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Biomedical subjects

A Tallgren

Publications and source records attributed to A Tallgren.

17 recordsLinked to original sources

Swallowing activity of lip muscles in patients with a complete upper and a partial lower denture.

In 30 partially edentulous subjects provided with an immediate complete upper and a partial lower free-end denture the lip activity in swallowing was studied before and after denture treatment and during a 2-year period of denture wearing. Electromyographic recordings of the right side upper and lower orbicularis oris, mentalis and anterior temporal muscles were obtained during swallowing saliva and during swallowing of water with and without the dentures in the mouth. In the different types of swallows recorded, the lower lip and mentalis muscles showed much stronger activity than the upper lip and anterior temporal muscles and also initiated the swallowing activity. No significant changes in mean voltages of the swallowing activity were observed during the 2-year observation period. On the other hand, the durations of the swallows showed marked increases after 1 year of denture use, when no further rebasings of the complete upper denture had been made.

Adult

Age differences in adult dentoalveolar heights.

A previous study of age differences in facial morphology in a dentate sample representing young, middle, and old age (Tallgren and Solow, 1987) indicated an increase in lower anterior face height during adulthood. The aim of the present study was to examine in detail the accompanying age differences in dentoalveolar heights. The material consisted of lateral head films of 191 dentate Finnish women divided into the age groups 20-29, 30-49, and 50-81 years. The present study comprised 26 variables calculated from digitized reference points. The maxillary and mandibular anterior dentoalveolar heights were significantly larger in the middle and old age groups than in the young group, and the mean differences were of the same magnitude for the maxilla and the mandible. Analysis of the dentoalveolar components showed that in the mandible the extra-alveolar height of the incisors was significantly larger in the two older age groups than in the young group, while no significant differences were found in the maxilla. The mean differences in anterior mandibular ridge height between the older age groups and the young group were smaller than in the maxilla. No significant differences in dentoalveolar morphology were observed between the middle and the old age groups.

Adult

Chewing and swallowing activity of masticatory muscles in patients with a complete upper and a partial lower denture.

The chewing and swallowing activity of jaw-closing muscles was studied longitudinally in 30 partially edentulous subjects who were provided with an immediate complete upper and a partial lower denture. Electromyographic recordings of the anterior temporal and masseter muscles were obtained during habitual chewing of apple and during swallowing of saliva and water, before final extractions and 7 weeks, 6 months, 1 year and 2 years after denture insertion. At the pre-treatment stage, when the patients were chewing with a residual anterior dentition, the mean voltages showed low values compared to findings reported in subjects with a complete natural dentition. After 6 months of denture use, the chewing forces showed significant increases in amplitude, and the increased force of contraction persisted to the 2-year stage. The recordings of swallowing revealed no significant changes in maximal mean voltage during the observation period. However, there was a significant increase in the duration of the swallows after 1 year of denture wearing, which might be related to stabilization of the complete upper denture due to continuing resorption of the maxillary ridge.

Adult

A two-year kinesiographic study of mandibular movement patterns in denture wearers.

Changes in functional jaw movements during a 2-year period of denture wear were investigated. The sample consisted of 27 partially edentulous subjects who were provided with an immediate complete maxillary denture and a removable partial mandibular denture. Recordings of habitual chewing of apple and empty open-close cycles were made with a mandibular kinesiograph. At the pretreatment stage, when the patients occluded on a residual anterior dentition, irregular patterns of movement were observed. After placement of the dentures, which restored posterior occlusion, the chewing and open-close patterns showed marked improvement and were characterized by significant mean decreases in sagittal and transversal range of movement. Relining of the maxillary dentures further stabilized the functional patterns. During the second year, significant reductions in vertical range of movement and lateral chewing excursions were observed, and were probably related to impaired retention of the complete upper denture.

Adult

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

Follow-up study of silent periods in complete denture wearers.

Electromyographic silent periods in response to chin taps during clench were recorded from the anterior temporalis and masseter muscles. Ten complete denture wearers were observed up to the 1-year stage of denture wear and eight patients up to the 2-year stage. Silent periods were also recorded from patients clenching on paper rolls in place of the dentures. Regarding the patterns of the silent periods, similar observations of double silent periods were made as in our previous study up to the half-year stage of denture wear (McCall, Tallgren & Ash, 1979). The frequency of the double silent periods was 13.8% at the 1-year stage and 7.3% at the 2-year stage. The mean duration of the silent periods did not differ significantly at the 1-year and 2-year stages. The mean silent period duration when clenching on paper rolls without dentures in the mouth was significantly shorter than when clenching with the dentures.

Adult

Changes in jaw relations and activity of masticatory muscles in patients with immediate complete upper dentures.

A longitudinal radiographic cephalometric and electromyographic investigation was performed on eighteen subjects provided with an immediate complete upper and a partial lower denture. The observation stages were: before final extractions and 7 weeks, 6 months and 1 year after denture insertion. The cephalometric analysis was based on measurements from lateral head films taken in centric occlusion. The EMG activity of the anterior temporal and masseter muscles was studied in postural position, light tapping and in maximal clench. The changes in jaw and occlusal relationships due to resorption of the edentulous maxillary ridge were slight, the mean decrease in occlusal vertical dimension during one year being 0.7 mm. The EMG clench activity at the pre-extraction stage, when the patients occluded on a residual anterior dentition, showed low mean values round 100 microV, and a further decrease was observed at the post-insertion stage. At the 1-year stage all muscles displayed significant increases to above the post-insertion level. The jaw muscle activity in light tapping and in postural position generally showed no significant mean changes during the observation period. The results indicate that preservation of a residual dentition in the lower jaw prevents marked changes in jaw and occlusal relationships and resulting changes in muscle activity.

Adult

An electromyographic and roentgen cephalometric study of occlusal morphofunctional disharmony in children.

In a sample of children with dual bite and symptoms in the masticatory system, the activity of the anterior temporal and masseter muscles was studied electromyographically during clench and light tapping in the posterior occlusal contact position and centric occlusion and in protrusive bite on the incisors. The findings indicated that the optimal muscle function during maximal clench and tapping with displayed in the posterior occlusal contact position, which in the present subjects was situated, on the average, 0.5 to 1 mm. anterior to the centric jaw relation. It should therefore be recommended that, in orthodontic treatment of children with dual bite, the intercuspal position (centric occlusion) should be established in the posterior occlusal relationship. This is in accordance with the opinion of several authors who have emphasized the use of the retruded contact position (the centric jaw relation) as key reference position in orthodontic treatment and occlusal rehabilitation. These authors have further emphasized the importance of stable occlusal contacts in centric relation, centric occlusion, and the various jaw excursions in obtaining and maintaining a harmonious function between the dentition, the temporomandibular joints, and the neuromuscular system.

Adolescent

EMG silent periods in immediate complete denture patients: a longitudinal study.

Jaw muscle silent periods in response to chin taps were recorded from immediate complete denture patients before extraction of a residual anterior dentition, after insertion of the dentures, and three and six months after insertion. After three months' use of the dentures, the mean EMG silent period duration was significantly increased compared to the pre-extraction stage.

Adult

Dentoalveolar morphology in relation to craniocervical posture.

The associations between dentoalveolar morphology and the posture of the head and the cervical column were studied in a sample of 120 Danish male students aged 22-30 years. Two head positions were recorded on lateral cephalometric radiographs, one determined by the subjects's own feeling of a natural head balance (self balance position) and the other by the subject looking straight into a mirror (mirror position). Dentoalveolar morphology was described by 17 linear and angular variables and postural relationships by 18 angular variables. The position of the head in relation to the cervical column showed positive correlations with the anterior upper and lower dentoalveolar heights and with the inclinations of the upper and lower occlusal planes. These correlations were considered to reflect the dentoalveolar compensatory adaptation to the variation in vertical jaw relationship, which in a previous study had been found to be associated with craniocervical angulation. No associations were observed between craniocervical angulation and alveolar prognathism or incisor inclination. This was in accordance with the previous findings of a lack of associations between sagittal jaw relationship and craniocervical angulation.

Adult

Effect of acupuncture on myogenic headache.

The purpose of the investigation was to study the effect of acupuncture on myogenic headache and to examine whether electromyographic recordings of jaw muscle activity would provide objective evidence of the effect of such treatment. In 21 dental students, 14 males and seven females, with a history of 2--10 years of headache, acupuncture was performed unilaterally in the foot between the 4th and 5th metatarsal bones (G 41). The needle was inserted to a depth of 10--15 mm and moved continuously by hand for 15--20 min. Electromyographic recordings of postural activity in the right and left anterior temporal and masseter muscles were obtained in the same sitting before, during and after acupuncture treatment. In clinical controls 24 h, 1 month and 4 months after the treatment, 12 subjects reported considerable improvement, two variable results, and seven no change. The electromyographic recordings showed an average decrease in postural activity during acupuncture, particularly of the temporalis muscles, and a further decrease after completed treatment. However, marked individual variations in muscular response were noted. The results indicate that acupuncture treatment can relieve headache, and that electromyographic recordings may provide objective evidence of the effect of acupuncture.

Acupuncture Therapy

Head posture and craniofacial morphology.

The associations between craniofacial morphology and the posture of the head and the cervical column were examined in a sample of 120 Danish male students aged 22-30 years. Two head positions were recorded on lateral cephalometric radiographs, one determined by the subject's own feeling of a natural head balance (self balance position), and the other by the subject looking straight into a mirror (mirror position). Craniofacial morphology was described by 42 linear and angular variables, and postural relationships by 18 angular variables. A comprehensive set of correlations was found between craniofacial morphology and head posture. The correlations were similar for both head positions investigated. Of the postural variables, the position of the head in relation to the cervical column showed the largest set of correlations with craniofacial morphology. Extension of the head in relation to the cervical column was found in connection with large anterior and small posterior facial heights, small antero-posterior craniofacial dimensions, large inclination of the mandible to the anterior cranial base and to the nasal plane, facial retrognathism, a large cranial base angle, and a small nasopharyngeal space. The possible role of functional factors in mediating the relationship between morphology and posture was discussed.

Adult

Longitudinal electromyographic study of chewing patterns in complete-denture wearers.

A longitudinal electromyographic study of the anterior temporal and masseter activity during habitual chewing of apple was performed on 21 subjects provided with immediate complete dentures. At the pretreatment stage, when the patients having an anterior residual dentition were chewing, the peak mean voltages showed low values (range, 48 to 58 microV). After denture placement, there was a further decrease of the temporal activity that persisted to the 6-month stage. After the dentures were relined, a significant increase in chewing force of the temporal muscles was noted at the 1-year stage. During the second year, when no corrections of the dentures were made, the temporal activity decreased below the pretreatment level. The masseter muscle chewing activity generally showed no significant changes during the 2-year observation period. The mean durations of the chewing strokes and chewing cycles were longer than values reported in dentate samples and generally displayed no significant changes during the 2-year period.

Adult

Longitudinal study of soft-tissue profile changes in patients receiving immediate complete dentures.

The gradual changes in the skeletal and soft-tissue profile of complete denture wearers resulting from residual ridge reduction were studied using profile cephalometric films obtained from 21 subjects during a 2-year period of denture use. The variables for each observation stage were calculated from 58 digitized reference points. During the first 6 months of denture use, a marked anterosuperior rotation of the mandible as a result of ridge resorption caused a similar profile change of the soft-tissue chin and mandibular lip. Continuing ridge reduction resulted in a marked change of mandibular position at the 2-year stage, leading to a pronounced protrusion of the chin and mandibular lip and a more outward position of the maxillary lip.

Alveolar Bone Loss