13 and 30 years old at
debonding) were followed up. The patients completed 2 years of fixed
orthodontic treatment and received no post-orthodontic retention.
After 1 week and again after 6 months, alginate impressions of dental
arches and a surface electromyographic (EMG) assessment of the
masseter and temporalis muscles during maximum voluntary clenching
were performed. The younger patient received surface EMG monitoring
once a month for the first 6 months and at the 1-year follow-up
appointment. Arch dimensions and the 3-dimensional inclination of
the facial axis of the clinical crown (FACC) were measured using a
computerized digitizer. Symmetry in muscular contraction was measured
by the percentage overlapping coefficient (POC), and potential
lateral displacing components were assessed by the torque coefficient
(TC). At the 6-month follow-up, no clinical modifications were observed.
Quantitative evaluation assessed that arch dimensions had
changed slightly (up to 1 mm).While the adolescent patient had no
modifications in FACC inclinations, the 30-year-old patient showed
significant alterations (up to 18 degrees). In all examinations of the
adolescent patient, POC was higher than 86% and TC was lower than
10%. In the adult, POC was inside the normal range,while all TCs were
higher than 10.5%. The larger TC measured in the adult may explain
the larger modifications in the 3-dimensional position of his dental
crowns. In conclusion, a surface EMG assessment may help in the detection
of patients who might need post-orthodontic retention.
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