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An ultrastructural study of changes in the tendinous attachment of the deep layer of masseter muscle to the rat mandible during bite raising.

To elucidate the ultrastructural changes in the attachment of masticatory muscles during changes in the functions of masticatory muscles, rats ranging in age from 50 to 80 d, were used. 2 d after bite-raising, the fibrocartilage cells in the tendinous attachment of the deep layer of masseter muscle were characterized by ill-developed cell organelles. Undifferentiated cells around blood vessels degenerated. 4 d after bite raising, however, fibrocartilage cells exhibited well-developed cell organelles, cell division and intercellular contacts. After 10 d of bite raising, the morphologic features of the fibrocartilage cells were the same as those observed in the control. These results suggest that the mechanical stress created by the change in muscle function during bite raising caused the degeneration of the fibrocartilage cell. From 4 d after bite raising, cell proliferation and active formation of new extracellular matrix occurred in response to environmental changes. 10 d after bite raising, the remodeling of collagen fiber and the formation of bone tissue had returned to normal by the adaptation of muscle function.

Animals↗

Transcranial magnetic-stimulation mapping of the cortical topography of the human masseter muscle.

The cortical topography of several limb and trunk muscles has been disclosed using transcranial magnetic stimulation, but the corticomotor representation of the human jaw muscles has not yet been described. An experimental paradigm incorporating transcranial magnetic stimulation of verified sites on the scalp was used (a) to determine the cortical topography of the human masseter muscle and (b) to assess the reproducibility of the motor map, in seven healthy individuals. The results showed that the masseter was discretely represently on the motor and premotor cortex with interindividual variation in map area, volume and height (p < 0.05). Coefficients of variation and reliability were low (15-18%) and high (89-96%), respectively, for motor maps obtained at experimental sessions 2 weeks apart, indicating high reproducibility. The findings have clinical relevance in the management of patients with cerebral injury involving corticobulbar projections to the masseter.

Adult↗

EMG, bite force, and elongation of the masseter muscle under isometric voluntary contractions and variations of vertical dimension.

The relation EMG activity, bite force, and muscular elongation was studied in eight subjects with complete natural dentition during isometric contractions of the masseter muscle, measured from 7 mm to almost maximum jaw opening. EMG was registered with superficial electrodes and bite force with a gnathodynamometer. In series 1, recordings of EMG activity maintaining bite force constant (10 and 20 kg) show that EMG is high when the bite opening is 7 mm, decreases from 15 to 20 mm, and then increases again as jaw opening approaches maximum opening. In series 2, recordings of bite force maintaining EMG constant show that bite force increases up to a certain range of jaw opening (around 15 to 20 mm) and then decreases as we approach maximum jaw opening. Results show that there is for each experimental subject a physiologically optimum muscular elongation of major efficiency where the masseter develops highest muscular force with least EMG activity.

Adult↗

Exteroceptive suppression of masseter muscle activity in juvenile migraineurs.

The second exteroceptive suppression period (ES2) of masseter or temporalis muscle activity may be reduced in adults with chronic tension-type headache. In adults with migraine, ES2 was found normal or tended to be protracted. To date, no studies on exteroceptive suppression in children and adolescents with headaches have been published. We investigated the exteroceptive suppression of masseter muscle activity in 14 migraineurs and 19 controls between 6 and 18 years of age. It was elicited by electrical stimulation at the labial commissure. No differences were found regarding the first suppression period, but ES2 was significantly longer in the migraine group than in controls. The results of the migraine group suggest overactivity of the interneurons of the reflex loop due to impaired inhibitory control from superior antinociceptive systems already at the beginning of this headache disorder.

Adolescent↗

[Post-irradiation neuromyotonia of the masseter muscle].

INTRODUCTION: Neuromyotonia is a late and rare complication of radiation therapy, consisting of involuntary sustained muscle contractions with a delay in relaxation. OBSERVATION: We report the case of a 68-year-old man who developed neuromyotonia of the masseter muscle 6 years after irradiation for tonsil carcinoma. CONCLUSION: This observation underlines the importance of a correct diagnosis that can lead to an efficient treatment by carbamazepine.

Aged↗

Orientation of the masseter muscle and the curve of Spee in relation to crushing forces on the molar teeth of primates.

A highly significant correlation is demonstrated between the forward inclination of the superficial masseter muscle and the forward tilt of molar teeth in the sagittal plane, conforming to the posterior end of the curve of Spee. The skulls studied included New and Old World monkeys, anthropoid apes, man, and a selection of other mammals. There was a wide variation between the angles measured in different animals (from 54 degrees to 115 degrees). The tilt of the curve of Spee increases the crush/shear ratio of the force produced on food between the posterior molars. The parallel tilt of superficial masseter maximizes the efficiency with which this muscle contributes to the crush component of the bite force in the sagittal plane.

Animals↗

[Intravascular endothelial papillary hyperplasia in the masseter muscle].

Intravascular Papillary Endothelial Hyperplasia (IVPEH) is a benign process, even uncommon. It was first described by Masson in 1923 under the name "Hemangioendotheliom vegetant intravascular". We present a case of IVPEH located in the masseter muscle. The treatment for this lesion was surgical excision. The histological examination is very important in order to separate this lesion from angiosarcoma.

Adult↗

Influence of experimental interfering occlusal contacts on the activity of the anterior temporal and masseter muscles during mastication.

Quantitative electromyography (EMG) was used to study, in eleven volunteers with complete, natural dentitions, the effects of an experimental intercuspal occlusal interference on the pattern of activity of the anterior temporal and masseter muscles during mastication. The results show that a small occlusal interference (about 0.5 mm) in the intercuspal position can change the co-ordination of muscular activity during mastication. In general, there was a prolonged contraction time as well as a reduction of the activity in all the investigated elevators, especially on the side of the interference. Furthermore, after 48 h several subjects preferred to chew unilaterally. After removal of the interference, the pattern of co-ordination of muscular activity returned almost to the pre-experimental pattern within 2 weeks.

Adult↗

Reproducibility and variation of skin surface temperature over the temporomandibular joint and masseter muscle in normal individuals.

Temperature, temperature differences between right and left sides, temperature variation with time, and temperature measurement reproducibility were investigated in 42 normal individuals over the origin of the superficial portion of the masseter muscle and the temporomandibular joint (TMJ) with fast- and slow-reacting thermistors. The average temperature was higher with the fast-reacting thermistor than with the slow-reacting thermistor for all measured locations. The temperature difference between the left and right side was in about 90% of the performed measurements less than or equal to 1 degree C in both locations. The temperature also differed between the two locations and was highest at the skin surface over the TMJ. The reproducibility of the method according to the standard deviation of a single measurement was satisfactory.

Adult↗

Inflammation increases the excitability of masseter muscle afferents.

Temporomandibular disorder is a major health problem associated with chronic orofacial pain in the masticatory muscles and/or temporomandibular joint. Evidence suggests that changes in primary afferents innervating the muscles of mastication may contribute to temporomandibular disorder. However, there has been little systematic study of the mechanisms controlling the excitability of these muscle afferents, nor their response to inflammation. In the present study, we tested the hypotheses that inflammation increases the excitability of sensory neurons innervating the masseter muscle of the rat and that the ionic mechanisms underlying these changes are unique to these neurons. We examined inflammation-induced changes in the excitability of trigeminal ganglia muscle neurons following intramuscular injections of complete Freund's adjuvant. Three days after complete Freund's adjuvant injection acutely dissociated, retrogradely labeled trigeminal ganglia neurons were studied using whole cell patch clamp techniques. Complete Freund's adjuvant-induced inflammation was associated with an increase in neuronal excitability marked by a significant decrease in rheobase and increase in the slope of the stimulus response function assessed with depolarizing current injection. The increase in excitability was associated with significant decreases in the rate of action potential fall and the duration of the action potential afterhyperpolarization. These changes in excitability and action potential waveform were associated with significant shifts in the voltage-dependence of activation and steady-state availability of voltage-gated K(+) current as well as significant decreases in the density of voltage-gated K(+) current subject to steady-state inactivation. These data suggest that K(+) channel subtypes may provide novel targets for the treatment of pain arising from inflamed muscle. These results also support the hypothesis that the underlying mechanisms of pain arising from specific regions of the body are unique suggesting that it may be possible, if not necessary to treat pain originating from different parts of the body with specific therapeutic interventions.

4-Aminopyridine↗

Masticatory function and properties of masseter muscle fibers in microphthalmic (mi/mi) mice during postnatal development.

It is well known that teeth do not erupt in microphthalmic (mi/mi) mice, a type of osteopetrotic mice, due to bone resorption failure. Therefore, we surmise that the masticatory function of these mice is different from that of normal mice. In this study, the differences to the properties of masseter muscle fibers were clarified morphologically and immunohistochemically in the mi/mi and normal mice. Morphological observations revealed that the muscle fibers in the mi/mi mice were smaller than those in normal mice at 9 weeks of age. However, no marked differences between mi/mi and normal mice at 2 and 4 weeks of age. Immunohistochemical observations showed myosin heavy chain (MHC) slow type fibers, which were usually seen at only early stages of development, in 4-week old mi/mi mice. There were also differences in isoform compositions between the mi/mi and normal mice. These results suggest that differences in masticatory function affect the properties of its muscle fibers.

Aging↗

Change of mRNA amount of myosin heavy chain in masseter muscle after orthognathic surgery of patients with malocclusion.

INTRODUCTION: Surgical correction of malocclusion changes the force to moment ratio of masticatory muscles inserting at the mandible caused by shortening, lengthening and rotation of the bone following osteotomy. During muscle adaptation the expression of mRNA for the myosin heavy chain (MyHC) of type I and type II fibres may be changed. MATERIAL AND METHODS: The adaptation of the masseter muscle was investigated at the mRNA level in 10 patients 6 months after orthognathic surgery in the mandible. The competitive polymerase chain reaction (cPCR) is a suitable method for quantification of MyHC mRNA. For application of this minimal invasive method an amount of 35 mg muscle tissue was sufficient. RESULTS: 6 month postoperatively there was a deficiency of about 87% of MyHC mRNA for fibre type I and II in both groups of patients. The deficiency in patients with mesial position of the mandible was higher but not significant different to patients with distal malocclusion. CONCLUSION: Patients should use the postoperative interval for training their masticatory muscles. This improves the stability of treatment result and prevents relapse.

Adult↗

Reliability and validity of a pressure threshold meter in recording tenderness in the masseter muscle and the anterior temporalis muscle.

The reliability and validity of an algometer pressure threshold meter (PTM) was evaluated on 45 individuals, 25 healthy volunteers and 20 patients with craniomandibular dysfunction. Tenderness upon palpation was measured at six points located on the masseter muscle, the anterior temporal muscle, and on the zygomatic arch. The validity of the PTM was evaluated by comparison of the PTM values obtained by one examiner with the finger palpation score obtained by another examiner (Part 1). A statistically significant correlation between PTM values and finger-palpation scores was found at all of the points recorded (p less than 0.05). A statistically significant difference between PTM values was obtained for the symptom-free group and the patient group. The reliability of the PTM was evaluated at six points by repeated recordings at each marked point (Part 2). High reliability coefficients (r = 0.79-0.94) were found at all the points. The study also showed that if the points were located with a certain inaccuracy (1.0 mm less than x less than 2.6 mm), the reliability coefficients were still of the same magnitude. The PTM can be recommended for evaluation of pressure pain thresholds in the masticatory system in clinical and experimental studies.

Adult↗

The effects of an occlusal splint on the electromyographic activities of the temporal and masseter muscles during maximal clenching in patients with a habit of nocturnal bruxism and signs and symptoms of craniomandibular disorders.

The effects of a full arch maxillary plane occlusal splint on the level of electromyographic (EMG) activity in the anterior temporal and masseter muscles during maximal clenching were studied in 31 patients with a habit of nocturnal bruxism and signs and symptoms of craniomandibular disorders, before and after occlusal splint therapy. The results showed, before treatment, that the occlusal splint changed significantly (in 71% of patients) the level of EMG activity during maximal clenching. However, these changes were not consistent and differed between patients and even, in some patients, between muscles. After long-term occlusal splint therapy and improvement of the signs and symptoms of craniomandibular disorders, the number of patients who had an identical level of EMG activity during maximal clenching in the intercuspal position and on the occlusal splint tended to increase. Moreover, in these patients the level of symmetry of action in pairs of muscles during maximal clenching was strong, and the splint did not change this level of symmetry.

Adolescent↗

Surface electromyographic evaluation of the asymptomatic human masseter muscle with turns and amplitude analysis.

Electromyographic turns, or reversals of direction, per second (TS) and mean amplitude per turn (AT) are variables that have been widely used to assist and support an electrodiagnosis in neuromuscular disorders. The purpose of this study was to explore the feasibility of utilizing the TS and AT in conjunction with surface electrodes as a method for assessing masticatory muscle function. Ten normal subjects were instructed to exert brief isometric contractions at various levels, and the TS and AT were calculated from the surface electromyographic signals of the masseter muscle. Our results showed that the AT increased with contraction at all contraction levels, demonstrating a linear relationship, while the TS showed a nonlinear increase characterized by an initial steep rise followed by a plateau, which was simulated with a third polynomial function. It is considered that the TS and AT may provide valuable physiological information about the underlying mechanisms of recruitment and the firing of motor units.

Adult↗

Adaptation of normal and hypofunctional masseter muscle after bite-raising in growing rats.

The aim of this study was to analyze the effects of prolonged muscular elongation induced by bite-raising on the length of the muscle belly, sarcomeres and aponeurosis of the anterior deep masseter in the growing rat. Another aim was to determine the role of different functional conditions of this muscle in the adaptation process. Ninety-six young male rats were split into two groups: one was fed a hard diet and the other a soft diet to develop different functional capacities in the masticatory muscles. After 2 wk, half of the rats in both groups were fitted with an appliance that raised the bite by 2 mm. The measurements on the muscles were performed in situ. The insertion of the appliance stretched the anterior masseter muscle. After 4 wk, the vertical dentoskeletal dimension, the muscle belly, and the sarcomeres showed no difference in length among the groups. However, the aponeurosis was longer in the rats wearing the appliance compared to the controls, and among the bite block groups it was longer in the rats fed a hard diet. Length adaptation occurred in the aponeurosis. Clinically this may imply a need for reactivation of functional appliances to increase their efficiency, at a rate possibly depending on masseter muscles functional condition.

Acrylic Resins↗

Estimating relative motoneurone size in human masseter muscle.

The representation of a motor unit in the macro-EMG (MacroRep) is the method of choice for determining muscle-unit size in masseter. However, before using MacroRep to infer motoneurone size, the relation between MacroRep amplitude and motoneurone size needs to be established. This is particularly important in masseter, where the diameter of the type II muscle fibres is smaller than that of the type I fibres. This unusual situation may affect the cross-sectional area of the muscle units innervated by motoneurones, disturbing the expected correlation between the MacroRep and motoneurone size. This study used H-reflex latency as an indicator of motoneurone size, and found a negative correlation between H-reflex latency and MacroRep amplitude in all simultaneously firing motor-unit pairs identified. Thus it is concluded that MacroRep amplitude provides a good estimate of relative motoneurone size in masseter, within the limits specified in the study.

Action Potentials↗