Created page with "En plus des confirmations dérivées de la logique du langage médical discutée dans le chapitre précédent, le collègue dentiste acquiert d'autres données instrumentales..."
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{{q4|Alors la pauvre Mary Poppins est une patiente TMD ou elle ne l'est pas !|voyons ce que la logique du langage classique nous dit}}
{{q4|Alors la pauvre Mary Poppins est une patiente TMD ou elle ne l'est pas !|voyons ce que la logique du langage classique nous dit}}
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In addition to the confirmations derived from the logic of medical language discussed in the previous chapter, the dentist colleague acquires other instrumental data that allow him to confirm his diagnosis. The latter tests concern the analysis of the axiographic traces by using a customized functional paraocclusal clutch which allow the visualization and quantification of the condylar traces in masticatory functions. As can be seen from Figure 4 the flattening of the condylar traces on the right side both in the mediotrusive masticatory kinetics (green colour) and the opening and protrusion cycles (gray colour) confirm the anatomical and functional flattening of the right TMJ in the dynamics chewing. In addition to the axiography, the colleague performs a surface electromyography on the masseters (Fig. 6) asking the patient to exert the maximum of his muscles force. This type of electromyographic analysis is called "EMG Interferential Pattern" due to the high frequency content of the spikes that undergo phase interference. In fact, Figure 6 shows an asymmetry in the recruitment of the motor units of the right masseter (upper trace) compared to those of the left masseter (lower trace).<ref>{{cite book
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En plus des confirmations dérivées de la logique du langage médical discutée dans le chapitre précédent, le collègue dentiste acquiert d'autres données instrumentales qui lui permettent de confirmer son diagnostic. Ces dernières concernent l'analyse des tracés axiographiques à l'aide d'un embrayage fonctionnel paraocclusal personnalisé qui permet de visualiser et de quantifier les tracés condyliens dans les fonctions masticatoires.. As can be seen from Figure 4 the flattening of the condylar traces on the right side both in the mediotrusive masticatory kinetics (green colour) and the opening and protrusion cycles (gray colour) confirm the anatomical and functional flattening of the right TMJ in the dynamics chewing. In addition to the axiography, the colleague performs a surface electromyography on the masseters (Fig. 6) asking the patient to exert the maximum of his muscles force. This type of electromyographic analysis is called "EMG Interferential Pattern" due to the high frequency content of the spikes that undergo phase interference. In fact, Figure 6 shows an asymmetry in the recruitment of the motor units of the right masseter (upper trace) compared to those of the left masseter (lower trace).<ref>{{cite book