Development of a personalized device for the study of masticatory and temporal muscles in patients with TMJ dysfunction

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Abstract

BACKGROUND: The current gold standard for diagnosing a masticatory muscle condition is electromyography (EMG). This method allows us to evaluate the bioelectric potential of the muscle selected for diagnosis, bioelectric rest, the average amplitude of the biopotentials, the time of one chewing cycle, and the number of chewing movements performed. EMG is used in dental practice, and the electrodes are attached to the skin with glue or an electrically conductive gel. Installation often takes a long time and the reliability of the results decreases due to the movement of the sensors. Furthermore, when conducting several EMG studies on a patient at various stages of treatment, the motor point may not be in the same place, suggesting that the data obtained and any comparisons are inaccurate.

AIM: To design and develop a personalized device for performing masticatory muscle EMG with accurate repetition.

MATERIALS AND METHODS: Analysis of information in the literature made it possible to develop and produce a device for conducting EMG.

RESULTS: The technical result was a simplification of the methodology, including improved fixation of the sensors, which reduced the EMG time, and the ability to repeat the study at various stages of a patient’s treatment.

CONCLUSION: This device and EMG method provide a simplified way to obtain an accurate result in a shorter time. Thus, the data obtained would be representative if the study was repeated.

About the authors

Samvel V. Apresyan

Peoples’ Friendship University of Russia

Email: dr.apresyan@mail.ru
ORCID iD: 0000-0002-3281-707X

md, dr. sci. (med.), professor

Russian Federation, 117198, Moscow, Miklukho-Maklaya str., 6

Alexandr G. Stepanov

Peoples’ Friendship University of Russia

Email: stepanovmd@list.ru
ORCID iD: 0000-0002-6543-0998
SPIN-code: 5848-6077

md, dr. sci. (med.), professor

Russian Federation, 117198, Moscow, Miklukho-Maklaya str., 6

Irina D. Borodina

Peoples’ Friendship University of Russia

Author for correspondence.
Email: 7599839@gmail.com
ORCID iD: 0000-0002-4278-2026

assistant lecturer

Russian Federation, 6 Miklukho-Maklaya street, 117198 Moscow

Maksim A. Kiryushin

Peoples’ Friendship University of Russia

Email: Kirushinma@mail.ru
ORCID iD: 0000-0002-2834-5874

md, cand. sci. (med.), assistant professor

Russian Federation, 117198, Moscow, Miklukho-Maklaya str., 6.

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Sensors for “Kolibri” electromyography (Neurotech LLC, Waukesha, WI, USA) and the clamping screws.

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3. Fig. 2. Elastic band with transverse tape.

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4. Fig. 3. Polymer plugs created by 3D printing, and horizontal plates with rectangular holes and fixing screws.

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5. Fig. 4. Patient portrait photographs at the initial appointment: a — portrait photo 90 degrees to the right; b — full-face portrait photo; c — portrait photo 90 degrees to the left.

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6. Fig. 5. Photograph of the patient’s smile.

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7. Fig. 6. Intraoral photographs of the patient in occlusion.

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8. Fig. 7. Fixing the device during electromyography.

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9. Fig. 8. Modeling of the plugs, horizontal plates, and fixing the screws in the Blender program (Blender Foundation).

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