Use of Tens in the Diagnosis of Functional Mandibular Lateral Deviation
Introduction: The traditional diagnosis of functional lateral deviation is based on a clinical evaluation and dental casts, supported by an instrumental analysis through X-rays; however, these diagnostic techniques do not provide any information about the neuromuscular system. Several years ago, som...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-12-01
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| Series: | Applied Sciences |
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| Online Access: | https://www.mdpi.com/2076-3417/13/24/13258 |
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| author | Eleonora Ortu Sara Di Nicolantonio Alessandra Mummolo Ruggero Cattaneo Davide Pietropaoli Annalisa Monaco |
| author_facet | Eleonora Ortu Sara Di Nicolantonio Alessandra Mummolo Ruggero Cattaneo Davide Pietropaoli Annalisa Monaco |
| author_sort | Eleonora Ortu |
| collection | DOAJ |
| description | Introduction: The traditional diagnosis of functional lateral deviation is based on a clinical evaluation and dental casts, supported by an instrumental analysis through X-rays; however, these diagnostic techniques do not provide any information about the neuromuscular system. Several years ago, some authors stressed the importance of the mandibular rest position and its reproducibility as a diagnostic reference, and this became possible with the development of the Myomonitor, TENS. Aim: The aim of this study was to compare mandible position before and after the use of ultra-low-frequency transcutaneous electric nervous stimulation (ULFTENS) in children with diagnosed functional mandibular lateral deviation. Methods: This study was performed on 60 children, aged between 8 and 13 years, with a mean age of 10.1 years (SD 0.81), and with functional mandibular lateral deviation diagnosed clinically, who were referred to the dental clinic for pediatric dental care. Diagnostic neuromuscular registrations were made for all children, and their casts were mounted on a Galetti articulator at the myocentric position. These casts were then compared to those provided by a wax bite registration in the intercuspidal position. Results: Compared with the existing intercuspidal position, neuromuscular registration showed improvement in 30 (50%) patients, 18 patients (30%) showed no changes, and worsening of the tooth midline discrepancy was assessed in the remaining 12 (20%). The molar relationship did not follow the same trend of the midline because of the three-dimensional changes in the maxillo–mandibular relationship induced by TENS. After TENS, there was a significant correlation between the midline and right side deviation (r > 0.65); there was no correlation between the midline and the left side (r < 0.65). Furthermore, the right molar movement showed no correlation with the contralateral molar (r < 0.65). The posterior areas of the arch moved in a very unpredictable way, resulting in the diagnosis and prognosis of mandibular lateral deviation as absolutely individual and unpredictable. Conclusions: This study suggests that TENS-recorded occlusion is an interesting diagnostic approach in orthodontics since it allows for visualizing the trends of the neuromuscular system. |
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| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-08T21:02:08Z |
| publishDate | 2023-12-01 |
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| series | Applied Sciences |
| spelling | doaj.art-ef7f05a097e0420dbe313433fcaa89be2023-12-22T13:52:02ZengMDPI AGApplied Sciences2076-34172023-12-0113241325810.3390/app132413258Use of Tens in the Diagnosis of Functional Mandibular Lateral DeviationEleonora Ortu0Sara Di Nicolantonio1Alessandra Mummolo2Ruggero Cattaneo3Davide Pietropaoli4Annalisa Monaco5Dental Unit, MESVA Department, University of L’Aquila, Piazzale Salvatore Tommasi 11, 67100 L’Aquila, ItalyDental Unit, MESVA Department, University of L’Aquila, Piazzale Salvatore Tommasi 11, 67100 L’Aquila, ItalyDental Unit, MESVA Department, University of L’Aquila, Piazzale Salvatore Tommasi 11, 67100 L’Aquila, ItalyDental Unit, MESVA Department, University of L’Aquila, Piazzale Salvatore Tommasi 11, 67100 L’Aquila, ItalyDental Unit, MESVA Department, University of L’Aquila, Piazzale Salvatore Tommasi 11, 67100 L’Aquila, ItalyDental Unit, MESVA Department, University of L’Aquila, Piazzale Salvatore Tommasi 11, 67100 L’Aquila, ItalyIntroduction: The traditional diagnosis of functional lateral deviation is based on a clinical evaluation and dental casts, supported by an instrumental analysis through X-rays; however, these diagnostic techniques do not provide any information about the neuromuscular system. Several years ago, some authors stressed the importance of the mandibular rest position and its reproducibility as a diagnostic reference, and this became possible with the development of the Myomonitor, TENS. Aim: The aim of this study was to compare mandible position before and after the use of ultra-low-frequency transcutaneous electric nervous stimulation (ULFTENS) in children with diagnosed functional mandibular lateral deviation. Methods: This study was performed on 60 children, aged between 8 and 13 years, with a mean age of 10.1 years (SD 0.81), and with functional mandibular lateral deviation diagnosed clinically, who were referred to the dental clinic for pediatric dental care. Diagnostic neuromuscular registrations were made for all children, and their casts were mounted on a Galetti articulator at the myocentric position. These casts were then compared to those provided by a wax bite registration in the intercuspidal position. Results: Compared with the existing intercuspidal position, neuromuscular registration showed improvement in 30 (50%) patients, 18 patients (30%) showed no changes, and worsening of the tooth midline discrepancy was assessed in the remaining 12 (20%). The molar relationship did not follow the same trend of the midline because of the three-dimensional changes in the maxillo–mandibular relationship induced by TENS. After TENS, there was a significant correlation between the midline and right side deviation (r > 0.65); there was no correlation between the midline and the left side (r < 0.65). Furthermore, the right molar movement showed no correlation with the contralateral molar (r < 0.65). The posterior areas of the arch moved in a very unpredictable way, resulting in the diagnosis and prognosis of mandibular lateral deviation as absolutely individual and unpredictable. Conclusions: This study suggests that TENS-recorded occlusion is an interesting diagnostic approach in orthodontics since it allows for visualizing the trends of the neuromuscular system.https://www.mdpi.com/2076-3417/13/24/13258TENSlateral deviationmyocentric positiongrowing patients |
| spellingShingle | Eleonora Ortu Sara Di Nicolantonio Alessandra Mummolo Ruggero Cattaneo Davide Pietropaoli Annalisa Monaco Use of Tens in the Diagnosis of Functional Mandibular Lateral Deviation Applied Sciences TENS lateral deviation myocentric position growing patients |
| title | Use of Tens in the Diagnosis of Functional Mandibular Lateral Deviation |
| title_full | Use of Tens in the Diagnosis of Functional Mandibular Lateral Deviation |
| title_fullStr | Use of Tens in the Diagnosis of Functional Mandibular Lateral Deviation |
| title_full_unstemmed | Use of Tens in the Diagnosis of Functional Mandibular Lateral Deviation |
| title_short | Use of Tens in the Diagnosis of Functional Mandibular Lateral Deviation |
| title_sort | use of tens in the diagnosis of functional mandibular lateral deviation |
| topic | TENS lateral deviation myocentric position growing patients |
| url | https://www.mdpi.com/2076-3417/13/24/13258 |
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