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PubMed2004

The effect of carbohydrate mouth rinse on 1-h cycle time trial performance.

PURPOSE AND METHOD: To investigate the possible role of carbohydrate (CHO) receptors in the mouth in influencing exercise performance, seven male and two female endurance cyclists (VO(2max) 63.2 +/- 2.7 (mean +/- SE) mL.kg*(-1).min(-1)) completed two performance trials in which they had to accomplish a set amount of work as quickly as possible (914 +/- 40 kJ). On one occasion a 6.4% maltodextrin solution (CHO) was rinsed around the mouth for every 12.5% of the trial completed. On the other occasion, water (PLA) was rinsed. Subjects were not allowed to swallow either the CHO solution or water, and each mouthful was spat out after a 5-s rinse. RESULTS: Performance time was significantly improved with CHO compared with PLA (59.57 +/- 1.50 min vs 61.37 +/- 1.56 min, respectively, P = 0.011). This improvement resulted in a significantly higher average power output during the CHO compared with the PLA trial (259 +/- 16 W and 252 +/- 16 W, respectively, P = 0.003). There were no differences in heart rate or rating of perceived exertion (RPE) between the two trials (P > 0.05). CONCLUSION: The results demonstrate that carbohydrate mouth rinse has a positive effect on 1-h time trial performance. The mechanism responsible for the improvement in high-intensity exercise performance with exogenous carbohydrate appears to involve an increase in central drive or motivation rather than having any metabolic cause. The nature and role of putative CHO receptors in the mouth warrants further investigation.

Adult↗
PubMedDate not supplied

Burning mouth syndrome after taking clonazepam.

OBJECTIVE: To report the first published case of clonazepam-induced burning mouth syndrome (BMS). CASE SUMMARY: A 52-year-old white woman presented to the clinic with burning mouth symptoms. The patient was previously maintained on alprazolam therapy for anxiety, but was switched to clonazepam because of increased anxiety and panic. Clonazepam significantly relieved her symptoms, but after four weeks of therapy, she reported a constant, mild, oral burning sensation. An oral examination was negative for mucosal abnormalities, and laboratory tests were unremarkable. The clonazepam dose was reduced, and the symptoms decreased, but remained intolerable. Clonazepam was discontinued, and the burning mouth symptoms completely resolved. Since no other medications relieved the anxiety and panic symptoms, the patient requested clonazepam to be reinitiated, but she again developed intolerable burning mouth symptoms. As clonazepam was discontinued, the symptoms resolved. DISCUSSION: The clinical presentation of BMS includes burning and painful sensations of the mouth in the absence of mucosal abnormalities. Candidiasis, anemia, menopause, diabetes mellitus, medications, anxiety, and depression are some causes of this syndrome. Paradoxically, clonazepam has been studied for the treatment of BMS and has demonstrated mild to moderate improvement. In this patient, underlying causes of BMS were eliminated when possible. The association between clonazepam and BMS was highly probable according to the Naranjo probability scale. CONCLUSIONS: This is the first published report describing BMS with a benzodiazepine. Although uncommon, clinicians should be aware of this potential adverse effect due to the widespread use of benzodiazepines.

Anxiety↗
PubMed2003

New approaches to rapidly control foot-and-mouth disease outbreaks.

Economically, foot-and-mouth disease is the most important viral-induced livestock disease worldwide. The disease is highly contagious and foot-and-mouth disease virus replicates and spreads extremely rapidly. Recent outbreaks in previously foot-and-mouth disease-free countries and the potential use of foot-and-mouth disease virus by terrorist groups have demonstrated the vulnerability of countries and the need to develop control strategies that can rapidly inhibit or limit spread of the disease. The current vaccine, an inactivated whole-virus preparation, has a number of limitations for use in outbreaks in disease-free countries. This review discusses the potential of the antiviral agent, Type I interferon, to produce rapid protection and proposes a combination strategy of an antiviral agent and a foot-and-mouth disease vaccine to induce both immediate and long-lasting protective responses.

Animals↗
PubMed2002

Dentofacial morphology of mouth breathing children.

The relationship between dentofacial morphology and respiration has been debated and investigated from various approaches. The aim of this study was to verify the skeletal and dental relationship of mouth and nose breathing children. Thirty-five children, 7 to 10 years of age, were submitted to orthodontic and otorhinolaryngologic evaluations and were separated into 2 groups: 15 nose breathers and 20 mouth breathers. Each subject underwent a cephalometric radiograph analysis. Statistical analysis (Mann-Whitney U test) indicated that changed mode of breathing was associated with 1) maxillo-mandibular retrusion in relation to the cranial base in the mouth breathers; 2) the SNGoGn and NSGn angles were greater in the mouth breathing group; 3) incisor inclination in both jaws and the interincisal angle were not different between groups. There was no statistically significant difference in the maxillary and mandibular molar heights between the nose breathers and mouth breathers.

Cephalometry↗
PubMed2004

Skeletal and occlusal characteristics in mouth-breathing pre-school children.

This study verified the influence of chronic mouth breathing on dentofacial growth and developmental in pre-school children. The study evaluated 73 children, both sexes, ranging from 3 to 6 years of age. After the otorhinolaryngological breathing diagnosis, 44 mouth-breathing children and 29 nasal-breathing children were compared according to facial and occlusal characteristics. The skeletal pattern measurements SN.GoGn, BaN.PtGn, PP.PM, Ar-Go, S-Go indicated a tendency to mouth-breathing children presenting a dolicofacial pattern. According to occlusal characteristics, only the intermolar distance showed a significant correlation with a narrow maxillary arch in mouth-breathing subjects. Based on the results of this study, mouth-breathing can influence craniofacial and occlusal development early in childhood.

Analysis of Variance↗
PubMed1996

Burning mouth syndrome: the role of contact hypersensitivity.

The burning mouth syndrome is characterized by an unpleasant sensation of burning in the oral cavity, without clinical signs. Causal factors may be psychogenic, systemic or local. The aim of the study was to determine the significance of contact allergy in the pathogenesis of burning mouth syndrome. Fifteen patients with burning mouth syndrome were studied through anamnesis and laboratory analysis. Epicutaneous patch tests were performed with the Italian standard series (GIRDCA - Gruppo Italiano di Ricerca Dermatiti da Contatto ed Ambientali), preservative and dental series. The same tests were carried out in 12 healthy age- and sex-matched subjects. The number of patients affected by burning mouth syndrome with a positive reaction to patchtesting was 6 out of 15, while the number of allergic patients in the control group was 3 out of 12. No association could be found between positive reaction at patchtesting and exposure to allergens. Contact allergy in burning mouth syndrome seems not to play a primary role; nevertheless, it is advisable to perform patch tests in selected patients to identify a possible aetiological agent.

Aged↗
PubMed1999

A review of burning mouth syndrome.

Burning mouth syndrome is a complicated, poorly understood, predominantly oral condition that affects more than 1 million people in the United States. Women are particularly affected by the condition; they are diagnosed with symptoms seven times more frequently than males. Burning mouth syndrome is characterized by a burning, painful sensation of the oral mucosa that most commonly involves the anterior tongue. Many precipitating factors to burning mouth syndrome have been proposed, and treatment addressing these factors has had limited success. Patients with burning mouth syndrome are more likely to be evaluated by physicians, and therefore it is advantageous for the physician to be familiar with this oral condition. This paper reviews burning mouth syndrome, associated causative factors, and treatment strategies for the physician.

Burning Mouth Syndrome↗
PubMedDate not supplied

[Restrictions on opening of the mouth caused by extra-articular inflammation].

Recent views concerning the physiopathological aspects of restrictions on opening of the mouth attributable to extra-articular inflammation are examined. Stress is laid on the importance of psychological factors related to joint function and various organs and apparatuses that interferere with such function by reflex action via the brain. Instances of extra-articular inflammation limiting opening of the mouth are listed, with particular reference to primary and secondary myositis and myositis ossificans. Inflammation may also supervene in osteodysplasia, granuloxanthomatous hyperdysplasia of the maxillary bones, while opening of the mouth may be restricted by fibrosis of the muscles used in mastication due to protracted immobilisation, as in ankylosis of the T.M.A. Lastly, the way in which inflammation accompanying diseases of the salivary glands, dysembryoplasia, and jaw and mouth cavity neoplasia may prevent proper opening of the mouth is explained.

Humans↗
PubMed2001

Lack of association between burning mouth syndrome and hematinic deficiencies.

The aim of our investigation was to evaluate possible connection between burning mouth syndrome and hematinic deficiencies, a hypothesis previously reported in the literature with contradictory results. Serum levels of iron, vitamin B12, folic acid, calcium and magnesium were determined in 41 (aged 31-87 years, mean 68,7 yrs) patients with burning mouth syndrome and 35 matched controls (35-83, mean 63 yrs). Serum iron levels were determined according to Fairbanks and Klee. Levels of vitamin B12 and folic acid were determined on commercially available kits (Imx12 and Imx folate assay, Abbot Park lab, IL, USA) on Imx analyser. Calcium and magnesium levels were determined using atomic absorption spectrophotometry. No statistically significant differences in serum levels of iron, folic acid, calcium and magnesium were found between patients with burning mouth syndrome and controls. Statistically significant lowered vitamin B12 levels were found in patients with burning mouth syndrome. Our results suggest that serum deficiencies of iron, folic acid, calcium and magnesium are not etiological factor in patients with burning mouth syndrome.

Adult↗
PubMed2002

[Effect of microwave coagulation and surgery to treat the cancer of the floor of mouth].

OBJECTIVE: The aim of this article was to clarify the value of microwave coagulation to treat the cancer of the floor of mouth by comparing the effect of microwave and surgery. METHODS: Retrospectively 87 cases of cancer of the floor of mouth who were treated by microwave coagulation and traditional surgery are analysed and the survival curve, the recurrent rate of the primary and secondary site, the oral functions, the appearance and the complications are compared. RESULTS: 1. Either in the early patients (T1 + T2) or in the advanced cases (T3 + T4), the differences of survival curve between the two groups were insignificant (P = 0.8247, P = 0.803 respectively); 2. The recurrent rate of the primary and secondary site were insignificant either (P = 0.988, P = 0.759 respectively); 3. There were more patients with a satisfied mouth function in the microwave coagulation group than that of in the surgery group, on the contrary, the cases with a worst function were few in the former(P = 0.000, P = 0.001 respectively); 4. The appearance was more satisfactory in the microwave group(chi 2 = 23.077, P = 0.000). CONCLUSIONS: To treat the cancer of the floor of mouth, microwave coagulation, as the traditional surgery, had good effects such as the same survival rate, the complication rate and local or region control rate, but the mouth function and the appearance was better than the surgery group. The microwave coagulation can be safely carried out in the practice.

Adult↗
PubMed2003

Predicting mouth width from inter-canine width--a 75% rule.

It has been suggested that inter-canine width plus 57% of the cumulative distance between the lateral aspect of the canines and the pupil centers can be used to estimate mouth width. Evidence also suggests that the distance between the medial irises approximates actual mouth width fairly well. However, these soft tissue prediction guidelines are limited because they rely on accurate medio-lateral positioning of the pupils within the orbits, for which no systematic empirical evidence appears to exist at this stage. It would, therefore, be more appropriate to use only known hard tissue landmarks in mouth width prediction. This study reports the results of using inter-canine width as a percentage of mouth width for its prediction. This method seems favorable in comparison to the other guidelines because it is as accurate, uses known hard tissue landmarks, and does not rely on assumptions concerning pupil location. Estimating mouth width by using the canines alone, therefore, seems the best guideline to use in facial approximation techniques, at least given knowledge existing at this stage.

Anthropometry↗
PubMedDate not supplied

Nasal admixture during mouth breathing in awake normal subjects.

We tested the flow-impeding properties of the nasopharynx in 27 healthy subjects with normal nasal resistance (mean +/- SD: 2.45 +/- 1.92 cmH20.l-1 X s). While the subjects inspired and expired deliberately through a rubber mouth-piece, a tight-fitting nose-mask was supplied with 100% O2 from a filled 30-1 rubber bag. Recording instantaneous FEO2 at the mouth was a sensitive indicator of whether nasal flow was present during the preceding inspiration. On a theoretical basis, we are describing a method of calculating the mean percentage of nasal admixture during inspiration. Fluctuations in FEO2 in relation to time revealed varying nasal flow in some individuals. The mean nasal admixture differed considerably between all subjects (mean +/- SD: 20.9 +/- 16.5%; range: 1-70%), showing no correlation to nasal resistance. Five of 27 subjects with a history of habitual mouth breathing had a significantly lower nasal admixture (2.5 +/- 1.7% vs 25.1 +/- 15.4%; p less than 0.005), with no statistical difference in nasal resistance. Present data indicate that upper airway patency is variable in normals during voluntary mouth breathing. We suggest that habitual mouth breathing with absence of nasal obstruction may be associated with velopharyngeal narrowing.

Adult↗
PubMed1998

Diagnostic value of full-mouth radiography in dogs.

OBJECTIVE: To determine the diagnostic value of full-mouth radiography in dogs. SAMPLE POPULATION: Prospective series of 226 dogs referred for dental treatment without previous full-mouth radiographic views being available. PROCEDURE: In a prospective nested case-control analysis of multiple outcomes in a hospital cohort of dogs presented for dental treatment, full-mouth radiographic views were obtained prior to oral examination and charting. After treatment, clinical and radiographic findings were compared, with reference to presenting problems, main clinical findings, additional information obtained from the radiographs, and unexpected radiographic findings. The importance of the radiographic findings in therapeutic decision-making was assessed. RESULTS: The main clinical findings were radiographically confirmed in all dogs. Selected presenting problems and main clinical findings yielded significantly increased odds ratios for a variety of other conditions, either expected or unexpected. Radiographs of teeth without clinical lesions yielded incidental or clinically important findings in 41.7 and 27.8% of dogs, respectively, and were considered of no clinical value in 30.5%. Radiographs of teeth with clinical lesions merely confirmed the findings in 24.3% of dogs, yielded additional or clinically essential information in 50.0 and 22.6%, respectively, and were considered of no value in 3.1%. Older dogs derived more benefit from full-mouth radiography than did younger dogs. Incidental findings were more common in larger dogs. CLINICAL RELEVANCE: Diagnostic yield of full-mouth radiography in new canine patients referred for dental treatment is high, and the routine use of such radiographs is justifiable.

Age Factors↗
PubMed2003

Studies of quantitative parameters of virus excretion and transmission in pigs and cattle experimentally infected with foot-and-mouth disease virus.

Foot-and-mouth disease virus (FMDV) can be spread by a variety of mechanisms and the rate of spread, the incubation period and the severity of disease depend on a multitude of parameters, including the strain of virus, the dose received, the route of introduction, the animal species and the husbandry conditions. More knowledge with regard to these parameters is urgently needed to improve resource-efficient disease control. This report describes detailed studies of FMDV load, excretion and transmission in pigs infected with FMDV O UKG 2001, O TAW 1997 and C Noville virus and in cattle infected with the O UKG 2001 virus to facilitate use of a "FMDV load framework" for the assessment of transmission risks. Virus replicated rapidly in pigs and cattle exposed by direct contact. The mean incubation period was around 3-4 days for cattle-to-cattle and 1-3 days for pig-to-pig transmission, depending on the intensity of contact. The results confirmed that a strong relation exists between dose and length of incubation period. Clinical disease was severe in pigs but relatively mild in inoculated cattle; contact infection of cattle appeared to increase the severity of lesions. FMDV RNA was recovered in nasal and mouth swabs from inoculated animals soon after they developed a viraemia and probably reflected the early production and excretion of virus. FMDV RNA in nasal and mouth swabs from contact animals could be detected several days before they showed other signs of infection, indicating the possibility of detecting exposed animals during the incubation period. FMDV RNA could also be detected in swab samples after the viraemic phase. This may have represented background environmental virus that had been trapped in the respiratory tract and mouth. Alternatively, it may have indicated a somewhat slower clearance or half-life of viral RNA or an extended low level of FMDV replication at these sites. The pattern of FMDV RNA concentrations in pigs was closely similar to that in cattle, but the amounts of FMDV RNA were higher.

Animals↗
PubMed1991

Pesticide and polychlorinated biphenyl residues in waters at the mouth of the Grand, Saugeen, and Thames Rivers, Ontario, Canada, 1986-1990.

Water samples were collected from the mouths of the three major agricultural watersheds, the Grand, the Saugeen, and the Thames (Ontario, Canada), between January 1986 and December 1990. Analyses were performed for 18 herbicides, 26 insecticides, and 4 fungicides in use in the basins. A total of between 425 and 474 samples were analyzed for each of the major groups of pesticides. Six herbicides, two insecticides and polychlorinated biphenyls (PCBs) were identified in surface water. Atrazine and its metabolite desethylatrazine were the most frequently found pesticide present in 340 of 474 samples or 72%; the metabolite was not always present with the parent compound. The second most frequently found pesticide was metolachlor which was identified in 30 of 474 samples or 6.3%. 2,4-D and cyanazine were present in 3.3% and 1.5% of the samples, respectively; alachlor, mecoprop, and simazine were present in 0.5% of the samples. Dicamba and metribuzin were present in single samples (0.2%). DDT, heptachlor epoxide, and PCB were identified in only single samples over the 5-year period. Between 342 and 2959 kg/annum of total atrazine were found passing the mouth of the three rivers and entering Lakes Erie or St. Clair between 1986 and 1990. The greatest loss was from the Thames River and the least from the Saugeen River. Between 1% and 2% of that applied in the watershed was lost at the mouth. Loadings of only two other pesticides to the rivers exceeded 5 kg in any one year, namely, metolachlor and 2,4-D. In the case of metolachlor, loadings ranged from less than 5 to 1,726 kg/annum, the highest being in the Thames and the lowest in the Saugeen River. 2,4-D exceeded a loading of 5 kg/annum in 1988 in the Grand River. Atrazine, cyanazine, and metolachlor were tracked across Lake St. Clair from the mouth of the Thames to the mouth of the Detroit River in 1987.

Ontario↗
PubMed1990

Mouth asymmetry during speech of epileptic patients who have undergone carotid amytal testing.

Asymmetry in the opening of the two sides of the mouth during speech has been suggested as an observable correlate of lateralization of cerebral speech motor control. For 24 epileptic patients who suffered speech disturbance only during left hemisphere carotid amytal anesthetization, 22 showed the expected greater opening of the right side of the mouth during a repetition task. However, all four of the patients who suffered speech disturbance following only right hemisphere anesthetization, and 8 of the 11 "bilateral speech" patients, also showed greater opening of the right side of the mouth. The speech dominant patients may, however, have genetic left speech dominance but a pathology-forced shift of some components of language to the right hemisphere. Basic mouth asymmetry, as measured here, may primarily reflect lateralization of a component of the motor/speech/language control system that may not be shifted by pathology in epileptic patients sustaining early brain insult. Relative change in mouth asymmetry as the speech task becomes more demanding may, however, be a more sensitive indicator or cerebral asymmetries for language in pathological cases.

Adolescent↗
PubMed2005

Parotid gland-sparing 3-dimensional conformal radiotherapy results in less severe dry mouth in nasopharyngeal cancer patients: a dosimetric and clinical comparison with conventional radiotherapy.

BACKGROUND AND PURPOSE: This study examined the efficacy of parotid gland sparing of three-dimensional conformal radiotherapy (3DCRT) compared with conventional radiotherapy for NPC patients. Both the dose given to the parotids and clinical assessment of dry mouth were conducted. MATERIALS AND METHODS: Dry mouth was assessed for 108 patients treated with conventional technique and 72 treated with 3DCRT. Dose analysis was performed in 48 patients of the 3DCRT group. A dose of 70 Gy was given to the midplane in conventional radiotherapy and to 90% isodose volume in 3DCRT. Prognostic factors affecting the severity of dry mouth were analyzed using Generalized Estimating Equation (GEE). RESULTS: In the 3DCRT group about 50% of the patients' parotid glands received less than 25 Gy. Parallel analysis of dry mouth shows a significant decrease in the incidence of severe xerostomia after 3DCRT. The proportion of patients without dry mouth was also significantly higher in the 3DCRT group than the conventional group at 1-3 years after completion of radiotherapy. Although 3DCRT delivered a higher dose to the tumor, it spared the parotid gland significantly better than the conventional treatment. Late toxicities were mostly similar between the 2 groups while local control in T4 patients and survival were improved for 3DCRT. CONCLUSION: Dosimetrically and clinically 3DCRT is better than conventional technique regarding parotid gland protection.

Adolescent↗
PubMed1987

How pore mouth charge distributions alter the permeability of transmembrane ionic channels.

This paper investigates the effects that surface dipole layers and surface charge layers along the pore mouth-water interface can have on the electrical properties of a transmembrane channel. Three specific molecular sources are considered: dipole layers formed by membrane phospholipids, dipole layers lining the mouth of a channel-forming protein, and charged groups in the mouth of a channel-forming protein. We find, consistent with previous work, that changing the lipid-water potential difference only influences channel conduction if the rate-limiting step takes place well inside the channel constriction. We find that either mouth dipoles or mouth charges can act as powerful ion attractors increasing either cation or anion concentration near the channel entrance to many times its bulk value, especially at low ionic strengths. The effects are sufficient to reconcile the apparently contradictory properties of high selectivity and high conductivity, observed for a number of K+ channel systems. We find that localizing the electrical sources closer to the constriction entrance substantially increases their effectiveness as ion attractors; this phenomenon is especially marked for dipolar distributions. An approximate treatment of electrolyte shielding is used to discriminate between the various mechanisms for increasing ionic concentration near the constriction entrance. Dipolar potentials are far less sensitive to ionic strength variation than potentials due to fixed charges. We suggest that the K+ channel from sarcoplasmic reticulum does not have a fixed negative charge near the constriction entrance; we suggest further that the Ca+2-activated K+ channel from transverse tubule does have such a charge.

Cell Membrane Permeability↗