The effect of masseter muscle strength on mandibular cortical bone thickness
DOI:
https://doi.org/10.32793/jrdi.v10i1.1368Keywords:
Masseter muscle, mandibular cortical bone, surface electromyography, panoramic radiographyAbstract
Objectives: The purpose of this study is to see the effect of the strength of the masticatory muscle (masseter muscle) on the thickness of the mandibular cortical bone.
Materials and Methods: The method of this study is a correlational research design. Sampling was conducted using a consecutive sampling method with a population of 50 patients aged 20-44 years at RSGM Maranatha Bandung who had panoramic radiography according to the inclusion and exclusion criteria during the period of March to May 2024.
Results: The results of this study involving 50 patients demonstrated a statistically significant correlation between masseter muscle strength and mandibular cortical bone thickness, with a correlation value of 35.16%. Based on the Pearson correlation test, the correlation coefficient was r = 0.593, indicating a moderate positive association. The maximum value of masseter muscle strength was 1.283 millivolts, while the minimum value was 0.00005 millivolts. The maximum mandibular cortical bone thickness value was 0.43, and the minimum value was 0.21.
Conclusion: This study shows that there is an effect of masseter muscle strength on mandibular cortical bone thickness.
Keywords: Masseter muscle, mandibular cortical bone, surface electromyography, panoramic radiography
References
1. Soboleva U, Laurina L, Slaidina A. The masticatory system - an overview. Stomatologija Baltic Dental and Maxillofacial Journal; 2015: 7 (3): 77-80.
2. Karolina Y, Sutardjo IR, Titien I, et al. Kajian pada anak suku Jawa usia 7–8 tahun. Jurnal Kedokteran Gigi; 2014: 5 (2) : 229-235.
3. Bakke M. Bite force and occlusion. Indonesia Journal of Orthodontics; 2016: 12 (2) : 120-126.
4. Flanagan D. Bite force and dental implant treatment. Medical devices: evidence and research; 2017: 10 (1): 141-148.
5. Riadiani B, Dewi RS, Ariani N. Tooth loss and perceived masticatory ability in post-menopausal women. Journal of Dentistry Indonesia; 2014: 21(1):1.
6. Madethen V, Dinda C,T Iara A, Cassasiona D. Mastikasi. Jurnal Kedokteran Gigi; 2015: 1 (1): 12.
7. C, Florentinus B. Pembacaan sinyal otot pada wajah dan sekitar kepala menggunakan sensor elektromiografi. Scientific Dental Journal; 2018: 8 (7): 1-8.
8. Oktavian A, Elieser, Anike, Iswanto D. Variasi foramen mentale pada tulang mandibula tengkorak manusia. Journal Biologi Papua; 2010: 2 (2): 47-52.
9. Sella-Tunis T, Pokhojaev A, Sarig R, O’Higgins P, May H. Human mandibular shape is associated with masticatory muscle force. Scientific Reports; 2018: 8 (1):1-10.
10. Donald R. Laub, Deepeik Narayana. Mandibular Fracture. International Journal Maxillofac Surgery; 2014: 1 (1): 1.
11. Noerjanto Rpb, Savitri Y, Cathryna Putri M. Sensitivitas, spesifisitas, dan akurasi pengukuran mental indeks pada radiografi panoramik wanita pascamenopause. Dentomaxillofacial Radiology Dental Journal; 2014: 5 (1): 8-13.
12. Choi JH, Lee SH, Hwang JH, Kim KS, Lee SY. Solitary Fibrous Tumor in The Temporalis Muscle: A Case Report and Literature Review. Arch Craniofac Surg. 2023 Oct 1;24(5):230–5.
13. Yusuf M, Shella I, Vivi A. Mutu radiografi digital ditinjau dari segi artefak. Jurnal Ilmiah Kedokteran gigi (e-Gigi); 2023: 11 (2) : 189-195.
14. Kemaladini S, Ratna W, Saputra D. Pengukuran panoramik mandibular indeks wanita menopause pada radiografi panoramik. Dentomaxillofacial Radiology Dental Journal; 2014: 5 (1) : 1-5.
15. Dara M, Yu Xiang L. Analisis ukuran sinus maksilaris menggunakan radiografi panoramik pada mahasiswa suku batak usia 20-30 tahun di fakultas kedokteran gigi sumatera utara. Dentika Dental Journal; 2014: 18 (2) : 101-104.
16. Kumper R, El-Destawy M. Mandibular parameters on cbct ana panoramic radiograph as predictors for age and gender. Al-Azhar Journal of Dental Science; 2017: 20 (4): 353-360.
17. Fauziah H, Sumarsongko T, Azhari A. Perbedaan ketinggian tulang kortikal mandibula antara penderita bruxism dan bukan penderita bruxism berdasarkan indeks panoramik mandibular. Jurnal Kedokteran Gigi Universitas Padjadjaran; 2020: 32 (2) : 113-118.
18. Petriasari R, Renwi Astuti E, Ratna W. Pengukuran radiografi panoramic mandibular indeks wanita dengan osteoporosis. Dentomaxillofacial Radiology Dental Journal. 2014: 5 (2) : 7-11.
19. Suei Y, Sanada M, Ohtuska M,Keiji T. Validation of dental panoramic radiography measures for identifying postmenopausal women with spinal osteoporosis. Journal of Roentgenology. 2005 : 183 (6) : 1755-60.
20. Buvinic S, Balanta-Melo J. Muscle-bone crosstalk in the masticatory system. Frontiers in Endocrinology; 2021: 1 (11) : 1-19.
21. Duncea I, Pop A, Georgescu CE. The Relationship between osteoporosis and the panoramic mandibular index. Human and veterinary medicine international journal of the bioflux society. 2015: 5 (1) : 14-18.
22. Dagistan S, Bilge OM. Comparison of antegonial index, mental index, panoramic mandibular index and mandibular cortical index values in the panoramic radiographs of normal males and male patients with osteoporosis. Dentomaxillofacial radiology journal; 2017: 39 (5) : 290-294.
23. Rajak R, Shrestha R, Koju S. Reliability of panoramic radiography in assesing gonial angle compared to lateral cephalogram in patients with class I malocclusion. Interdental Jurnal Kedokteran Gigi; 2021: 33 (2) : 8.
24. Gunawan I, Sitam S, Azhari A, Setiawan K. Analisis ketebalan kortikal, ukuran sudut dan kepadatan trabekula tulang mandibula prajurit dan non prajurit ditinjau dari radiograf panoramik. Jurnal Radiologi Dentomaksilofasial Indonesia; 2020: 4 (3) : 73.
25. Tamut T, Pooran C, Pratap SB, Arvind T, Jitendra R, Dayal SR. Effect of bone mineral density on masticatory performance and efficiency. Gerodontology Journal; 2012: 29 (2): 1.
26. Rizqullah W, Epsilawati L, Yondri L, Oscandar F, Yuti Malinda dan, Raya B. Perbandingan ketebalan dan densitas tulang kortikal maksila dan mandibula manusia prasejarah dari gua pawon dengan manusia. Jurnal Purbawidya; 2016: 5 (2): 79-80.
27. Fujita Y, Maki K. Association of feeding behavior with jaw bone metabolism and tongue pressure. Japanese Dental Science Review; 2018; 54 (4): 174-182.
28. Renwi A, Putri R, Ratna W. Pengukuran radiografi panoramik mandibular indeks wanita postmeopause dengan osteoporosis. Dentomaxillofacial Radiology Dental Journal; 2014: 5 (2): 7-11.
29. Masita Silviana N, Alma Aulia N. Arsitektur dan komposisi mineral atom tulang korpus mandibula tikus dengan perbedaan konsistensi diet. Jurnal Stomatognatic; 2022: 19 (1): 1.
30. Hermanto E. Diagnosis osteoporosis dari radiografi panoramik. Makassar Dental Journal; 2015: 4 (1) : 1-3.
31. Sabaneeff A, Caldas LD, Garcia MAC, Nojima M da CG. Proposal of surface electromyography signal acquisition protocols for masseter and temporalis muscles. Research on Biomedical Engineering; 2017: 33 (4) : 324-330.
32. Navastara DA, Anggraeni ID, Arifin AZ. Pengukuran ketebalan tulang kortikal pada citra panorama gigi berbasis model. Jurnal Ilmiah Ilmu Biomedis; 2017: 15 (1) : 119-127.
33. Karla Bezerra Oliveira Nascimento G, Andrade da Cunha D, Maria de Lima L. Surface electromyography of the masseter muscle during chewing. Cefac Review; 2014: 14 (4): 725-731.
34. Mehr K. Surface electromyography in orthodontics – a literature review. Medical science monitor; 2015: 19 (1) : 416-423.
35. Prima Gusty R. Efektivitas Pemberian Mobilisasi Dini Terhadap Tonus Otot, Kekuatan Otot, Dan Kemampuan Motorik Fungsional Pasien Hemiparise Paska Stroke Iskemik. Ners Jurnal Keperawatan; 2014: 8 (1) : 40-47.
36. Saptarini P, Riyanti, Owen. Peranan performa mastikasi terhadap pola iregularitas gigi insisivus rahang bawah pada anak usia 7-15 tahun. Journal Kedokteran Gigi Dentika; 2014: 17 (1) : 339-334.
37. Diana KJ, Slamet S. Metodologi penelitian biomedis.2nd ed. Bandung: Danamartha Sejahtera Utama; 2008: 188-230.
38. Caldas LD, Garcia MAC, Nojima M da CG. Proposal of surface electromyography signal acquisition protocols for masseter and temporalis muscles. Research on Biomedical Engineering; 2017: 33 (4) : 325
39. Nishi SE, Rahman NA, Basri R, et al. Surface Electromyography (sEMG) Activity of Masticatory Muscle (Masseter and Temporalis) with Three Different Types of Orthodontic Bracket. Biomed Res Int. 2021.
40. Kintara J, Powell T. Prevalence and Distribution of Permanent Teeth Reviewed by Panoramic Radiography and Periapical Radiography. International Journal Maxillofac Surgery; 2022: 10 (1): 60-67.
41. Yunus B, Iman K. Prevalensi jumlah gigi ditinjau dari radiografi panoramik di rsgm unhas Makasar. Jurnal of Dentomaksilofasial Science; 2020: 4 (1):7.
42. Choi JH, Lee SH, Hwang JH, Kim KS, Lee SY. Solitary Fibrous Tumor in The Temporalis Muscle: A Case Report and Literature Review. Arch Craniofac Surg; 2023: 24 (5) : 230–5.
43. Kemenkes RI. 2022. Profil kesehatan Indonesia 2020. Jakarta: Kemenkes.
44. Lima KF, Pereira JGD, Da Silva R. Mandibular Measurements for Sex and Age Estimation in Brazilian Sampling. Acta Stomatol Croat. 2020; 54 (3):294–301.
45. Edmonds H, Glowacka H. The otogeny of maximum bite force in humans. Anatomy Journal; 2020: 237 (3): 529-542.
46. Palinkas M, Nassar. Age and gender influence on maximal bite force and masticatory muscle thickness. Arch oral Biology; 2014; 55 (10): 797-802.
47. Saptarini P, Riyanti, Owen. Peranan performa mastikasi terhadap pola iregularitas gigi insisivus rahang bawah pada anak usia 7-15 tahun. Journal Kedokteran Gigi Dentika; 2014: 17 (1) : 339-334.
48. Rahmadanti B, Rachmawati Y, Darmayanti E, Kurniawati S. Dampak mengunyah satu sisi terhadap asimetris waja:tinjauan literatur. Sinnun Maxillofacial Journal. 2021: 3 (2) : 66-75.
49. Johnson B. Bite force and influential factors on bite force measurement. Literatur Review. European Journal of Dentistry; 2016: 19 (1): 1.
50. Kumper R, El-Destawy M. Mandibular parameters on cbct ana panoramic radiograph as predictors for age and gender. Al-Azhar Journal of Dental Science; 2017: 20 (4) : 353-360.
51. Raphael KG, Marbach JJ, Klausner J. Myofascial face pain. Clinical and experimental evidence of muscle involvement and mandibular bone adaptation. J Oral Rehabil. 2020;47(4):473–482.
52. Slavicek G. Human mastication. International Journal Stomatol Occlusion Med; 2014: 3 (1): 29-41.
53. Goyushov S, Dursun E. Mandibular cortical indices and their relation gender and age in the cone-beam computed tomography. Dentomaxillofacial Radiology Journal; 2020: 49 (3) : 1.
54. Barunawati Y. Keterbatasan radiografi panoramik dalam pengukuran ketidaksimterisan mandibula. Jurnal Radiologi Dentomaxillofasial Indonesia; 2020: 4 (1) :17.
55. Diana KJ, Slamet S. Metodologi penelitian biomedis.2nd ed. Bandung: Danamartha Sejahtera Utama; 2008: 188-230
Downloads
Published
Issue
Section
Citation Check
License
Copyright (c) 2026 Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.










































