Prague Med. Rep. 2021, 122, 201-211

https://doi.org/10.14712/23362936.2021.17

Does Systemic Arterial Hypertension Change the Function of the Stomatognathic System?

João Batista Mattos Lellis1, Tânia de Freitas Borges2, Richard Honorato de Oliveira1, Marcelo Palinkas1,3, Jaime Eduardo Cecilio Hallak3,4, Selma Siéssere1,3, Simone Cecilio Hallak Regalo1,3

1Department of Basic and Oral Biology, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
2Department of Dental Prosthesis, Technical School of Health, Federal University of Uberlândia, Uberlândia, Brazil
3National Institute and Technology – Translational Medicine (INCT.TM), São Paulo, Brazil
4Department of Neuroscience and Behavioral Sciences, Faculty of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil

Received October 10, 2020
Accepted August 3, 2021

The aim of this study was to evaluate the stomatognathic system of individuals with controlled systemic hypertension through comparison with a disease-free control group. Seventy individuals (44 female and 26 male) were divided into two groups: a controlled systemic hypertension (n=35) and a disease-free control (n=35). The individuals were evaluated on the basis of masticatory cycle efficiency of the value of the ensemble-averaged integrated linear envelope to the electromyographic signal of the masseter and temporalis muscles in the habitual (peanuts and raisins) and non-habitual chewing (Parafilm M); molar bite force (right and left) and ultrasound images from the bilateral masseter and temporal muscles at rest and maximum voluntary contraction. The data obtained were tabulated and submitted to statistical analysis (p<0.05). There was a significant difference between groups in the habitual (peanuts and raisins) and non-habitual (Parafilm M) chewing with reduced muscle activity to controlled systemic hypertension group. Muscle thickness occurred significant difference between groups at rest and maximum voluntary contraction of the temporalis muscles. There was no significant difference between groups in maximum molar bite force. The present study findings indicate that the controlled systemic hypertension promotes functional changes of the masticatory system, especially with respect to its masticatory efficiency and muscle thickness.

Funding

This study was supported by the Fundação de Amparo a Pesquisa do Estado de São Paulo (FAPESP, Brazil), and National Institute and Technology – Translational Medicine (INCT.TM), São Paulo.

References

33 live references