부산대학교 도서관

Statement of problem. The determination of a correct vertical dimension of occlusion is a critical procedure in clinical dentistry. Purpose. The objectives of this study were to analyze the relation between mandibular rest position and electrical activity of masticatory muscles and to compare clinical and electromyographic rest position in subjects with different vertical facial morphologic features. Material and methods. Clinical rest position and electromyographic rest position were investigated in 40 subjects. Electromyographic rest position ranged from 0.4 to 12.7 mm (average 7.7 [+ or -] 2.7 mm). Clinical rest position ranged from 0.1 to 4.4 mm (average 1.4 [+ or -] 1.1 mm). The average difference between electromyographic rest position and clinical rest position was 6.3 [+ or -] 2.5 mm (range 0.3 to 10.3 mm). Sixteen subjects were selected according to the Frankfort mandibular plane angle and separated in two groups with the first group (eight subjects) having a mandibular plane angle [less than or equal to]20 degrees and the second group having a mandibular plane angle [greater than or equal to]28 degrees. Results. Rest position was significantly greater (p < 0.05) in the low-angle group (2 [+ or -] 1.3 mm) than in the high-angle group (0.8 [+ or -] 0.8 mm). Electromyographic rest position did not differ between subjects with different facial morphologic features (8.1 [+ or -] 1.7 mm low-angle group; 7.6 [+ or -] 4.1 mm high-angle group). By varying the vertical dimension millimeter by millimeter, masseter and anterior temporal electromyographic activity demonstrated a considerable decrease over an interocclusal distance of 3 to 4 mm. Further mandibular opening up to 18 mm corresponded to small changes in postural activity. Conclusion. This study suggests that a jaw posture with a few millimeters of interocclusal distance involves a great reduction of masticatory muscle activity. (J Prosthet Dent 1997;78:48-53.)