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Sugano T, Ogawa T, Yoda N, Hashimoto T, Shobara K, Niizuma K, Kawashima R, Sasaki K. Morphological comparison of masseter muscle fibers in the mandibular rest and open positions using diffusion tensor imaging. J Oral Rehabil 2022; 49:608-615. [PMID: 35334120 DOI: 10.1111/joor.13319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 02/22/2022] [Accepted: 03/19/2022] [Indexed: 12/01/2022]
Abstract
BACKGROUND The masseter muscle has a complicated multipennate internal structure and exhibits functional differentiation when performing various stomatognathic functions. It is important to understand the internal structural changes of the muscle during functioning to elucidate characteristic muscle disorders such as local myalgia. Diffusion tensor imaging (DTI) may be useful for investigating the internal structural features of muscle. OBJECTIVES To evaluate the features of masseter muscle fibers in human participants using DTI fiber tractography, and to elucidate the structural differences in the masseter muscle between the mandibular rest and open positions. METHODS Five healthy men (age 31±7 years) underwent DTI and T1-weighted MRI of the right masseter muscle in the mandibular rest and open positions. MR images were used as a reference for muscle layer segmentation (superficial, intermediate, and deep). DTI fiber tractography of the masseter muscle was performed and the orientation of the DTI fibers was analyzed in each layer using coordinates based on the Frankfurt horizontal plane. RESULTS The DTI fiber orientation of the deep layer significantly changed between the mandibular rest and open positions in the frontal plane (p<0.05, Wilcoxon rank sum test). However, no significant change was found in the superficial and intermediate layers. CONCLUSION DTI fiber tractography confirmed regional differences in the orientation change of the masseter muscle fibers between different mandibular positions. The results may support the existence of functional partitioning inside the masseter muscle and suggest that DTI may be useful for the evaluation of muscle fibers in multipennate muscles.
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Affiliation(s)
- Takehiko Sugano
- Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, Japan
| | - Toru Ogawa
- Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, Japan
| | - Nobuhiro Yoda
- Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, Japan
| | - Teruo Hashimoto
- Institute of Development, Aging and Cancer, Tohoku University, Japan
| | - Kenta Shobara
- Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, Japan
| | - Kuniyasu Niizuma
- Department of Neurosurgical Engineering and Translational Neuroscience, Graduate School of Biomedical Engineering, Tohoku University, Japan.,Department of Neurosurgical Engineering and Translational Neuroscience, Tohoku University Graduate School of Medicine, Japan.,Department of Neurosurgery, Tohoku University Graduate School of Medicine, Japan
| | - Ryuta Kawashima
- Institute of Development, Aging and Cancer, Tohoku University, Japan
| | - Keiichi Sasaki
- Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, Japan
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Patini R, Gallenzi P, Lione R, Cozza P, Cordaro M. Ultrasonographic Evaluation of The Effects of Orthodontic or Functional Orthopaedic Treatment on Masseter Muscles: A Systematic Review and Meta-Analysis. MEDICINA (KAUNAS, LITHUANIA) 2019; 55:E256. [PMID: 31181706 PMCID: PMC6630499 DOI: 10.3390/medicina55060256] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Revised: 06/05/2019] [Accepted: 06/06/2019] [Indexed: 12/31/2022]
Abstract
Objectives: This review investigated the effects of orthodontic or functional orthopedic therapy on masseter muscle thickness through the use of ultrasonography (US) in growing subjects when compared with untreated subjects. Materials and Methods: This review systematically assessed studies that investigated growing subjects undergoing orthopedic therapy for the correction of malocclusion of vertical, sagittal and transversal plane. Electronic databases (CENTRAL, MEDLINE-PubMed, Scopus and Web of Science) were searched up to February 2019, including available RCTs and CCTs, without language restrictions. The primary outcome was the effect of orthopedic or functional treatment on masseter muscle thickness. The risk of bias of included studies was assessed through the Newcastle-Ottawa quality assessment scale with the aim of defining their methodological quality. A random-effects meta-analysis analyzing mean differences with 95% confidence intervals was used for quantitative analysis. Results: The search retrieved 749 titles, but the studies selection resulted in a final sample of 5 CCTs. The studies retrieved data from 233 children (age range: 5-22 years) and were conducted at university dental clinics. Children were treated for Class II malocclusion, increased vertical dimension or lateral cross-bite variably with rapid or slow maxillary expansion, twin block, bite block, mandibular activators, quad helix, alone or in combination. Risk of bias was assessed as medium for three studies, low for one and high for another. The meta-analysis determined that at the end of orthopedic or functional treatment masseter muscle thickness, measured through the use of US, is significantly reduced (MD -0.79 mm; 95% CI -1.28 to -0.31). The reduction in muscle thickness, therefore, could be considered an indicator for the evaluation of the success of therapy with orthodontic appliances. Conclusions: Although the meta-analysis revealed that US could be considered a less invasive and effective method to evaluate the masseter muscle thickness, single-blinded RCTs, are required to confirm US reliability in this field of application. This review was registered on PROSPERO with the following registration number: CRD42018068402.
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Affiliation(s)
- Romeo Patini
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Università Cattolica del Sacro Cuore, Institute of Dentistry and Maxillofacial Surgery, 00198 Rome, Italy.
| | - Patrizia Gallenzi
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Università Cattolica del Sacro Cuore, Institute of Dentistry and Maxillofacial Surgery, 00198 Rome, Italy.
| | - Roberta Lione
- Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.
| | - Paola Cozza
- Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.
| | - Massimo Cordaro
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Università Cattolica del Sacro Cuore, Institute of Dentistry and Maxillofacial Surgery, 00198 Rome, Italy.
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Oliveira JHPD, Dourado Filho MG, Lima NS, Silva HJD, Marcelino Filho M. Relação da espessura e da atividade elétrica do músculo masseter com a força de mordida: um estudo morfológico e eletrofisiológico. REVISTA CEFAC 2016. [DOI: 10.1590/1982-0216201618318915] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO: Objetivo: estudar a relação da espessura e da atividade elétrica do músculo masseter com a força de mordida. Métodos: participaram do estudo 17 adultos jovens (21,3 ( 1,4 anos), sendo 7 do gênero feminino e 10 do gênero masculino, saudáveis e clinicamente assintomáticos, quanto a disfunções temporomandibulares. Foi efetuada a medida da espessura do músculo masseter unilateralmente, durante o repouso e contração voluntária máxima. Também foi quantificada a força de mordida para cada lado com um transdutor de força posicionado na região do primeiro molar e simultaneamente avaliou-se atividade elétrica do masseter durante a mordida unilateral. A análise foi baseada na comparação das amostras, sendo utilizados o test t, Wilcoxon, Mann-Whitney e regressão linear multivariada. Resultado: a espessura do músculo masseter foi maior nos homens, tanto no repouso quanto em contração. Observou-se uma simetria entre os lados com os músculos em repouso e em contração. A frequência mediana do sinal eletromiográfico, para o músculo masseter em contração voluntária máxima, não apresentou diferença estatisticamente significante intra-indivíduos e na comparação entre os gêneros. Foi encontrada maior força de mordida nos indivíduos do gênero masculino. Não foi encontrado um modelo de regressão linear multivariada entre as variáveis estudadas. Conclusão: neste estudo, não foi possível encontrar um modelo linear com as variáveis estudadas.
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Yang HM, Cha JY, Hong KS, Park JT. Three-dimensional finite element analysis of unilateral mastication in malocclusion cases using cone-beam computed tomography and a motion capture system. J Periodontal Implant Sci 2016; 46:96-106. [PMID: 27127690 PMCID: PMC4848384 DOI: 10.5051/jpis.2016.46.2.96] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2015] [Accepted: 02/27/2016] [Indexed: 11/23/2022] Open
Abstract
Purpose Stress distribution and mandible distortion during lateral movements are known to be closely linked to bruxism, dental implant placement, and temporomandibular joint disorder. The present study was performed to determine stress distribution and distortion patterns of the mandible during lateral movements in Class I, II, and III relationships. Methods Five Korean volunteers (one normal, two Class II, and two Class III occlusion cases) were selected. Finite element (FE) modeling was performed using information from cone-beam computed tomographic (CBCT) scans of the subjects’ skulls, scanned images of dental casts, and incisor movement captured by an optical motion-capture system. Results In the Class I and II cases, maximum stress load occurred at the condyle of the balancing side, but, in the Class III cases, the maximum stress was loaded on the condyle of the working side. Maximum distortion was observed on the menton at the midline in every case, regardless of loading force. The distortion was greatest in Class III cases and smallest in Class II cases. Conclusions The stress distribution along and accompanying distortion of a mandible seems to be affected by the anteroposterior position of the mandible. Additionally, 3-D modeling of the craniofacial skeleton using CBCT and an optical laser scanner and reproduction of mandibular movement by way of the optical motion-capture technique used in this study are reliable techniques for investigating the masticatory system.
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Affiliation(s)
- Hun-Mu Yang
- Department of Anatomy, Dankook University College of Medicine, Cheonan, Korea
| | - Jung-Yul Cha
- Department of Orthodontics, Yonsei University College of Dentistry, Seoul, Korea
| | - Ki-Seok Hong
- Perio-Implant Research Center, Dankook University College of Dentistry, Cheonan, Korea
| | - Jong-Tae Park
- Department of Oral Anatomy, Dankook University College of Dentistry, Cheonan, Korea
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Okada C, Yamaguchi S, Watanabe Y, Watanabe M, Hattori Y. Evaluation of masticatory activity during unilateral single tooth clenching using muscle functional magnetic resonance imaging. J Oral Rehabil 2016; 43:583-90. [PMID: 27113040 DOI: 10.1111/joor.12404] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/27/2016] [Indexed: 11/30/2022]
Abstract
Masticatory muscle activity during teeth clenching is affected by occlusal pattern. However, few studies have performed simultaneous evaluation of all masticatory activities during teeth clenching under various occlusal conditions. The aim of this study was to use muscle functional magnetic resonance imaging (mfMRI) to evaluate the effects of changes in occlusal point on masticatory activity during single tooth clenching. Changes in mean proton transverse relaxation time (∆T2) as an index of activity in all masticatory muscles during left unilateral clenching at the first molar or first premolar for 1 min were examined in nine healthy volunteers. Bite force was maintained at 40% of the maximum voluntary clenching force. The ∆T2 values of the masseter and lateral pterygoid muscles were analysed separately for superficial and deep layers, and for superior and inferior heads. The ∆T2 values for the ipsilateral deep masseter were significantly lower, and for the superior head of the ipsilateral lateral pterygoid muscles were significantly higher, after left first premolar clenching compared to left first molar clenching. These results quantitatively demonstrate a significant increase in activity of the superior head of the ipsilateral lateral pterygoid muscle and a significant decrease in activity of the ipsilateral deep masseter muscle with forward displacement of the occlusal contact point during unilateral tooth clenching.
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Affiliation(s)
- C Okada
- Division of Aging and Geriatric Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - S Yamaguchi
- Division of Aging and Geriatric Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Y Watanabe
- Department of Health Services Management, Faculty of Health Sciences, Tohoku Fukushi University, Sendai, Japan
| | - M Watanabe
- Division of Aging and Geriatric Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan.,Kansei Fukushi Research Center, Tohoku Fukushi University, Sendai, Japan
| | - Y Hattori
- Division of Aging and Geriatric Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan
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Takahashi M, Yamaguchi S, Fujii T, Watanabe M, Hattori Y. Contribution of each masticatory muscle to the bite force determined by MRI using a novel metal-free bite force gauge and an index of total muscle activity. J Magn Reson Imaging 2016; 44:804-13. [PMID: 26970439 DOI: 10.1002/jmri.25223] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2015] [Accepted: 02/22/2016] [Indexed: 02/03/2023] Open
Abstract
PURPOSE To develop a metal-free bite force gauge that can monitor the bite force in a strong magnetic field and to analyze the correlations between bite-force and total T2 shift of the mastication muscles. MATERIALS AND METHODS The gauge used a micro-pressure sensor made of optical fiber. Ten subjects performed a 60-s isometric bite task at 40% of maximum clenching in various occlusal support conditions (intact dentition, right molar loss, or left molar loss). Spin-echo images were taken with a 1.5 Tesla scanner before and immediately after the task to correlate the bite force with the mean voxel count, mean shift in transverse relaxation time (ΔT2), and total T2 shift of each masticatory muscle. RESULTS Measurements of total T2 shift identified significant correlations between the bite force and activities of the superficial layer of the bilateral masseter muscle, regardless of the occlusion condition (intact dentition: left, P = 0.007 and right, P < 0.001; right molar loss: left, P = 0.02 and right, P = 0.021; and left molar loss: left, P = 0.022 and right, P = 0.049). In contrast, significant correlations were not detected between the bite force and mean ΔT2 (intact dentition: left, P = 0.102 and right, P = 0.053; right molar loss: left, P = 0.393 and right, P = 0.868; and left molar loss: left, P = 0.531 and right, P = 0.92). CONCLUSION Measurement of total T2 shift using a metal-free bite force gauge is a more sensitive index of individual muscle activity than mean ΔT2 during a bite task. J. MAGN. RESON. IMAGING 2016;44:804-813.
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Affiliation(s)
- Minoru Takahashi
- Division of Aging and Geriatric Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Satoshi Yamaguchi
- Division of Aging and Geriatric Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan.
| | - Tsuyoshi Fujii
- Division of Aging and Geriatric Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Makoto Watanabe
- Division of Aging and Geriatric Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan.,Kansei Fukushi Research Center, Tohoku Fukushi University, Sendai, Japan
| | - Yoshinori Hattori
- Division of Aging and Geriatric Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan
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Commisso MS, Martínez-Reina J, Ojeda J, Mayo J. Finite element analysis of the human mastication cycle. J Mech Behav Biomed Mater 2014; 41:23-35. [PMID: 25460400 DOI: 10.1016/j.jmbbm.2014.09.022] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2014] [Revised: 09/18/2014] [Accepted: 09/23/2014] [Indexed: 12/27/2022]
Abstract
The aim of this paper is to propose a biomechanical model that could serve as a tool to overcome some difficulties encountered in experimental studies of the mandible. One of these difficulties is the inaccessibility of the temporomandibular joint (TMJ) and the lateral pterygoid muscle. The focus of this model is to study the stresses in the joint and the influence of the lateral pterygoid muscle on the mandible movement. A finite element model of the mandible, including the TMJ, was built to simulate the process of unilateral mastication. Different activation patterns of the left and right pterygoid muscles were tried. The maximum stresses in the articular disc and in the whole mandible during a complete mastication cycle were reached during the instant of centric occlusion. The simulations show a great influence of the coordination of the right and left lateral pterygoid muscles on the movement of the jaw during mastication. An asynchronous activation of the lateral pterygoid muscles is needed to achieve a normal movement of the jaw during mastication.
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Affiliation(s)
- Maria S Commisso
- Department of Mechanical Engineering, University of Seville, Camino de los Descubrimientos s/n, E-41092 Seville, Spain.
| | - Javier Martínez-Reina
- Department of Mechanical Engineering, University of Seville, Camino de los Descubrimientos s/n, E-41092 Seville, Spain
| | - Joaquín Ojeda
- Department of Mechanical Engineering, University of Seville, Camino de los Descubrimientos s/n, E-41092 Seville, Spain
| | - Juana Mayo
- Department of Mechanical Engineering, University of Seville, Camino de los Descubrimientos s/n, E-41092 Seville, Spain
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Pearson WG, Hindson DF, Langmore SE, Zumwalt AC. Evaluating swallowing muscles essential for hyolaryngeal elevation by using muscle functional magnetic resonance imaging. Int J Radiat Oncol Biol Phys 2012; 85:735-40. [PMID: 22995662 DOI: 10.1016/j.ijrobp.2012.07.2370] [Citation(s) in RCA: 85] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2012] [Revised: 07/06/2012] [Accepted: 07/23/2012] [Indexed: 12/22/2022]
Abstract
PURPOSE Reduced hyolaryngeal elevation, a critical event in swallowing, is associated with radiation therapy. Two muscle groups that suspend the hyoid, larynx, and pharynx have been proposed to elevate the hyolaryngeal complex: the suprahyoid and longitudinal pharyngeal muscles. Thought to assist both groups is the thyrohyoid, a muscle intrinsic to the hyolaryngeal complex. Intensity modulated radiation therapy guidelines designed to preserve structures important to swallowing currently exclude the suprahyoid and thyrohyoid muscles. This study used muscle functional magnetic resonance imaging (mfMRI) in normal healthy adults to determine whether both muscle groups are active in swallowing and to test therapeutic exercises thought to be specific to hyolaryngeal elevation. METHODS AND MATERIALS mfMRI data were acquired from 11 healthy subjects before and after normal swallowing and after swallowing exercise regimens (the Mendelsohn maneuver and effortful pitch glide). Whole-muscle transverse relaxation time (T2 signal, measured in milliseconds) profiles of 7 test muscles were used to evaluate the physiologic response of each muscle to each condition. Changes in effect size (using the Cohen d measure) of whole-muscle T2 profiles were used to determine which muscles underlie swallowing and swallowing exercises. RESULTS Post-swallowing effect size changes (where a d value of >0.20 indicates significant activity during swallowing) for the T2 signal profile of the thyrohyoid was a d value of 0.09; a d value of 0.40 for the mylohyoid, 0.80 for the geniohyoid, 0.04 for the anterior digastric, and 0.25 for the posterior digastric-stylohyoid in the suprahyoid muscle group; and d values of 0.47 for the palatopharyngeus and 0.28 for the stylopharyngeus muscles in the longitudinal pharyngeal muscle group. The Mendelsohn maneuver and effortful pitch glide swallowing exercises showed significant effect size changes for all muscles tested, except for the thyrohyoid. CONCLUSIONS Muscles of both the suprahyoid and the longitudinal pharyngeal muscle groups are active in swallowing, and both swallowing exercises effectively target muscles elevating the hyolaryngeal complex. mfMRI is useful in testing swallowing muscle function.
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Affiliation(s)
- William G Pearson
- Department of Anatomy and Neurobiology, Boston University School of Medicine, Boston, Massachusetts, USA.
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