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Biomedical subjects

L R Iwasaki

Publications and source records attributed to L R Iwasaki.

10 recordsLinked to original sources

Static and dynamic loading effects on temporomandibular joint disc tractional forces.

UNLABELLED: Mechanical fatigue-related degeneration of the temporomandibular joint (TMJ) disc may be promoted by tractional forces. This study tested the hypotheses that tractional forces following static loading of the TMJ disc: (1) increase with compressive strain at the start of movement, and (2) are velocity-dependent during movement. Sixty-four porcine discs received a 10-N static load via an acrylic indenter for 1 or 30 sec before cyclic movement. Physical data were recorded and analyzed by ANOVA. The results showed that compressive strain and tractional forces were largest for the start of movement following 30 sec of static loading (p <or= 0.0001) and were correlated (R(2) = 0.84). Peak tractional forces were linearly and positively related to velocity of movement (R(2) = 0.85), and were highest during Cycle 1 after 30 sec of loading (p <or= 0.0067). The results demonstrated that tractional forces were strain-related at the start of movement and velocity-dependent during movement. ABBREVIATIONS: ANOVA = analysis of variance, PBS = phosphate-buffered physiological saline solution, TMJ = temporomandibular joint, mu(T) =tractional coefficient, mu(s) = static coefficient of friction.

Analysis of Variance↗

Mechanical work during stress-field translation in the human TMJ.

The pathomechanics of degenerative joint disease of the temporomandibular joint (TMJ) may involve fatigue produced by mechanical work on the articulating tissues. This study tested the hypotheses that mechanical work in the TMJ (i) varies with the type of mandibular activity, and (ii) is evenly distributed over TMJ surfaces. Ten healthy human participants were recorded with Magnetic Resonance Imaging (MRI) and jaw tracking. The data were used to reconstruct and animate TMJ activity. Aspect ratios, instantaneous velocities, and distances of stress-fields translation were used to calculate work (mJ). The results were analyzed by least-squares polynomial regression and ANOVA. Work magnitudes were related to peak velocity (R(2) = 0.92) and distance of stress-field translation (R(2) = 0.83), and were distributed over the joint surfaces (p < 0.03). During mandibular laterotrusion, average mechanical work was 1.5 times greater in the contralateral joint. Peak magnitudes of work (> 3000 mJ) were 4 times that previously reported.

Adult↗

Laboratory stresses and tractional forces on the TMJ disc surface.

The etiology of degenerative disease of the TMJ may involve fatigue produced by surface tractional forces and compressive stresses. This study tested the time-dependent effects of compressive loading and stress-field translation on TMJ disc-surface tractional forces and stresses. In laboratory experiments with 50 porcine discs, an acrylic indenter imposed 10 N static loads for 10 and 60 sec, followed by translation of the loaded indenter along the mediolateral axis of the disc. Maximum tractional forces were found to occur following 60 sec of static loading (p < 0.001), and increased with translation velocity (R(2) = 0.73); whereas maximum compressive stresses occurred after 10 sec of static loading (p < 0.001). Overall, the results were consistent with current mechanical theories of the time-dependent effects of compressive loading of cartilage.

Animals↗

Neuromuscular objectives of the human masticatory apparatus during static biting.

OBJECTIVE: The central nervous system controls the muscles of mastication and may dictate muscle outputs according to a biologically important objective. This study tested the hypotheses that (a) the effective sagittal TMJ eminence morphology, and (b) the outputs of the masticatory muscles during static biting, are consistent with minimisation of joint loads or minimisation of muscle effort. DESIGN: Numerical modelling predicted effective eminence morphology (from sagittal plane directions of TMJ force for centred loading over a range from molar to incisor biting) and TMJ and muscle forces during static unilateral biting in seven subjects. In vivo effective eminence morphology was measured from jaw tracking recorded from each subject. Muscle activities during biting tasks on first molar and incisor teeth were measured by electromyography using surface or indwelling electrodes. RESULTS: Subject-specific predicted effective eminence morphology correlated with in vivo data (0.85< or =R2< or =0.99). Mixed and random coefficient analysis of covariance indicated good agreement between predicted and measured muscle outputs for all muscles of mastication investigated. Individual linear regression analysis showed that modelled muscle outputs accurately predicted EMG data, with average errors of 8% for molar and 15% for incisor biting. CONCLUSIONS: Effective sagittal eminence morphology was consistent with minimisation of joint loads for all subjects. Masticatory muscle outputs during unilateral biting were consistent with minimisation of joint loads or minimisation of muscle effort, or both, depending on the subject. These results are believed to be the first to test model predictions of muscle output during biting for all muscles of mastication.

Adult↗

Human masticatory muscle forces during static biting.

Muscle forces determine joint loads, but the objectives governing the mix of muscle forces involved are unknown. This study tested the hypothesis that masticatory muscle forces exerted during static biting are consistent with objectives of minimization of joint loads (MJL) or muscle effort (MME). To do this, we compared numerical model predictions with data measured from six subjects. Biting tasks which produced moments on molar and incisor teeth were modeled based on MJL or MME. The slope of predicted vs. electromyographic (EMG) data for an individual was compared with a perfect match slope of 1.00. Predictions based on MME matched best with EMG activity for molar biting (slopes, 0.89-1.16). Predictions from either or both models matched EMG results for incisor biting (best-match slopes, 0.95-1.07). Muscle forces during isometric biting appear to be consistent with objectives of MJL or MME, depending on the individual, biting location, and moment.

Adult↗

Strain rate dependent orthotropic properties of pristine and impulsively loaded porcine temporomandibular joint disk.

The purpose of this study was to characterize the tensile stress-strain behavior of the porcine temporomandibular joint (TMJ) disk with respect to collagen orientation and strain rate dependency. The apparent elastic modulus, ultimate tensile strength, and strain at maximum stress were measured at three elongation rates (0.5, 50, and 500 mm/min) for dumbbell-shaped samples oriented along either anteroposterior or mediolateral axes of the disks. In order to study the effects of impact-induced fissuring on the mechanical behavior, the same properties were measured along each orientation at an elongation rate of 500 mm/min for disks subjected to impulsive loads of 0.5 N. s. The results suggested a strongly orthotropic nature to the healthy pristine disk. The values for the apparent modulus and ultimate strength were 10-fold higher along the anteroposterior axis (p < or = 0.01), which represented the primary orientation of the collagen fibers. Strain rate dependency was evident for loading along the anteroposterior axis but not along the mediolateral axis. No significant differences in any property were noted between pristine and impulsively loaded disks for either orientation (p > 0.05). The results demonstrated the importance of choosing an orthotropic model for the TMJ disk to conduct finite element modeling, to develop failure criteria, and to construct tissue-engineered replacements. Impact-induced fissuring requires further study to determine if the TMJ disk is orthotropic with respect to fatigue.

Animals↗

Human interleukin-1 beta and interleukin-1 receptor antagonist secretion and velocity of tooth movement.

The cytokines interleukin-1 beta (IL-1 beta) and IL-1 receptor antagonist (IL-1RA) probably play a part in orthodontic tooth movement. Here, the force magnitudes and the area of force application in the compressed periodontal ligament (PDL) were controlled and the velocity of tooth movement correlated with concentrations of IL-1 beta and IL-1RA in the gingival crevicular fluid (GCF). Seven individuals undergoing orthodontic treatment involving maxillary first premolar extractions and distal movement (bodily retraction) of the maxillary canines participated in the 84-day study. For each participant, continuous retraction forces were applied so that they received equivalent PDL stresses of 13 kPa for one canine and 4 kPa for the other. GCF cytokine concentrations from experimental and control teeth were expressed relative to total protein in the GCF and compared using an 'Activity Index' (AI)=Experimental (IL-1 beta/IL-1RA)/Control (IL-1 beta/IL-1RA). The results showed that the velocity of tooth movement in an individual was related to their AI. The correlation between AI and tooth movement was stronger from the distal (R(d)=0.78) than from the mesial (R(m)=0.65) of retracted teeth. The results demonstrate that equivalent force systems produce individual differences in cytokine production, which correlate with interindividual differences in the velocity of canine retraction.

Cuspid↗

The effect of disc thickness and trauma on disc surface friction in the porcine temporomandibular joint.

The pathomechanics of osteoarthritis in the human temporomandibular joint (TMJ) are unknown. Compromised lubrication is a potential factor, but, lubrication within even the normal TMJ is not understood completely. Weeping lubrication is a concept that may be applicable to the TMJ. A characteristic of weeping lubrication is a slow increase in friction during static loading. The rate of increase in friction is related to the rate of lateral movement of synovial fluid away from the loading area. The TMJ disc is expected to be the main source of TMJ lubrication. This study tested two variables, disc thickness and magnitude of trauma to the disc, as factors that can affect the rate of flow of synovial fluid and thus alter lubrication of the disc surfaces. To test these variables, TMJ disc surface friction was measured before and after an impulse load. Before the impulse load, all discs demonstrated a gradual increase in friction during light static loading. The rate of increase in friction was inversely related to the disc thickness (R(2)=0.75). After an impulse load of known magnitude and peak force, disc surface friction was higher. The magnitude of this surface friction was correlated with the magnitude of the impulsive blow (R(2)=0.89) and the area of surface damage (R(2)=0.85). Disc thickness was a significant factor in determining the minimal impulse needed to produce higher surface friction (R(2)=0.99). These results confirm that disc thickness and trauma to the disc affect surface friction in the TMJ, and therefore may be important factors in compromised lubrication and the development of osteoarthritis.

Animals↗

Human tooth movement in response to continuous stress of low magnitude.

Conventional orthodontic therapy often uses force magnitudes in excess of 100 g to retract canine teeth. Typically, this results in a lag phase of approximately 21 days before tooth movement occurs. The current project was undertaken to demonstrate that by using lower force magnitudes, tooth translation can start without a lag phase and can occur at velocities that are clinically significant. Seven subjects participated in the 84-day study. A continuous retraction force averaging 18 g was applied to 1 of the maxillary canines, whereas a continuous retraction force averaging 60 g was applied to the other. The magnitude was adjusted for each canine to produce equivalent compressive stresses between subjects. Estimated average compressive stress on the distal aspect of the canine teeth was 4 kPa or 13 kPa. The moment-to-force ratios were between 9 and 13 mm. Tooth movement in 3 linear and 3 rotational dimensions was measured with a 3-axis measuring microscope and a series of dental casts made at 1- to 14-day intervals. The results showed a statistical difference in the velocity of distal movement of the canines produced by the 2 stresses (P =.02). The lag phase was eliminated and average velocities were 0.87 and 1.27 mm/month for 18 and 60 g of average retraction force. Interindividual velocities varied as much as 3 to 1 for equivalent stress conditions. It was concluded that effective tooth movement can be produced with lower forces and that because loading conditions were controlled, cell biology must account for the variability in tooth velocities measured in these subjects.

Adolescent↗

Stress-field translation in the healthy human temporomandibular joint.

Movement over the surface of the temporomandibular joint (TMJ) disc produces tractional forces. These forces potentially increase the magnitude of shear stresses and contribute to wear and fatigue of the disc. Theoretically, tractional forces in all synovial joints are the result of frictional forces, due to rubbing of the cartilage surfaces, and plowing forces, due to translation of the stress-field through the cartilage matrix as the joint surface congruency changes during motion. For plowing forces to occur in the TMJ, there must be mediolateral translation of the stress-field as the condyle moves dorsoventrally during jaw function. To test whether mediolateral stress-field translation occurs in the intact TMJ, we measured stress-field position and translation velocities in ten normal individuals during rhythmic jaw opening and closing. Magnetic resonance imaging and jaw tracking were combined to animate the three-dimensional position of the stress-field between the articulating surfaces. This allowed for mediolateral translation velocity measurements of the centroid of the stress-field. The results showed that during jaw opening and closing at 0.5 Hz, the average peak mediolateral translation velocity was 35 +/- 17 mm/sec. When opening and closing increased to 1.0 Hz, the average peak velocity was 40 +/- 19 mm/sec. Theoretical model estimates of the work done during such translation ranged from 6 to 709 mJ between the individual joints studied. The potential clinical importance of this measure is that long-term exposure of the TMJ disc to high work may result in fatigue failure of the TMJ disc.

Adult↗