关键词: 重度深覆, 平面导板, 升高距离, 肌电活动

Abstract:

Objective To analyze changes of myoelectrical activity of anterior funicle of temporal muscle（TA） and masseter muscle（MM） after raising vertical distance of occlusion by flat bite plate during treatment of deep overbite in order to approach an optimal raised vertical distance. Methods A total of 70 persons were selected and divided into two groups: Experiment group（36 patients） with deep overbite and control group（34 persons） with individual normal occlusion. The experiment group was subdivided into three groups that were respectively raised D, D+2 mm and D+4 mm（D means free way space, mm）. Electromyologram（EMG） was utilized to measure the average  peak potential of TA and MM on quiescent condition before treatment and two weeks after wearing flat bite plate. Results 1）Before treatment, the average peak potential of experiment group was obviously higher than that of the control group（P<0.05）. 2）After two weeks the potential of TA and MM of all persons in experiment group was obviously lower than before（P<0.05）, the degree between the group D+2 mm and the group D+4 mm was not manifestly different, but both of the two groups were more obvious than the group D. Conclusion The raised vertical distance of occlusion by flat bite plate, which exceeded free way space, was favourable to the functional recovery of masticatory muscles.

Key words: deep overbite, flat bite plate, raised dimension, myoelectrical activity