Control of human jaw elevator muscle activity during simulated chewing with varying bolus size

During chewing, a small part of the observed muscle activity is needed for the basic open-close movements of the mandible, and additional muscle activity (AMA) is needed to overcome the resistance of the food. The AMA consists of two contributions: a large peripherally induced contribution, starting after food contact and a small anticipating contribution, starting before food contact. We investigated whether the latencies of these contributions depend on the expected or actual bolus size. Subjects made rhythmic open-close movements near their natural chewing frequency controlled by a metronome. This frequency was determined while the subjects were chewing gum. Food resistance was simulated by an external force, acting on the jaw in a downward direction during part of the closing movement. Bolus size was simulated by the jaw gape at which the force started. Jaw movement and surface EMG of the masseter and anterior temporal muscles on both sides and the suprahyoid muscles were recorded during experiments in which the jaw gape at which the force started was varied. The peripherally induced contribution to the AMA started about 20 ms after the onset of the force, irrespective of the jaw gape at which the force started. It is concluded that the onset of this contribution depends solely on food contact in the actual cycle. The function of the observed mechanism for jaw elevator muscle control may be to enable a highly automatic control of the muscle activity required to overcome the resistance of food of different hardness and different size. The onset of the anticipating contribution to the AMA showed neither a relationship with the actual jaw gape at which force onset occurred nor with the expected jaw gape of force onset. It is suggested that the onset of the anticipating AMA is related to the jaw gape at the onset of closing. The function of this contribution may be the regulation of the mechanical response of the jaw after an expected disturbance of the closing movement by food contact, by tuning the muscle stiffness to the expected hardness of the food.     

A method of studying adaptive changes of the oropharynx to variation in mandibular position in patients with obstructive sleep apnoea

The aim of this study was to develop a method of studying the effects of mandibular advancement on oropharyngeal airway dimensions in the sagittal plane in conscious, supine patients. Six white, dentate, male patients with proven obstructive sleep apnoea had sagittal fluoroscopic recordings taken in the resting supine position. Images were recorded at four frames per second as the mandible was advanced with the teeth in contact to maximum protrusion and then opened. Software in the fluoroscopic imaging system permitted measurement of the change in mandibular position together with oropharyngeal airway dimensions expressed as the narrowest dimension observable in the post-palatal and post-lingual sites. Plotting of airway dimensions during mandibular advancement enabled estimation of the degree of protrusion associated with maximal airway benefits. Progressive mandibular advancement produced variable adaptive changes in the post-palatal and post-lingual regions of the oropharynx. The amount of airway opening appeared to be related to the horizontal and vertical relationships of the face and to the dimensions of the soft palate. The changes in post-palatal and post-lingual airway dimensions were not always identical, despite the observation that both tongue and soft palate were seen to move in unison, with close contact being maintained between the two structures. Jaw opening resulted in synchronous posterior movement of both tongue and soft palate, with consequent narrowing of oropharyngeal airspace. Fluoroscopy is a simple method of assessing upper airway changes with mandibular advancement in the conscious patient. The technique should facilitate the selection of subjects for whom mandibular advancement would seem advantageous. The nature of the adaptive response is dependent on individual structural variation. It is suggested that, where artificial mandibular advancement with dental devices is considered beneficial, jaw opening should be kept to a minimum.     

Effects of food texture and sample thickness on mandibular movement and hardness assessment during biting in man

This study was designed to investigate the relationship among jaw movements, physical characteristics of food, and sensory perception of hardness in man. Vertical movements of the mandible were recorded with an infrared tracking device in humans during biting on two test foods, carrot and cheese. Samples of standard length (2 cm) and width (2 cm) were prepared in three different thicknesses (0.5, 1.0, and 1.5 cm). Nine subjects were asked to perform two types of bite with their incisor teeth. In the first, they cut through the food, then stopped and spat out the pieces (bite alone); in the second, biting was followed by mastication and swallowing (bite+chew). The 12 conditions (thickness x3, food x2, and bite x2) were presented in a random order within each block, and blocks were repeated five times (60 trials per subject). Subjects also estimated the hardness of the samples twice for each condition on visual analogue scales (VAS) 100 mm long. The duration, vertical amplitude, and maximum vertical velocity of the mandible during biting were calculated by computer for the three phases of the movements (opening, and fast and slow closing). Multilevel statistical models were used for data analysis. The estimated hardness scores associated with the first bite of thin carrot (59.0 VAS units) was significantly greater than for cheese (16.8 VAS units). The type of bite had no significant effect on these scores, but the estimate of hardness was significantly greater for the thickest sample (+13.3 VAS units). Food type had its strongest effect on the slow-closing phase. In particular, the peak velocity that followed the fracturing of the food sample was much greater for carrot than for cheese (thin, 34.1 mm.s-1 vs. 26.6 mm.s-1), and the difference between foods increased with thickness. The amplitude of opening was significantly greater for the thickest sample than for the other two. There were no significant relationships between VAS scores and the movement parameters. These results suggest that, when humans bite food: (1) changing the thickness of food has a greater effect on movement parameters than changing from soft to hard food, (2) the parameters of biting change little if biting is followed by mastication, (3) hardness perception is dependent on the thickness of food, (4) hardness perception is not different when food is removed from the mouth than when it is chewed and swallowed, and (5) there is no relationship between any of the parameters of movement that change with food type and the perceived hardness of food.     

Effects of food consistency on the modulatory mode of the digastric reflex during chewing in freely behaving rabbits

Effects of food consistency on the mode of the phase-linked modulation in the digastric reflex amplitude were examined in naturally chewing rabbits. Two test foods with different textures (bread as a soft food, pellet as a hard food) were used. The digastric reflex was elicited by electrical stimulation (10 train pulses at 2 kHz) of the inferior alveolar nerve. The amplitude of the digastric reflex measured was divided into three categories depending on the chewing phases in which the stimulus was delivered and each value was compared with the control response obtained when the animal was resting. The reflex was strongly inhibited in the jaw-opening phase and no difference was observed in the inhibitory effect between the foods. In the jaw-closing phase, larger digastric reflexes than those in the opening phase were elicited with both foods. This was the case in both the fast-closing and slow-closing phases. Reflex amplitude was significantly larger during chewing of the hard food than the soft food and, thereafter, inhibition of the reflex was observed only during chewing of the soft food in the closing phase. The results suggest the following: (1) food consistency may affect the central mechanism which regulates the digastric reflex and (2) the reflex may contribute to the regulation of masticatory force during chewing particularly hard food.     

Three-dimensional tongue surface shapes of English consonants and vowels

This paper presents three-dimensional tongue surfaces reconstructed from multiple coronal cross-sectional slices of the tongue. Surfaces were reconstructed for sustained vocalizations of the American English sounds [symbol: see text]. Electropalatography (EPG) data were also collected for the sounds to compare tongue surface shapes with tongue-palate contact patterns. The study was interested also in whether 3-D surface shapes of the tongue were different for consonants and vowels. Previous research and speculation had found that there were differences in production, acoustics, and linguistic usage between the two groups. The present study found that four classes of tongue shape were adequate to categorize all the sounds measured. These classes were front raising, complete groove, back raising, and two-point displacement. The first and third classes have been documented before in the midsagittal plane [cf. R. Harshman, P. Ladefoged, and L. Goldstein, J. Acoust. Soc. Am. 62, 693-707 (1976)]. The first three classes contained both vowels and consonants, the last only consonants. Electropalatographic patterns of the sounds indicated three categories of tongue-palate contact: bilateral, cross-sectional, and combination of the two. Vowels used only the first pattern, consonants used all three. The EPG data provided an observable distinction in contact pattern between consonants and vowels. The ultrasound tongue surface data did not. The conclusion was that the tongue actually has a limited repertoire of shapes and positions them against the palate in different ways for consonants versus vowels to create narrow channels, divert airflow, and produce sound.     

Transition from suckling to drinking at weaning: a kinematic and electromyographic study in miniature pigs

The movements of the tongue, hyoid, and jaw were recorded cineradiographically in preweaning pigs as they suckled bariumized milk from a veterinary teat or drank it from a bowl. The movements were quantified by measuring the X, Y coordinates of radioopaque markers embedded in the tongue and attached to both jaws and to the hyoid. EMG activity in masseter, anterior digastric, geniohyoid, genioglossus, hyoglossus, sternohyoid, stylohyoid, and omohyoid muscles was recorded synchronously with cineradiography at 100 frames/sec. In both suckling and drinking, the movements were characterized by minimal movements of the jaw and hyoid but extensive movements of the tongue. In suckling, the movements were largely confined to the midposterior part of the tongue. A seal was formed between the posterior tongue and soft palate while a depression formed in the mid-tongue; this was associated with fluid moving into the depression probably because of a reduced intraoral pressure. The depression was associated with increased EMG activity in the genioglossus muscle and overlapping activity in digastric, geniohyoid, hyoglossus, and sternohyoid muscles. In drinking cycles, significant movement occurred in all parts of the tongue; milk ingestion was associated with tongue movements that combined elements characteristic both of suckling (mid-tongue depression with a posterior seal) and of lapping (extensive anteroposterior movements within the tongue itself). In drinking, compared to suckling, there was a major reduction in EMG activity in masseter, digastric, geniohyoid, and sternohyoid muscles. After milk had accumulated in the valleculae, swallows usually occurred in every other cycle during suckling and in every third or fourth cycle during drinking. The emptying of the valleculae was an event that was embedded in the early jaw-opening phase of an otherwise normal suckling or drinking cycle. Emptying of the valleculae was associated with posteriorly directed movement of the back of the tongue and increased EMG activity in hyoglossus, styloglossus, and omohyoid muscles. No differences were noted in the kinematics associated with swallowing in the two activities, but, in the normalized and averaged EMG data, there were significant differences in the timing of genioglossus activity and in the relative balance of hyoglossal and stylohyoid activity.     

Staurosporine stimulates phospholipase D activation in human polymorphonuclear leukocytes

Oropharyngeal pressure during swallowing was studied in a total of 40 healthy adult males and females in two age groups (21-27 yr and 62-75 yr). Effects of bolus volume, bolus viscosity, age, and gender were analyzed, and dry and bolus swallows were compared. The duration of the intrabolus pressure, reflecting the pressure exerted by the tongue on the bolus and preceding the generation of the pharyngeal pressure, was significantly affected by bolus volume. The duration of oropharyngeal pressure was affected by age, gender, and bolus type (bolus vs. dry swallow). Peak oropharyngeal pressure was not affected by any of the test factors, although there was a tendency for older subjects to have higher pressures than young subjects.     

The effect of food consistency upon jaw movement in the macaque: a cineradiographic study

Variation in the form of masticatory cycles in individuals is often assumed to be limited. The contrary hypothesis, that jaw cycles vary widely but systematically with food consistency, was tested in macaques fed similarsized pieces of monkey chow, apple, and banana. With the animals under general anesthesia, radiopaque markers were inserted into the jaw, tongue, and hyoid. Oral movements were recorded by cineradiography at 100 frames/sec in lateral projection synchronously with frontal view cinephotography (50 frames/sec). The films were examined for the events that subdivide each jaw movement cycle into its constituent phases (fast closing, slow closing, intercuspal, slow or early opening, final opening). The frame numbers at which these events occurred were used to define phase durations. The numbers of cycles preceding a swallow increased with the hardness of the ingested food item. Regardless of the test food, every feeding sequence (initial ingestion to final clearance of mouth) contained multiple swallows, each of which defined the end of a sub-sequences when the animals were feeding on chow, the sub-sequences were initially long (20 cycles or more), but when they were feeding on banana, the sub-sequences were short (10 cycles or fewer). Although the form of individual cycles (defined by phase durations) was often unrelated to that of neighboring cycles, the general cycle characteristics in a sub-sequence typified a particular food. Chow feeding cycles were characterized by slow-closing (SC) phases of long duration with slow-opening (SO) phases of short duration; the characteristics of banana feeding cycles were the reverse. SC duration correlated directly and SO duration correlated inversely with food hardness (p < 0.001). The evidence supports the view that the centrally generated pattern of movement is highly dependent upon intra-oral sensory feedback.     

An examination of the degrees of freedom of human jaw motion in speech and mastication

The kinematics of human jaw movements were assessed in terms of the three orientation angles and three positions that characterize the motion of the jaw as a rigid body. The analysis focused on the identification of the jaw's independent movement dimensions, and was based on an examination of jaw motion paths that were plotted in various combinations of linear and angular coordinate frames. Overall, both behaviors were characterized by independent motion in four degrees of freedom. In general, when jaw movements were plotted to show orientation in the sagittal plane as a function of horizontal position, relatively straight paths were observed. In speech, the slopes and intercepts of these paths varied depending on the phonetic material. The vertical position of the jaw was observed to shift up or down so as to displace the overall form of the sagittal plane motion path of the jaw. Yaw movements were small but independent of pitch, and vertical and horizontal position. In mastication, the slope and intercept of the relationship between pitch and horizontal position were affected by the type of food and its size. However, the range of variation was less than that observed in speech. When vertical jaw position was plotted as a function of horizontal position, the basic form of the path of the jaw was maintained but could be shifted vertically. In general, larger bolus diameters were associated with lower jaw positions throughout the movement. The timing of pitch and yaw motion differed. The most common pattern involved changes in pitch angle during jaw opening followed by a phase predominated by lateral motion (yaw). Thus, in both behaviors there was evidence of independent motion in pitch, yaw, horizontal position, and vertical position. This is consistent with the idea that motions in these degrees of freedom are independently controlled.     

An optimization model for mastication and swallowing in mammals

Mammalian mastication is a process combining simultaneous food comminution and lubrication. The initiation of swallowing, which is voluntary, has been thought to depend on separate thresholds for food particle size and for particle lubrication. Instead of this duality, we suggest that swallowing is initiated when it is sensed that a batch of food particles is binding together under viscous forces so as to form a bolus. Bolus formation ensures that when the food mass is swallowed, it will pass the pharyngeal region safely without risk of inhaling small particles into the lower respiratory tract. Crucial for bolus formation is food particle size reduction by mastication. This allows the tongue to pack particles together tightly by pressure against the hard palate. A major function of salivation is to fill the gradually reducing spaces between particles, so increasing viscous cohesion and promoting bolus formation. If swallowing is delayed, excessive saliva floods the bolus, separating particles and reducing cohesion. Swallowing then becomes more precarious. Our model suggests that there is an optimum moment for a mammal to swallow, defined in terms of a peak cohesive force between food particles. The model is tested on human mastication with two foods, brazil nut and raw carrot, which have very different particle size breakdown rates. The peak cohesive force is much greater with brazil nuts but both foods are predicted to be swallowed after similar numbers of chews despite the very different food particle size reductions achieved at that stage. The predicted number of chews to swallow is in broad agreement with published data.     

Sensory-specific satiety: comparison of taste and texture effects

The respective contributions of taste (saltiness and sweetness) and texture (the hardness dimension) to sensory-specific satiety (SSS) were compared. Sixteen male and 16 female, young, normal-weight adults rated the pleasantness of taste, pleasantness of texture and desire to eat on visual analog scales for eight test foods, were then given one of the foods to eat ad libitum for lunch, and re-rated the same parameters for the eight foods 2 and 20 min after the end of the meal. The experimental sets of eight test foods and four lunch foods were balanced for taste quality (salty vs. sweet) and texture quality (hard vs. soft). Lunch foods were the hard and soft versions of a salty food (ham and cheese sandwich on baguette vs. white bread) or of a sweet food (apples vs. applesauce). Sensory-specific satiety was observed for both saltiness and sweetness (e.g. pleasantness of the taste of, and desire to eat sweet test foods decreased significantly after eating a sweet lunch food and similarly for salty foods), and to a lesser extent for texture (e.g. pleasantness of the texture of, and desire to eat hard test foods decreased after eating a hard lunch food and similarly for one of the soft foods). The authors conclude texture-specific satiety may be a significant component of satiety.     

Swallow recovery in an oral cancer patient following surgery, radiotherapy, and hyperthermia

BACKGROUND: No study has examined the nature and extent of swallowing impairment in oral cancer patients following treatment with combined hyperthermia and interstitial radiotherapy. Few studies have examined the effects of voluntary swallow maneuvers (supersupraglottic and Mendelsohn) on pharyngeal phase swallowing in the oral cancer patient treated with surgery or radiotherapy. This study examined the effects of combined radiotherapeutic salvage treatments of hyperthermia and interstitial implantation and swallow recovery using swallow maneuvers in a surgically treated and irradiated oral cancer patient. METHODS: The patient under study, a 51-year-old man, underwent radiotherapy, according to Radiation Therapy Oncology Group (RTOG) protocol #8419, consisting of a combination of interstitial irradiation and hyperthermia to the base of tongue, for a recurrent squamous cell cancer. He underwent videofluorographic (VFG) examination of his swallowing, a modified barium swallow at three time points: 2 days following radiotherapy treatment (VFG1), 4 weeks later (VFG2), and 8 months later (VFG3). Temporal and biomechanical analyses of swallows were performed at each time point. RESULTS: Swallow maneuvers and time resulted in improved laryngeal elevation and laryngeal vestibule closure during the swallows on VFG2. Maximum upper esophageal sphincter (UES) opening width and duration were more normal. Fewer swallows were required for bolus clearance through the pharynx. Base of tongue tissue necrosis occurred as a complication of radiotherapy between VFG2 and VFG3, with resultant severe reduction in posterior movement of the tongue base, incomplete tongue base contact to the posterior pharyngeal wall, reduced laryngeal elevation, and incomplete laryngeal vestibule closure during swallowing at VFG3. UES opening became less normal and a greater number of swallows were required for bolus clearance through the pharynx. CONCLUSIONS: Combined interstitial irradiation and hyperthermia can cause oropharyngeal swallowing problems. Time and swallow therapy can improve these swallow disorders. Tongue base tissue necrosis can cause further swallow impairment, emphasizing the importance of the tongue base in normal deglutition. Further studies are needed to examine the impact of combined hyperthermia and interstitial implantation for treatment of tongue base tumors on swallow functioning in a larger group of patients.     

Localization of mRNAs for synaptojanin isoforms in the brain of developing and mature rats

STATEMENT OF PROBLEM: Knowledge of mastication is based on studies that use jaw tracking equipment in nonroutine settings. Ethologists would argue that such data probably does not reflect routine masticatory function. If jaw movements could be tracked noninvasively, then the hypothesis that jaw tracking equipment and nonroutine settings alter mastication could be investigated. PURPOSE: This study quantitatively evaluated the relationship between chin and jaw movements during a gum-chewing task. MATERIAL AND METHODS: Masticatory chin and jaw movements of 50 subjects were tracked in the x-, y-, and z-axes for 15 seconds, which resulted in approximately 15 chewing cycles obtained per subject. For each chewing cycle, magnitude and timing of displacement, velocity, and acceleration extrema in each axis were computed for both jaw and chin movement data. Extrema means were calculated for each 15-second trial. The respective means representing chin versus jaw movements were compared with linear regression and correlation analyses. RESULTS: All mean extrema were significantly correlated (r range 0. 30-0.99; P <.05). Magnitude correlations were larger than timing correlations for acceleration extrema. In contrast, magnitude correlations were smaller than timing correlations for displacement extrema. The highest correlation occurred for chewing rate. CONCLUSIONS: Chin and jaw movements were correlated during chewing; however, only chewing rate was highly predictable from chin movement data.     

Lingual action in normal sequential swallowing

Current knowledge about the flexibility in lingual motor control and performance during swallowing is incomplete. The present study aimed at gaining a better understanding of the tongue's motor flexibility and at identifying variable versus invariant lingual motor program parameters in light of changing swallowing task demands (discrete vs. sequential). Specifically, the timing and patterns of tongue-palate contact and the associated changes in tongue shape and action were examined in 5 normal adults using simultaneous electropalatography and ultrasound. Tasks for discrete swallowing included 5 and 30 cc of water; tasks for sequential swallowing involved drinking 200 cc of water at normal and fast rates. Results showed little variation in propulsive contact pattern as a function of task or subject. However, the tongue demonstrated shorter movement duration and overlapping gestures during sequential swallowing. Thus, continuous drinking was performed without changes in motor strategies per se but with changes in the timing coordination of the "drink" and "swallow" action sequences. These findings support the theory that the deglutitive lingual motor program has both invariant and variant parameters, and that movement pattern and action sequence reflect fixed elements within the structure of the motor program, but movement timing can be modified according to the demands of the task at hand.     

The insulin gene region and susceptibility to insulin-dependent diabetes mellitus in four races; new insights from Afro-Caribbean race-specific haplotypes

Tongue movements during speech production have been investigated by means of a simple yet realistic biomechanical model, based on a finite elements modeling of soft tissues, in the framework of the equilibrium point hypothesis (lambda-model) of motor control. In particular, the model has been applied to the estimation of the "central" control commands issued to the muscles, for a data set of mid-sagittal digitized tracings of vocal tract shape, recorded by means of low-intensity X-ray cineradiographies during speech. In spite of the highly non-linear mapping between the shape of the oral cavity and its acoustic consequences, the organization of control commands preserves the peculiar spatial organization of vowel phonemes in acoustic space. A factor analysis of control commands, which have been decomposed into independent or "orthogonal" muscle groups, has shown that, in spite of the great mobility of the tongue and the highly complex arrangement of tongue muscles, its movements can be explained in terms of the activation of a small number of independent muscle groups, each corresponding to an elementary or "primitive" movement. These results are consistent with the hypothesis that the tongue is controlled by a small number of independent "articulators", for which a precise biomechanical substrate is provided. The influence of the effect of jaw and hyoid movements on tongue equilibrium has also been evaluated, suggesting that the bony structures cannot be considered as a moving frame of reference, but, indeed, there may be a substantial interaction between them and the tongue, that may only be accounted for by a "global" model. The reported results also define a simple control model for the tongue and, in analogy with similar modelling studies, they suggest that, because of the peculiar geometrical arrangement of tongue muscles, the central nervous system (CNS) may not need a detailed representation of tongue mechanics but rather may make use of a relatively small number of muscle synergies, that are invariant over the whole space of tongue configurations.     

Assay of bropirimine in rat plasma by means of robotic solid-phase extraction and high-performance liquid chromatography

Vacuous jaw movements induced by the muscarinic agonist pilocarpine and striatal dopamine depletions were examined using a slow motion videotape system. With this procedure, rats were videotaped in a Plexiglas tube so that the profile of the head region could be seen. Vacuous jaw movements were analyzed by examining the tape at 1/6 normal speed. An observer recorded each jaw movement using a computer, and the computer program re-calculated the temporal characteristics of jaw movement responses back to normal speed. The interresponse time was recorded for each jaw movement, and each jaw movement interresponse time was assigned to a 50 ms wide time bin. Thus, the distribution of interresponse times could be used to analyze the temporal characteristics of jaw movement responses. In the first experiment, rats were administered saline vehicle, 1.0 mg/kg and 2.0 mg/kg pilocarpine. The rats were videotaped 10-15 min after injection, and the data were analyzed as described above. Pilocarpine induced very high levels of vacuous jaw movements, and the vast majority of all movements occurred in "bursts" with interresponse times of 1.0 s or less. Analysis of the interresponse time distributions showed that most of the jaw movements were within the 150-350 ms range. The modal jaw movement interresponse time was in the 150-200 ms range, which corresponds to a local frequency of 5-6.66 Hz. In the second experiment, the neurotoxic agent 6-hydroxydopamine was injected directly into the ventrolateral striatum in order to produce a local dopamine depletion. The dopamine-depleted rats were observed for jaw movements 7 days after surgery. The overall level of jaw movement activity resulting from dopamine-depletion was much lower than that produced by pilocarpine. There was a significant inverse correlation between ventrolateral striatal dopamine levels and total number of vacuous jaw movements. Videotape analysis indicated that the temporal characteristics of jaw movements induced by dopamine depletions were similar to those shown with pilocarpine. These experiments indicate that vacuous jaw movements induced by pilocarpine and striatal dopamine depletion occur in a frequency range similar to that shown in parkinsonian tremor.     

Coordination of oral cavity and laryngeal movements during swallowing

In this study, dynamic imaging was used to track the movements of oral cavity and laryngeal structures during swallowing in 10 normal adults subjects. The movements of tiny lead pellet markers attached to the lips, tongue, mandible, and soft palate, as well as anatomic landmarks on the hyoid bone, were measured in relation to a reference pellet affixed to the upper central incisors. Sagittal views of the oral cavity were obtained using standard videofluorography. Each subject produced 10 swallows of 12 ml of tap water followed by 5 swallows with a bite block placed between the molars. The recorded video images were input to a microcomputer where the x- and y-coordinates of the pellets were measured. Results of the analyses revealed considerable temporal overlap in the timing of oral cavity and laryngeal movements, widespread individual variability in coordination patterns and movement trajectories, and selective effects of the bite block. These data suggest the existence of individual adaptive strategies in the programming and control of swallowing movements.     

Effect of the length of wear of contact lenses on corneal sensitivity

Corneal touch thresholds (CTT) were determined once in the morning before inserting contact lenses then after 4, 8 and 12 h of continuous wear. Two groups of subjects participated in this study; 12 persons wearing hard contact lenses and 15 wearing soft contact lenses. All subjects were perfectly adapted to their contact lenses and had worn them for not less than three months. It was found that hard contact lenses caused a progressive diminution of corneal sensitivity. After 12 h corneal sensitivity was, on average, 110% lower (that is an increase of the threshold) than in the morning. Soft lenses also caused a progressive reduction of corneal sensitivity which after 12 h wear was, on average, 45% lower than in the morning, although there were marked differences. Moreover, 9 of the hard contact lens subjects had been tested a year earlier and it was found that their CTT after 8 h wear had slightly but not significantly diminished which indicated that these subjects had not adapted significantly to their lenses in one year.     

Chewing movements in near ideal occlusion with and without TM symptoms

Orthodontic models hand-articulated into maximum intercuspation of 720 untreated subjects were evaluated by 17 criteria for grading an ideal anatomic occlusion including good dental interdigitation and alignments. Of the 720 subjects screened, the best 17 subjects were divided into three groups that contained 11 near ideal occlusions scored with 92-98%, three lower evaluated occlusions scored with 86-88% and three near ideal occlusions with TM signs or symptoms scored with 90-94%. Border and chewing movements were recorded using incisor tracking instrument (Visitrainer, model 3). Border movements in asymptomatic subjects demonstrated a well-defined intercuspal position, smooth and equal lateral excursions, and straight opening/closing movements. However, one subject with pain of right joint recorded an inconsistent intercuspal position, restricted excursions and a deviated path corresponding to a reciprocal click in opening/closing movements. Chewing movements in asymptomatic subjects with near ideal occlusion demonstrated either no or a lower rate of opening gliding tooth contact along the lateral border movement on non-working side, and a higher rate of closing gliding tooth contact along border movement on the working side. Chewing movements in symptomatic subjects with near ideal occlusion showed opening and closing without gliding along the lateral excursions, and closing point was inconsistent with maximum intercuspal position in the pain subject. In examining these near ideal occlusion subjects, the different characteristic chewing and border movements were defined for subjects with and without TM symptoms, respectively. Asymptomatic subjects with near ideal occlusion and lower evaluated occlusion showed almost the same chewing function. The goal of orthodontic treatment might be anatomic ideal occlusion with good chewing and border movements indicated in this study.     

Maximum interlabial pressures in normal speakers

It has been hypothesized that typical speech movements do not involve large muscular forces and that normal speakers use less than 20% of the maximum orofacial muscle contractile forces that are available (e.g., Amerman, 1993; Barlow & Abbs, 1984; Barlow & Netsell, 1986; DePaul & Brooks, 1993). However, no direct evidence for this hypothesis has been provided. This study investigated the percentage of maximum interlabial contact pressures (force per unit area) typically used during speech production. The primary conclusion of this study is that normal speakers typically use less than 20% of the available interlabial contact pressure, whether or not the jaw contributes to bilabial closure. Production of the phone [p] at conversational rate and intensity generated an average of 10.56% of maximum available interlabial pressure (MILP) when jaw movement was not restricted and 14.62% when jaw movement was eliminated.