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Biomedical subjects

A A Lowe

Publications and source records attributed to A A Lowe.

65 records · Page 4Linked to original sources

Correlations between orofacial muscle activity and craniofacial morphology in a sample of control and anterior open-bite subjects.

In order to investigate the correlations between genioglossus, masseter, and orbicularis oris muscle activity and craniofacial morphology, an electromyographic and cephalometric analysis was undertaken on a series of twenty-four human subjects. The activity from the muscles was recorded during voluntary opening movements of the mandible monitored by an electronic transducer. A computer-based method was devised to calculate the threshold incisor-separation position corresponding to a 20 percent increase in base line muscle activity for each of the muscles. In addition, twenty-seven anatmoic points were digitized from lateral head films, and a computer-based cephalometric analysis was completed for each subject. A number of significant correlations were found between the threshold muscle values and the thirty-one linear and angular morphologic variables. Low threshold values for the genioglossus muscle were correlated with negative overbites, undererupted maxillary and mandibular incisors, and low total face heights. Low threshold values for the masseter muscle were also associated with low overbite measurements. In contrast, orbicularis oris muscle thresholds did not appear to be correlated with any of the craniofacial variables measured. This interdependence of tongue and jaw muscle activity and facial morphology suggests a contribution of the musculature to the development and/or maintenance of the dentition.

Adult↗

Tongue and jaw muscle activity in response to mandibular rotations in a sample of normal and anterior open-bite subjects.

In order to investigate the effect of mandibular rotations in human subjects, the electromyographic activity from the left GG, left masseter, and left orbicularis oris muscles was recorded during voluntary opening movements of the mandible that were monitored by an electronic transducer. For each muscle, a computer-based system was used to calculate a threshold incisor-separation position corresponding to a 20 percent increase in base line muscle activity. The mean threshold level for the GG muscle in a sample of twenty subjects with normal occlusions was 53.0 percent (S.D. +/- 22.8)of maximum jaw opening. By contrast, a sample of nine subjects with anterior open-bite malocclusions had a statistically significant (p less than 0.001) lower mean threshold of 5.9 percent (S.D. +/- 4.5) of maximum jaw opening. No significant differences in masseter or orbicularis oris muscle activity were found between the two samples. Since postural tongue activity could play an important role in the development of the anterior dentition, the lower threshold for the GG muscle activity in response to jaw opening in anterior open-bite subjects may be of significant clinical importance.

Adolescent↗

The association of simple anterior dental crossbite to gingival margin discrepancy.

The purpose of this study was to determine the severity of gingival margin discrepancy affecting the mandibular incisors in children with a single-tooth anterior crossbite. The response of the position of the gingival margin to correction of the crossbite also was investigated. Twenty-two subjects with a single central crossbite and 16 subjects with a single lateral crossbite were identified from two orthodontic practices. Seventeen of the 22 central incisor patients had immediate posttreatment records available; six patients had long-term follow-up records. An insufficient number of posttreatment records were available for the patients with lateral crossbites. The mean clinical crown length of crossbite mandibular incisors, measured on the study models, was compared with mean crown length of contralateral control incisors and the difference in clinical crown length was determined. A gingival margin discrepancy was identified when the gingival margin of the crossbite incisor was at least 1.0 mm apical to the gingival margin of the control incisor. The proportion of subjects with gingival margin discrepancy was significantly higher in subjects with central incisor crossbite (12/22 = 54%) than in those with lateral incisor crossbite (4/16 = 25%), P less than 0.05. While a gingival margin discrepancy persisted for eight of the 17 central incisor crossbites after discontinuing the appliance, 8.9 +/- 4.7 months, the severity of the discrepancy showed a significant reduction from 2.2 +/- 0.5 mm to 1.3 +/- 0.8 mm, P less than 0.05. True recession with exposure of cementum was not observed in any subjects.(ABSTRACT TRUNCATED AT 250 WORDS)

Child↗