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Effects of jaw clenching, jaw movement and static jaw position on facial skin sensitivity to non-painful electrical stimulation in man.

The effects of isometric jaw clenching, static jaw position and jaw movement on electrically evoked perception thresholds of the facial skin of the mental region were studied in healthy human subjects. Exercise consisted of brief (1 s) isometric contractions of jaw-closing muscles against a static load (30% of the maximum force), or continuous jaw movements at two different frequencies (1 and 3 Hz). A visual cue was used to indicate the start and end of the isometric exercise (duration 1 s.). Isometric jaw clenching induced a significant elevation of perception thresholds in the skin of the lower jaw just before and during the early electromyographic response of the jaw-closing muscles. This elevation was attenuated before the end of the exercise. Corresponding thresholds evoked by electrical stimulation applied to the dorsum of the hand were not changed by isometric jaw clenching. Changes in static jaw position did not have any effect on detection thresholds. Continuous 'masticatory-like' jaw movements produced a velocity-dependent reduction of sensitivity in the facial skin. The suppression was significantly stronger than that produced by isometric jaw exercise. An imagined isometric biting exercise, which presumably activated the supplementary motor cortex, did not cause any threshold elevations. The results indicate that isometric jaw clenching as well as cyclical jaw movements produce segmentally a phasic, rapidly attenuating masking of facial skin sensitivity.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

A comparison of jaw-opener and jaw-closer muscle activity in humans to overcome an external force counteracting jaw movement.

In contrast to the jaw-closer muscles, no or very few spindles are present in the jaw-opening digastric muscle. Therefore sensory feedback to the digastric muscle may be different from feedback to the jaw-closer muscles, resulting in a different reaction when jaw movement is perturbed. This possible difference was investigated by comparing the reaction of the digastric muscle when jaw opening is perturbed, with the reaction of the masseter muscle when jaw closing is perturbed. Subjects made rhythmic, 1-Hz open-close movements of the jaw under control of a metronome. During jaw opening (digastric muscle) or, in the other experiments, during jaw closing (masseter muscle), an external force counteracting jaw movement could appear. Series of movements without the force were unexpectedly alternated by series with the force. In both muscles sensory induced activity started approximately 25 ms after the onset of the force and consisted of two phases. In the masseter muscle the maximum of the first increase was reached significantly sooner (37 +/- 2 ms SEM) than in the digastric muscle (54 +/- 3 ms). The second increase appeared much sooner in the masseter muscle (73 +/- 4 ms) than in the digastric muscle (159 +/- 10 ms). When the force was expected, in both muscles an increase in preprogrammed muscle activity was observed. Also an increase in reflex activity, generated before 120 ms after the onset of the force, was observed, compared with when the force appeared unexpectedly. The relative increase in reflex activity was approximately 2 times larger than the relative increase in preprogrammed activity. Therefore, the increase in reflex activity when the force was expected may have been caused not only by an increase in recruitment, but also by an increase in the gain of the reflex loops. Reflex activity relative to preprogrammed activity was on average 4 times larger in the masseter muscle than in the digastric muscle. This indicates that the masseter muscle can react more adequately to disturbances of jaw movement than the digastric muscle.

Adult↗

A method for studying jaw muscle activity during standardized jaw movements under experimental jaw muscle pain.

This paper describes a method for studying superficial and deep jaw muscle activity during standardized jaw movements under experimental jaw muscle pain. In 22 healthy adults, pain was elicited in the right masseter muscle via tonic infusion of 4.5% hypertonic saline and which resulted in scores of 30-60 mm on a 100-mm visual analogue scale. Subjects performed tasks in five sessions in a repeated measures design, i.e., control 1, test 1 (during hypertonic or isotonic saline infusion), control 2 (without infusion), test 2 (during isotonic or hypertonic saline infusion), control 3 (without infusion). During each session, subjects performed maximal clenching and standardized jaw tasks, i.e., protrusion, lateral excursion, open/close, chewing. Mandibular movement was recorded with a 6-degree-of-freedom tracking system simultaneously with electromyographic (EMG) activity from the inferior head of the lateral pterygoid muscle with fine-wire electrodes (verified by computer tomography), and from posterior temporalis, the submandibular muscle group and bilateral masseter muscles with surface electrodes. EMG root mean square values were calculated at each 0.5 mm increment of mandibular incisor movement for all tasks under each experimental session. This establishes an experimental model for testing the effects of pain on jaw muscle activity where the jaw motor system is required to perform goal-directed tasks, and therefore should extend our understanding of the effects of pain on the jaw motor system.

Adult↗

The relationship between the isotonic mechanical power in jaw-opening and jaw-closing muscles in man.

The relationship between isotonic jaw-opening and jaw-closing muscle function was studied using a newly developed apparatus which enables load and velocity to be detected simultaneously. The following results were obtained from 17 male adults (age range 22-32 years) without any occlusal dysfunction. (i) The force-velocity relationship in jaw-opening and jaw-closing muscles was represented by a hyperbolic curve, which fitted well with Hill's equation. (ii) The theoretical maximum force obtained by extrapolation from regression was 32.55 +/- 4.98 kg for jaw opening and 35.74 +/- 4.52 kg for jaw closing. (iii) The theoretical maximum velocity obtained by extrapolation from regression was 456.70 +/- 183.27 mm s-1 for jaw opening and 372.77 +/- 141.67 mm s-1 for jaw closing. (iv) The maximum mechanical power (Pmax) calculated from the product of the force and velocity was 772.20 +/- 182.65 kg.mm s-1 for jaw opening and 708.68 +/- 128.14 kg.mm s-1 for jaw closing. (v) The Pmax exerted by individual subjects was approximately 12-34% of the maximum possible force (Fmax) calculated from the force and velocity, in both jaw opening and jaw closing. There were no statistically significant differences between jaw opening and jaw closing with regard to any isotonic muscle functions. In other words, the results of this study strongly indicated a substantial balance between isotonic jaw-opening and jaw-closing muscle function in the subjects who were investigated.

Adult↗

Integrated jaw and neck function in man. Studies of mandibular and head-neck movements during jaw opening-closing tasks.

This investigation was undertaken to test the hypothesis of a functional relationship between the human temporomandibular and craniocervical regions. Mandibular and head-neck movements were simultaneously recorded in healthy young adults using a wireless optoelectronic system for three dimensional movement recording. The subjects were seated in an upright position without head support and were instructed to perform maximal jaw opening-closing movements at fast and slow speed. As a basis, a study was undertaken to develop a method for recording and analysis of mandibular and head-neck movements during natural jaw function. A consistent finding was parallel and coordinated head-neck movements during both fast and slow jaw opening-closing movements. The head in general started to move simultaneously with or before the mandible at the initiation of jaw opening. Most often, the head attained maximum velocity after the mandible. A high degree of spatiotemporal consistency of mandibular and head-neck movement trajectories was found in successive recording sessions. The head movement amplitude and the temporal coordination between mandibular and head-neck movements were speed related but not the movement trajectory patterns. Examination of individuals suffering from temporomandibular disorders and whiplash associated disorders (WAD) showed, compared with healthy subjects, smaller amplitudes, a diverse pattern of temporal coordination but a similar high degree of spatiotemporal consistency for mandibular and head-neck movements. In conclusion, the results suggest the following: A functional linkage exists between the human temporomandibular and craniocervical regions. Head movements are an integral part of natural jaw opening-closing. "Functional jaw movements" comprise concomitant mandibular and head-neck movements which involve the temporomandibular, the atlanto-occipital and the cervical spine joints, caused by jointly activated jaw and neck muscles. Jaw and neck muscle actions are elicited and synchronised by neural commands in common for both the jaw and the neck motor systems. These commands are preprogrammed, particularly at fast speed. In the light of previous observations of concurrent jaw and head movements during foetal yawning, it is suggested that these motor programs are innate. Neural processes underlying integrated jaw and neck function are invariant both in short- and long-term perspectives. Integrated jaw and neck function seems to be crucial for maintaining optimal orientation of the gape in natural jaw function. Injury to the head-neck, leading to WAD may derange integrated jaw-neck motor control and compromise natural jaw function.

Adult↗

Bisphosphonate osteochemonecrosis (bis-phossy jaw): is this phossy jaw of the 21st century?

PURPOSE: Bisphosphonates are being implicated in a growing number of complications of the jaws. A number of terms are being applied to this phenomenon and perhaps the descriptive term bisphosphonate osteochemonecrosis has the most merit. But the eerie similarity of this 21st century disease process with the 19th century disease known as phossy jaw is striking. As the nomenclature continues to evolve, the term used in this article will be bis-phossy jaw. This article will explore historical and current aspects of these diseases. Although there may be other mitigating factors, such as oral health, chemotherapy history, immune status, Karnofsky performance status, or Kaplan-Feinstein index, bisphosphonates appear to be the necessary component in cases of bis-phossy jaw. MATERIALS: This is primarily a review article on reported cases of bis-phossy jaw, with historical looks at phossy jaw and osteoradionecrosis. Our laboratory has reviewed 20 suspected cases of bis-phossy jaw and the typical histopathologic features of bis-phossy jaw are presented. RESULTS: Descriptions of phossy jaw and current bis-phossy jaw cases are remarkably similar. Histopathologic features of bis-phossy jaw showed intact vascular channels, even in areas with acute inflammatory infiltrates and bacterial overgrowth. Non-vital bone fragments with reduced evidence of osteoclastic action were also noted. CONCLUSION: Bis-phossy jaw may have more of a bacterial cofactor risk than osteoradionecrosis, and though altered angiogenesis may yet prove to be a factor, avascularity does not appear to be a major cofactor. The historical disease phossy jaw appears to serve as a possible analogous disease for current research and treatment of bis-phossy jaw. Prevention and early identification of patients at risk should be of prime concern.

Antineoplastic Agents↗

The effect of prior jaw motion on the plot of electromyographic amplitude versus jaw position.

Fabrication of interocclusal splint at a thickness determined by the vertical dimension at which the jaw muscle EMG amplitude is minimum has been recommended. However, the effect of prior jaw motion and the effect of the recording site on the EMG amplitudes and on the vertical dimension of minimum EMG activity have not been documented. IEMG amplitudes at various static jaw positions achieved during opening and during closing were analyzed in nine subjects. Surface IEMGs were recorded over the left anterior temporal muscle, left masseter and left suprahyoids muscles, and by nonspecific EMG recording as described by Rugh and Drago. The jaw position was recorded in 5 mm increments by a kinesiograph. After 30 seconds of relaxation, 10 successive IEMG reading at 4-second integration times were obtained at each recording site. These 10 recordings at each requested jaw position were averaged and analyzed. The IEMG activity changed with different jaw position. As the jaw opened from centric occlusion, the IEMG from jaw closing muscles decreased to a minimum and then increased with further opening. Moreover, the IEMG for a particular jaw position differed depending on the history of the jaw movement, that is, whether the position was achieved after an opening step or after a closing step. Two factors, the amount of jaw opening and the history of jaw movement to reach that position, seemed to influence the IEMG differently in each of the recorded muscles.

Adult↗

Exteroceptive reflexes in jaw-closing muscle EMG during rhythmic jaw closing and clenching in man.

Exteroceptive jaw reflexes might play a role in normal functions of the mouth such as mastication. Until now these reflexes have only been studied under isometric conditions. The aim of this study was to compare exteroceptive reflexes in jaw muscle EMG during the closing phase of rhythmic open-close movements and clenching, at the same jaw gape and with similar muscle EMG. Reflexes consisting of successive waves of decreased and increased muscle activity (the Q, R, S and T waves of the post-stimulus electromyographic complex (PSEC)), evoked by light noxious electrical stimulation of the vermillion border of the lower lip, were recorded from the jaw closing muscles of 17 subjects. Differences between the two tasks occurred in two phases of the PSEC: (1) in an early phase, around the R wave, there was significantly less EMG during jaw closing (mean EMG ratio between jaw-closing and clenching 0.71), and (2) in a late phase, around the transition between the S to the T wave, there was significantly more EMG during jaw closing (mean EMG ratio: 1.40). The decrease in EMG activity around the R wave during jaw closing may be due to a change in reflex sensitivity at an interneuron level. The increase in EMG activity around the transition between the S and T waves during jaw closing might, at least in part, be due to a proprioceptive stretch reflex. This reflex is mediated by muscles spindles that are activated by the deceleration of the jaw evoked by the lip stimulus. The finding of inhibitory reflex mechanisms that predominate more during rhythmic jaw movements than during clenching in an early phase of the PSEC might be related to protecting oral tissues from trauma when the jaw is closing with potentially a large muscle force. In contrast, when food is held between the teeth, a possible inhibitory influence of light noxious stimuli is diminished.

Adolescent↗

Behavior of jaw muscle spindle afferents during cortically induced rhythmic jaw movements in the anesthetized rabbit.

The regulation by muscle spindles of jaw-closing muscle activity during mastication was evaluated in anesthetized rabbits. Simultaneous records were made of the discharges of muscle spindle units in the mesencephalic trigeminal nucleus, masseter and digastric muscle activity (electromyogram [EMG]), and jaw-movement parameters during cortically induced rhythmic jaw movements. One of three test strips of polyurethane foam, each of a different hardness, was inserted between the opposing molars during the jaw movements. The induced rhythmic jaw movements were crescent shaped and were divided into three phases: jaw-opening, jaw-closing, and power. The firing rate of muscle spindle units during each phase increased after strip application, with a tendency for the spindle discharge to be continuous throughout the entire chewing cycle. However, although the firing rate did not change during the jaw-opening and jaw-closing phases when the strip hardness was altered, the firing rate during the power phase increased in a hardness-dependent manner. In addition, the integrated EMG activity, the duration of the masseteric bursts, and the minimum gape increased with strip hardness. Spindle discharge during the power phase correlated with jaw-closing muscle activity, implying that the change in jaw-closing muscle activity associated with strip hardness was caused by increased spindle discharge produced through insertion of a test strip. The increased firing rate during the other two phases may be involved in a long-latency spindle feedback. This could contribute to matching the spatiotemporal pattern of the central pattern generator to that of the moving jaw.

Afferent Pathways↗

Synaptic potentials produced in jaw-closer and jaw-opener motoneurons by palatal stimulation.

Excitation and inhibition of temporal and digastric motoneurons (Temp. and Dig. Mns) during transient jaw closing, the so-called jaw-closing reflex, were studied in cats. Application of diffuse pressure stimulation to the posterior palatal surface produced the jaw-closing reflex and it was found that mechanosensory inputs from the posterior palatal mucosa produce depolarizing potentials on the Temp. Mns responsible for jaw closure during the jaw-closing reflex. We have demonstrated that in one-third of 27 explored Temp. Mns the initial bursts of spikes were elicited before the onset of jaw closure, suggesting that these cells contribute to initiate jaw closure during the jaw-closing reflex. The remaining cells probably contributed to maintain the occlusal phase. Furthermore, it was found that mechanosensory inputs from the posterior palatal mucosa produce a hyperpolarization-depolarization sequence in the Dig. Mns responsible for the jaw-closing reflex. In addition, when pressure stimulation was applied to the anterior palatal mucosa, sustained jaw opening was elicited and an increase of firing frequency of Dig. Mns occurred 40 ms before the onset of jaw opening and continued for 80 ms.

Animals↗

Architecture of the human jaw-closing and jaw-opening muscles.

BACKGROUND: The human jaw-closing and jaw-opening muscles produce forces leading to the development of three-dimensional bite and chewing forces and to three-dimensional movements of the jaw. The length of the sarcomeres is a major determinant for both force and velocity, and the maximal work, force, and shortening range each muscle is capable of producing are proportional to the architectural parameter volume, physiological cross-sectional area, and fiber length, respectively. In addition, the mechanical role the muscles play is strongly related to their three-dimensional position and orientation in the muscle-bone-joint system. The objective of this study was to compare relevant architectural characteristics for the jaw-closing and jaw-opening muscles and to provide a set of data that can be used in biomechanical modeling of the masticatory system. METHODS: In eight cadavers, sarcomere lengths, muscle masses, fiber lengths, pennation angles, and physiological cross-sectional areas were determined for the following muscles: superficial and deep masseter, anterior and posterior temporalis, anterior and posterior medial pterygoid, inferior and superior lateral pterygoid, posterior and anterior digastric, geniohyoid, posterior and anterior mylohyoid, and stylohyoid. To determine the spatial position of their action lines, the three-dimensional coordinates of the attachment sites were registered. RESULTS: Compared with the jaw openers, the jaw closers were characterized by shorter sarcomere lengths at the closed jaw, larger masses of contractile and tendinous tissue, larger physiological cross-sectional areas, larger pennation angles, shorter fiber lengths, shorter moment arms, and lower fiber-length-to-muscle-length ratios. In addition, architectural features differed across the muscles of the same functional group. Sarcomere length did not differ significantly among the regions of the same muscle. In contrast, in some muscles, significant intramuscular differences were found with respect to, e.g., physiological cross-sectional area, fiber length, pennation angle, and moment arm length. CONCLUSIONS: The results suggest that the jaw-closing muscles have architectural features that suit them for force production. Conversely, the jaw-opening muscles are better designed to produce velocity and displacement.

Aged↗

Jaw movement alters the reaction of human jaw muscles to incisor stimulation.

The changes in the minimum time to consciously react (reaction time) and the order of jaw muscle recruitment to precisely controlled axial stimulation of the incisors during controlled jaw movements are not known. To this end, ten subjects were recruited to investigate the reaction time of bilateral temporalis and masseter muscles and bite force. Stimuli were delivered axially to the upper central incisors during active jaw closing and opening, and under static conditions. The results showed that the reaction time was increased an average of 35% during both jaw opening and closing movements when compared with static jaw conditions. The left temporalis was recruited approximately 10 ms before the right temporalis, whereas no significant side differences were found between the masseter muscles. The masseter muscles were recruited an average of 20 ms before the temporalis muscles during jaw closing, but no difference existed during opening. Under static conditions the reaction time in the bite force was approximately 16 ms longer than the left temporalis, but was not significantly different from the reaction time of any of the other muscles, indicating that, under the static conditions tested, the left temporalis was more often responsible for initiation of the mechanical reactions in the jaw. Because of active compensation, no force measurements were made during jaw movement. This study is a prerequisite for investigations into the modulation of reflexes during jaw movement, because a response to a stimulus commencing after the minimum reaction time may not be entirely reflex in origin.

Adult↗

Modeling the jaw mechanism of Pleuronichthys verticalis: The morphological basis of asymmetrical jaw movements in a flatfish.

Several flatfish species exhibit the unusual feature of bilateral asymmetry in prey capture kinematics. One species, Pleuronichthys verticalis, produces lateral flexion of the jaws during prey capture. This raises two questions: 1) How are asymmetrical movements generated, and 2) How could this unusual jaw mechanism have evolved? In this study, specimens were dissected to determine which cephalic structures might produce asymmetrical jaw movements, hypotheses were formulated about the specific function of these structures, physical models were built to test these hypotheses, and models were compared with prey capture kinematics to assess their accuracy. The results suggest that when the neurocranium rotates dorsally the premaxillae slide off the smooth, rounded surface of the vomer (which is angled toward the blind, or eyeless, side) and are "launched" anteriorly and laterally. The bilaterally asymmetrical trajectory of the upper jaw is determined by the orientation of the "launch pad," the vomer. During lower jaw depression, the mandibles rotate about their articulations with the quadrate bones of the suspensoria. The quadrato-mandibular joint is positioned farther anteriorly on the eye side than on the blind side, and this asymmetry deflects the lower jaw toward the blind side. Asymmetry in the articular surfaces of the lower jaw augments this effect. Thus, it appears that fish with intermediate forms of this asymmetrical movement could have evolved from symmetrical ancestors via a few key morphological changes. In addition, similar morphological modifications have been observed in other fish taxa that also produce jaw flexion during feeding, which suggests that there may be convergence in the basic mechanism of asymmetry.

Animals↗

Jaw movement kinematics and jaw muscle (EMG) activity during drinking in the pigeon (Columba livia).

Movements of the maxilla and mandible were recorded during drinking in the head-fixed pigeon and correlated with electromyographic activity in representative jaw muscle groups. During drinking, each jaw exhibits opening and closing movements along both the dorso-ventral and rostro-caudal axes which may be linked with or independent of each other. All subjects showed small but systematic increases in cycle duration over the course of individual drinking bouts. Cyclic jaw movements during drinking were correlated with nearly synchronous activity in the protractor (levator) of the upper jaw and in several jaw closer muscles, as well as with alternating activity in tongue protractor and retractor muscles. No EMG activity was ever recorded in the lower jaw opener muscle, suggesting that lower jaw opening in this preparation is produced, indirectly, by the contraction of other muscles. The results clarify the contribution of the individual jaws to the generation of gape variations during drinking in this species.

Animals↗

Limitation of jaw movement by antagonist muscle stiffness during unloading of human jaw closing muscles.

The unloading reflex in the jaw closing muscles in man was investigated with a view to correlating the jaw closing movement with the timing of the electrical activity of the agonist and antagonist muscles. When the resistance to the forceful isometric bite was suddenly and unexpectedly withdrawn, the closing movement of the mandible was always arrested before the teeth came together. The rapid arrest of the jaw closing movement was not adequately accounted for by the timing of the inhibition of the jaw closing muscles and reflex excitation of the jaw opening muscles. It was observed that the jaw opening muscles, as well as the jaw closing muscles, were always active during the phase of isometric biting on an object between the teeth. It is therefore concluded that the resulting stiffness of the antagonist muscles is the mechanism which is principally responsible for limiting the jaw closing movement after unloading of the agonist muscles.

Adult↗