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Comparison of mandibular movement trajectories and associated patterns of oral muscle electromyographic activity during spontaneous and apomorphine-induced rhythmic jaw movements in the guinea pig.

Vertical and horizontal movements of the lower jaw (mandible) of ketamine-anesthetized guinea pigs were recorded in association with electromyographic (EMG) activity in the anterior digastric, lateral pterygoid, medial pterygoid, and deep masseter muscles during spontaneously occurring rhythmic jaw movements (SRJMs) and during rhythmical jaw movements induced by the intravenous administration of apomorphine (ARJMs). Both ARJMs and SRJMs were near periodic and occurred at frequencies in the 2- to 5-Hz range. However, the profiles of the mandibular movements and associated patterns of jaw muscle EMG activity differed dramatically for SRJMs versus ARJMs. SRJMs were characterized by prominent lateral excursions of the mandible that occurred in association with both the jaw opening and closing movements. The lateral excursions were directed to the left side on some SRJM cycles and to the right side on others. The direction of the lateral component alternated irregularly, but no more than three consecutive cycles with horizontal movements to the same side were observed at any time. Each SRJM cycle was generated by the occurrence of one of two coordinated sequences of EMG activity. One sequence produced right-sided cycles, the other produced left-sided cycles. Each sequence was initiated by an EMG burst in the digastric muscle ipsilateral to the direction of the horizontal excursion of the mandible, followed by EMG bursts in the contralateral digastric, lateral pterygoid, and medial pterygoid muscles. The EMG bursts in the digastrics and contralateral lateral pterygoid muscles were associated with jaw opening and the initial stage of lateral movement. EMG activity in the contralateral medial pterygoid muscle was associated with the onset of closing and a second stage of lateral movement. Masseter muscle activity was also observed during SRJMs, but only in a subset of the animals tested (3 of 12). When present, the masseter activity began well after the onset of jaw closing. No significant horizontal mandibular movements were observed during ARJMs. The mandibular trajectories during opening and closing always remained close to the midline. The opening phase of ARJM cycles was associated with bilaterally synchronized activity in the digastric and lateral pterygoid muscles. The closing phase was associated with bilaterally symmetric activity in the masseter muscles. The medial pterygoid muscles displayed little or no EMG activity during ARJMs. The durations of the EMG bursts recorded in the masseter muscle were correlated with cycle time during SRJMs, as were the burst durations of the digastric and lateral pterygoid muscles during ARJMs.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Experimental grinding in healthy subjects: a model for postexercise jaw muscle soreness?

AIMS: Pain in some bruxers has been suggested to represent a state of postexercise muscle soreness. This study examined the effect of voluntary, controlled grinding movements on the development of pain and soreness in the masticatory system. METHODS: Twelve healthy men (21 to 42 years old) without signs or symptoms of temporomandibular disorders (TMD) participated. Nine trials of 5 minutes of repeated grinding from the intercuspal position to the right canine-canine position (0.5 Hz) were performed on the first day. During the lateral excursions, the electromyographic (EMG) activity of the right masseter muscle was kept above 50% of maximal voluntary occlusal force (MVOF) with the use of visual feedback. The subjects rated pain intensity, unpleasantness, and soreness on 100-mm visual analogue scales (VAS); other pain measures, including the McGill Pain Questionnaire, were also used. Before and after the exercise trials, the MVOF was determined, and pain detection thresholds (PDT) to pressure stimuli were measured at 9 different sites on the masseter muscles. The subjects returned to the laboratory the 3 following days, where VAS, PDT, and MVOF were measured. RESULTS: Immediately following the last grinding trial, there was a significant increase in VAS and MPQ scores of pain intensity, unpleasantness, and soreness, as compared to baseline values (analysis of variance, P < 0.001). There was still a significant effect from grinding on the VAS score of muscle soreness on the following days, with a peak the first day after the exercise (Tukey test, P < 0.023). Pain was frequently (in 7 of 12 subjects) reported in or around the temporomandibular joint. There was a significant effect from grinding on PDT at both masseter muscles (analysis of variance, P < 0.043), with significantly lower PDT the first day after the grinding exercise (Tukey test, P < 0.046). There were no effects from grinding on MVOF. CONCLUSION: These findings suggest that significant but low levels of postexercise muscle soreness can be elicited by standardized grinding movements in the masticatory system of healthy 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↗

General organization of the human intra-masseteric aponeuroses: changes with ageing.

A magnetic resonance imaging (MRI) study of the layout of the aponeurotic layers of the masseter muscle was done on a series of 18 patients, aged from 6 to 79 years. The study was undertaken in parallel with a study on 169 cadavers to correlate the anatomical dissection and MRI findings. The aims were as follows. On the cadavers, the results of dissection were compared with the results of MRI: the layer-by-layer dissections and the anatomical dissections of the different spatial planes have shown that the masseter muscle displays a penniform structure typically characterized by the presence of alternating muscular/aponeurotic layers. The anatomical sections and the MRI section in the same plane allowed the appearance of the intra-muscular aponeurotic layers on MRI to be defined. The patients were then divided into four age cohorts, and the arrangement and variations of the human masseter muscle defined as a function of age. This double study has brought new elements to the understanding of the timing of the development of the intra-muscular aponeurotic structures and the modifications which they undergo with ageing. It appears that the aponeurotic structures only become individually identifiable towards the age of 17 years and that ageing is accompanied by a reduction in the transverse muscular mass accompanied by a verticalization of the aponeurotic layers.

Adolescent↗

[Regional muscle flap-plasty and adjuvant measures for rehabilitation of the paralyzed face].

BACKGROUND: The loss of facial nerve activity reduces the quality of life in regard to functional disturbances and to the appearance of the patient. As far as possible a reconstruction of the facial nerve should be advocated. Only this procedure allows the natural variety of differentiated facial expression. If reconstruction of the facial nerve is not indicated or turns out to be unsatisfactory, a dynamic muscle transposition should be considered. PATIENTS AND METHODS: The patient records of the ENT-Departments in Fulda for the period from 1988 to 1995 and in Mönchengladbach from 1993 to 1995 were reviewed to survey the experience of secondary plastic rehabilitation of the paralysed face. Our special interest focussed on the oral region with dynamic muscle transfer. The techniques leading to rehabilitation of the lid region were included in this study. RESULTS: Transfer of the temporalis muscle was performed 12 times and a masseter muscle flap 4 times to rehabilitate the oral region. Static rehabilitation (canthoplasty, tarsorrhaphy) of the lid was performed 8 times, implantation of a gold weight in the upper lid 5 times and dynamic rehabilitation of the lid region with a temporalis muscle transposition once. CONCLUSIONS: Rehabilitation of the oral region is best managed with a temporalis muscle flap because of its favourable vector of tension and its broad, flat form. Masseter muscle transposition is particularly indicated if a temporalis muscle transfer is not possible or if resection of the facial nerve because of malignancy of the parotid gland has to be performed and nerve reconstruction is not advisable.

Adult↗

Central serotonin 3 receptors play an important role in the modulation of nociceptive neural activity of trigeminal subnucleus caudalis and nocifensive orofacial behavior in rats with persistent temporomandibular joint inflammation.

The role of central serotonin 3 receptors on neural activities recorded from superficial laminae of trigeminal subnucleus caudalis/upper cervical spinal cord junction region was investigated using rats with (Complete Freund's Adjuvant day 7 group) or without (non-Complete Freund's Adjuvant group) persistent temporomandibular joint inflammation evoked by Complete Freund's Adjuvant for 7 days. We identified two types of units, Deep-wide dynamic range units and Skin-wide dynamic range units from extracellular recordings. Deep-wide dynamic range units have mechanoreceptive fields in the deep craniofacial tissues including masseter muscle but do not have cutaneous mechanoreceptive fields. Deep-wide dynamic range unit discharges evoked by the formalin injection into masseter muscle were significantly enhanced in the late phase in Complete Freund's Adjuvant day 7 group. Discharges of Skin-wide dynamic range units evoked by the noxious pinch stimulation to facial skin in Complete Freund's Adjuvant day 7 group were significantly enhanced compared with those in non-Complete Freund's Adjuvant group. Topical administration of central serotonin 3 receptor antagonist, tropisetron, onto trigeminal subnucleus caudalis/upper cervical spinal cord junction region significantly reduced both formalin-evoked Deep-wide dynamic range unit and pinch-evoked Skin-wide dynamic range unit discharges in non-Complete Freund's Adjuvant and Complete Freund's Adjuvant day 7 groups significantly. The inhibitory effects of tropisetron on pinch-evoked Skin-wide dynamic range unit discharges were prolonged in Complete Freund's Adjuvant day 7 group compared with those in non-Complete Freund's Adjuvant group. The role of central serotonin 3 receptors in trigeminal subnucleus caudalis/upper cervical spinal cord junction region was also tested by orofacial formalin test in Complete Freund's Adjuvant day 7 group. Intracisternal administration of tropisetron decreased the orofacial nocifensive behavior in the late phase evoked by the injection of formalin into the masseter muscle. These results suggest that central serotonin 3 receptors in trigeminal subnucleus caudalis/upper cervical spinal cord junction region are involved in mediating pronociceptive effects in both superficial and deep craniofacial tissues nociception during persistent temporomandibular joint inflammation.

Action Potentials↗

Identification of capillaries in sections from skeletal muscle by use of lectins and monoclonal antibodies reacting with histo-blood group ABH antigens.

This study was performed to evaluate the application of different lectins and monoclonal antibodies against ABH antigens to detect and characterize carbohydrate structures in capillaries of skeletal muscle from humans and laboratory animals. Blood group specific lectins (Griffonia simplicifolia, Griffonia simplicifolia isolectin B4, Lotus tetragonolobus, Ulex europaeus, and Dolichos biflorus) and monoclonal antibodies reacting with histo-blood group carbohydrate antigens belonging to type 1 (Le(a)) and type 2 (H, A and Le(y)) chains were used as histological markers for capillaries in sections from skeletal muscle. The material consisted of 20 human masseter muscle biopsies from individuals with known blood types: (eight blood group O, nine blood group A, two blood group B, and one blood group AB) and masseter muscles specimens from different laboratory animals (mouse, rat, rabbit, cat, dog, pig, cow, and macaca monkey). Unfixed sections and an avidin alkaline phosphatase method were used to visualize the specific reaction. Ulex lectin stained capillaries in all human biopsies either strongly or moderately. Strong muscle capillary reaction was observed in biopsies from O, B and AB individuals while capillaries from A individuals were only moderately stained. Griffonia simplicifolia marked capillaries in A, B, and AB individuals and Griffonia simplicifolia isolectin B4 stained capillaries in muscle biopsies from B and AB donors. Dolichos biflorus was a weak marker of muscle capillaries from A individuals. Only capillaries from O individuals were stained with the antibody against H type 2. Capillary reaction was not observed with the other antibodies used. Girffonia simplicifolia was an excellent marker for capillaries in mouse muscle while Griffonia simplicifolia isolectin B4 is recommended for rat muscles.(ABSTRACT TRUNCATED AT 250 WORDS)

ABO Blood-Group System↗

A three-dimensional, quantitative computed tomographic study of changes in distribution of bone mineralization in the developing human mandible.

The three-dimensional distribution of highly mineralized cortical bone on the buccal surface of the mandible was evaluated using quantitative computed tomography. The study was completed in 34 living persons (21 females and 13 males) between the ages of 9 and 32 yr of age with symmetrical mandibles. The geometrical distribution of the highly mineralized areas (>1250 mg/cm(3)) was determined by three-dimensional reconstruction of images. The pattern of distribution was evaluated by superimposing a 9 by 9-mesh grid over the lateral view of the mandible and adapting it to the same anatomical landmarks for different aged participants. Individuals demonstrated four different patterns of distribution of highly mineralized buccal cortical bone. The youngest had highly mineralized bone in the corpus of the mandible and along the anterior ramal border. In older individuals, the mineralization changed to include the mid- and posterior ramus. Highly mineralized bone was not found within the condylar, coronoid, or gonial angle regions of any participant. A comparison of the mineralization pattern between the left and right lateral mandibular views showed bilateral symmetry with similar patterns of distribution. Comparison of the number of grids occupied by highly mineralized cortical bone with the age of the participant, mandibular length, gonial angle, and cross-sectional area of the masseter muscle produced the highest correlation coefficient with the size of the masseter muscle.

Adolescent↗

[Functional morphology of the maxillo-mandibular apparatus in the miniature swine MINI-LEWE. 8. The development of the intramuscular nerve ramification pattern in the masticatory muscles].

Postnatal changes in the intramuscular innervation pattern of the masticatory muscles of the miniature pig MINI-LEWE are only gradual. There are no definite relationships between the paths of nerves and the positions of the fasciae. The few anastomoses found were in the masseter muscle. The only other nerve found to be implicated in the motor innervation of the masticatory muscles was the motor root of the trigeminal nerve. Innervation studies are a good way of identifying the bounds of muscles: the masseter and zygomaticomandibularis muscles, for instance, are innervated jointly by the massetericus nerve, so that the zygomaticomandibularis muscle can be regarded as belonging to the masseter muscle.

Animals↗

The amplitude distribution of electromyographic activity of masticatory muscles during unilateral chewing.

The amplitude probability distribution function (APDF) of electromyographic activity was used to describe the variation in relative masticatory force in the superficial masseter muscle and the anterior temporal muscle during unilateral chewing. The masticatory force, predicted from an isometric reference contraction, increased significantly in both muscles when chewing an almond compared to chewing half a stick of gum. Analysis of the distribution levels of contraction showed that the significant differences in relative masticatory forces were found for high levels of contraction. The individual variations were large when masticatory force between the muscles was compared. Maximal loading of the masseter muscle and the anterior temporal muscle exceeded 100% of the reference voluntary contraction in six females out of nine, mainly during chewing of an almond. The results indicated that APDF can be useful for analysing chewing when estimations of relative masticatory force and a measure of the distribution of different levels of contractions are desirable.

Adult↗

Elevated intramuscular concentration of bradykinin in jaw muscle increases the fusimotor drive to neck muscles in the cat.

Patients suffering from temporomandibular dysfunction exhibit clinical findings such as fatigue, painful muscles, and muscles that are tender to palpation, not only in the temporomandibular area, but also in the neck/shoulder region. The mechanisms behind this are not known, although previous studies of similar spreading phenomena have revealed a possible involvement of the fusimotor system. In the present study, we evaluated the activity of this system by recording the activity of muscle spindle afferents from dorsal neck muscles after intramuscular injections of 6 microg to 25 microg bradykinin in the ipsilateral masseter muscle. A total of 23 muscle spindle afferents from the trapezius and splenius muscles was recorded at the C3-C4 level in 7 adult cats anesthetized with alpha-chloralose. Of these 23 afferents, 17 (74%) showed significantly different responses to bradykinin injections compared with control injections (dissolving agent, Tyrode), and the majority of the effects were compatible with an increased static fusimotor drive to the muscle spindle system. Thus, the results demonstrate potent reflex connections from groups III and IV masseter muscle afferents to fusimotor neurones on the C3-C4 level. It is concluded that the fusimotor system might play a significant role in the mechanisms behind the spread of muscle pain and tension from the temporomandibular region to the neck.

Afferent Pathways↗

Jaw protruder muscles and condylar cartilage growth in the rat.

Many studies have explored the role of the protrusive musculature in promoting growth at the condylar cartilage and the overall lengthening of the lower jaw, with emphasis on the lateral pterygoid muscle (LPM). The largely anteroposterior orientation of the superficial part of the masseter muscle (SM) in the rat suggests that it may also function as a protruder of the lower jaw. Accordingly, it is possible that the action of the SM may play a part in the regulation of growth of the condylar cartilage and the lower jaw. To examine this hypothesis, bilateral resection of the superficial portion of the masseter muscle was performed in male Sprague-Dawley rats at 26 days of age. At 5 days after surgery, [3H]-thymidine incorporation in the condylar cartilage was increased (F = 6.93, p less than or equal to 0.01) in the SM myectomy group relative to the surgical control and unoperated control groups. However, by 20 days after surgery no differences were present. At this sacrifice interval, lower jaw dimensions relating to areas of muscle attachment, as well as ramus height, were significantly reduced in the SM myectomy group, but overall jaw length (mental foramen to condyle) was unaffected. In contrast, myotomy of the LPM resulted in a significant decrease in mitotic activity of the cartilage 4 days after surgery. This decrease was present, but not more pronounced, in animals subjected to both SM myectomy and LPM myotomy. Hence, myotomy or myectomy of these two muscles, each with a protrusive orientation, produces opposite effects on proliferative activity at the condylar cartilage.

Animals↗

The role of perioral sensation in nipple attachment by weanling rat pups.

Injecting .05 ml of 1% lidocaine into each vibrissal pad, or cutting the infraorbital nerves, abolished nipple attachment in weanling Wistar rat pups. Nipple attachment recovered following infraorbital section. Injecting the local anesthetic intraperitoneally, or into the region of the masseter muscles, did not disrupt attachment, indicating that the effect of the drug on suckling was specific to the site of injection and could not be attributed to systemic toxicity or paralysis of the masseter muscles. Performance on an olfactory-guided orientation task was not disrupted by lidocaine, indicating that the drug did not render pups anosmic. Tactile sensation in the vibrissal pads, rhinarium, and upper lip was abolished after injecting the drug into the vibrissal pads. Vibrissal movement was absent following injection of lidocaine into either the vibrissal pads or the region of the masseter muscles. Shaving the vibrissae did not disrupt nipple attachment. The results are interpreted as suggesting that the nipples' textural qualities elicit attachment in weanling pups.

Animals↗

Effects of temperature on blood flow in facial tissues.

This study evaluated the effect of temperature on blood flow by using rubidium 86 to determine the fraction of cardiac output going to specific facial tissues of rats. Seventy-seven male Holtzman rats were divided into two groups and various subgroups. The intraoral subgroups were categorized according to the temperature of the water irrigating the oral cavity (11 degrees, 39 degrees, 41 degrees, 43 degrees, or 45 degrees C). The extraoral subgroups were categorized according to whether heat or ice was applied to the cheek of the rats and the duration of application (10 or 20 minutes). Rats were killed within 60 seconds after injection of 86Rb, and tissue samples were taken from the buccal mucosa, facial skin, masseter muscle, mandible, tongue, and maxilla. The fraction of isotope uptake in each gram of these tissues (FU/g) was then calculated. For the intraoral group, the bath temperature of 39 degrees C increased the FU/g in all tissues except masseter muscle and tongue. Higher bath temperature did not further alter the FU/g. Lowering the temperature to 11 degrees C changed the FU/g significantly only in the tongue. For the extraoral group, 20-minute application of ice was required to reduce FU/g significantly in all tissues but masseter muscle and skin. Extraoral heat application for 10 minutes increased FU/g significantly in skin and tongue, but no further change was seen after 20 minutes of application.

Animals↗

Jaw muscle function and wishboning of the mandible during mastication in macaques and baboons.

An analysis of in vivo bone strain indicates that the mandibular symphysis of macaques experiences lateral transverse bending or "wishboning" during the power stroke of mastication, and this loading regime results in relatively intense concentrations of stress along the lingual aspect of the symphysis (Hylander 1984, 1985). It has been hypothesized that peak wishboning of the macaque mandible, which probably occurs at the very end of the power stroke, that is, after the initial occurrence of maximum intercuspation, is associated with the late peak activity of the balancing-side deep masseter muscle coupled with the rapid decline in the activity of the balancing-side medial pterygoid and superficial masseter muscles (Hylander et al., 1987). The main purpose of this study is to do a detailed analysis of the electromyographic (EMG) activity of the deep and superficial masseter and medial pterygoid muscles so as to provide a better understanding of the external forces associated with wishboning. This was done by recording and analyzing EMG activity from the superficial masseter, deep masseter, and medial pterygoid muscles in macaques and baboons. EMG activity was recorded from bipolar fine-wire electrodes, and the data were quantified and analyzed using digital techniques. The EMG data clearly support our original observation that the balancing-side posterior deep masseter exhibits peak EMG activity relatively late in the power stroke at a time when activity is rapidly decreasing in the balancing-side medial pterygoid and superficial masseter muscles. Moreover, peak activity of the balancing-side deep masseter occurs at a time when the activity of the working-side deep and superficial masseter and medial pterygoid muscles are also decreasing. Thus, these data are consistent with the hypothesis that wishboning of the mandible is influenced significantly by the late occurrence of force from the balancing-side deep masseter. The EMG data also indicate that residual force from the relaxing superficial masseter may contribute significantly to wishboning. Finally, patterns of wishboning are not fully accounted for by our EMG analysis of the deep and superficial masseter and medial pterygoid muscles. This is probably because the lateral ptergyoids, which can either counter increased wishboning or actually cause reverse wishboning, were not included in our EMG analysis. The EMG data demonstrate that jaw-closing muscle recruitment patterns for macaques and baboons differ from those of humans. Nevertheless, in spite of these differences, it appears, based on previously published EMG data, that the human symphysis may also experience wishboning.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

[Functional morphology of the maxillomandibular apparatus in the mini-Lewe minipig. 6. Intramuscular nerve ramifications in the masticatory muscles of adult animals].

The masseter muscle is innervated by branches of 3 nerves. The zygomaticomandibular muscle must be regarded as part of the masseter as it is supplied by 2 branches of the massetericus nerve. Two branches of the medial pterygoid nerve enter the medial pterygoid muscle medially. The lateral pterygoid muscle is supplied by the lateral pterygoid nerve, which enters the muscle dorsally perpendicular to the muscle fibres. Five branches of the profound temporal nerves enter the temporal muscle from the ventral and medial sides. The branches of all nerves proceed parallel to each other in the dorsal direction towards the origin of the muscle.

Animals↗

[Osteotomy healing of the lower jaw and the adaptation of the masticatory muscles after miniplate osteosynthesis in rabbits. II. Response pattern of the masticatory muscles (M. masseter)].

16 operated 4 control animals of both sexes were included in the study following osteotomy of the lower jaw and subsequent miniplate osteosynthesis. In addition, muscle tissue excised from 8 rabbits was evaluated at the time of the operation as additional normal material. The study was conducted over 4, 8, 12 and 24 weeks, after which periods the animals were killed and their left and right masseters examined and compared in histological, histochemical and morphometric terms. The masticatory muscles of the control rabbits displayed a marked sex dimorphism. The males had strikingly large, predominantly type-2 fibres, whereas the fibre diameters in the females were found to differ less clearly, with type-1 fibres being predominant. In terms of muscle regeneration, it was found that following soft-part trauma small localized defects (biopsy) had healed completely after 12 weeks. In the residual parenchyma, signs of adaptation to a changed mastication as a result of the experimental operation (osteotomy of the lower jaw, miniplate osteosynthesis, muscle biopsy) could be identified. Atrophy as a result of non-use was found to occur to a limited extent, whereas the number of type-2C fibres and fibre type transformations were raised significantly. After the surgery, the organization of the impaired muscle fibres was aided by a stabilization and rest positioning of the parts concerned. The muscle fibres reinnervation that followed was supported by functional exercise and nerve impulses.

Animals↗

The effect of treatment of skeletal open bite with two types of bite-blocks.

The treatment of anterior skeletal open bite was studied in two groups of children. The children of one group wore a removable spring-loaded bite-block in the lower jaw for one year. The bite-block exerted an intrusive force on the upper and lower posterior teeth. The children of the other group were treated for 3 months with bite-blocks with repelling magnets. These bite-blocks were cemented on the posterior teeth of both jaws. The effects of treatment were monitored by measurement of the bite-force (group with spring bite-blocks only), by electromyographic recording of the activity of the temporal and masseter muscles, and by X-ray cephalometry. Recordings were made before, during, and at the end of the treatment, and at a follow-up observation. The bite-force increased during the first months of treatment, but was then unchanged. The activity of the masseter muscle during maximal bite also increased in the first part of the period of treatment with a spring bite-block. In the group treated with magnetic bite-blocks, there was an increase in the resting activity of the masseter muscle and in the chewing activity of the anterior temporal muscle. The effects of the treatment on bite and facial morphology were less marked in the group with spring bite-blocks than in the group with magnetic bite-blocks, with an average improvement of the overbite of 1.3 mm with the spring bite-block therapy. In the group with magnetic bite-blocks, the average improvement in overbite was 3 mm. This was thought to be due to anterior rotation of the mandible and increased eruption of the incisors. The mandibular rotation was a result of intrusion of the upper and lower posterior teeth and possibly also increased mandibular growth. A follow-up of the cases treated with magnetic bite-blocks revealed a tendency for the beneficial effects of the treatment to relapse which possibly could be counteracted by a long phase of active retention.

Bite Force↗