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Maximum bilateral bite strength and RMS EMG for the diagnosis of myogenic TMD


Temporomandibular joint disorders

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Pires PF, Pelai EB, Moraes M de, Carletti EM de C, Foltran Mescollotto F, Berzin F, et al. Maximum bilateral bite strength and RMS EMG for the diagnosis of myogenic TMD. Braz. J. Oral Sci. [Internet]. 2023 Mar. 24 [cited 2024 Apr. 15];22(00):e238358. Available from:


Aim: The study aimed to evaluate the accuracy of the maximum bilateral molar bite force and the Root Mean Square (RMS) Electromyography (EMG) index of the masticatory muscles in the maximum bilateral molar bite (MMBMax) of women with myogenic Temporomandibular Disorder (TMD) and asymptomatic. Methods: This is a cross-sectional study, composed of 86 women allocated to the TMD Group (n=43) and Control Group (n=43) diagnosis through the Diagnostic Criteria for Temporomandibular Disorders. The maximum bilateral molar bite force was evaluated using a bite dynamometer and the RMS EMG index of the masticatory muscles (anterior temporalis, masseter) during 5 seconds of the MMBMax task. Student t-test was used for data comparison between accuracy of the bite force and RMS EMG of masticatory muscles during the MMBMax. Results: The maximum bilateral molar bite force showed high accuracy (AUC=0.99) for the diagnosis of women with myogenic TMD and asymptomatic women, and the RMS EMG index evaluated during the MMBMax showed a moderate level of accuracy for all masticatory muscles (AUC=0.70 to 0.75). Conclusion: The bilateral bite dynamometer with a surface EMG during bilateral bite can be used to diagnose TMD in young women.


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Copyright (c) 2022 Paulo Fernandes Pires, Elisa Bizetti Pelai, Marcio de Moraes, Ester Moreira de Castro Carletti, Fabiana Foltran Mescollotto, Fausto Berzin, Delaine Rodrigues Bigaton


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