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PubMed2003

Contribution of peripheral NMDA receptors in craniofacial muscle nociception and edema formation.

Contribution of peripheral NMDA receptors in craniofacial muscle nociception and inflammation was examined. Nocifensive paw-shaking behavior following masseteric injection of mustard oil (MO) was quantified in lightly anesthetized rats. MK-801 (0.3 mg/kg) preadministered in the masseter muscle significantly reduced the peak and overall magnitude of the MO-induced noficensive behavior. The reduction was greater than that produced by the same dose of MK-801 given intravenously or in the biceps muscle. Rats were sacrificed 2 h later and masseter muscles dissected and weighed. The injected muscle was 27.29+/-6.7% heavier than the contralateral muscle. The weight difference was significantly less only in rats pretreated with masseteric MK-801. These data provide evidence that peripheral NMDA receptors play an important role in craniofacial muscle nociception and inflammation.

Animals↗
PubMed1994

Occlusal adjustment and myoelectric activity of the jaw elevator muscles in patients with nocturnal bruxism and craniomandibular disorders.

The effects of occlusal adjustments on the myoelectric activity of the anterior temporal and masseter muscles, with the mandible at rest and during maximal clenching in the intercuspal position (ICP), were studied in 24 nocturnal bruxism patients. Before the occlusal adjustment, the patients were treated with a flat occlusal splint for chronic craniomandibular disorders. The results revealed that within the short term the occlusal adjustment, in terms of increased number of occlusal contacts and teeth in contact in ICP, did not change the postural activity, whereas, on average, the level of activation of the jaw elevators, in terms of normalized electromyogram, increased during maximal clenching in ICP. The increase of activity was more pronounced in the masseter muscle than in the anterior temporal muscle.

Adolescent↗
PubMed2000

Functional subdivision of the human masseter and temporalis muscles as shown by the condylar movement response to electrical muscle stimulation.

In previous studies from our laboratory, a functional subdivision of the human temporalis and masseter muscles was demonstrated by means of opto-electronic recordings of the lower incisal point movement responses to electrical muscle stimulation. In the present study, it was examined whether this subdivision was also reflected in different movement responses of the mandibular condyle. To that end, the condylar movement responses to unilateral stimulation of four masseter muscle parts and three temporalis muscle parts were studied in four different jaw positions. The kinematic centre was used for condylar reference point. For both the amplitude and the direction of the movement responses, the effects of stimulation location and jaw position were studied using multivariate ANOVA and contrast analyses. It was found that for both outcome variables, the functional subdivision of the masseter and temporalis muscles was also reflected in some, but not all, of the movement responses of the mandibular condyles. The deep masseter muscle part and the (anterior) temporalis muscle part responded similarly to electrical stimulation.

Adult↗
PubMed2005

Ontogeny of bone strain: the zygomatic arch in pigs.

At the time of weaning, infant animals have little experience with hard food, and thus their skulls are not likely to be epigenetically adapted for the loads imposed by mastication. We examined bone strain in the zygomatic arch of 4-week-old weanling piglets. Functional strains in piglets differed from those previously reported for older pigs in that the squamosal bone was not bent in the horizontal plane and the principal tensile strain on the zygomatic bone did not correspond to the direction of masseter muscle pull. Strain patterns were more variable in piglets than in older pigs. In older pigs, masticatory strains can be reproduced by stimulating the masseter muscles. When the piglet masseter was stimulated, strain patterns were more similar to those of older pigs, but shear strain magnitudes were the largest yet recorded from mammalian skull bones, up to 4000 muepsilon. To put these findings in the context of skeletal adaptation, 45 dry skulls, including some animals from the strain study, were measured. Reduced major axis regressions indicated that the infant arch was rounder in cross section and straighter than that of older animals. With growth, the arch became dorsoventrally higher, while mediolateral thickness decreased in the squamosal bone. Overall, these changes should make strain more predictable, explaining the lower variability in older animals. Other factors likely to be important in causing unique strain regimes in piglets include (1) unfamiliarity with hard food, (2) greater importance of muscles other than the same-side masseter and (3) greater proximity of molariform teeth to the arch. Collectively, these data indicate that the skeleton is not pre-adapted for specific functional loads.

Age Factors↗
PubMed1996

Sensory-motor interactions of human experimental unilateral jaw muscle pain: a quantitative analysis.

Experimental muscle pain was elicited by bolus injection of 0.15 ml of 5% hypertonic saline into the human masseter muscle. The sensory experience was described using 10-cm visual analogue scales (VAS) and the McGill Pain Questionnaires (MPQ) on 10 subjects. Effects of pain on deliberately unilateral mastication were quantitatively assessed in 13 other male subjects using kinematic recordings of the mandible and jaw muscle electromyography (EMG). Jaw movement and EMG data were transformed into single masticatory cycles which were averaged within subjects to produce mean masticatory cycles. Injection of 5% saline through normal and anesthetized skin produced similar VAS profiles and MPQ features. Displacement of the mandible during painful mastication was significantly smaller in the vertical axis (10.0 +/- 11.5%, P < 0.05) and in the lateral axis (22.6 +/- 20.9%, P < 0.05) as compared to pre-pain values. The mean opening and closing velocities of the mandible were significantly reduced (10.5 +/- 16.3% and 15.3 +/- 21.2%, P < 0.05) and the cumulated distance of the jaw movement was also significantly smaller during pain (10.5 +/- 11.8%, P < 0.05). Moreover, agonist EMG activity during pain was significantly lower in the ipsilateral masseter muscle (20.3 +/- 25.4%, P < 0.05) as compared to pre-pain root-mean-square (RMS) values. The observed sensory-motor interactions can be explained by a facilitatory effect of activity in nociceptive muscle afferents on inhibitory brain-stem interneurons during agonist action. Thus, generated movements have smaller amplitudes and they are slower which most likely represents a functional adaptation to experimental jaw muscle pain.

Adult↗
PubMed1995

Influence of the muscle tension on the masseteric silent period in children and adults.

Three subject groups who have shown different biting forces were examined in order to investigate whether the physiological phenomenon that the duration of the silent period (SPD) of the masseter muscle would be influenced by background activities of the muscles. They were classified into child (CN, n = 10) and adult groups; the adult group was then further subdivided according to the strength of maximum biting force into a normal group (AN, n = 10) and a low biting force group with some symptoms (AS, n = 5). SPD was observed in the masseter muscles by applying chin tap stimulations during both clenching teeth (10%, 50% and maximum) and biting on a transducer (50 N, 100 N and maximum). With increase of muscle activities, SPD was significantly decreased in the AN and CN groups, whereas no significant changes were found in the AS group. When comparing SPDs among the three groups at the same voluntary effort, the AN group exhibited the shortest SPD followed by the CN and AS groups. The results suggest that SPD was positively influenced by the strength of the background activities of the muscles and that immaturity of the masseters in terms of muscle activity could affect the SPD.

Adult↗
PubMed1983

Masseteric silent periods electrically evoked in normal subjects and patients with temporomandibular joint dysfunction.

The mean latency and duration of electromyographic silent periods were compared in normal subjects and patients with symptoms of temporomandibular joint (TMJ) dysfunction. The silent periods were evoked in the masseter muscle by electrical stimulation of the mental nerve area and recorded at 100% and 50% of maximum masseter EMG activity. Two silent periods were typically observed. The mean latency of the early silent period as well as the mean duration of both the early and late silent periods were shorter at 100% than at 50% of the maximal voluntary activity. In comparing the two groups, the mean latencies were shorter and the mean durations were longer for both silent periods in the TMJ group compared with the normal group. The prolonged silent periods in the TMJ group do not appear to be caused by a difference in stimulus intensity or level of voluntary activity in the masseter muscle. These results permit the speculation that the mechanism of the prolonged silent period in the TMJ patients might be central rather than peripheral.

Adult↗
PubMed1988

Newly described muscle attachments to the anterior band of the articular disk of the temporomandibular joint.

The presence of these two muscle attachments will be helpful in treating TM disorders. Why they have not been previously described is a mystery, but it is more understandable when the difficulty of dissection is noted. Freeing the disk while investigating the retrodiskal area, and then performing fiber-by-fiber dissection of the deep masseter muscle are uncommon procedures. Muscle fibers often exist from the deep masseter muscle to the capsule of the TMJ, and these muscles could easily be mistaken for the fibers already known and, therefore, ignored when the masseter was removed in dissection. If the first specimen dissected had not been a well-developed male with strong tendon attachment, the attachments would have been missed in this case as well.

Adult↗
PubMed1994

Evidence for bilateral innervation of certain homologous motoneurone pools in man.

1. Surface EMG recordings were made from left and right homologous muscle pairs in healthy adults. During each recording session subjects were requested to maintain a weak isometric contraction of both the left and right muscle. 2. Cross-correlation analysis of the two multiunit EMG recordings from each pair of muscles was performed. Central peaks of short duration (mean durations, 11.3-13.0 ms) were seen in correlograms constructed from multiunit EMG recordings obtained from left and right diaphragm, rectus abdominis and masseter muscles. No central peaks were seen in correlograms constructed from the multiunit EMG recordings from left and right upper limb muscles. 3. To investigate descending pathways to the homologous muscle pairs, the dominant motor cortex was stimulated using a focal magnetic brain stimulator whilst recording from homologous muscle pairs. 4. Following magnetic stimulation of the dominant motor cortex, a response was recorded from both right and left diaphragm, rectus abdominis and masseter muscles. In contrast, when recording from homologous upper limb muscles, a response was only seen contralateral to the side of stimulation. 5. The finding of short duration central peaks in the cross-correlograms constructed from multiunit recordings from left and right diaphragm, rectus abdominis and masseter, suggests that muscles such as these, that are normally co-activated, share a common drive. The mechanism is discussed and it is argued that the time course of the central correlogram peaks is consistent with the hypothesis that they could be produced by a common drive that arises from activity in last-order branched presynaptic fibres although presynaptic synchronization of last-order inputs is also likely to be involved. 6. The results of the magnetic stimulation experiments suggest that this common drive may involve the corticospinal tract. 7. We saw no evidence for a common drive to left and right homologous muscle pairs that may be voluntarily co-activated but often act independently.

Abdominal Muscles↗
PubMed1989

Non-specific esterases and esterproteases in masticatory muscles from the muscular dystrophic mouse.

With the aid of histochemical and electrophoretic techniques activities for esterase and esterprotease were investigated in the digastric and masseter muscles from normal and dystrophic mice. The substrates used were alpha-naphthyl acetate and N-acetyl-L-alanine alpha-naphthyl ester. According to the microscopic observations of the dystrophic muscles the histopathological changes in the masseter muscle were much more pronounced than in the digastric muscle. The connective tissue surrounding the myofibers of the dystrophic masseter contained a large number of cells with pronounced enzyme activity. Among them were mast cells that were strongly stained for esterprotease. The connective tissue of the dystrophic digastricus was much less infiltrated with cellular elements reacting for esterprotease. In zymograms the normal digastricus, the dystrophic masseter and the dystrophic digastricus showed a strong activity for certain isoenzymes that were absent or weakly expressed in the normal masseter.

Animals↗
PubMed1993

The effect of intercuspal clenching on the masseteric jaw-jerk reflex in humans.

Although several studies have been conducted regarding the jaw-jerk reflex and its various modifying parameters, the effect of intercuspal clenching still remains poorly understood. Evidence of both excitatory and inhibitory influences of periodontal receptors on jaw muscle activity has been reported. It is also suggested that a level of background activity in the stimulated muscle facilitates the reflex response. It was therefore the purpose of this study to investigate the effect of simultaneously activated periodontal receptors on the various parameters of the masseteric jaw-jerk reflex during moderate masseter muscle activation. Electromyographic recordings were obtained from the masseter muscle of the preferred chewing side at rest and at intercuspal clenching in 10 men, by use of a computerized recording and analysis system. In the clenching trials the level of muscular activity was set at 40% of the maximum value obtained through visual feedback. The results showed that at 40% clenching the occurrence of the reflex was reduced as compared with that obtained at rest. Moreover, when present during clenching, its latency and duration were shorter, whereas its amplitude was higher. It was suggested that the simultaneous activation of periodontal receptors may occasionally inhibit the masseteric monosynaptic excitation.

Adult↗
PubMed1997

Effect of systemic versus topical nonsteroidal anti-inflammatory drugs on postexercise jaw-muscle soreness: a placebo-controlled study.

Certain types of jaw-muscle pain may be managed with pharmacologic treatment. This study evaluated the effect of topical and systemic nonsteroidal anti-inflammatory drugs on acute postexercise jaw-muscle soreness. Ten men without temporomandibular disorders performed six 5-minute bouts of submaximal eccentric jaw exercise. The outcome variables were pressure pain thresholds and pain tolerance thresholds at the masseter muscles, and maximum voluntary occlusal force. Surface electromyography from the masseter muscles was used to assess the development of muscle fatigue during the exercise period. Three treatment modalities were tested in a placebo-controlled, double-blind approach: (A) placebo gel and placebo tablets; (B) nonsteroidal anti-inflammatory drug gel (2 g, 5% ibuprofen) and placebo tablets; and (C) placebo gel and nonsteroidal anti-inflammatory drug tablets (400 mg ibuprofen). The subjects used their medication 3 times a day for 3 days in the postexercise period. In the exercise period, the mean power frequency of the electromyography signal, pressure pain threshold, pain tolerance threshold, and maximum voluntary occlusal force decreased significantly (analysis of variance, P < .01). In the postexercise period, the effect of treatment on pressure pain thresholds was significant (F[2,9] = 4.41, P = .02). On day 3, treatment with topical nonsteroidal anti-inflammatory drugs was associated with significantly higher pressure pain thresholds as compared to treatment with systemic nonsteroidal anti-inflammatory drugs (P < .05) and placebo (P < .05). Treatment effects on pain tolerance thresholds and on maximum voluntary occlusal force were nonsignificant. The results demonstrated that repeated eccentric jaw exercise caused muscle fatigue and low levels of postexercise pain and soreness. Topical nonsteroidal anti-inflammatory drugs seem to have some advantages over systemic nonsteroidal anti-inflammatory drugs for management of exercise-induced jaw-muscle pain.

Administration, Oral↗
PubMed1999

Possible involvement of histamine in muscular fatigue in temporomandibular disorders: animal and human studies.

As an approach to clarifying the molecular basis of pain and fatigue in muscles involved in temporomandibular disorders, we examined the activity of histidine decarboxylase (HDC), the enzyme which forms histamine, in the masseter muscles of mice. In the resting muscle, HDC activity was very low. Direct electrical stimulation of the muscle markedly elevated HDC activity. HDC activity rose within 3 hrs of the electrical stimulation, peaked at 6 to 8 hrs, and then gradually declined. Intraperitoneal injection of a small amount of interleukin-1 (IL-1) (from 1 to 10 microg/kg) produced a similar elevation of HDC activity in the masseter muscle. We also examined the effect of an antihistamine, chlorphenylamine (CP), on temporomandibular disorders in humans and compared it with that of an anti-inflammatory analgesic, flurbiprofen (FB). Two groups received one or the other of the drugs daily for 7 days, and they were asked about their signs and symptoms before and after the treatment. A positive evaluation of their treatment was made by 74% of the CP group, but by only 48% of the FB group. Although the effects of CP on the limitation of mouth-opening and on joint noise were negligible, about 50% of the CP group answered positively concerning the drug's effect on spontaneous pain or pain induced by chewing or mouth-opening. The positive evaluation for CP (50%) in relieving associated symptoms (headache or shoulder stiffness) was significantly greater than for FB (13%). FB showed effectiveness similar to but sometimes weaker than that of CP on several symptoms. On the basis of these and previous results and the known actions of histamine, we propose that the histamine newly formed following the induction of HDC activity, which is itself mediated by IL-1, may be involved in inducing pain and, possibly, stiffness in muscles in temporomandibular disorders.

Adult↗
PubMed1996

Masticatory muscle activity in myotonic dystrophy patients.

The aim of the study was to compare the masticatory pattern and the activity of the masticatory muscles of a group of myotonic dystrophy patients with those of a group of healthy individuals. The electromyographic (EMG) activity of the temporal and the masseter muscles was measured in the resting position, during maximal clenching, and while the patient was chewing five peanuts until swallowing. It was found that the patients had approximately 3 times less EMG activity in the masticatory muscles during maximal clenching. During chewing the patients had approximately half the activity in the anterior temporal and the masseter muscles, while the activity of the posterior temporal muscle did not differ significantly from that in healthy individuals. No differences were found in the muscle activity in the resting position or in the speed of chewing between the groups. The patients needed more time and more chewing cycles to bring the five peanuts to the swallowing threshold, but possibly this was an effect of the lower number of antagonizing teeth. Myotonic dystrophy thus influences the masticatory muscles, reducing their activity both at a maximal and a functional level.

Adult↗
PubMed1983

Correlations between EMG jaw muscle activity and facial morphology in complete denture wearers.

In a sample of fifteen partially edentulous subjects assigned for immediate complete denture treatment, a correlation analysis was performed between pre-extraction facial morphology determined from lateral cephalograms, and EMG activity of the anterior temporal and masseter muscles in maximal clench and tapping of teeth. Marked correlations observed between vertical and sagittal jaw relations and mean voltages of the jaw-closing muscles indicated strong biting activity in subjects with a square facial type. No significant associations were observed between biting strength and the age of the subjects. Correlations between facial morphological changes and changes in EMG biting activity after denture insertion and during 1 year of denture wear indicated that the anterior temporal muscles were extremely sensitive to sagittal changes in anterior occlusion. The masseter muscles were less sensitive, but responded in some instances to changes in vertical jaw relationship.

Adult↗
PubMed1999

Masseteric hypertrophy?: preliminary report.

We report radiological and histological investigations of a patient who presented with the masseteric hypertrophy. Sections of the patient's masseter muscles were also investigated using a series of histological techniques. The histological and morphometric analysis of the patient's masseter muscle showed numerous small fibres, which indicated that the masseteric enlargement was not the result of classic fibre hypertrophy. We suggest that the use of the term 'hypertrophy' in this condition may be misleading.

Adult↗
PubMed1992

Masseteric facilitation induced by electrical stimulation of rat orofacial tissues.

The effects of a conditioning electrical shock applied to the periodontium of the lower incisor or the glabrous area of the lower lip on the jaw-closing reflex in the anesthetized, non-paralysed rat were studied. The masseteric reflex was triggered by stimulation of the mesencephalic nucleus as a test shock and was recorded from the masseter muscle. There was facilitation of the jaw-jerk reflex, which culminated at an interval of 10-15 ms between the conditioning and the test shocks. This facilitation was not suppressed by digastric excision or by blocking a possible rebound closing reflex evoked by jaw opening. No inhibitory influence was observed. This facilitatory effects relies on an A alpha input and on cell bodies making up the mesencephalic nucleus. The direct excitatory electrical events observed in the masseter muscle after periodontal or labial stimulation proved to be due to the diffusion of the bioelectrical activity generated in the neighbouring jaw-opening muscles.

Animals↗
PubMed1995

Functional characteristics of retrognathic patients before and after mandibular advancement surgery.

PURPOSE: The purpose of this investigation was to compare morphologic parameters and functional performance between controls and a sample of patients with mandibular retrognathia prior to surgical correction, and to examine how oral motor function adapts after treatment. PATIENTS AND METHODS: Twenty-four retrognathic female patients were compared with 26 female controls before and up to 3 years after mandibular advancement surgery. Measures of skeletal morphology, mandibular range of motion, maximum isometric bite force, and levels of electromyographic activity in the anterior and posterior temporalis and masseter muscles during isometric bites were made on all subjects over time. One-way analysis of variance was used to compare the controls, the patients before surgery, and the patients after surgery. RESULTS: Surgical lengthening of the mandible averaged 7.3 mm, bringing most skeletal measures into the normal range. There were no significant differences in jaw muscle mechanical advantage between patients and controls before surgery, but surgery significantly reduced mechanical advantage of the anterior temporalis and masseter muscles. Jaw hypomobility was apparent at 6 weeks after surgery, but returned to normal values within 12 to 24 months. Before surgery the patients had maximum isometric bite forces less than half those of controls. Bite forces steadily increased after surgery, approaching normal values within 2 years. Before surgery the patients' muscle activity levels per unit of bite force were equivalent to those of controls or somewhat higher. After surgery some of the patients' muscles had significantly lower levels of muscle activity per unit of bite force than did controls. CONCLUSION: The results of this study suggest that correction of mandibular retrognathia by mandibular advancement surgery produces some significant functional benefits.

Adolescent↗