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Phosphorus magnetic resonance spectroscopy of human masseter muscle.

Masseter muscle metabolism is poorly understood. 31P Magnetic Resonance Spectroscopy (MRS) provides an opportunity for non-invasive study of muscle metabolism during rest, exercise, and recovery. The aim of this study was to investigate the changes in high-energy phosphates and pH in human masseter muscle associated with exertional pain. Phosphates and pH were measured with 31P Magnetic Resonance at 2.0 Tesla. The bite force was simultaneously measured with a force transducer. Continuous biting at maximum voluntary bite force (MVBF) and two intermittent biting exercises with different duty cycles were performed to pain intolerance. The light intermittent exercise did not produce pain. Brief MVBF requested at the beginning, during, and end of each exercise showed no decay. Qualitatively, changes in phosphates were similar to those reported from comparable limb muscle exercises: increased inorganic phosphate (Pi), decreased phosphocreatine (PCr), and no changes in ATP level. Quantitatively, however, the Pi/PCr ratio did not reach the levels reported in limb muscles during similar exercises. Also, the pH changed very little. Thus, the lack of fatigue was no surprise, since the level of changes in Pi/PCr and pH, reported to be associated with fatigue in limb muscles, was far less in the masseter. Pain development toward the end of the heavy exercises prevented further depletion of metabolites. Thus, the lack of fatigue generally postulated for the masseter muscle may not be due to resistance to fatigue of these fibers, but rather to the presence of pain preventing the fatigue. However, no specific metabolic changes associated with exertional pain were found.

Adenosine Triphosphate↗

Factors influencing the anterior component of occlusal force.

We hypothesized that the anterior component of occlusal force (ACF) generated by mandibular molars was a function of molar inclination, height of the transverse condylar axis above the occlusal plane, steepness of the occlusal plane, gape, molar root dimensions, interproximal tooth contact force when not biting, and bite force. Our research aim was to identify those biomechanical factors which determine ACF. Mandibular second molars were axially loaded with a 90 N force (10 mm second molar gape) in 15 subjects, and the resulting ACF was measured at the mandibular first molar-second premolar contact using a recording technique based on interproximal frictional forces. Morphologic measurements were obtained from lateral cephalometric radiographs of each subject and included: Frankfort mandibular plane angle, occlusal plane angle, angles formed by the longitudinal axis of the second molar and the occlusal and mandibular planes, perpendicular distance from the top of the condyle to the occlusal plane, and second molar root width and root length. For ten subjects, ACF resulting from axial loads of 50, 100, 150, and 200 N was measured. For ten subjects, ACF resulting from an axial load of 50 N and second molar gapes of 10 mm, 14 mm, 18 mm, and 22 mm were measured. ACF increased with increasing gape and increased proportionally to increasing bite force. Correlation and stepwise regression analyses revealed that ACF varies with interproximal tooth contact force when not biting (contact 'tightness') and molar root width (model R2 = 0.71, p less than 0.01).(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Improvement of maximum occlusal forces after orthognathic surgery.

PURPOSE: A number of studies have reported that maximum voluntary bite forces increase after orthognathic surgery. This study determined rates of long-term improvement in bite forces and looked for both sex-related differences in improvement and for any differences among surgical procedures. PATIENTS AND METHODS: The study tested 117 patients before surgery and between 6 months and 3 years after surgery. At each trial, unilateral maximum voluntary bite force was measured at four different tooth positions using a standard transducer. Forty-three control subjects were similarly tested. The rate of increase in maximum bite force was calculated separately for male and female patients in various groups of patients and the controls. RESULTS: The patients had significantly lower maximum bite forces than the controls before surgery and for as long as 2 years after surgery. Within 6 months after surgery, patients' bite forces were already greater than their pre-surgical forces. Patients generally showed steady improvement in bite force thereafter, with male patients improving more quickly than female patients. There were no clear differences among surgical procedures. CONCLUSIONS: Any temporary reduction in maximum voluntary bite force disappears less than 6 months after orthognathic surgery. Orthognathic surgery improves patients' bite forces, but this improvement may be gradual, requiring many months.

Analysis of Variance↗

Functions of masseter and temporalis muscles in the control of temporomandibular joint loading--a static analysis using a two-dimensional rigid-body spring model.

Masticatory forces or bite forces applied to the teeth are known to generate a compressive force on the temporomandibular joint (TMJ). This intra-articular force is referred to as TMJ loading. TMJ loading is considered to be controlled to a certain extent by the stomatognathic system, so as not to exceed a certain limit. In order to clarify the control mechanism of the TMJ during biting, the controllability of TMJ loading through coordinated activities of the masticatory muscles has been numerically analyzed using a static two-dimensional jaw model. This model consists of a rigid-body model of the jaws and a spring model of the articular disk, which includes three dominant muscle force vectors representing the masseter, temporalis and lateral pterygoid muscles. The bite force vector is assumed to be applied solely at the first molar. Static equilibrium analyses suggest that coordinated activities of the masseter muscle and anterior portion of the temporalis muscle can minimize TMJ loading and concentrate the stress within the articular disk to the intermediate zone of the disk, and that the activity of the posterior portion of the temporalis muscle has the possibility of reducing TMJ loading.

Bite Force↗

Bite performance in clariid fishes with hypertrophied jaw adductors as deduced by bite modeling.

Within clariid fishes several cranial morphologies can be discerned. Especially within anguilliform representatives an increase in the degree of hypertrophy of the jaw adductors occurs. The hypertrophy of the jaw adductors and skeletal modifications in the cranial elements have been linked to increased bite force. The functional significance of this supposed increase in bite force remains obscure. In this study, biomechanical modeling of the cranial apparatus in four clariid representatives showing a gradual increase in the hypertrophy of the jaw adductors (Clarias gariepinus, Clariallabes melas, Channallabes apus, and Gymnallabes typus) is used to investigate whether bite force actually increased. Static bite modeling shows that the apparent hypertrophy results in an increase in bite force. For a given head size, the largest bite forces are predicted for C. apus, the lowest ones for C. gariepinus, and intermediate values are calculated for the other species. In addition, also in absolute measures differences in bite force remain, with C. apus biting distinctly harder than C. gariepinus despite its smaller head size. This indicates that the hypertrophy of the jaw adductors is more than just a correlated response to the decrease in absolute head size. Further studies investigating the ecological relevance of this performance difference are needed.

Animals↗

A numerical model of temporomandibular joint loading.

A numerical model of the mandible, its articulating surfaces, and the forces exerted by the primary masticatory muscles has been developed for the purpose of investigating loading of the temporomandibular joint. Evidence is presented which shows that the temporomandibular joint. Evidence is presented which shows that the temporomandibular joint is a load-bearing joint over the normal functional range of bite-force positions and angles. In this investigation, temporomandibular joint loads were found to vary from a maximum appositional force of 60% of the bite force (when bite forces were applied to the incisors) to a distracting force of about 5% of the bite force (when applied to the distal surfaces of the third molars). TMJ loads tended to reach a minimum as a result of vertically directed bite forces positioned at the second molars. A range of conditions in which bite forces were directed parallel to or within approximately 20 degrees of the mid-sagittal plane was found to be conducive to stability of the temporomandibular joint. This stability included symmetry in the direction and in the magnitude of condylar loads as well as the presence of small forces tending to oppose the condyle and articular eminence. TMJ loads tended to reach a maximum in response to mediolaterally directed bite forces. This result is consistent with the fact that no muscle of mastication exhibits a spatial orientation in which the muscle fibers are predominantly mediolateral in direction.

Bite Force↗

[The influence of occlusal interferences on pulp vitality threshold in permanent dentition].

UNLABELLED: Examination of pulp vitality is a valuable aid in diagnosis and treatment and thus has been in use for a long time. Numerous factors influencing the pain threshold have been found including occlusal interferences. The effect of EOI (Experimental Occlusal Interferences) has been described, while the effect of primary occlusal interference awaits further investigation. The aim of this work was to evaluate the influence of malocclusion (primary occlusal interference) on pulp vitality. At first, the pattern of bite forces in normal occlusion was established. For this purpose, 20 individuals were examined. The following results were found: (a) Bite forces on the right and left side are symmetrical; (b) Total bite forces are distributed as follows: (I) upper half arch: medial incisor 6.3%, lateral incisor 2.9%, canine 3.6%, first premolar 10.4%, second premolar 11.7%, first molar 29.4%, second molar 23.8%; (II) lower half arch: medial incisor 4.1%, lateral incisor 4%, canine 4.8%, first premolar 9%, second premolar 15.1%, first molar 27.3%, second molar 29.7% (Fig. 4). Next, 83 patients with unilateral malocclusion were subjected to clinical examination (orthodontic diagnosis) and measurement of bite forces (with T-Scan system). A computer program was used to establish bite forces (in %) for each tooth. 576 teeth were divided into 9 groups in accordance with the orthodontic diagnosis as follows: class II tendency (n = 126), cross-bite (n = 50), rotated (n = 30), scissors bite (n = 23), class III tendency (n = 19), class II (n = 16), open bite (n = 15), class III (n = 9), normal occlusion (n = 288). Each tooth in malocclusion was assigned a contralateral "control" tooth (Fig. 5). Bite forces acting on teeth in malocclusion were compared with control teeth using Student's t-test (Fig. 6). There is no difference between bite forces of teeth in normal occlusion and malocclusion on the opposite side of dental arches in the same patient, the only exceptions being open and cross-bite. Bite force values obtained in a group with normal occlusion and those reported by Blamphin, Kochańska and Gidzińska-Głódkowska formed parallel lines (Fig. 7). Pulp vitality threshold was measured at the buccal and occlusal side in all teeth of the group of 83 patients. Measurements were performed using Ez-Test (Satelec). The results are summarized in Table I. CONCLUSIONS: 1. Bite forces are symmetrical on the right and left side and differ for each tooth. 2. There is no difference between bite forces of teeth in normal occlusion and malocclusion on the opposite side of dental arches in the same patient except for open and cross-bites. 3. Bite forces in patients with unilateral malocclusion are slightly lower than in patients with normal occlusion. 4. There is no difference between pulp vitality in normal occlusion and malocclusion on the opposite side of dental arches in the same patient. 5. Pulp vitality threshold is higher at the buccal than occlusal side. 6. Pulp vitality threshold decreases with age and differs with gender.

Bite Force↗

Oral function in subjects with overdentures supported by osseointegrated implants.

Nine subjects treated with overdentures on osseointegrated implants in the mandible were functionally evaluated before and after treatment. The last recordings were performed 1 yr after treatment. The evaluation comprised a subjective and a clinical examination. Measurements of bite force and of chewing efficiency were also performed. The bite force was measured during gentle biting, biting as when chewing and biting with maximal effort. Almonds were used as test food. All subjects improved subjectively as well as clinically after treatment. The bite force during gentle biting increased on average from 17.3 N before treatment to 24.0 N 1 yr after treatment. A corresponding improvement of biting as when chewing was also found, from on average 24.0 N before to 38.7 N after treatment. The maximal bite force increased from on average 74.6 N at the baseline examination to 131.5 N at the 1-yr follow-up. The chewing efficiency improved from Ci = 4 (Median value) before treatment to Ci = 2.8 (Median value) after treatment. It is concluded that treatment with an overdenture supported by osseointegrated implants in the mandible improves oral function compared to the situation before treatment.

Aged↗

Twitch interpolation in the assessment of the maximum force-generating capacity of the jaw-closing muscles in man.

The method of twitch interpolation was employed to study the maximum potential bite forces of humans. Transcutaneous electrical stimuli were applied to parts of one or both masseter muscles in eight volunteers while they bit with a variable but controlled isometric force on a unidirectional force transducer held between the anterior teeth. In all participants the twitch force produced by a single 1-ms pulse, of 25 50 mA intensity, was inversely and linearly related to the voluntary bite force. For each participant the slope of the regression between twitch force and bite force depended on the stimulus intensity and not on whether the stimulus was applied to one or both masseters. Extrapolation of the regression lines to zero twitch force showed that they converged towards a bite-force value that, for any given participant varied only a small amount between different stimulus intensities. For most participants this bite force lay above the maximum that they produced voluntarily: voluntary maximum bites ranged from 153 to 593 N, while the extrapolations predicted a narrower and higher potential range of 282-629 N. It was concluded that, for the masseters at least, there is often spare force-generating capacity which individuals are either unable or not prepared to utilize. This method is non-invasive and may help to define better the maximum bite-force potential of humans.

Adult↗

Theoretical prediction of muscle forces on the mandible during bite.

We present a mathematical model to determine the contribution of each muscle acting on the mandible in the development of a given bite force. We give special attention to the representation of the widely radiated temporalis and account for the attachment of the external pterygoid to the capsular ligament. An optimization technique based on minimizing the maximum stress occurring in the muscles is used to resolve the statically indeterminant nature of the problem formulated. The theoretically predicted values of the muscle forces are compared to experimental results taken from the literature.

Bite Force↗

Maximal contraction force and endurance of human jaw-closing muscles in isometric clenching.

Maximal unilateral bite force and endurance times from maximal bite force to the 75% and 50% levels of maximal values were recorded for 13 men and 15 women with bite openings of 10 and 14 mm. Measurements were made both from right and left molar regions and from the incisal region. Bite force values were significantly higher than previously measured in endurance tests by devices with unilateral housings. Men achieved greater bite force than women in the molar region in every trial. The general assumption that women's muscles are superior to those of men in static endurance when both are working at the same percentage of maximal voluntary contraction was not supported by this work for jaw-closing muscles. The endurance times to 75% and 50% levels of maximal bite force were shorter than could be expected from previous reports, and endurance times to the 50% level were even shorter than those reported for muscles of limbs.

Adult↗

Efficiency as a predictor of human jaw design in the sagittal plane.

The effects of changing the direction of the bite force and of the mandibular joint reaction have been studied with a mathematical model assisted by a computer using the technique of linear programming. We conclude the following: In the sagittal plane the long axes of lower molars are each tilted in the direction that most efficiently converts muscle force into work at the bite point rather than in the direction that would maximize static bite force. These genetically determined angles are referred to as the most 'work efficient' angles. Collectively they lead to the appearance of the curve of Spee associated with the postcanines. Given the most work efficient angle of the first molar, the model indicates for bite forces generated in this direction the joint reaction is least when tilted forward from the vertical at between 20 degrees and 30 degrees. The joint reaction is normal to the articular surface of the condyle which is itself tilted forward 20-30 degrees from the occlusal plane. We conclude the condyle and articular eminence are remodelled to the angle that minimizes the joint reaction. The direction of the bite force may be controlled via neuronal circuitry connecting mechanoreceptors of the periodontal ligament with motor nerves supplying the jaw-closing muscles. The height of the occlusal plane in the molar region has little effect on jaw efficiency.

Computer Simulation↗

[Masticatory training with chewing gum on young children].

Mastication is a developmental function. It matures through learning experiences. The biting force is one of the components of masticatory function. The biting force increases with age. During the developmental stage, it is believed feasible to enhance the maturation of the masticatory function by increasing the biting force. The previous results of masticatory training for adults and school children had revealed 20% to 30% increase of the biting force. In this study, masticatory training with specially fabricated chewing gum for young (preschool) children was performed. The subjects were 5 males and 5 females from 3 years old to 5 years old. These children were instructed to bite on the chewing gum for 5 minutes, 2 times a day, for 3 months. The results show that there was a 94% average increase of biting force after 3 months of training. It was also noted that the rate of the increase of the biting force was remarkable during the first month of training.

Age Factors↗

Jaw reflexes evoked by mechanical stimulation of teeth in humans.

Jaw reflexes evoked by mechanical stimulation of teeth in humans. The reflex response of jaw muscles to mechanical stimulation of an upper incisor tooth was investigated using the surface electromyogram (SEMG) of the masseter muscle and the bite force. With a slowly rising stimulus, the reflex response obtained on the masseter SEMG showed three different patterns of reflex responses; sole excitation, sole inhibition, and inhibition followed by excitation. Simultaneously recorded bite force, however, exhibited mainly one reflex response pattern, a decrease followed by an increase in the net closing force. A rapidly rising stimulus also induced several different patterns of reflex responses in the masseter SEMG. When the simultaneously recorded bite force was analyzed, however, there was only one reflex response pattern, a decrease in the net closing force. Therefore, the reflex change in the masseter muscle is not a good representative of the net reflex response of all jaw muscles to mechanical tooth stimulation. The net response is best expressed by the averaged bite force. The averaged bite force records showed that when the stimulus force was developing rapidly, the periodontal reflex could reduce the bite force and hence protect the teeth and supporting tissues from damaging forces. It also can increase the bite force; this might help keep food between the teeth if the change in force rate is slow, especially when the initial bite force is low.

Adult↗

Mechanical capabilities of the human jaw muscles studied with a mathematical model.

The human muscles of mastication have complex shapes with large attachment areas. This suggests a variety of bite force directions and magnitudes. The possible range of these and the concomitant joint force of each individual muscle were determined by a mathematical model describing static equilibrium conditions in the sagittal plane. The range of force directions for each muscle was defined by the action lines of the most anterior and most posterior (for the lateral pterygoid, most superior and most inferior) muscle fibre bundles. Calculations from the various directions of the reaction force in the temporomandibular joint demonstrated that each muscle can produce a unique variety of bite force directions. Except for the lateral pterygoid and posterior temporalis, the range and orientation of possible bite forces was closely related to the orientation of the joint force. In general, at the canine tooth the bite forces were directed more posteriorly than at the second molar. Within a muscle, distinct portions may produce considerably different bite force magnitudes; the largest bite forces are produced at horizontal and vertical joint force directions. The posterior portions of the deep masseter and temporalis muscles and the lateral pterygoid muscle have the largest mechanical advantage. In the majority of muscles the magnitude of the joint reaction force is smallest at an oblique joint force direction.

Aged↗

Electromyographic study of human jaw-closing muscle endurance, fatigue and recovery at various isometric force levels.

The effect of a sustained isometric clenching, at various force levels or maximum voluntary bite-force levels, was evaluated on normal jaw-function subjects. Surface electromyographic (EMG) recordings of the masseter and temporalis were taken and bite force was measured using an intra-oral force transducer placed unilaterally in the 2nd premolar-1st molar region. Subjects sustained isometric force at the 25, 50, 75 and 100 per cent force level. Maximal bite force and EMG contraction levels were measured before, during and after these sustained isometric tasks. Subjects showed no change in their brief maximal contraction or force levels during or after various fatigue-inducing isometric tasks. The findings suggested a lack of contractile failure in the jaw-closing muscles. Pain intolerance rather than neuromuscular fatigue is the limiting factor of a sustained submaximal or even maximal clenching effort.

Adult↗

Functional and morphologic alterations after anterior or inferior repositioning of the maxilla.

PURPOSE: The purpose of this investigation was 1) to compare functional and morphologic measurements between controls and patients scheduled for anterior or inferior repositioning of the maxilla, and 2) to examine how these patients' oral function adapted after surgery. PATIENTS AND METHODS: Nine male patients undergoing anterior and/or inferior repositioning of the maxilla were compared with 26 male controls preoperatively and up to 3 years after surgery. Measures of skeletal morphology, mandibular range of motion, maximum voluntary bite force, and levels of electromyographic (EMG) activity in the anterior and posterior temporalis and masseter muscles during isometric bites were made on all subjects over time. One-way ANOVA was used to compare the controls, the patients before surgery, and the patients after surgery. RESULTS: Before surgery, most of the patients had morphologic characteristics of mandibular prognathism and maxillary retrognathism. Surgery made the patients' skeletal morphology similar to controls except for mandibular length, upper facial height, and palatal plane angle, which were significantly greater than those of controls. There were no significant differences in jaw muscle mechanical advantage between controls and patients either before or after surgery. Hypomobility of the jaw was apparent at 6 weeks and 6 months after surgery, but returned to normal values within 1 to 2 years. Before surgery, the patients had maximum voluntary bite forces significantly less than those of controls. Bite forces in patients steadily increased after surgery, approaching significantly higher values than those of controls. Before surgery, patients' muscle activity levels per unit of bite force were not significantly different from those of controls. Most of the patients' muscle activity levels per unit of bite forces at all bite positions showed no significant change after surgery. CONCLUSIONS: The results of this study suggest that anterior or inferior repositioning of maxilla produces some significant functional benefits in patients.

Adult↗

Ontogeny of feeding function in the gray short-tailed opossum Monodelphis domestica: empirical support for the constrained model of jaw biomechanics.

The constrained model of masticatory function enables specific predictions of bite force potentials in skulls of differing craniodental configurations. In this study, empirical support for the constrained model is provided using maximum voluntary bite force data along Region I and II of the jaws of gray short-tailed opossums Monodelphis domestica. Then, growth series of M. domestica are used to assess how bite force potential changes with growth by evaluating craniodental changes using longitudinal sets of dorsoventral radiographs and by assessing maximal bite force potential at the Region I-II boundary of the jaw in juveniles (aged 70-80 days) and adults. Our findings show that, while juveniles and adults alike enclose at least three molariform teeth within Region II (the area of highest bite force potential along the jaw), age-dependent elongation of the masticatory muscle resultant lever arm and narrowing of the palate relative to jaw length especially enhance the mechanical advantage of the adductor muscle resultant in adults. While maximal bite forces at the Region I-II boundary are absolutely greater in adults, these bite forces scale isometrically with body mass, which suggests that mass-specific forces exerted by jaw adductor muscles of larger (adult) opossums are disproportionately smaller than those exerted by smaller (juvenile) opossums.

Animals↗