Biomedical subjects

K Koyano

Publications and source records attributed to K Koyano.

At least 19 recordsLinked to original sources

PubMed2006

The effect of oral splint devices on sleep bruxism: a 6-week observation with an ambulatory electromyographic recording device.

This study investigated the effect of stabilization splint (SS) and palatal splint (PS), which had the same design as SS except for the elimination of the occlusal coverage, on sleep bruxism (SB) using a portable electromyographic (EMG) recording system. Sixteen bruxers participated in this study. The EMG activities of the right masseter muscle during sleep were recorded for three nights each in the following five recording periods: before, immediately after, and 2, 4 and 6 weeks after the insertion of the splint. The crossover design, in which each splint was applied to each subject for 6 weeks with an interval of 2 months for a washout period, was employed in this randomized-controlled study. The number of SB events, duration and total activities of SB were analysed. The number of SB events before the insertion of splints (baseline) was 2.98 +/- 1.61 times h(-1). Both splints significantly reduced SB immediately after the insertion of devices (P < 0.05, one-way repeated-measures anova followed by Dunnett); however, no reduction was observed in 2, 4 or 6 weeks (P > 0.05). There was no statistical difference in the effect on SB between the SS and PS (P > 0.05, two-way repeated-measures anova). Both splints reduced the masseter EMG activities associated with SB; however, the effect was transient.

Adult↗

PubMed2006

Analysis of sagittal condylar path inclination in consideration of Fischer's angle.

This study investigated the sagittal condylar path during protrusive and lateral excursions by analysing the actually measured jaw movement data and re-evaluated the setting of the sagittal condylar path inclination in consideration of Fischer's angle. Protrusive and lateral excursions of 10 healthy subjects were measured using a three-dimensional mandibular movement analysing system. Condylar path inclinations at the hinge-axis point and the corresponding external point laterally extending from the condyle were evaluated in the sagittal plane. Fischer's angle was defined as the difference between the sagittal condylar inclinations during protrusive and lateral excursions on the non-working side, by keeping the corresponding horizontal distance from the intercuspal position (ICP) equivalent at the incisal point. Analysis was performed at three different magnitudes of excursions, where the incisal point was located at 1, 3 and 5 mm away from the ICP. There was no significant difference in the sagittal condylar path inclination or the Fischer's angle between two condylar reference points. However, they were significantly different across the three different magnitudes of excursions for both condylar reference points, i.e. sagittal condylar path inclination (P = 0.003 for protrusive excursion, and P < 0.001 for lateral excursion respectively; two-way repeated-measures anova), and Fischer's angle (P = 0.013, two-way repeated-measures anova) became smaller as the incisal point became distant from the ICP. Moreover, 3- and 5-mm eccentric positions were included in the 95% CI where Fischer's angle equals zero and were considered to be clinically acceptable to adjust the sagittal condylar inclination on the semiadjustable articulators.

Adult↗

PubMed2004

Neurovascular compression of the common peroneal nerve by varicose veins.

Compression of the common peroneal nerve occurs sometimes, but compression caused by varicose veins has not been reported before. We report a case of common peroneal nerve compression syndrome which was confirmed and treated surgically. A 63-year-old woman complained of paraesthesia on the lateral aspect of the right leg, which was worse in the evening. A primary varicose vein arising from non-saphenous tributaries was seen in the posterior calf. Her symptoms resolved with the wearing of compression hosiery for 2 weeks. At operation, the common peroneal nerve was found to be surrounded by tortuous varicosities. After decompression the paraesthesia on the lateral aspect of the right leg resolved completely with no evidence of residual neuralgia.

Female↗

PubMed2004

Mapping, profiling and clustering of pressure pain threshold (PPT) in edentulous oral mucosa.

OBJECTIVES: Edentulous oral mucosa involves different tissue types, various innervation and wound healing process. We hypothesized that pressure pain threshold (PPT) of edentulous oral mucosa varies significantly among different regions. The objective of this study is to examine regional differences and correlations of PPT in edentulous oral mucosa. METHODS: Pain threshold (PPT) was measured at 112 sites in 15 edentulous patients using an electric-controlled pressure algometer. PPT mapping was created by the level of PPT, and PPT clustering was undertaken based on the inter-site correlation of PPT. RESULTS: PPT increased from the anterior to posterior alveolus in both maxilla and mandible, but decreased from the anterior palate to the posterior palate. PPT decreased from the ridge crest to the buccal vestibule. The inter-site difference was four fold within the maxilla and 2.4 fold within the mandible. Principal component analysis applied on PPT inter-site correlation matrix revealed that the maxilla and mandible could be differentiated statistically. The maxilla and mandible were divided into three and four clusters, respectively. CONCLUSION: These results demonstrate that different areas of edentulous oral mucosa have different PPT and that the PPT varies proportionally in selected areas, providing useful diagnostic and therapeutic information in removable prosthodontics and a new opportunity for understanding pain underneath the denture.

Aged↗

PubMed2004

Denture wearing and strong bite force reduce pressure pain threshold of edentulous oral mucosa.

Pain in denture supporting tissue is one of the most common and critical problems affecting function and treatment outcomes in complete denture prosthetics. The objective of this study was to investigate the effects of denture wearing and bite force on the pressure pain threshold (PPT) of edentulous oral mucosa. PPT was measured in denture and non-denture-wearing patients by using an electronic-controlled pressure algometer. Bite force was measured in denture-wearing patients by using a pressure-detecting sheet. The mid palate showed 200-300% higher PPT than the buccal alveolar mucosa (two-way anova, P < 0.0001). Denture-wearing patients exhibited 40% lower palatal PPT than non-denture-wearing patients. In denture-wearing patients, PPT in the selected areas of the oral mucosa was negatively correlated with bite force. Denture wearing may reduce PPT in selected areas of the edentulous oral mucosa, and the PPT reduction may be associated with mechanical stress on the mucosa generated by bite force.

Adult↗

PubMed2003

A simplified sieve method for determining masticatory performance using hydrocolloid material.

The purpose of this study was to develop a simplified technique for measuring masticatory performance by measuring the particle size distribution of masticated hydrocolloid impression material using a sieve method. Masticatory performance was defined as the rate of increase in the number of particles of masticated material on specific sieves with the increment in the number of chewing strokes. The number and weight of masticated hydrocolloid impression material on 10 sieves were compared with results for peanuts. The reproducibility of this method to determine masticatory performance was then examined. In seven sieves, there was a linear relationship between the number of particles and the number of chewing strokes for the hydrocolloid impression material; Pearson's correlation coefficient was higher for the hydrocolloid impression material than for peanuts. Measuring masticatory performance three times a day and three times every week revealed there were no differences in intra-individual variation in masticatory performance in six sieves. There was no significant difference between the masticatory performance calculated from two mastication tasks using the specific sieves and that calculated from seven tasks. These results suggest that this simplified sieve method using hydrocolloid materials can be reliably used for research purposes and in clinical situations.

Adult↗

PubMed2003

Pressure-pain threshold of oral mucosa and its region-specific modulation by pre-loading.

Once subjected to denture wearing, oral mucosa has to withstand mechanical loads of various levels and durations. However, how this load affects oral mucosal sensitivity is unknown. This study investigated the pressure-pain threshold (PPT) of oral mucosa with or without pre-loading. An electric pressure algometer was developed specifically for measuring the PPT of oral mucosa. Measurements of 10 dentulous maxillae showed that the baseline PPT (BPPT) of the palatal site was 4.9- and 3.7-fold greater than that of the labial or buccal sites, respectively. The PPT of the labial site decreased significantly compared with its BPPT after 2 s-100% BPPT and 5 s-100% BPPT pre-loading. The PPT of the palatal site increased after 5 s-50% BPPT and 5 s-80% BPPT and 0.2 s-100% BPPT and 2 s-100% BPPT pre-loading. The PPT of the buccal site did not change after all levels and durations of pre-loadings tested. These results indicated the disproportionate modulation of oral mucosal PPT following various loads, suggesting that oral mucosa possesses region-specific psychophysical tolerance to mechanical stimuli.

Adult↗

PubMed2003

NF-kappaB activation and iNOS expression in the synovial membrane of rat temporomandibular joints after induced synovitis.

NF-kappaB plays a pivotal role in pathogenesis in general arthritis. However, the participation of NF-kappaB in inflammation of the temporomandibular joint (TMJ) is poorly understood. We examined NF-kappaB expression in rat TMJs with synovitis induced by condyle hypermobility. By immunohistochemistry, NF-kappaB immunoreactivity was found mainly in the cytoplasm, not the nucleus, of the synovial lining cells of induced-synovitis and control TMJs. Southwestern histochemistry, a new method for detecting transcription factors, showed greater NF-kappaB expression in the nucleus of the synovial lining cells in the hypertrophic synovium than in control synovium. Increased numbers of the synovial lining cells with immunoreactivity for inducible nitric oxide synthase (iNOS), which is transcriptionally regulated by NF-kappaB, were also seen in the inflamed synovium. These findings indicate that excess mechanical stress increases NF-kappaB activation in the TMJ and suggest that active NF-kappaB is involved in the progression of TMJ inflammation.

Animals↗

PubMed2002

Pressure-pain threshold determination in the oral mucosa: validity and reliability.

Fundamental knowledge of pain in the oral mucosa is lacking. We determined the validity and reliability of the pressure-pain threshold (PPT) measurement in the oral mucosa using a newly developed hand-held pressure algometer. Ten dentulous subjects were recruited, and the PPT was measured at the bilateral buccal (on the attached gingiva apical to the midline of the upper first premolars, 3 mm from the mucogingival junction) and the palatal sites (mid-point between the bilateral upper first molars). The PPT linearly increased with an increase in load-rate (P < 0.0001). The PPT yielded a high intra-individual stability both for the same-day consecutive trials and weekly sessions. The palatal site revealed a 4- to 4.65-fold greater PPT than the buccal sites (Bonferroni, P < 0.0001), whereas no difference was found between the bilateral buccal sites (P=0.663). Despite a great interindividual variation in the PPT, significant intra-individual correlations were found among the measurement sites. This suggested differences in individual sensitivity to pain in the oral mucosa, which may determine overall pain sensation specific to an individual. A pressure algometer described herein reliably assessed the PPT in the oral mucosa and sensitively discriminated PPT differences at different sites and at different load-rates, suggesting the reliability and validity of PPT measurements in the oral mucosa for clinical and research investigations.

Adult↗

PubMed2001

Synchronisation of neurotransmitter release during postnatal development in a calyceal presynaptic terminal of rat.

Mechanisms contributing to the synchronisation of transmitter release during development were studied in synapses of the medial nucleus of the trapezoid body (MNTB) using patch recording and Ca2+ imaging techniques in a rat brainstem slice preparation. Excitatory postsynaptic currents (EPSCs) were generated in an all-or-none manner at immature synapses (postnatal days earlier than P6). Many delayed miniature EPSC (mEPSC)-like currents followed EPSCs at immature synapses, while observations of delayed mEPSC-like currents were rare at mature synapses (later than P9). At immature synapses bath application of either omega-conotoxin GVIA or omega-agatoxin-IVA reduced EPSCs (both to 40% of control), and Ca2+ currents in the presynaptic terminal (both to 70% of control). The frequency of delayed mEPSC-like currents was reduced by omega-conotoxin GVIA, but not by omega-agatoxin IVA. At immature synapses delayed mEPSC-like currents were rare after incubation of the slice with extrinsic Ca2+ buffers (EGTA AM). At mature synapses many mEPSC-like currents followed evoked EPSCs after partial block of Ca2+ channels by bath application of a low concentration of Cd2+ (3 microM) or omega-agatoxin IVA (50 nM) but not by low [Ca2+]o (0.5-1 mM). Ca2+ transients induced by action potentials in presynaptic terminals were monitored by adding a high concentration of fura-2 (200 microM) to the pipette. Their decay time course was slower at immature presynaptic terminals than at mature terminals. Both the Ca2+ extrusion rate and the endogenous Ca2+ binding capacity were estimated to be smaller at immature terminals than at mature terminals. These results suggest that the maturation of synaptic transmission in MNTB progresses with the capacity for Ca2+ clearance from the presynaptic terminal. The possible importance of developmental increases in both Ca2+ clearance capacity and Ca2+ currents is discussed in relation to the synchronisation of transmitter release.

Animals↗

PubMed2001

Different responses of masticatory movements after alteration of occlusal guidance related to individual movement pattern.

We hypothesized that the motor response of the masticatory system to peripheral inputs varies according to the functional potential of an individual. The specific aim of the present study was to determine whether individually different types of masticatory patterns, especially with respect to the closing movement pattern, would produce different motor responses to an alteration of occlusal guidance. The inclination of the occlusal guidance was steepened by approximately 10 degrees by attaching a metal overlay to the lingual surface of the maxillary working-side canine. The masticatory movements of 20 young adults were measured using a three-dimensional mandibular movement analysis system before and after the alteration of occlusal guidance. The individual masticatory patterns were divided into two groups based on the closing movement pattern before the alteration of occlusal guidance, i.e. vertical and lateral types. The alteration of occlusal guidance significantly influenced the masticatory closing angle, closing time, occlusal time, the stability of the opening angle and the cycle time in the lateral-type group (n = 9, paired t-test; P < 0;05), while no significant changes were found in the vertical-type group (n = 11). These differences in motor response between the two groups were not found in the overall analysis of all the 20 subjects. We concluded that the oral motor response to the alteration of occlusal guidance depends on the individual masticatory movement pattern. Because the present analysis of subgroups of the subjects revealed motor response findings different from those in the overall analysis of all the 20 subjects, such potential subgroupings should be considered as an attempt to identify a specific effect of peripheral inputs on masticatory function in humans.

Adult↗

PubMed2001

The relationship between non-working-side occlusal contacts and mandibular position.

No clear description can be found regarding the lateral position when examining non-working-side occlusal contacts. The objective of this study was to test the hypothesis that the non-working-side contact pattern varies with the mandibular position. The characteristics of the non-working-side contact pattern were also determined relative to the working-side contact pattern. Occlusal contacts of 86 young adults were examined using shim stock in standardized lateral positions: 0.5, 1, 2 and 3 mm from the maximum intercuspation (MI), where the 0.5, 1 and 2 mm positions were defined as lateral positions close to the MI and the 3 mm position as an edge-to-edge position. The frequency of non-working-side occlusal contacts decreased gradually from 0.5 to 3 mm position. The frequency of non-working-side contacts was significantly greater in the 0.5 and 1 mm positions than in the 3 mm position. Non-working-side occlusal contacts occurred in nearly half of the 0.5 mm positions. Non-working-side contacts were significantly less frequent with canine protection than with group function for the 0.5 and 1 mm positions. There were no significant differences between the two occlusal schemes for the 2 and 3 mm positions. In conclusions, the non-working-side contact pattern varied with the mandibular position. These results suggest that clinical examination should include contact patterns both in a position close to the MI and in an edge-to-edge position, i.e. in functional and parafunctional ranges. Likewise, data from occlusal contact research should include a standardized definition of mandibular position.

Adult↗

PubMed2001

Setting characteristics of five autopolymerizing resins measured by an oscillating rheometer.

STATEMENT OF PROBLEM: Ease of handling and the working time of autopolymerizing resins are directly associated with the setting characteristics during polymerization. PURPOSE: This study assessed the setting characteristics of autopolymerizing resins by measuring viscosity changes and tested the hypotheses that: (1) different products have different viscosity increase patterns during polymerization, and (2) the increased rate of viscosity is not proportional to the length of the setting time. MATERIAL AND METHODS: Viscosity change during polymerization was measured in 5 test materials (Unifast II, ADFA, META FAST, Miky, and Trim) with an oscillating rheometer. The working time was defined as the time required for a 5% reduction in the amplitude of the rheometer trace. The setting time was measured as the time required to reach zero amplitude on the rheometer trace. RESULTS: The order of working times from longest to shortest was Trim, Unifast II and META FAST, ADFA, Miky (ANOVA, P<.0001). The order of setting times from longest to shortest was Trim, META FAST, Miky, ADFA, Unifast II. Materials that had rapid setting times did not necessarily have short working times. Unifast II showed well-balanced setting properties that satisfied both longer working time and faster setting time. CONCLUSION: Autopolymerizing resins have setting characteristics specific to the brand. Knowledge of these characteristics is essential for selection of the appropriate resin product depending on the purpose of clinical usage and the individual dentist's technique.

Acrylic Resins↗

PubMed2001

Dimer and superstructure of the active form of a vitamin D3; 1 alpha,24(R)dihydroxy-vitamin D3 monohydrate, C27O3H44.H2O.

The crystals of 1alpha24(R)dihydroxy-vitamin D3 monohydrate, C27O3H44.H2O are orthorhombic in the space group P2(1)2(1)2(1) with cell dimensions a=25.719, b=42.572, c=9.851A and Z=16. The asymmetric unit consists of two subunits with b/8, and each subunit contains a dimer in which two molecules are hydrogen-bonded through water molecules into non-crystallographical symmetry of C2. The two-fold axes are the straight lines, x=1/2, z=0.256 and x=1/2, z=0.623. The two dimers are the same in the rigid ring part, but differ in the conformation of the flexible chains. The dimers further make C2 symmetry between the rigid ring parts to form a superstructure, and the two-fold axis of the straight line, y=1/8, z=0.435 goes through a point that is a little apart from the hypercenter (1/2, 1/8, 1/2). The structure was solved by integrated Patterson and direct methods and refined on Fo2 under restraints. The final R1 is 0.228 on Fo for 1623 reflections with Fo>3sigma, resolutions 1.0-3.0 A, 313 restraints, 490 parameters and average Ueq=0.120. Not all the atoms of the chains appeared nor the hydrogen atoms. The missing atoms of the dimer were modeled from another pair molecule by C2 symmetry and hydrogen atoms were added. The structure of the dimer was optimized by ab initio molecular orbital of HF/6-31G.

Algorithms↗

PubMed2000

Neurons generated from adult rat hippocampal stem cells form functional glutamatergic and GABAergic synapses in vitro.

Basic fibroblast growth factor-responsive neural stem cells (NSCs) derived from adult rat hippocampus were earlier demonstrated to generate neurons and glia. These stem-cell-derived neurons express GABA, acetylcholinesterase, tyrosine hydroxylase, or calbindin. It has not been clear, however, whether or not these stem-cell-derived neurons are able to form functional synapses. In the present study, we investigated the development of synapse formation by adult hippocampus-derived neural stem cells. NSCs from adult rat hippocampi and primary embryonic rat hippocampal neurons were cocultured on a glial feeder layer. Immunofluorescence studies revealed that some of the NSCs became immunoreactive for microtubule-associated protein 2ab, neurofilament 200, synaptobrevin, or synaptophysin. These cells possessed properties of functional neurons such as action potentials and miniature postsynaptic currents (mPSCs). The elicited mPSCs with rapid kinetics were blocked by 6,7-dinitroquinoxaline-2,3-dione (DNQX), but not by bicuculline (excitatory mPSCs). The remaining mPSCs had slower kinetics and were blocked by bicuculline, but not by DNQX (inhibitory mPSCs). We considered that the neurons derived from the adult NSCs expressed both non-NMDA glutamate receptors and the GABA(A) receptors and formed functional synapses. Our results demonstrate that adult NSCs can differentiate into neurons with functional glutamatergic and GABAergic synaptic transmission in vitro and support the concept that such neurons could integrate into the neuronal circuitry.

Animals↗

PubMed2000

Validity of the examination method of occlusal contact pattern relating to mandibular position.

OBJECTIVE: This study was based on the hypothesis that conflicting findings and inconclusive consensus regarding the role of occlusal factors in the masticatory system are due to the variations in the definitions and methods used to describe and examine the occlusal factors. The object of this study was to determine whether contact patterns during lateral movement vary with mandibular positions and whether the contact pattern in lateral positions close to the maximum intercuspation has characteristics distinct from those in an edge-to-edge position. METHODS: Occlusal contacts of 86 young adults were examined using shim stock in regulated lateral positions: 0.5, 1, 2 and 3 mm from the maximum intercuspation, where the 0.5, 1 and 2 mm positions were defined as lateral positions close to the maximum intercuspation and the 3 mm position as an edge-to-edge position. RESULTS: The occlusal contact pattern in the 0.5 mm position showed a marked prevalence of posterior tooth contacts on the working and the non-working sides, compared with the 1, 2 and 3 mm positions. The occlusal contact pattern in the 3 mm position predicted the presence or absence of the occlusal contact in the 1 and 2 mm positions (sensitivity > 0.7) but not in the 0.5 mm position (sensitivity < 0.6). CONCLUSION: The occlusal contact patterns during lateral movement varied greatly with mandibular positions. The examination method of the occlusal contact pattern in one unregulated position will be invalid. It is necessary to distinguish the occlusal contact patterns between a position close to the maximum intercuspation and an edge-to-edge position when investigating its role in the masticatory system and in oral disease.

Adult↗

PubMed2000

Effect of water temperature during polymerization on strength of autopolymerizing resin.

STATEMENT OF PROBLEM: Breakage is a potential problem of provisional resin restorations. A method that effectively increases the strength of the resin is desirable. PURPOSE: This study examined the effects of the curing environment, air or water, and water temperature during polymerization on the mechanical properties of autopolymerizing resin. MATERIAL AND METHODS: After mixing the autopolymerizing methyl methacrylate resin for 10 seconds, it was placed in a stainless steel mold (2 x 2 x 25 mm). One minute and 50 seconds after the start of mixing, the mold containing the resin was placed under the following conditions: in air at 23 degrees C; or in water at 10 degrees C, 23 degrees C, 30 degrees C, 40 degrees C, 60 degrees C, and 80 degrees C. Six minutes after mixing began, the resin specimen was removed from the mold and the transverse test (3-point flexural test) was performed. RESULTS: Alteration of conditions during polymerization revealed a significant effect on both the transverse strength and modulus of the resin (P <.0001). Both increased with an increase in water temperature. Water conditions of 60 degrees C to 80 degrees C produced more than 2 times greater transverse strength and modulus of the resin compared with polymerization in 23 degrees C air (P <.0001). CONCLUSION: Polymerization of the resin in hot water greatly increased its mechanical properties. The method of placing resin restorations in hot water during polymerization may be useful for improving mechanical requirements and obtaining long-lasting performance.

Acrylic Resins↗

PubMed2000

Ultrastructural and immunoelectron microscopic studies of the peri-implant epithelium-implant (Ti-6Al-4V) interface of rat maxilla.

BACKGROUND: The role played by the internal basal lamina (IBL) and hemidesmosomes between an implant and the peri-implant epithelium (PIE) in the adherence of the epithelium to the implant is controversial. This study used rat maxilla implantation models to clarify the ultrastructure of the PIE-implant interface. METHODS: Ti-6Al-4V implants were inserted either immediately or 2 weeks after the extraction of the upper left first molar of 6- or 4-week-old rats, respectively. The junctional epithelium (JE) of the upper right molars in the same animals was used as a control. Four weeks after implantation, the animals were sacrificed to prepare specimens for light and immunoelectron microscopy. RESULTS: Under light microscopy, the PIE appeared to attach to the implant surface. Ultrastructurally, IBL, consisting of the lamina densa and lamina lucida, and hemidesmosomes were formed only in the lower region, and rarely in the middle region, of the PIE-implant interface. In control teeth, the IBL and hemidesmosomes formed throughout the dento-JE interface. Laminin-1 was found in the IBL and also in the vesicles and vacuoles of the PIE and JE cells. Statistical analysis showed that there was also a significant difference in the amount of IBL between the PIE-implant and dento-JE interfaces. CONCLUSIONS: PIE attached to the implant via hemidesmosomes and IBL in the lower region of the PIE-implant interface. Although PIE cells may secrete laminin-1, which contributes to epidermal cell adhesion, the PIE which attaches to implants only in the lower region of the interface is considered to be the poorly adhered epithelium.

Alloys↗