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[Evaluation of a histochemical method specific for myosin ATPase activity in the masticatory muscles of the rat].

A biological study of masticatory muscle behaviour (Divry and Westphal, 1991) suggested the analysis of physiologic correlates (biologic parameters related to a behavioural event) such as histochemical reactions of muscular fibres studied by M-ATPase and SDH activities. For such investigations, routine methods are needed. In the present study, a modification of the original method of Tunell and Hart (1977) was used, in which three features of the original alkaline preincubation method (composition, incubation time and pH) were modified. These allowed a single step differentiation of the various fibre types found in rat masticatory muscles, for which the classical technics gave only a weak contrast, not suitable for image analysis. Acid preincubation was also tested but failed to give new information. By combining this modified technic with SDH staining (Nachlas, 1957) a classification of fibres into 12 theoretical types was proposed.

Alkalies↗

Trismus in postoperative, posttraumatic and other brain stem lesions caused by paradoxical activity of masticatory muscles.

In fifteen cases of brain stem lesions caused by basal tumours, operations, injuries, arteriosclerosis or multiple sclerosis, a paradoxical activity of jaw closing muscles during jaw opening was observed. This inverse activity was the cause of severe trismus in 8 cases. It is the manifestation of a faulty programming of jaw movements in the trigeminal motor area in brain stem. This distinct new brain stem syndrome can only be detected by EMG investigation. EMG findings, pathological background, outcome and treatment possibilities are discussed in this paper.

Brain Diseases↗

Masticatory muscle activity and hyoid bone behavior during cyclic jaw movements in man. A synchronized electromyographic and videofluorographic study.

Synchronized electromyography (EMG) and videofluorography were used to relate the EMG activity from the suprahyoid and masseter muscles and the movement of the hyoid bone to different phases of the jaw open-close-clench cycle. The subjects investigated comprised 19 adult males with normal dentofacial appearances. Five subjects were excluded from the analyses because of a uniform suprahyoid EMG pattern during cyclic jaw movements. The results from the remaining fourteen subjects revealed that mandibular opening was preceded by suprahyoid EMG activity and movement of the hyoid bone in an upward-forward direction. During jaw opening and the first half of the jaw-open phase, EMG activity was registered exclusively from the suprahyoid muscles. The hyoid bone was moved downward-backward during jaw opening. Mandibular closing was preceded by masseter EMG activity and movement of the hyoid bone in a further downward-backward direction. During jaw closing the hyoid bone moved upward and forward. Discrete EMG bursts from the suprahyoid muscles were occasionally registered simultaneously with the masseter EMG activity during jaw closing. No absolute reciprocity existed between suprahyoid and masseter muscle activity during cyclic jaw movements. A period of no EMG activity from either the suprahyoid muscle group or the masseter muscle was noted during the jaw-open phase and the occlusal phase.

Adult↗

The effect of four jaw relations on electromyographic activity in human masticatory muscles.

Significant differences were found in the electromyographic (EMG) activation between the masseter and temporalis muscles for the leaf gauge (LG), manually manipulated (CR) and neuromuscular (NM) bite positions during maximal static clench. The LG position consistently demonstrated the lowest EMG activity, while the NM position displayed the highest degree of muscle activity. Similarly, the ratio of the masseter/temporalis EMG activity during maximal clench was lower for the LG and CR positions and highest for the NM position. These data indicate that the NM position produced the greatest total muscle recruitment, with more masseter involvement during maximal clench, and enabled the subjects to generate greater clenching forces in the NM position as compared to the LG and CR positions.

Adult↗

An analysis of mandibular movement trajectories and masticatory muscle EMG activity during drinking in the guinea pig.

Electromyographic (EMG) activity of the anterior digastric, lateral pterygoid, and deep masseter muscles as well as the associated jaw movements during drinking were studied in the awake guinea pig. Drinking was characterized by rhythmic, vertically directed jaw movements with little or no associated lateral movements. The jaw opening phase of each cycle was associated with bilaterally synchronized EMG activity in the digastric and lateral pterygoid muscles, and the jaw closing phase with bilaterally synchronized activity in the masseter muscles. The mean EMG burst durations (+/- 1 S.E.) in the digastric and masseter muscles were 164.2 +/- 14.93 ms and 94.3 +/- 26.44 ms, respectively. The digastric muscle EMG burst duration was significantly correlated with drinking cycle time and with masseter muscle EMG onset; on the other hand, masseter muscle EMG burst duration was not correlated with cycle time. These patterns of EMG activity and jaw movement trajectories are similar to those induced by apomorphine in the ketamine-anesthetized guinea pig.

Animals↗

Evidence that the masticatory muscles receive a direct innervation from cell group k in the rabbit.

These experiments have shown that a group of neurons lateral to the trigeminal motor nucleus innervates the muscles of mastication. The work began to describe the location of digastric last-order interneurons, using the technique of transneuronal labeling with wheatgerm agglutinin-conjugated horseradish peroxide injected into the left digastric muscle of rabbits under general anaesthesia. Four to eight days later, the animals were killed with an overdose of anaesthetic and perfused. Coronal sections of the frozen brainstem were cut at 20 microns thickness and processed for peroxidase activity. Motoneurons in the ventral and caudal divisions of the trigeminal motor nucleus were labeled in all animals as expected. An additional population of neurons located ventrolaterally to the motor nucleus in cell group k were also found to be labeled if the survival time was five days or more. In an attempt to determine whether cell group k neurons were labeled transynaptically, two series of control experiments were carried out. In the first, crystals of fluorescein- and rhodamine-conjugated dextran amines and horseradish peroxidase were applied directly to central ends of cut digastric nerves. In the second, central ends of cut digastric nerves were enclosed in cuffs containing 40-60% horseradish peroxidase solutions. Again, neurons in both the trigeminal motor nucleus and cell group k were labeled suggesting that neurons within cell group k project to the digastric muscle. Similar experiments using dextran amines and wheatgerm peroxidase were carried out on the masseter muscle. Motoneurons in the dorsomedial and rostral half of the trigeminal motor nucleus, as well as primary afferent cell bodies in the mesencephalic nucleus of the trigeminal nerve, were labeled in all experiments. In addition, a population of neurons in cell group k, dorsal to those associated with the digastric muscle, were found to contain each one of the reaction products. Since it is thought that only the wheatgerm agglutinin-conjugated horseradish peroxidase transferred from one neuron to another, we conclude that cell group k neurons provide an additional innervation to the digastric and masseter muscles.

Animals↗

Pilot study of the heterogeneous patterns of masticatory muscle coordination in nonpatient population.

This pilot study characterized coordination patterns of the muscles of mastication during voluntary chewing in a nonclinical population. Dental students (n = 177) who did not exhibit symptoms of temporomandibular disorder were screened by a comprehensive muscle and temporomandibular joint palpation examination. A group of 44 students was identified on the basis of the presence of four or more tender points indicated during palpation. This group was further subgrouped by the absence (group A-1) and presence (group A-2) of temporomandibular joint clicking. Five volunteers from groups A-1 and A-2 and five volunteers without any palpation tenderness and joint clicking (control group) were examined by simultaneous recordings of electromyography of bilateral masseter and posterior one third of the temporalis muscles and by mandibular kinesiography. The electromyographic coordination pattern for the control group demonstrated predominantly working masseter muscle activity. This "predominant working masseter" pattern was not observed in groups A-1 or A-2. Additional analyses of the recordings indicated that a hypoactive tendency of the working side masseter muscle particularly outlasting the tooth contact was present in group A-1, whereas significant hyperactivity of the posterior one third of the temporalis was present in group A-2. The data suggested that an asymptomatic nonpatient population may be functionally diverse.

Adult↗

Motor cortical control of human masticatory muscles.

The corticotrigeminal projections to masseter and anterior digastric motoneuron pools that are activated by TMS are bilateral, but not symmetrical. This conclusion is supported by whole-muscle data showing larger MEPs in the contralateral muscle with unilateral focal TMS, as well as evidence that TMS stimulation of one hemisphere may produce excitation in a masseter or digastric single motor unit while stimulation of the opposite hemisphere produced inhibition of the same motor unit. The asymmetry is particularly marked for masseter, in which the low-threshold motor units were most commonly excited with contralateral TMS and inhibited with ipsilateral TMS. Spike-triggered averaging of digastric motor unit activity revealed cross-talk in surface EMG recordings from digastric muscles, and no evidence that muscle fibres in both digastric muscles were innervated by a common motor axon. Narrow excitatory peaks in the PSTH of motor unit discharge elicited by TMS in masseter (either hemisphere) and digastric motor units (ipsilateral hemisphere) suggest a direct corticomotoneuronal projection. The contralateral projection to digastric motoneurons may include additional oligosynaptic connections, as judged by the broader peaks in the PSTH with contralateral TMS. The organisation of bilateral corticotrigeminal inputs revealed with TMS suggests that: (a) the contralateral hemisphere provides relatively more of the excitatory input delivered via the fast corticotrigeminal pathway for both masseter and digastric motoneuron pools, and (b) corticotrigeminal projections from either hemisphere are capable of contributing to the voluntary command mediating activation of masseter, and (to a lesser extent) anterior digastric muscles on one side, that is independent of the homologous muscles on the other side.

Adult↗

The effect of a long-acting local anaesthetic agent (Marcaine) on the masticatory muscle in rats.

Marcaine, a long-acting local anaesthetic was administered subcutaneously over the rat's superficial masseter muscle. Rapid muscle fibre destruction with infiltration of mononuclear and polymorphonuclear leukocytes and degeneration of muscle fibers are the notable morphological changes following treatment with Marcaine. However, this degeneration was rapidly replaced by a regeneration process. Sequential injections of Marcaine produced even more serious muscle damage. However, successive injections of the drug did not prevent the regeneration process.

Anesthesia, Dental↗

Electromyographic activity of the human masticatory muscles during submaximal clenching in the inter-cuspal position.

The activity patterns of the masseter and the anterior temporal muscles were studied in twenty-one healthy male subjects while clenching at 10, 20, 30, 40 and 50% of the maximum clenching level. At low clenching levels the temporal muscle activity tended to dominate, at high levels the masseter muscle activity was stronger (P less than 0.001). The asymmetry in muscle activity also depended upon the clenching level (P less than 0.001), while at each level the masseter muscle asymmetry was greater than the temporal muscle asymmetry (P less than 0.05-P less than 0.025). By comparing the electromyographic activities of the left and right side within each subject it was found that the masseter muscle with the higher electromyographic activity tended to have the larger cross-sectional area (P less than 0.01) and at the 50% clenching level it tended to be on the side with the greater number of post-canine tooth contacts (P less than 0.001).

Adult↗

The immediate effect of splint-induced changes in jaw positioning on the asymmetry of submaximal masticatory muscle activity.

Maxillary full-arch splints in the retruded position (RP) and in a right lateral occlusion (1.0-1.5 mm to the right of the retruded contact position) were fabricated for ten subjects. Surface electromyography of the masseter and anterior temporal muscles was performed during submaximal clenching in order to investigate the immediate effects of the splints on the activity patterns of these muscles relative to the patterns found with the subjects occlusion in the inter-cuspal position. The splints in the RP were found to have no effect on the asymmetry of the activity of the masseter and the anterior temporal muscles, while the splints in a right lateral occlusion resulted in relative increases in right anterior temporal muscle activity (P less than 0.005).

Adult↗

Electromyographic activity of human masticatory muscles in normal young people. Statistical evaluation of reference values for clinical applications.

Electromyographic activity of anterior temporal and masseter muscles was measured in 92 young healthy men and women with sound dentitions during rest position, contact in centric occlusion and clench. Male and female mean potentials were similar except in clench, where males had higher electromyographic levels. Mean pooled electromyographic potentials were 1.9 microV (TA) and 1.4 microV (MM) during rest position, 6.5 microV (TA) and 2.8 microV (MM) during contact in centric occlusion. Mean maximum voluntary clench potentials were 181.9 microV (TA) and 216.2 microV (MM) in men, 161.7 microV (TA) and 156.8 microV (MM) in women. Examined muscles were more asymmetric at low electromyographic activity (rest and centric occlusion) with the temporal muscle less asymmetrical than the masseter. In females temporal muscle activity tended to dominate at every contraction level, while in males masseter activity was stronger in clench, and temporal activity in centric occlusion and in rest position.

Adult↗

Regression analysis of electromyographic activity of masticatory muscles versus bite force.

Electromyographic (EMG) activity of the superficial masseter and the anterior temporal muscles versus the bite force was studied in 10 young women. They were fully dentate and had no dysfunction of the stomatognathic system. The descending part of the trapezius muscle was also chosen for EMG registration. The average bite force between the first molars was 396 N (Newton). Steeper slopes for the EMG versus force regression curve at high contraction levels than at low contraction levels for the superficial masseter muscle may indicate that this muscle has a recruitment pattern that differs from that of the anterior temporal muscle. In the case of the anterior temporal muscle there was no difference between the slopes for the EMG-force regression at low and high contraction levels. There was significantly increased activity in the descending part of the trapezius muscle mainly during high bite force levels in half the subjects.

Adult↗

Relationship between myoelectric activity in masticatory muscles and bite force.

Myoelectric activity in the anterior and posterior temporalis and in the masseter muscle was assessed in five subjects biting unilaterally on a bite fork at 50, 100 and 200 N for 60 s. The bite fork was placed between the right first premolars and the first molars. The ipsilateral muscle activity was recorded first, and the contralateral side was evaluated 1 wk later. The relationship between exerted force and EMG-activity was expressed as ratios between EMG-activity and related bite force. EMG-activity increased with increasing force for all muscles tested. Linearity was found for the anterior temporal muscle, but not for the other muscles. Four of the subjects participated in an endurance test, exerting maximum bite force on the right side for as long as possible. The EMG activity of the right masseter muscle was closely related to bite force, in contrast to the other tested muscles. The activity of the left muscles increased at the end of the endurance test.

Adult↗

Histomorphometry of masticatory muscles in the muscular dystrophic mouse.

Cross sections of normal and dystrophic digastric, masseter and temporalis muscles from 7-week-old mice were studied by histomorphological and histomorphometrical methods in the light microscope. The histomorphological part of the study revealed marked differences in morphology between normal and dystrophic muscles. Mutual differences between the dystrophic muscles were also observed. Comparisons of the parameters chosen for the histomorphometrical part of the study, i.e., cell size and number of centrally positioned nuclei in a given number of fibers, revealed that the digastric muscle seems to be the least affected and the masseter muscle the most affected by the disease.

Animals↗

Incidence of centrally positioned nuclei in mouse masticatory muscle fibers.

Cross-sections of normal digastric, temporalis and masseter muscles from 7- and 30-week-old mice were studied for centrally positioned nuclei. Such nuclei were inhomogeneously distributed throughout each muscle and varied markedly between specimens. The incidence of centrally positioned nuclei in the digastric muscle (mean +/- SD: 0.029 +/- 0.015, n = 25) was significantly higher (p less than 0.001) than that in the temporalis (mean +/- SD: 0.011 +/- 0.010, n = 25) and masseter muscles (mean +/- SD: 0.005 +/- 0.007, n = 9), but did not differ between the two latter muscles (p = 0.41). Furthermore, the frequency in a given muscle was apparently age-independent. A connection between fiber type and centrally positioned nuclei is suggested.

Animals↗

Relationships between masticatory muscle cross-section and skull shape.

Cross-sectional areas of the masseter, temporalis and medial, and lateral pterygoid muscles were determined in 16 subjects by means of computer tomography. In each subject three scans were made, intersecting the thickest part of the muscles at right angles to the fiber direction. The masseter and medial pterygoid muscles are large in persons with brachycephalic skulls, short faces, and a small jaw angle. The cross-sectional areas of the temporalis and lateral pterygoid muscles showed no correlation with facial dimensions.

Adult↗

X-ray microanalysis of elements in the masticatory muscle after paresis of the right masseter.

Muscle activity and function appear to be related to ionic concentrations in the muscle. We investigated whether muscle paresis induced by injection of Botulinum toxin A (Botox) in 16-week-old pigs over a 56-day period is associated with ionic changes in the affected muscles. Tissue samples were taken from the masseter, temporalis, medial pterygoid, and geniohyoid muscles by a standardized method and used for energy-dispersive x-ray microanalysis in an environmental scanning electron microscope. The largest increase in Na(+) was measured in the right and left sides of the masseter muscle in treated animals. Additionally, a significant elevation of Na(+) was measured in the anterior part of the temporalis muscle and in the pterygoid muscle (P < 0.05). In temporalis and pterygoid muscles, an increase in sulfur in both sides of treated pigs' heads was observed. Botox((R)) has an indirect impact on ion concentrations, resulting in changes in muscle functional capacity and adaptive compensation of paretic muscle function by other muscles.

Animals↗