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Anticipatory and reflexive neck muscle activities during voluntary rapid jaw opening and passive jaw depression in humans.

The characteristics of head movement during voluntary rapid jaw opening movement and passive jaw depression were investigated using accelerometers and electromyographs (EMG) on eight healthy examinees. Passive depressions were executed by means of load on the lower jaw, initiated either by examinees themselves or an experimenter. In the depression initiated by examinees, a head-extension movement that preceded the load to the lower jaw and anticipatory activities in the nuchal region of the trapezius muscle were observed. In the depression initiated by the experimenter, the anticipatory activities were not observed. In both of these cases, stretch reflexes were induced in the trapezius muscle. During voluntary rapid jaw opening, a head-extension movement nearly synchronized with the opening movement in the lower jaw acceleration, and dorsal-neck muscle activities accompanying the synchronized movement were observed. The peak timing of these neck-muscle activities preceded the latencies of the stretch-reflex activities observed in the jaw-depressed tasks, but no anticipatory activities were observed in the dorsal-neck muscles. We conclude that neither the anticipatory activities nor the reflex activities observed in the passive depressions have effects on the initial part of the dorsal-neck muscle activities, which are related to the head-extension synchronized with the voluntary lower-jaw opening movement.

Adult↗

Changes in jaw-jerk on different levels of jaw closure and teeth-clenching in humans.

We investigated how the jaw-jerk in the human masseter muscle is modulated in relation to the level of jaw closure (JC) and teeth clenching. Electromyographic (EMG) activity was recorded with surface electrodes. Background EMG activity of the masseter muscle was kept at three low teeth clenching levels with visual feedback. The level of JC was changed in six steps along the habitual path of closure relative to the mean maximal jaw opening during gum chewing by inserting a bite block between the upper and lower molars. The jaw-jerk was evoked by applying mechanical stimulation of about 20 N with a hammer to the bite-fork placed on the lower molars on one side in each condition of combination of a level of JC with a level of teeth-clenching. At the resting condition the excitability of the jaw-jerk increased with JC, while at weak voluntary teeth clenching it then decreased and increased again as the jaw was progressively closed. It is suggested that the excitability of the jaw-jerk would increase toward the occlusal position, which in turn would contribute to smooth masticatory movements. In addition, the mode of modulation of the jaw-jerk was studied in a subject with skeletal malocclusion.

Adult↗

Electromyographic activity of the jaw-closing muscles during jaw opening in patients with masseter muscle contracture.

Contracture of the jaw-closing muscles is one of the causes of limitation of jaw opening. This study examined whether there is any difference between the EMG activities of jaw-closing muscles during jaw opening in healthy people and in patients with masseter muscle contracture (MMC), who do not have a history of trauma or infection. The patient group consisted of eleven females, 18 to 62 years old with no history of trauma or infections, with limited mouth opening due to MMC. The control group included eleven healthy females, 23 to 50 years old. The EMG activity was recorded bilaterally in the central portion of masseter muscles (Mm), the anterior portion of temporal muscles (Tm), and the anterior belly of digastric muscles (Dm). Nine out of the patient group showed obvious EMG activity in Mm during jaw opening which was different from typical EMG patterns during jaw opening of up to 40 mm in the control group. Among the nine patients, eight showed antagonistic contraction in Tm as well as Mm. The mean integral value of Mm and Tm during jaw opening in the patient group was significantly higher than in the control group (P<0.01). These results suggest that EMG activity during jaw opening in MMC patients with no history of trauma or infections is different from that in healthy people.

Adolescent↗

Disturbed jaw behavior in whiplash-associated disorders during rhythmic jaw movements.

As shown previously, "functional jaw movements" are the result of coordinated activation of jaw as well as neck muscles, leading to simultaneous movements in the temporomandibular, atlanto-occipital, and cervical spine joints. In this study, the effect of neck trauma on natural jaw function was evaluated in 12 individuals suffering from whiplash-associated disorders (WAD). Spatiotemporal characteristics of mandibular and concomitant head movements were evaluated for three different modes of rhythmic jaw activities: self-paced continuous maximal jaw-opening/-closing movements, paced continuous maximal jaw-opening/-closing movements at 50 cycles/minute, and unilateral chewing. Compared with healthy subjects, the WAD group showed smaller magnitude and altered coordination pattern (a change in temporal relations) of mandibular and head movements. In conclusion, these results show that neck trauma can derange integrated jaw and neck behavior, and underline the functional coupling between the jaw and head-neck motor systems.

Adult↗

Coordination of jaw and extrinsic tongue muscle activity during rhythmic jaw movements in anesthetized rabbits.

To clarify the jaw-closer and tongue-retractor muscle activity patterns during mastication, electromyographic activity of the styloglossus (SG) as a tongue-retractor and masseter (Mass) as a jaw-closer muscles as well as jaw-movement trajectories were recorded during cortically evoked rhythmic jaw movements (CRJMs) in anesthetized rabbits. The SG and Mass muscles were mainly active during the jaw-closing (Cl) phase. The SG activity was composed of two bursts in one masticatory cycle; one had its peak during the jaw-opening (Op) phase (SG1 burst) and the other during the Cl phase (SG2 burst). The Mass activity during the Cl phase was dominant on the working side (opposite to the stimulating side) while the SG1 and SG2 bursts were not different between the sides. When the wooden stick was inserted between the molar teeth on the working side during CRJMs, the facilitatory effects on the SG1 and SG2 bursts on both sides were noted as well as those on the Mass bursts, but the effects on the SG1 burst seemed to be weak as compared with those on the Mass and SG2 bursts. The difference in the burst timing between the sides was noted only in the SG1 burst. When the trigeminal nerves were blocked, the peak and area of the SG and Mass burst decreased during CRJMs, and the facilitatory effects of the wooden stick application on the muscles were not noted. The results suggest that the jaw and tongue muscle activities may be adjusted to chew the food and make the food bolus.

Anesthesia↗

Changes in jaw movement and jaw closing muscle activity after orthodontic correction of incisor crossbite.

The possible influences of the direction of occlusal loading delivered to the incisors in the sagittal direction during chewing on jaw movement and jaw closing muscle activity were investigated. Ten healthy children with crossbite of one or two incisors on the right side were selected. Each subject chewed a piece of chewing gum on the right side, and jaw displacements and electromyographic signals from the posterior temporalis and superficial masseter muscles on the ipsilateral side were sampled simultaneously. After orthodontic correction of the incisor crossbite relationship, identical records were taken. The inclinations of the gliding contacts for each posterior tooth in the lateral jaw excursion position were consistent before and after the treatment. The posttreatment records showed broader jaw movement patterns in the frontal view and faster jaw movement velocity in the lateral direction at a level close to the habitual maximum intercuspation position, when compared with the pretreatment records (P < 0.05). The duration of the muscle activity and the incidence of the silent periods of the masseter muscle during chewing significantly decreased after the treatment (P < 0.05). The current results give a neurophysiologic rationale for explaining the significance of orthodontic treatment in improving lowered masticatory efficiency in the way that the change in direction of the occlusal load achieved by tooth movement influences on the periodontal sensory input, which, in turn, modifies the trigeminal motor output and thus, eventually, jaw muscle activities.

Bite Force↗

Examination of the relationships between jaw opener and closer rhythmical muscle activity in an in vitro brainstem jaw-attached preparation.

An in vitro jaw-attached brainstem preparation was developed to investigate the relationship between jaw opener and closer muscle activity during chemically induced rhythmical jaw movements in neonatal rats. In the majority of preparations examined, where a defined region of brainstem was isolated and the neuronal innervation of the jaw opener and closer muscles was left intact, bath application of the excitatory amino acid agonist N-methyl-D,L-aspartate (NMA, 20-40 microM) in combination with bicuculline (BIC 10 microM), a GABA(A) antagonist, produced rhythmical electromyogram (EMG) activity in jaw opener and closer muscles, bilaterally, in conjunction with rhythmical jaw movements. Low concentrations of NMA (20 microM) in combination with BIC produced temporally coordinated activity between the jaw opener and closer muscles, ipsilaterally. With higher doses of NMA (40 microM), each muscle group exhibited bursting, but temporal coordination between them was difficult to establish. Similarly, NMA application in combination with the glycine antagonist strychnine (STR, 10 microM), also produced rhythmical EMG activity from both opener and closer muscles, ipsilaterally, but showed no temporal coordination between the antagonist muscle pair. However, coordination of opener and closer muscle discharge could be restored by the addition of BIC to the bath. We suggest that there exist separate, but coordinated, rhythm generator circuits for opener and closer motoneuronal discharge located in close proximity to the trigeminal motor nucleus and under GABAergic control for production of temporal coordination between rhythmogenic circuits.

Animals↗

Lip-jaw and tongue-jaw coordination during rate-controlled syllable repetitions.

The present study investigated the relationship between functionally relevant compound gestures and single-articulator component movements of the jaw and the constrictors lower lip and tongue tip during rate-controlled syllable repetitions. In nine healthy speakers, the effects of speaking rate (3 vs 5 Hz), place of articulation, and vowel type during stop consonant-vowel repetitions (/pa/, /pi/, /ta/, /ti/) on the amplitude and peak velocity of differential jaw and constrictor opening-closing movements were measured by means of electromagnetic articulography. Rather than homogeneously scaled compound gestures, the results suggest distinct control mechanisms for the jaw and the constrictors. In particular, jaw amplitude was closely linked to vowel height during bilabial articulation, whereas the lower lip component amplitude turned out to be predominantly rate sensitive. However, the observed variability across subjects and conditions does not support the assumption that single-articulator gestures directly correspond to basic phonological units. The nonhomogeneous effects of speech rate on articulatory subsystem parameters indicate that single structures are differentially rate sensitive. On average, an increase in speech rate resulted in a more or less proportional increase of the steepness of peak velocity/amplitude scaling for jaw movements, whereas the constrictors were less rate sensitive in this respect. Negative covariation across repetitions between jaw and constrictor amplitudes has been considered an indicator of motor equivalence. Although significant in some cases, such a relationship was not consistently observed across subjects. Considering systematic sources of variability such as vowel height, speech rate, and subjects, jaw-constrictor amplitude correlations showed a nonhomogeneous pattern strongly depending on place of articulation.

Analysis of Variance↗

Patterns of jaw reflexes induced by incisal and molar pressure stimulation in relation to background levels of jaw-clenching force in humans.

Patterns of jaw reflexes induced by periodontal stimulation were examined in ten adults. Surface electromyograms (EMGs) from the masseter and anterior temporal muscles were recorded when pressure stimulation was applied to either an incisor or a molar. Reflex responses to periodontal pressure stimulation varied, depending on the background levels of jaw-clenching force that preceded stimulation (background clenching force, BCF). At low BCF, excitatory reflexes were elicited from the jaw-closing muscles and jaw-clenching force. However, the magnitude of excitatory reflexes varied with the location of the stimulated tooth along the dentition. While excitatory reflexes were induced equally in the masseter and temporal muscles during incisal stimulation, stronger excitatory reflexes were induced in the temporal muscle than in the masseter muscle during molar stimulation. At high BCF, inhibitory reflexes in the jaw-closing muscles and jaw-clenching force were elicited in eight subjects (group A) during periodontal stimulation. However, excitatory reflexes in the muscles and force were elicited in the remaining two subjects (group B). In the subjects of group A, stronger inhibitory reflexes were elicited in the temporal muscle than in the masseter muscle, and jaw-clenching force also decreased during both incisal and molar stimulation. In the subjects of group B, the magnitude of excitatory reflexes decreased with increases in BCF.

Adult↗

Effect of tooth clenching and jaw opening on pain-pressure thresholds in the human jaw muscles.

The measurement of the pain-pressure threshold in the human jaw muscles may be affected by variables such as the size of the pressure-transducer recording surface and the rate of applied pressure. The jaw muscles have a complex architecture that results in changes in muscle stiffness and compliance when different motor tasks are performed. Such changes in the jaw muscles are likely to affect the pain-pressure threshold. The central motor program associated with different tasks may also affect the pain-pressure threshold. A pressure algometer was used to measure the pain-pressure threshold in various regions of the masseter and temporalis muscles at different magnitudes of tooth clenching and jaw gape. The pain-pressure threshold increased at all recording sites as muscle contraction associated with tooth clenching increased. The pain-pressure threshold was not affected when the jaw gape changed. There were no apparent regional differences in pain-pressure thresholds in the masseter or temporalis muscles at different amounts of tooth clenching or jaw gapes. Pain-pressure thresholds were consistently higher in the temporalis muscle. When quantitative measures of jaw muscle pain-pressure thresholds are planned, the nature of the motor task should be controlled.

Adult↗

Ultrastructural anatomy of physiologically identified jaw-muscle spindle afferent terminations onto retrogradely labeled jaw-elevator motoneurons in the rat.

Neuronal microcircuits involving jaw-muscle spindle afferents and jaw-elevator motoneurons were studied via retrograde and intracellular labeling in rats. Initially, trigeminal motoneurons were retrogradely labeled from horseradish peroxidase (HRP) injections into the temporalis and masseter muscles. The intracellular response of jaw-muscle spindle afferent neurons was then characterized during palpation, ramp and hold, and sinusoidal stretching of the jaw-closing muscles. Biotinamide was injected into these neurons, and the tissue was processed for the visualization of HRP and biotinamide. The ultrastructure of 243 intracellularly stained jaw-muscle spindle afferent boutons located within the trigeminal motor nucleus (Vmo) was examined. Eighty-five of these boutons synapsed with motoneurons retrogradely labeled with HRP, and 158 boutons synapsed with unlabeled structures within the Vmo. All spindle afferent boutons contained clear, spherical synaptic vesicles. Although the majority of boutons were S type, a few labeled jaw-muscle spindle afferent boutons possessed a long, narrow cleft, with a subsynaptic cistern comparable to previous descriptions of C-type boutons. Sixty-eight percent of spindle afferent boutons synapsed with large or medium-sized, retrogradely labeled motoneuron dendrites, and 32% synapsed with retrogradely labeled somata. In numerous instances, spindle afferent boutons synapsed with trigeminal motoneuron dendritic or somatic spines. Most of the synapses between spindle afferent boutons and trigeminal motoneuron dendrites were asymmetric, and the greatest percentage of axosomatic synapses between spindle afferents and trigeminal motoneurons were symmetric. Approximately 24% of spindle afferent boutons constituted the intermediate element of a axoaxodendritic or axoaxosomatic assemblage, implying that some jaw-muscle spindle afferent synapses with trigeminal motoneurons are presynaptically modulated.

Afferent Pathways↗

Electromyographic activity of the jaw-closing muscles during jaw opening--comparison of cases of masseter muscle contracture and TMJ closed lock.

Contracture of jaw-closing muscles is one of the causes of limitations of jaw opening. In contracture patients who have no history of trauma or infection, it is not easy to distinguish contracture from temporomandibular joint (TMJ) closed lock (TCL). The purpose of this study was to clarify whether there is any difference between electromyographic (EMG) activities of jaw muscles during jaw opening in patients with TCL and patients with masseter muscle contracture (MMC). The MMC-patient group consisted of one male and 11 females with no history of trauma or infection. The TCL-patient group consisted of one male and 11 females. Ten of the MMC patients showed certain types of EMG activities in masseter muscles (and eight in temporal muscles) during jaw opening. However, particular EMG activities were not observed in most of the TCL patients. The integral values in masseter muscles and in temporal muscles at the maximum opening position were significantly higher in the MMC-patient group than those in the TCL-patient group. These findings demonstrate that the EMG pattern of MMC patients without a history of trauma or infection is different from that of TCL patients. Therefore, EMG analysis of jaw-closing muscles during jaw opening is expected to be useful for differential diagnosis between MMC and TCL.

Adolescent↗

Investigation of cervical muscle mechanisms during jaw movement--using a prototype head-jaw-neck model--.

To explain the pain and dysfunction of neck during jaw movement associated with malocclusion, the physiologic relationships between jaw and cervical movement should be understood. However the complicated reflex effects made it difficult to investigate the biomechanical relationship between the head-neck components. For this reason we have created a model for mechanical system dynamic analysis of the normal stomatognathic system to assess the biomechanics of the cervical movement and muscle activity during jaw movement. We have also statistically validated the model and quantitatively verified the model to the human subject by the amounts and conditions of cervical muscle activity. During jaw opening-closing phases the movement of the model was highly correlated to the subject with an identical movement. However low consistency was achieved during intercuspid phase. These findings indicate the establishment of a valid system, which can be used to evaluate the biomechanical relationships between jaw and cervical movement. Moreover the model verification of cervical muscle activity indicate the mechanical action of jaw can be the primary factor to modify cervical muscles, and cervical muscles coordinate to resist changes in head balance during jaw movement to maintains head posture.

Adult↗

Customized EMG needle insertion guide for the muscle afferent block of jaw-deviation and jaw-opening dystonias.

OBJECTIVE: Jaw-opening and jaw-deviation dystonias are characterized by mouth opening or lateral shift of the mandible due to involuntary contraction of the lateral pterygoid muscle, causing difficulties in speech or mastication. We introduce the method of muscle afferent block by using a removable device for inserting a hollow electromyographic needle. STUDY DESIGN: A technique for fabricating a customized needle insertion guide into the lateral pterygoid muscle is described. Using the device, intramuscular injection of lidocaine and ethanol was performed in 3 patients with jaw-opening dystonia and 2 with jaw-deviation dystonia. Subjective improvement was assessed on a linear self-rating scale ranging from 0 (no improvement) to 100 points (complete cure). RESULTS: The overall subjective improvement was 72% +/- 16.4% without major side effects. CONCLUSIONS: The device is very useful for safe and accurate injection into the lateral pterygoid muscle. The muscle afferent block is effective for jaw-opening and jaw-deviation dystonias.

Adult↗

Effect of muscle relaxants on experimental jaw-muscle pain and jaw-stretch reflexes: a double-blind and placebo-controlled trial.

A randomised, double-blind, placebo-controlled three-way cross-over study was performed to investigate the effect of two muscle relaxants (tolperisone hydrochloride and pridinol mesilate) on experimental jaw-muscle pain and jaw-stretch reflexes. Fifteen healthy men participated in three randomised sessions separated by at least 1 week. In each session 300 mg tolperisone, 8 mg pridinol mesilate or placebo was administered orally as a single dose. One hour after drug administration 0.3 ml hypertonic saline (5.8%) was injected into the right masseter to produce muscle pain. Subjects continuously rated their perceived pain intensity on an electronic 10-cm visual analogue scale (VAS). The pressure pain threshold (PPT) was measured and short-latency reflex responses were evoked in the pre-contracted (15% maximal voluntary contraction) masseter and temporalis muscles by a standardised stretch device (1 mm displacement, 10 ms ramp time) before (baseline), 1 h after medication (post-drug), during ongoing experimental muscle pain (pain-post-drug), and 15 min after pain had vanished (post-pain). Analysis of variance demonstrated significantly lower VAS peak pain scores (5.9 +/- 0.4 cm) after administration of tolperisone hydrochloride compared with pridinol mesilate (6.8 +/- 0.4 cm) and placebo (6.6 +/- 0.4 cm) (P=0.020). Administration of pridinol mesilate was associated with a significant decrease in PPTs compared with tolperisone hydrochloride and placebo (P=0.002) after medication, but not after experimental jaw-muscle pain. The normalised peak-to-peak amplitude of the stretch reflexes were not significantly influenced by the test medication (P=0.762), but were in all sessions significantly facilitated during ongoing experimental jaw-muscle pain (P=0.034). In conclusion, tolperisone hydrochloride provides a small, albeit significant reduction in the perceived intensity of experimental jaw-muscle pain whereas the present dose had no effect on the short-latency jaw-stretch reflex.

Adult↗

[Assessment of upper jaw extraction versus upper and lower jaw extraction treatment for class II division 1 malocclusion using peer assessment rating index].

OBJECTIVE: To assess the outcome of orthodontic treatment with upper jaw or upper and lower jaw extraction for Class II division 1 malocclusion using the peer assessment rating (PAR) index. METHODS: 28 patients with Class II division 1 were extracted two first premolars or second premolars of upper jaw, and 24 patients were extracted four premolars of upper and lower jaw N. The PAR was applied on pre-and post-orthodontic treatment dental casts for the fifty-two cases. RESULTS: The upper and lower jaw extraction groups had significantly higher initial PAR scores and the weighted PAR total scores (P<0.05). Although significantly different before treatment, both groups were not statistically different after treatment (P>0.05). CONCLUSION: The upper and lower jaw extraction cases showed more severe dental displacement. Both treatment can acquire successful results.

Bicuspid↗

[The comparison of bone densities of mandible and coxofemoral region between senile people with edentulous jaws and those with dentate jaws].

OBJECTIVE: To observe if the senile people with edentulous jaws had lower bone dentilies of mandible and coxofemoral region than those with dentate jaws, and to find the systemic risk factors which were responsible for the tooth loss and the formation of edentulous jaws. METHODS: Two groups of senile people were selected. One group was edentulous and the other was dentate. All of them were examined by dual energy X-ray absorptiometry(DXA). RESULTS: The senile people with edentulous jaws had significantly lower bone densities of mandible(P < 0.001) and they also had lower bone densities of coxofemoral region than the dentate group people. CONCLUSION: It indicated that the decreased of bone densities of mandible and coxofemoral region was one of the systemic risk factors for tooth loss and the formation of edentulous jaws.

Age Factors↗