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[Differential Lissajous EMG of masticatory muscles and its application in man].

Difference in the activity of masticatory muscles between subjects with normal teeth alignment and occlusion and patients with disorders at the oral region was investigated using a differential Lissajous EMG method. Surface EMGs were recorded from the right and left temporal and masseter muscles during peanut and chewing gum mastications. The difference of the integrated EMGs between both sides was obtained in both the temporals and masseters, then two differences were synthesized to a Lissajous figure. The figures generally showed the following: 1) In the normal subjects, the muscle behavior varied from stroke to stroke in peanut mastication, while it was constant in chewing gum mastication. 2) Activity of some muscles of the patients was quietly weak, while that of the normal subjects was totally balanced. 3) In the patients, combination of use between the temporal and masseter muscles and contraction order among the muscles tended to be reversed compared to the normal subjects.

Arachis↗

Masticatory muscle activity in children and adults with different facial types.

The purpose of this study was to examine the relationship between the duration of masticatory muscle activity during daytime and vertical craniofacial morphology in children and adults. Thirty children (12 boys and 18 girls) and 30 adults (20 men and 10 women) with normal anteroposterior skeletal relations, acceptable occlusions, and without any temporomandibular joint disorders, were selected as subjects. Activities of the masseter, temporal, and digastric muscles were recorded for 3 hours during daytime, excluding the periods for meals, sleep, and hard-exercise, using a portable electromyogram recording system. A lateral cephalogram was taken of each subject at the intercuspal position to divide the subjects into 3 different facial types, ie, low, average, and high angle groups. Masseter, temporal, and digastric muscle activities mainly consisted of low-amplitude bursts during daytime. Children exhibited longer duration of temporal muscle activity, whereas the masseter muscle presented longer duration of activity in adults. The activities of masseter and digastric muscles were significantly related with the vertical facial type in both children and adults, although temporal muscle activity presented no significant relationship with the craniofacial morphology. The duration of masticatory muscle activity during daytime showed a significant difference between children and adults, indicating a close association with vertical craniofacial morphology in children and adults.

Adult↗

Horseradish peroxidase localization of masticatory muscle motoneurons in cat.

Horseradish peroxidase has been injected into individual masticatory muscles in young and adult cats in order to determine the topography of the corresponding groups of motoneurons in the motor nucleus of the Vth nerve. The results obtained show a clear dorsoventral somatotopic distribution; the superior muscles have their motoneurons located dorsally in the nucleus and the inferior muscles ventrally; the two main jaw closers, temporalis and masseter, are represented in the dorsal and central parts of the nucleus; located more ventrally are the motoneurons for the pterygoideus medialis and lateralis, the jaw closers and abductor muscles; finally motoneurons for the jaw openers, and the anterior belly of the digastricus and mylohyoideus, occupy the ventromedial part of the nucleus. All muscles have been found to be represented along the entire length of the nucleus, with the same dorsoventral layering.

Animals↗

A computer-aided analyzing system to examine the masticatory muscle EMG during mastication.

We developed a computerized analyzing system for masticatory muscle electromyograms (EMGs), parameters of which were burst-duration time, muscle activity and electromyographic power-spectrum density during mastication. The system was tested with healthy subjects to evaluate the fatiguing process and found to work satisfactorily. It may find applications in other neuromuscular systems where control mechanisms and/or coordination is of interest.

Adult↗

Densities and sizes of the main masticatory muscles in computed tomography compared with clinical findings related to temporomandibular joint (TMJ) dysfunction.

Computed tomography (CT) has a good resolution capacity and is an excellent method for measuring tissue densities. The aim here was to compare the densities and sizes of the main masticatory muscles, the masseter, medial pterygoid and lateral pterygoid muscles, as obtained with CT, with clinical findings in patients with TMJ dysfunction (25) and controls (29). The densities of the masseter muscles and the medial pterygoid muscles showed no statistical difference between the patients and controls, while the lateral pterygoid muscles of the patients had densities that were only almost significantly higher than those of the controls. The masseter muscles on the patients who more often had signs of bruxism in their dentition were statistically significantly thicker than in the controls, but the widths of the medial pterygoid muscles gave no statistical difference between the groups. The results seem to indicate that in addition to the bone density changes associated with functional disorders of the masticatory system, there may be also density and size changes in the masticatory muscles which are detectable by CT.

Adolescent↗

Modulation of masticatory muscle activity by tongue position.

The purpose of this study was to test whether the tongue position affects the electromyographic (EMG) activities of masticatory muscles. We recorded the EMG activities of the masseter and anterior temporalis muscles in 10 skeletal Class I adults. Tongue position was monitored by two pressure transducers embedded in the midpalatal region and the lingual flange of a custom-made acrylic monoblock. We instructed subjects to assume three different tongue positions: rest, superior, and anterior. Friedman's test and Sheffe's F-test were used to statistically examine differences in muscle activities induced by changes in tongue position. Significant differences were found in masseter muscle activity between the rest and anterior positions and in anterior temporalis muscle activity between the rest and both the anterior and the superior tongue positions. We concluded that masticatory muscle activity is affected by tongue position.

Adult↗

[The morphometric characteristics of the masticatory muscle of dogs with an expanded interalveolar space].

The experiment with 24 dogs involved increase of their interalveolar space in the frontal section by 6 mm via fixation of metal crowns on 98 189 teeth. Follow-up of the masticatory muscle adaptation has shown that it ran a wave-like course. The most intensive shifts are observed on days 7-14 of the experiment, this being followed by a gradual recovery of this muscle tinctorial characteristics by the 20th day of the experiment; then the restructuring process stabilizes on a new structural and functional level by days 30-60 of the experiment. Complete morphologic restructuring of the masticatory muscle in response to increase of the interalveolar space takes more than 60 days. If a still more increase of this space is needed (more than 6 mm), it may be started not before 20-30 days after complete restructuring.

Animals↗

Comparison of pain and quality of life in bruxers and patients with myofascial pain of the masticatory muscles.

Although it has been suggested that bruxism is a cause or a risk factor in myofascial pain of the masticatory muscles, the prevalence of pain in bruxers and its characteristics have not been assessed or compared to those of myofascial pain patients in general. In this study, self-reports of pain and quality of life were recorded on 100-mm visual analogue and five-point category scales from two research populations: (1) 19 nocturnal bruxers who participated in a polysomnographic study and (2) 61 patients with myofascial pain of the masticatory muscles with no evidence of bruxism who participated in a controlled clinical trial on the efficacy of oral splints. The data show that pain was more intense in those bruxers who reported pain than among the myofascial pain patients, even though pain was not the chief complaint of bruxers. Both conditions reduced the patient's quality of life, although pain patients (either bruxism or myofascial pain) appeared to be much more affected than bruxers who were pain-free. The fact that pain from bruxism was worst in the morning suggests that it is possibly a form of postexercise muscle soreness. Myofascial pain, which was worst late in the day, is likely to have a different etiology.

Adolescent↗

Psychological and physiological parameters of masticatory muscle pain.

The objective of this research was to identify the psychological and physiological variables that differentiate persons reporting masticatory muscle pain (MMP) from normal controls (NC). This study examined the characteristics of 35 MMP patients in comparison to 35 age-, sex-, and weight-matched NCs. All subjects completed a series of standardized questionnaires prior to undergoing a laboratory evaluation consisting of a psychosocial stressor and pressure pain stimulation at multiple body sites. During the evaluation, subjects' emotional and physiological responses (heart rate, blood pressure, respiration, skin temperature, and muscle activity) were monitored. Results indicated that persons with MMP reported greater fatigue, disturbed sleep, depression, anxiety, menstrual symptoms, and less self-deception (P's < 0.05) than matched controls. At rest, MMPs had lower end tidal carbon dioxide levels (P < 0.04) and lower diastolic blood pressures than the NCs (P < 0.02). During laboratory challenge, both groups responded to the standard stressor with significant physiological activity and emotional responding consistent with an acute stress response (P < 0.01), but there were no differences between the MMPs and NCs. Muscle pain patients reported lower pressure pain thresholds than did NCs at the right/left masseter and right temporalis sites (P's < 0.05); there were no differences in pressure pain thresholds between MMPs and NCs for the left temporalis (P < 0.07) and right/left middle finger sites (P's > 0.93). These results are discussed in terms of the psychological and physiological processes that may account for the development of muscle pain in the masticatory system.

Adult↗

[Uptake and transport of exogenous peroxidase in the masticatory muscles of cats. Localization of ganglionic neurons].

Retrograde axonal transport of Horseradish peroxydase (HRP) has been used to trace the cells of origin of proprioceptive fibers in jaw-closing and jaw-opening muscles. After injection of HRP in young cats' masticatory muscles (masseteric, temporal, pterygoid, mylohyoid and digastric) labelled neurons were found in the ipsilateral semi-lunar ganglion and trigeminal mesencephalic nucleus. It is concluded that sensory endings are present in jaw-opening as in jaw-closing muscles; possibly the afferent fibers from muscle endings of the opener muscles have their somata in the mesencephalic nucleus, afferent fibers from tendinous receptors in the semi-lunar ganglion.

Animals↗

[Functional morphology of the maxillo-mandibular system in the mini-Lewe minipig. Structures of masticatory muscles in juvenile animals].

The postnatal changes in the structures of the masticatory muscles are explained on the basis of the Sehnenspiegel. The jaw musculature of juvenile miniature pigs is similar in structure to that of adult animals. All Sehnenspiegel can be found in animals that are only 3 d old. Postnatal development of the masticatory musculature takes place on the basis of the pinnation existing prior to birth and consists in secondary pinnation.

Aging↗

[Influences of changing vertical dimension, occlusal contacts of bite plane and body position on masticatory muscle activities].

The Bite plane therapy has been accepted to be useful for treatment of the patients with the stomatognathic dysfunction. The purpose of this study is to make clear the influences of changing the vertical dimension and occlusal contacts of the bite plane on masticatory muscle activities in order to improve the bite plane therapy. The full arch bite plane with an interincisal distance of 5 mm was fabricated for each one of 30 subjects without stomatognathic dysfunction. The EMG activities were recorded from the anterior part of the temporal muscles, the masseter muscles and the anterior belly of the digastric muscles bilaterally while the subject exerted tapping and maximal voluntary clenching in a postural position. Four kinds of experiments were performed as follows. In Exp. 1, integrated EMG activities of each muscle were compared with and without the bite plane. In Exp. 2, the influences of changing the vertical dimension of the bite plane (2.5 mm, 5 mm and 7.5 mm) were tested in 17 subjects. In Exp. 3, the influences of changing the location of occlusal contacts of the bite plane were studied in 12 subjects. In Exp. 4, the influence of changing the body positions on EMG activities and mandibular positions was compared in 30 subjects between the sitting and supine positions. Furthermore, the influence of the same factor was compared with and without the bite plane which was adjusted in each position. The results were summarized as follows: 1. Wearing the bite plane mainly reduced activities of the temporal muscles. 2. The bite plane with an interincisal distance of 5 mm was most effective in reducing activities of the temporal muscles. 3. Wearing the bite plane with anterior occlusal contacts reduced activities of the elevator muscles significantly. 4. Significant differences in activities of the temporal and digastric muscles were recognized between the two body positions when the bite plane was not applied. However, no significant difference was recognized when the bite plane was inserted. Furthermore, those differences were correlated with the difference in the antero-posterior mandibular displacement between the two body positions while the subject tapped the teeth. These results suggest the possibility to control masticatory muscle activities by applying the bite plane with the proper vertical dimension and occlusal contacts. In addition, it is necessary to take a suitable body position for the patient who has a difference in the mandibular displacement between the sitting and supine positions when applying the bite plane.

Dental Occlusion↗

Three-dimensional magnetic resonance image of the mandible and masticatory muscles in a case of juvenile chronic arthritis treated with the Herbst appliance.

The present report documents, in a case of juvenile chronic arthritis (JCA) with mandibular retrognathia, three-dimensional (3D) changes in the mandible and the relationship between the mandible and the masticatory muscles resulting from treatment with the Herbst appliance after cessation of growth. Magnetic resonance scanning of the whole head was carried out before and after treatment. The mandible, the masseter, and the medial and lateral pterygoid muscles were segmented bilaterally and reconstructed in 3D for both stages. Superimposition of the datasets was carried out according to anatomical structures in the brain (cranial base). Mandibular superimposition was performed according to the mandibular symphysis and the lower mandibular border. The mandible moved forward and downward relative to the anterior cranial base. In addition, bone apposition was observed at the superior and posterior surfaces of both mandibular condyles and at the roof of the glenoid fossa. The masticatory muscles remained relatively stable in position in relation to the anterior cranial base. To our knowledge, such information in JCA patients has not previously been published in the literature. Using magnetic resonance imaging (MRI), it was possible to gain improved insight into the 3D morphology including soft tissues without the overlap of the surrounding tissues observed in the conventional radiographs. Accordingly, it is suggested that 3D magnetic resonance analysis is a more useful method for the follow-up of the JCA patients than radiographic techniques.

Adolescent↗

Effect of treatment of dentofacial deformities on the electromyographic activity of masticatory muscles.

Individuals with dentofacial deformities present changes in masticatory muscles. The objective of the present study was to determine the influence of interdisciplinary treatment in cases of class III dentofacial deformities regarding the EMG activity of the temporal (T) and masseter (M) muscles. The study was conducted on 15 patients with class III dentofacial deformities who were submitted to orthodontic, oromyofunctional and surgical treatment and assigned to groups P1 (before surgery) and P2 (6-9 months after surgery). Fifteen individuals with no alterations in facial morphology or dental occlusion and without signs or symptoms of temporomandibular joint dysfunction were used as controls (CG). The T and M muscles were submitted to EMG bilaterally in the situations of mastication and mastication plus biting, with analysis of amplitude interval and root mean square. For all muscles tested, there was a difference between CG, P1 and P2; CG was higher than P2 and P2 higher than P1 in all situations assessed. We conclude that there was an increase in EMG activity in the T and M muscles after surgical correction of the dentofacial deformity accompanied by interdisciplinary treatment, although the values were still lower than those obtained for CG.

Adult↗

Changes in head and cervical-spine postures and EMG activities of masticatory muscles following treatment with complete upper and partial lower denture.

A clinical stomatognathic, cephalometric and electromyographic (EMG) study was performed in relation to 14 subjects (10 women, 4 men), each with an edentulous maxilla and residual mandibular dentition before and six months after treatment with complete upper and partial lower dentures. The mean age of the subjects was 54.4 years (range 43-64 years). The mean period of edentulousness and age of dentures were 22.5 years (range 15-33 years) and 14.1 (range 1.5-30 years), respectively. Natural head position was recorded (using a fluid-level method) and measured from cephalograms. EMG activity was measured in relation to masseter and temporal muscles. A decrease in clinical dysfunction index was noted in 12 of 14 subjects (86%). There was no change in cervical inclination, but a slight extension of the head was noted after treatment. Rapid recovery of the masticatory muscles was reflected in increased EMG activity, especially when biting in the maximal intercuspal position. In cases of edentulous maxilla and residual mandibular anterior dentition, treatment with a complete upper and lower partial denture had a favorable effect on craniomandibular disorders and masticatory-muscle function.

Adult↗

Disturbances in the contraction and co-ordination pattern of the masticatory muscles due to dental restorations. An electromyographic study.

Recent Swedish publications report that a large number of patients suffer from the mandibular dysfunction syndrome. Some theories assume that this syndrome is the result of a disturbance in blood flow through the maxillary artery. The present authors suggest, that the syndrome is caused by a disturbance in the pattern of contraction of the masticatory muscles. This hypothesis is based on the assumption that the human periodontal membrane contains mechanoreceptors which are able to exert reflex control over the pattern of contraction of the muscles during chewing. If the pattern of stimulation of these receptors is modified following dental restoration, then this could result in a disturbance of the neuromuscular pattern of the masticatory apparatus. In order to test this hypothesis, an electromyographic study was carried out in three volunteers and eight patients. The results of this study support the view that there are receptors in the human periodontal membrane which are able to control the pattern of contraction of the masticatory muscles. The hypothesis that the mandibular dysfunction syndrome is the result of a disturbance in the pattern of contraction of these muscles is pursued further in the discussion.

Adult↗

[Optical density of the mandibular head in cases of TMJ dysfunction and asymmetry of masticatory muscles activity].

There was an examination of 20 patients (12 women and 8 men), aged 30 to 50, with TMJ dysfunction and with partial absence and abrasion of teeth with decrease in the height of the lower facial part and distal mandible shift, and of 12 people (7 women and 5 men), aged 20 to 40, with intact dentitions using electromyography of masticatory muscles and computer tomography, followed by evaluation of the optical density of mandibular head. Analysis of the results enabled to determine the presence of disorders of the balanced activity of masticatory muscles and enables to determine alterations in the optical density of mandibular head. It is necessary to consider the obtained data in planning the prosthetic treatment and preparation of the mouth for prosthetics of patients with TMJ pathology.

Adult↗