Evaluation of the Possible Correlation Between Dental Occlusion and Craniomandibular Disorders by Means of Teethan® Electromyography: Clinical-Observational Study on 20 Patients
Vito Crincoli, Alessio Danilo Inchingolo, Alessio Danilo Inchingolo, Grazia Marinelli, Rosalba Lagioia, Paola Bassi, Claudia Ciocia, Francesca Calò, Roberta Deodato, Giulia Marsella, Francesco Inchingolo, Andrea Palermo, Mario Dioguardi, Angela Pia Cazzolla, Mariasevera Di Comite, Maria Grazia Piancino, Angelo Michele Inchingolo, Angelo Michele Inchingolo, Gianna Dipalma
Abstract
Background: Temporomandibular disorders are a generic term referred to clinical conditions involving the jaw muscles and temporomandibular joint with multifactorial pattern and genetic background. The aim of this observational study was to investigate the correlation between craniomandibular disorders and the presence of occlusal alterations. A clinical evaluation of the occlusal and articular status of the patients was carried out, integrating the latter with the electromyographic recording the activity of the masseter and temporalis muscles. Methods: A clinical observational study on 20 adults assessed temporomandibular disorders using DC/TMD criteria, anamnesis, clinical exams, occlusal and electromyographic analyses. Occlusion was evaluated morphologically and functionally. Electromyography tested static/dynamic muscle activity. Data were statistically analyzed using t-tests and Pearson correlation (p < 0.05). Results: Electromyographic analysis revealed significant differences between subjects with and without visual correction, suggesting that visual input influences masticatory muscle activity. Correlations emerged between occlusal asymmetries and neuromuscular parameters. These findings highlight clinical implications for mandibular function, muscle symmetry, and the potential for therapeutic rebalancing through targeted interventions. Conclusions: The study demonstrates a significant correlation between visual–motor integration and masticatory muscle efficiency. It emphasizes lateralized neuromuscular activation’s influence on occlusal contact distribution. Moreover, it identifies mandibular torsion–endfeel inverse correlation as a potential diagnostic marker for craniomandibular dysfunctions via surface electromyography.