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A 2-year electromyographic study of patients with an immediate complete upper and a partial lower denture.

A longitudinal electromyographic (EMG) investigation was performed on thirty subjects provided with an immediate complete upper and a partial lower denture. Electromyographic recordings in maximal clench, light tapping and postural position were obtained from the anterior temporal and masseter muscles before final extractions and 7 weeks, 6 months, 1 year and 2 years after denture insertion. The maximal clench activity of the jaw closing muscles showed an average tendency to decrease upon insertion of the dentures, but thereafter significant increases in mean voltages were observed during the first year of denture wear. During the second year no significant changes in EMG clenching force were noted. At the 2-year stage most of the muscles showed significantly greater clench activity than at the post-insertion stage, but did not exceed the pre-extraction level. The jaw muscle activity in light tapping showed no significant mean changes during the observation period. The postural activity tended to decrease during the period of denture wear, the decrease being significant for some of the muscles at the 2-year stage.

Adult↗

Observations in the time and frequency domains of surface electromyograms of experimental brief teeth clenching in man.

Maximum voluntary teeth clenching was performed for about 1 s to study the interactions between subjective sensory-motor events and changes in the time and frequency domains of surface electromyograms of the masseter and anterior temporalis muscle. Isometric jaw muscle contractions were examined for their speeds of contraction, the total energy content and median frequency of their power density spectra, and for the specific rate of change and the efficiency of their voluntary and involuntary activation efforts. The observations suggested that, in general, brief maximum isometric contractions were not preprogrammed, but rather were regulated by a subconscious proprioceptive feedback mechanism; the mechanism, possibly a transcortical loop, appeared to have a low gain and to be based on recruitment/decruitment of motor units.

Bite Force↗

Reproducibility of electromyographic measures: a statistical analysis.

The masseter, temporalis anterior and digastric anterior muscles of five volunteers have been investigated by means of surface electromyography. Each muscle was tested by three operators at different times and under three distinct conditions of intermaxillary relationship: resting, with no occlusal contact (physiological rest position); occlusion in centric occlusion (C.O.) without clenching force; and maximum voluntary clench. In all the trials the BIO-PAK system (Bio-Research Associates Inc., Milwaukee, WI, USA) was used. Measurements were made in two consecutive experimental trials separated by an interval of about 15 days. In the first trial the operators had minimal instrumental experience, while in the second trial the same operators had minimal instrumental experience, while in the second trial the same operators had performed at least 30 measurements each. The data have been analysed by a factorial variance analysis, particularly with a view to comparing the variability between operators for each volunteer subject. The analysis revealed statistically significant differences only in the first experimental trial, due to the operators' lack of experience. The study demonstrates that the electromyographic system and protocol used allow good reproducibility of measurements. Furthermore, they have potential applications in both clinics and research.

Action Potentials↗

Endurance of jaw elevator muscles during cementation of a single molar crown.

Muscle activity of four jaw-closing muscles was monitored in 19 healthy subjects by EMG, under conditions associated with cementation of a crown restoration. Each subject performed two maximum voluntary contractions (MVC), each of two minutes duration, separated by a thirty-minute time interval. There was no visual feedback of muscle activity. Local analgesia, psychologic reinforcement and actual cementation were other conditions tested. All muscles fatigued as a function of time. For this experimental procedure the ipselateral muscles demonstrated less endurance than contralateral muscles. Psychologic reinforcement did not alter muscle activity. The effect of local analgesia was inconclusive and requires further investigation.

Adult↗

Erectile mechanisms in man.

Increases in penile circumference during sleep-related erections in human subjects closely reflected increases in penile blood flow, and bursts of activity in the bulbocavernosus and ischiocavernosus muscles were temporally related to these increases. The penile arterial system and the perineal muscles appear to have important coordinated roles in human penile erection. Monitoring sleep-related erections and penile blood flow holds promise for the study of erectile mechanisms and dysfunction and for screening of drugs.

Adult↗

Media hype: musculus sphenomandibularis.

The report of an allegedly so far unknown craniomandibular muscle ('the sphenomandibularis') in 1996 by Dunn and co-workers provoked much comment in journals and newspapers. The authors' hypothesized role of the 'm. sphenomandibularis' in temporomandibular disorders and headaches created hopes and expectations. The present article examines whether two detailed descriptions by Ramalho and co-workers [1978, in Portuguese], and by Zenker [1954, 1955, and 1956, in German] deal with the very same muscle. From the comparison of these descriptions it becomes evident that the 'm. sphenomandibularis' is not a new muscle, but corresponds to the 'medial portion' [Zenker], or 'deep portion' [Ramalho et al.] of the temporalis muscle. Further directed search identified descriptions of the muscle in question back into the 19th century.

Classification↗

Development of a portable bruxism monitoring and analysis device equipped with a microcomputer and its practical application.

The purposes of this study were to develop and verify the a portable nocturnal bruxism monitoring and analysis device equipped with a microcomputer, and to clinically apply the device to know the actual conditions of bruxism patients. EEPROM was installed in the device for the data recording, and after the data collection, the recorded data was entered into a personal computer via serial port. After confirming the accuracy of the device, a total of 30 subjects were enrolled in this study to monitor their bruxism activities for 3 nights. Bruxism self-aware group consisted of 14 subjects, 7 males and 7 females, and unaware group consisted of 16 patients, 8 males and 8 females. Most of the subjects reported that the new device was easy to handle. The average bruxism time per hour and the average bruxism lasting time were 223.8 +/- 112.0 and 3.9 +/- 2.9 s in the self-aware group, and 49.3 +/- 38.3 and 0.8 +/- 0.7 s in the unaware group, respectively. The bruxism self-aware group showed statistically longer average bruxism time per hour and the average bruxism lasting time. It was confirmed that the new bruxism monitoring and analysis device is practical for clinical application to monitor and analyze the electromyographic activities.

Adult↗

Adaptations in the temporalis muscles of rabbits after masseter muscle removal.

Masseter muscles were surgically removed in six young female rabbits so that we could study adaptations of the superficial temporalis muscles (ST) to increased functional requirements. Eight weeks following surgery, we used morphological measurements, histochemistry, contractile properties in situ, and occlusal force in vivo to compare the muscles in the experimental animals and six control rabbits. Analysis of the results demonstrated a decrease in fatigability of ST after masseter myectomy. Incisal occlusal force decreased by 65% during the first two weeks, and no recovery was observed during the following six weeks. At eight weeks post-surgery, the mass, twitch tensions, and tetanic tensions of ST were not significantly different from those of the controls. An increase in the percent of the cross-sectional area composed of fast fatigue-resistant fibers, a slower time-to-peak twitch tension, and a decrease in fatigability suggest an increase in oxidative metabolism. Analysis of these results suggests that muscles used for highly repetitious activities with submaximal loadings adapt to increased functional requirements by increasing fatigue-resistant properties.

Adaptation, Physiological↗

Masticatory muscle activity in different jaw relations during submaximal clenching efforts.

The EMG activities of the masseter muscles and the anterior and posterior parts of the temporalis muscles were investigated in different vertical and sagittal jaw relations. Surface EMG recordings were made. Relative muscle activities were quantified by means of the Activity Index and the Asymmetry Index. Ten subjects with a healthy masticatory system were asked to clench at 10% and 50% of their maximum voluntary clenching level. Registrations were made during clenching in the intercuspal position, on a thin stabilization splint (SSP, 1-2 mm increase of vertical dimension at first molar), on a thick stabilization splint (3 mm thicker at the incisal edge relative to SSP), and on a protrusive re-positioning splint (3 mm protrusive to SSP). The masseter EMG amplitudes were the same for all the jaw positions investigated. However, at the 10% clenching level, the temporalis muscle activity decreased after the vertical dimension was raised and decreased further after the mandible was protrusively positioned (p less than 0.01). An independent function for the posterior and the anterior parts of the temporalis muscle was not found in any of the intermaxillary jaw relations investigated. At the 50% clenching level, a decrease in anterior temporalis muscle activity was observed only with the protrusive position in relation to the other three positions. Also at this level, the index relating the activity of the anterior to that of the posterior part of the temporalis muscle was not different between jaw positions. Raising the vertical dimension and protrusive positioning of the mandible decrease the activity of the temporalis muscles. This may be a factor related to the therapeutic effect of the stabilization splint in the treatment of craniomandibular disorder patients.

Adult↗

Contributions of facial morphology, age, and gender to EMG activity under biting and resting conditions: a canonical correlation analysis.

Theoretical studies suggest that facial morphology may confer a mechanical advantage to particular individuals during force production, but not during rest. However, prior studies on the relationship between facial morphology and EMG suffer from various methodological limitations. We examined the hypothesis that facial morphology variables contribute significantly and meaningfully to the variance in masticatory muscle EMG when subjects produce specific levels of interocclusal force, but not when subjects are at rest. Measures of facial morphology included gonial angle, ramus height, and maxillary height, as determined from lateral cephalograms. EMG data were obtained from surface electrodes placed on masseter and temporalis sites. Subjects (N = 96) sat in a darkened, sound-attenuated room while they watched a seven-minute segment of a movie. EMG activity obtained during the last two minutes was used as a baseline period. Using the central incisors, subjects then provided five different force levels ranging from 6.5 to 48 lb in random order on a bite-force device while EMG data were collected. A canonical correlation analysis, performed on the set of predictor variables (age, gender, and facial morphology measurements) and the set of criterion variables (EMG data), showed a significant canonical correlation between the two variable sets while biting, but not at rest. Age, but not the facial morphology variables, was highly related to the canonical variate.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Task-dependence of jaw elevator and depressor co-activation.

Elevator muscle activity per unit bite-force has been shown to be higher in chewing than in isometric biting. We tested the hypothesis that surplus elevator activity is evoked in response to a possible co-activation of jaw-opener muscles during the masticatory power stroke. In 32 subjects, digastric and bilateral masseter and temporalis activities were recorded during unilateral chewing of test foods, isometric biting on a force transducer, and during balancing of the jaw against maximum effort of depressor muscles. During elevator peak effort in chewing, the digastric activity was 113% higher than during peak effort in isometric biting. Comparison of balancing and chewing trials revealed that a 6% increase of elevator activity would suffice to compensate for this increased depressor action. Elevator activity in chewing, however, was up to 130% higher than in clenching. We conclude that depressor counteraction could have only a minor influence on the generation of surplus muscle activity in chewing.

Adult↗

Age-related changes and the possible adaptability of rat jaw muscle spindles: immunohistochemical and fine structural studies.

Afferent signals from jaw muscle spindles contribute to the feedback mechanism that regulates mastication. The integrity and adaptability of this proprioceptor to age-related changes of the surrounding structures are therefore essential to maintain an appropriate masticatory function throughout life. In this study, we examined muscle spindles obtained from temporal and masseter muscles of 10-week-, 12-, 18-, and 24-month-old Wistar rats, employing immunohistochemistry for protein gene product 9.5 (PGP 9.5) or growth-associated protein (GAP-43) in addition to transmission electron microscopy, in order to investigate their morphological changes in relation to the effect of aging on the adaptive potential of the receptors. Immunohistochemistry for PGP 9.5 showed virtually similar reactions at sensory nerve terminals in all age groups. On the other hand, immunoreactivity for GAP-43 in the sensory nerve ending of the muscle spindles was found 2 and 3 weeks after birth but became almost undetectable by 10 weeks. However GAP-43 immunoreactions occasionally reappeared in those of spindles in 12- and 18-month old animals, and vanished again by 24 months of age. Electron microscopic observations also revealed age-related morphological changes in the intrafusal muscle fibers of the rats in 12-month and older groups. The extent of degenerative and/or atrophic alterations of intrafusal fibers increased with age and involved the nerve elements of spindles by 24 months. These findings indicate that the adaptation potential of rat jaw muscle spindles is well preserved until middle age, but diminishes in elderly animals. Structural changes of muscle spindles in elderly animals probably contribute to the deterioration of the muscular function.

Age Factors↗

Distribution of macromolecular components in the muscle-bone junction of human masticatory muscles.

At the muscle-bone junction, the attachment is composed of macromolecular components that differ from those in masticatory muscles. In the temporal and lateral pterygoid muscles, numerous fine fibers form complex arrangements between collagenous bundles and the tendon-bone junctions. Collagenous bundles are directly inserted into the bone tissue at the site of the adhesive attachment. Reticular fibers are arranged irregularly and cover the collagenous bundles as a network. Numerous collagenous fibers are also tightly connected with the bundles that are found near the muscle-bone junction of the lateral pterygoid muscle. Strong or moderate staining for collagen types I, III, and V, tenascin, laminin, and fibronectin was observed in close association with the border of the bone matrix. Different distributions of these macromolecular components were found in each masticatory muscle. The results suggest that the morphological properties of the muscle-bone junction of each muscle reflect the tension or the stretch applied to a mandible bone. The distribution of macromolecular components in each muscle also reflects the form and calcification of the mandibular bone during aging.

Alveolar Process↗

Stress-induced changes in the functional electromyographic activity of the masticatory muscles.

The present study was undertaken to assess the effect of a non-experimental emotional stress situation on the functional electromyographic (EMG) activity of the masticatory muscles. The material comprised 15 dental students without signs and symptoms of disorders from the temporomandibular system. The activity of the masseter and anterior temporalis muscles was recorded bilaterally by means of surface EMG. The subjective degree of helplessness of the subjects was assessed and related to the EMG activity response, to assess a possible interrelation. The EMG activity during the stress situation was significantly greater than for the non-stress situation. This shift in EMG activity was seen for all the muscles and all the functions analyzed. No significant gender differences were found. When the subjective degree of helplessness is taken into consideration, women showed significantly higher ratings than male subjects. The Helplessness Scale ratings correlated with the changes in EMG activity.

Adult↗

Myoblast transfer therapy in the treatment of ptosis: a preliminary study.

Congenital ptosis with poor levator function is now managed by frontalis suspension techniques. While this procedure is better than those used in the past, serious shortcomings exist. A technique producing more normal lid function would be a beneficial addition to surgical management. Since congenital ptosis is thought to be a focal myopathy, we investigated the potential of myoblast transfer therapy in myopathic levator palpebrae superioris. Satellite cells harvested from temporalis muscle were grown as clones, labeled with Dil, and transplanted into experimentally myopathic levator muscle of the same animal. Within 2 weeks, the injected cells were found to be incorporated into muscle fibers within the levator basal lamina. The control side appeared myopathic with very little muscle regeneration. The presence of Dil labeled muscle fibers in the experimental muscles strongly suggests their origin from the injected cells. Electron microscopy of nearby sections showed these fibers to be maturing striated muscle. We feel that the development of this technique may make autogenous myoblast transfer therapy a useful treatment for congenital ptosis and other focal myopathies.

Animals↗

Expression of muscle genes in the mouse embryo.

Using isogene specific probes and in situ hybridization on sections, we have examined the expression of structural and regulatory genes in the mouse embryo during the formation of cardiac and skeletal muscle. The temporal and spatial information thus obtained about the onset of expression of muscle genes provides insight into the regulation of myogenesis in vivo. Actin and myosin sequences present in different compartments of the adult heart are initially all co-expressed in the cardiac tube (between 7-8 days). The process of spatial restriction to atrial or ventricular compartments of the heart takes place asynchronously later. In contrast, the onset of expression of actin and myosin genes in the first skeletal muscle, the myotome, which corresponds to the central compartment of the somite, as well as their subsequent down-regulation in different skeletal muscle masses, takes place very asynchronously. One might predict that factor(s) responsible for the transcriptional activation of these genes are present in sufficient quantity in the cardiac tube, whereas in skeletal muscle individual genes are responding to variable levels of factor(s). In fact the four myogenic regulatory sequences present in the mouse - MyoD1, myogenin, myf-5 and myf-6 - do show distinct patterns of expression during the development of skeletal muscle. None of these sequences have been detected in the heart. In the myotome there is no general correlation between the appearance of a particular myogenic sequence and the activation of a particular structural gene. A striking example of this is provided by the muscle isoform of creatine phosphokinase. We would propose that each muscle structural gene has a different threshold of activation, depending on the quantity and nature of the myogenic factor present. We have also examined the onset of expression of the X-linked dystrophin gene known to be expressed in adult heart and skeletal muscle. In the myotome dystrophin transcripts are first detected at the time when myosin heavy chains first accumulate and muscular contraction is initiated. In contrast in the cardiac tube dystrophin transcripts are not detected initially, at a time (from 8 days) when the heart contracts. This observation can be correlated with the pathology of the disease which points to a more essential role of dystrophin in skeletal muscle. No muscle structural gene examined is expressed in the somite prior to myotome formation. If the myogenic regulatory sequences are implicated in muscle cell determination then they should be expressed in the dermomyotome of the immature somite which gives rise to muscle precursor cells.(ABSTRACT TRUNCATED AT 400 WORDS)

Actins↗

Craniofacial morphology and growth in the ferret: effects from alteration of masticatory function.

INTRODUCTION: Our hypothesis is that any effects on craniofacial growth and morphology induced by altering the masticatory function will vary according to the species involved. The general aim of this thesis was to test the possible effects of altering the masticatory function on craniofacial growth and morphology, as well as features of masticatory muscles in ferrets. To better elucidate these mechanisms involved, the anatomy of the skull, craniofacial growth pattern and development of occlusion in the ferret were investigated to serve as baseline data. MATERIALS AND METHODS: The description of the anatomy and the radiographic features of the skull was based on observations of 100 skulls of adult ferrets of both sexes. The craniofacial growth pattern was studied in 16 young ferrets of both sexes using serial cephalograms taken on 5 occasions according to age: 25 days, 35 days, 55 days, 80 days and 300 days. To follow the development of occlusion, these animals underwent dental examinations every other day. Forty male ferrets were divided into two groups from the age of 5 weeks. One group was fed hard pellets (hard-diet group), and the other the same diet but softened with water (soft-diet group). After six months, specimens of masticatory muscles were dissected and analysed histochemically, and cephalograms were analysed cephalometrically. RESULTS: The ferret skull is relatively elongated with a short facial region, being longer and broader in males than in females. The viscero- and neurocranium follow an orderly pattern of expansive growth. The growth of the mandible is mainly characterized by an anteroposterior body elongation, and enlargement of the coronoid process. Craniofacial growth in ferrets ceases earlier in female than in male animals. The deciduous teeth erupted between the 19th and 31st postnatal day, and exfoliated approximately between days 51 and 76. The time of eruption of the permanent teeth ranged from 42 to 77 days. The female ferrets were generally ahead of the males regarding the eruption age of permanent teeth. The alteration of the masticatory function by feeding the animals a soft diet caused a hard palate plane more distant from the cranial base plane, smaller inter-frontal and inter-parietal widths, and a slenderer zygomatic arch, as well as a generally shorter and narrower coronoid process. Variations of most variables are greater in animals fed on soft diet. The mean cross-sectional area of type I and type II fibres in the temporalis and the masseter, and type II fibres in the digastricus, as well as the number of capillaries per fibre were significantly smaller in the soft-diet animals. CONCLUSION: Altered masticatory function has induced changes in masticatory muscles and certain effects on craniofacial growth in ferrets. These changes are not the same as those reported in other species (e.g. rats). It appears that reduced masticatory function leads to smaller fibres in the elevators and transverse skull dimensions. The different effects are presumably related to the differences in craniofacial anatomy and growth pattern, as well as the masticatory system, in the various species studied previously.

Animals↗