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Revilla-León M, Zeitler JM, Kois DE, Kois JC. Utilizing an additively manufactured Kois deprogrammer to record centric relation: A simplified workflow and delivery technique. J Prosthet Dent 2024; 132:20-25. [PMID: 35934572 DOI: 10.1016/j.prosdent.2022.04.034] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Revised: 04/13/2022] [Accepted: 04/13/2022] [Indexed: 11/26/2022]
Abstract
A technique for fabricating an additively manufactured Kois deprogrammer is described from the initial patient data collection with an intraoral scanner to the 3D printing methods to fabricate the device. The incorporation of digital technologies for manufacturing a Kois deprogrammer provides new clinical and manufacturing tools, providing more efficient and less time-consuming design and manufacturing techniques than conventional techniques while maintaining conventional prosthodontic concepts.
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Affiliation(s)
- Marta Revilla-León
- Affiliate Assistant Professor, Graduate Prosthodontics, Department of Restorative Dentistry, School of Dentistry, University of Washington, Seattle, Wash; Director of Research and Digital Dentistry, Kois Center, Seattle, Wash; Adjunct Professor, Department of Prosthodontics, Tufts University, Boston, MA.
| | | | - Dean E Kois
- Faculty, Kois Center, Seattle, Wash; Private practice, Seattle, Wash
| | - John C Kois
- Founder and Director Kois Center, Seattle, Wash; Affiliate Professor, Graduate Prosthodontics, Department of Restorative Dentistry, University of Washington, Seattle, Wash; Private Practice, Seattle, Wash
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Yadfout A, El Aoud J, Merzouk N, Slaoui Hasnaoui J. Increasing Vertical Dimension of Occlusion (VDO): Review. Clin Cosmet Investig Dent 2024; 16:135-142. [PMID: 38770218 PMCID: PMC11104375 DOI: 10.2147/ccide.s453704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Accepted: 04/09/2024] [Indexed: 05/22/2024] Open
Abstract
The need to increase the Vertical Dimension of Occlusion (VDO) to restore lost dental function or optimise specific dental treatments is a common occurrence in daily dental practice. The common belief that the Vertical Dimension at Rest (VDR) is fixed hinders the development of restorations with a VDO that encroaches on or surpasses the interocclusal rest space (IRS), thereby preventing potential tissue damage to the masticatory apparatus. Recent studies have shown that the mandible rest position falls within a range termed as the "comfort zone". The range of this zone may vary from one person to another and within the same person over time due to factors such as age or health status. In this review, we have concluded that a permanent increase in the VDO, once indicated, is a safe procedure for dentulous patients. However, it is important to minimise the extent of the increase to simplify the prosthodontics treatment process. An inter-incisal increase exceeding 5 mm is seldom needed. Moreover, it is important to consider the functional, aesthetic, and biological elements associated with VDO. The biological and functional environment closely related to the VDO had great adaptive capacities, which have for a historically been underestimated. Patient adaptation has been observed in dentate patients, edentulous patients, and even cases involving implant-supported prostheses. Muscle relaxation and changes in muscle length are likely the primary adaptation mechanisms, rather than the restoration of the original VDO through dentoalveolar maturation. Intervention with a fixed restoration is more predictable and results in a higher and more rapid level of adaptation. Finally, the increase should include the entire arch to prevent relapse of the VDO to its previous value, and changes in VDO should be assessed by utilising temporary diagnostic restorations for a period before implementing definitive prostheses, in order to evaluate the adaptive muscle response.
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Affiliation(s)
- Asmae Yadfout
- Department of Removable Prosthodontics, Faculty of Dentistry, Mohammed V University, Rabat, Morocco
| | - Jihane El Aoud
- Department of Removable Prosthodontics, Faculty of Dentistry, Mohammed V University, Rabat, Morocco
| | - Nadia Merzouk
- Department of Removable Prosthodontics, Faculty of Dentistry, Mohammed V University, Rabat, Morocco
| | - Jihane Slaoui Hasnaoui
- Department of Removable Prosthodontics, Faculty of Dentistry, Mohammed V University, Rabat, Morocco
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Al-Dboush R, Al-Zawawi E, El-Bialy T. Does short-term treatment with clear aligner therapy induce changes in muscular activity? Evid Based Dent 2024; 25:6-8. [PMID: 37735589 DOI: 10.1038/s41432-023-00931-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Accepted: 08/30/2023] [Indexed: 09/23/2023]
Abstract
DESIGN Prospective cohort study. COHORT SELECTION The inclusion criteria comprised patients older than 18 years who attended the orthodontic department at the University of L'Aquila (L'Aquila, Italy) and requested treatment with clear orthodontic appliance. Only patients with Class I malocclusion with mild (0-3 mm) or moderate (4-6 mm) crowding were included. The exclusion criteria comprised patients who had medical condition that preclude the use of surface EMG (sEMG), patients who had anterior or posterior open bite, patients who had cross bite that include more than one tooth, patients who had edentulous ridges and patients with temporomandibular disorder. DATA ANALYSIS Included patients were assessed at three points in time: at the start of treatment (T0), after 3 months (T1), and after 6 months (T2). The patients were instructed during the study to wear each set of aligners (Nuvola; Gruppo Europeo di Ortodonzia S.r.l., Rome, Italy) for 2 weeks and 22 h/d and to remove them while eating and drinking (except for still water). The following two assessments were done for each patient at T0, T1, and T2: surface electromyography (sEMG) evaluation and a T-Scan digital occlusal analysis evaluation. Both evaluations were performed in centric occlusion and with aligners worn. The assessments were done by the same operator. The sEMG evaluation aimed to assess the muscular symmetry and balance. The sEMG evaluation was performed using an instrument that recorded analogical sEMG signal (BTS TMJOINT, Teethan S.p.a., Garbagnate Milanese, Milano, Italy). The patients were instructed to clench as much as possible and to maintain the same level of contraction during the test. The software automatically selected the 3 s with the most stable sEMG signal. The following outcomes were assessed using the sEMG: 1. Masseter percentage overlapping coefficient (POC), temporalis POC, and mean POC: which is an index of the symmetrical distribution of sEMG potentials within homologous muscular couples. 2. Torque coefficient (TC): compares the activity of the temporalis muscle to that of the contralateral masseter muscle. 3. Activity index (Ac): compares the activity of the temporalis muscle to that of the homolateral masseter muscle 4. Asymmetry index (Asym): compares the activity of the temporalis and masseter muscles of the right side to those of the left side. The digital occlusal analysis was performed using a 100μ thin, flexible horseshoe-shaped Mylar sensor (Novus HD sensor, Tekscan, Inc. S. Boston, MA, USA) that is used to analyze the dynamic and real-time distribution and timing of occlusal contacts and can reproduce 256 levels of varying occlusal force. A first recording was made without aligners, then a second with the aligners worn on the dental arches. The following outcomes were assessed using the digital occlusal analysis: 1. Position of the center of occlusal force (COF). 2. The maximal intercuspation time (MIC) (i.e., the time interval expressed in seconds between the first dental contact and the maximal intercuspation). The null hypothesis was that no difference exists for the sEMG indexes between the 3-time points and the two occlusal conditions. RESULTS Twenty-six female adult patients (mean age, 33.67 ± 13.33 years) were enrolled in this study. Statistically significant differences were observed in terms of POC for the temporalis and masseter muscles, as well as the mean POC across the three time points and between occlusal conditions (with or without aligner). Hence, null hypothesis was rejected. On the other hand, TC, Ac, Asym, and MIC variables did not exhibit any statistically significant differences. This confirms that the stable positioning of COF on the transverse plane was accompanied by the absence of torquing muscular couples or imbalances in muscular activation. Symmetry in muscular couples' activation (indicated by POC value) remained consistent over the 6-month follow-up period for the occlusion with aligners, and in fact, demonstrated some improvements. In contrast, there was a decline in POC over time during centric occlusion. Statistically significant variation in COF position was observed in the sagittal plane, but not in the transverse plane. This shift in COF position coincided with changes in muscular balance as assessed by surface electromyography. Regarding the anteroposterior position of the COF, an overall slight posterior shift was observed when aligners were worn. After 3 months of full-time aligner usage, an anterior COF position was detectable in centric occlusion, which exhibited statistical significance when compared with the occlusion involving aligners at T0 and T1. CONCLUSIONS The use of clear aligners led to an anterior displacement of the COF during biting in centric occlusion, along with a posterior shift while the aligners were worn in healthy female subjects over a 6-month monitoring period. No significant asymmetries in the COF position on the transverse plane were observed. The alterations in occlusal contact were subsequently followed by a short-term improvement in muscular balance when aligners were used, but a worsening muscular balance over time in centric occlusion condition.
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Affiliation(s)
- Ra'ed Al-Dboush
- Orthodontic Department, Jordanian Royal Medical Services, Amman, Jordan.
| | | | - Tarek El-Bialy
- Division of Orthodontics, School of Dentistry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada
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Tepedino M, Colasante P, Staderini E, Masedu F, Ciavarella D. Short-term effect of orthodontic clear aligners on muscular activity and occlusal contacts: A cohort study. Am J Orthod Dentofacial Orthop 2023:S0889-5406(23)00033-1. [PMID: 36870918 DOI: 10.1016/j.ajodo.2022.10.025] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2022] [Revised: 10/01/2022] [Accepted: 10/01/2022] [Indexed: 03/06/2023]
Abstract
INTRODUCTION The simultaneous presence of maxillary and mandibular clear aligners alters the vertical dimension and the quantity and quality of occlusal contacts. Few data in the literature explain how this occurs and the effects on neuromuscular coordination. This study aimed to evaluate occlusal contacts and muscular balance during treatment with clear aligners over a short follow-up time. METHODS Twenty-six female adult patients were enrolled in this study. The center of occlusal force (COF) was evaluated using a T-Scan II device, whereas muscular symmetry and balance were determined through surface electromyography using a standardized protocol that reduces anthropometric and electrode variations. Both evaluations were performed in centric occlusion and with aligners worn before treatment, after 3 months, and after 6 months. RESULTS A statistically significant variation in COF position was reported in the sagittal plane but not in the transverse plane. The shift in the COF position was followed by a change in muscular balance evaluated through surface electromyography. CONCLUSIONS Treatment with clear aligners resulted in an anterior shift of the COF when biting in centric occlusion and a posterior shift when the aligners were worn in healthy female patients after 6 months of observation. This change in occlusal contact was followed by an improvement in muscular function symmetry in the short term when aligners were worn, compared with the centric occlusion during treatment.
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Affiliation(s)
- Michele Tepedino
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
| | - Pietro Colasante
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
| | - Edoardo Staderini
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma-Università Cattolica del Sacro Cuore. Istituto di Clinica Odontoiatrica e Chirurgia Maxillo-facciale, Rome, Italy.
| | - Francesco Masedu
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy; Academy of Sciences of Abruzzo Region, L'Aquila, Italy; Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
| | - Domenico Ciavarella
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
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Liu W, Cui C, Hu Z, Li J, Wang J. Changes of neuroplasticity in cortical motor control of human masseter muscle related to orthodontic treatment. J Oral Rehabil 2021; 49:258-264. [PMID: 34921434 DOI: 10.1111/joor.13298] [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: 03/22/2021] [Revised: 12/01/2021] [Accepted: 12/12/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Orthodontic treatment is a common clinical method of malocclusion. Studies have found that neurons in the sensorimotor cortex of the brain undergo adaptive remodeling in response to changes in oral behavior or occlusion. OBJECTIVE To explore whether orthodontic treatment could be sufficient to cause neuroplastic changes in the corticomotor excitability of the masseter muscle. METHODS Fifteen Angle Class II malocclusion patients who were receiving orthodontic treatment participated in the study. Cortical excitability was assessed by electromyographic activity changes evoked by transcranial magnetic stimulation. Four orthodontic time points were recorded, including baseline, day 1, day 7, and day 30. Motor evoked potentials (MEPs) were recorded in the masseter muscle and the first dorsal interosseous muscle (FDI) serving as a control. The data were analysed by stimulus-response curves and corticomotor mapping. Statistical analyses involved repeated measures analysis of variance, two-way ANOVA, and Tukey's post hoc tests. RESULTS Motor evoked potentials (MEPs) of the masseter muscle were significantly decreased during orthodontic treatment compared with those of the baseline (p < .001). MEPs of the masseter muscle were dependent on session and stimulus intensity (p < .001), whereas MEPs of FDI were only dependent on stimulus intensity (p = .091). Finally, Tukey's post hoc tests demonstrated that MEPs of the masseter muscle on days 1 and 7, with 70%-90% stimulus intensities, were higher than those of baseline values (p < .001). CONCLUSIONS The present study suggested that orthodontic treatment can lead to neuroplastic changes in the corticomotor control of the masseter muscle, which may add to our understanding of the adaptive response of subjects to changes of oral environment during the orthodontic treatment.
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Affiliation(s)
- Weicai Liu
- Department of Prosthodontics, School & Hospital of Stomatology, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Tongji University, Shanghai, China
| | - Congcong Cui
- Department of Prosthodontics, School & Hospital of Stomatology, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Tongji University, Shanghai, China
| | - Zhonglin Hu
- Department of Prosthodontics, School & Hospital of Stomatology, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Tongji University, Shanghai, China
| | - Juan Li
- Department of Prosthodontics, School & Hospital of Stomatology, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Tongji University, Shanghai, China
| | - Jijun Wang
- Shanghai Mental Health Center, School of Medicine, Shanghai Jiaotong University, Shanghai, China
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Schimmel M, Aarab G, Baad-Hansen L, Lobbezoo F, Svensson P. A conceptual model of oro-facial health with an emphasis on function. J Oral Rehabil 2021; 48:1283-1294. [PMID: 34462948 PMCID: PMC9292770 DOI: 10.1111/joor.13250] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Revised: 07/14/2021] [Accepted: 08/24/2021] [Indexed: 11/29/2022]
Abstract
The individual inclination to lead an autonomous life until death is associated with requirements that may be of physiological, psychosocial and environmental nature. We aim to describe a conceptual oro‐facial health model with an emphasis on oro‐facial function, taking the domains of quality of life and patient‐centred values into account. In the context of oro‐facial function, the requirements of life are met when the oro‐facial system is in a fit state. ‘Fitness of the oro‐facial system, that is oro‐facial health, is a state that is characterised by an absence of, or positive coping with physical disease, mental disease, pain and negative environmental and social factors. It will allow natural oro‐facial functions such as sensing, tasting, touching, biting, chewing, swallowing, speaking, yawning, kissing and facial expression’. In the presented conceptual model of oro‐facial health, it is postulated that each individual has present and future potentials related to biological prerequisites and resources that are developed by an individual through the course of life. These potentials form the oro‐facial functional capacity. When the individual potentials together do not meet the requirements of life anymore, dysfunction and disease result. The oro‐facial system is subject to physiological ageing processes, which will inevitably lead to a decrease in the oro‐facial functional capacity. Furthermore, comorbid medical conditions might hamper oro‐facial function and, alongside with the ageing process, may lead to a state of oral hypofunction. Currently, there is a lack of widespread, validated, easy‐to‐use instruments that help to distinguish between states of oro‐facial fitness as opposed to oral hypofunction. Clearly, research is needed to establish adequate, validated instruments alongside with functional rehabilitation procedures.
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Affiliation(s)
- Martin Schimmel
- Department of Reconstructive Dentistry and Gerodontology, University of Bern, Bern, Switzerland.,Division of Gerodontology and Removable Prosthodontics, University of Geneva, Geneva, Switzerland
| | - Ghizlane Aarab
- Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Lene Baad-Hansen
- Department of Dentistry and Oral Health, Section for Orofacial Pain and Jaw Function, Aarhus University, Aarhus, Denmark.,Scandinavian Center for Orofacial Neurosciences (SCON), Aarhus, Denmark
| | - Frank Lobbezoo
- Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Peter Svensson
- Department of Dentistry and Oral Health, Section for Orofacial Pain and Jaw Function, Aarhus University, Aarhus, Denmark.,Scandinavian Center for Orofacial Neurosciences (SCON), Aarhus, Denmark.,Faculty of Odontology, Malmø University, Sweden
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Hedberg L, Ekman U, Nordin LE, Smedberg JI, Skott P, Seiger Å, Sandborgh-Englund G, Westman E, Kumar A, Trulsson M. Cognitive changes and neural correlates after oral rehabilitation procedures in older adults: a protocol for an interventional study. BMC Oral Health 2021; 21:297. [PMID: 34107933 PMCID: PMC8191046 DOI: 10.1186/s12903-021-01654-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Accepted: 06/03/2021] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND Epidemiological studies show an association between masticatory function and cognitive impairment. This has further strengthened the notion that tooth loss and impaired masticatory function may be risk factors for dementia and cognitive decline. Animal experiments have indicated a causal relationship and several possible mechanisms have been discussed. This evidence is, however, lacking in humans. Therefore, in the current interventional study, we aim to investigate the effect of rehabilitation of masticatory function on cognition in older adults. METHODS Eighty patients indicated for prosthodontic rehabilitation will be randomly assigned to an experimental or a control group. Participants will conduct neuropsychological assessments, masticatory performance tests, saliva tests, optional magnetic resonance imaging, and answer questionnaires on oral health impact profiles and hospital anxiety and depression scale before, 3 months, and 1 year after oral rehabilitation. The difference between the two groups is that the control group will be tested an additional time, (at an interval of about 3 months) before the onset of the oral rehabilitation procedure. The primary outcome is a change in measures of episodic memory performance. DISCUSSION Although tooth loss and masticatory function are widespread in older people, it is still an underexplored modifiable risk factor potentially contributing to the development of cognitive impairment. If rehabilitation of masticatory function shows positive effects on the neurocognitive function, this will have great implications on future health care for patients with impaired masticatory status. The present project may provide a new avenue for the prevention of cognitive decline in older individuals. TRIAL REGISTRATION The protocol for the study was retrospectively registered in ClinicalTrials.gov Identifier: NCT04458207, dated 02-07-2020.
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Affiliation(s)
- Linn Hedberg
- Folktandvården Eastmaninstitutet, Stockholm, Sweden
- Division of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Alfred Nobels Allé 8, Box 4064, 141 04, Huddinge, Sweden
| | - Urban Ekman
- Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Huddinge, Sweden
| | - Love Engström Nordin
- Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Huddinge, Sweden
- Department of Diagnostic Medical Physics, Karolinska University Hospital, Solna, Stockholm, Sweden
| | - Jan-Ivan Smedberg
- Folktandvården Eastmaninstitutet, Stockholm, Sweden
- Division of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Alfred Nobels Allé 8, Box 4064, 141 04, Huddinge, Sweden
| | - Pia Skott
- Folktandvården Eastmaninstitutet, Stockholm, Sweden
- Academic Centre for Geriatric Dentistry, Stockholm, Sweden
| | - Åke Seiger
- Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Huddinge, Sweden
- Academic Centre for Geriatric Dentistry, Stockholm, Sweden
| | - Gunilla Sandborgh-Englund
- Division of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Alfred Nobels Allé 8, Box 4064, 141 04, Huddinge, Sweden
- Academic Centre for Geriatric Dentistry, Stockholm, Sweden
| | - Eric Westman
- Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Huddinge, Sweden
| | - Abhishek Kumar
- Division of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Alfred Nobels Allé 8, Box 4064, 141 04, Huddinge, Sweden.
| | - Mats Trulsson
- Division of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Alfred Nobels Allé 8, Box 4064, 141 04, Huddinge, Sweden
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Matsuzaki S, Shimada A, Tanaka J, Kothari M, Castrillon E, Iida T, Svensson P. Effect of mandibular advancement device on plasticity in corticomotor control of tongue and jaw muscles. J Clin Sleep Med 2021; 17:1805-1813. [PMID: 33904391 DOI: 10.5664/jcsm.9284] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
STUDY OBJECTIVES This study aims to investigate if the use of a mandibular advancement device (MAD) is associated with neuroplasticity in corticomotor control of tongue and jaw muscles. METHODS Eighteen healthy individuals participated in a randomized crossover study with 3 conditions for 2 weeks each: baseline, wearing an oral appliance (OA: sham MAD) or MAD during sleep. The custom-made MAD was constructed by positioning the mandible to 50% of its maximal protrusion limit. Transcranial magnetic stimulation (TMS) was applied to elicit motor evoked potentials (MEPs). The MEPs were assessed by constructing stimulus-response curves at four stimulus intensities: 90%, 100%, 120%, and 160% of the motor threshold (MT) from the right tongue and right masseter, and the first dorsal interosseous muscles (FDI, control) at baseline, after the first and the second intervention. RESULTS There was a significant effect of condition and stimulus intensity both on the tongue and as well as on masseter MEPs (P < 0.01). Tongue and masseter MEPs were significantly higher at 120% and 160% following the MAD compared to the OA (P < 0.05). There were no effects of condition on FDI MEPs (P = 0.855). CONCLUSIONS The finding suggests that MAD induces neuroplasticity in the corticomotor pathway of the tongue and jaw muscles associated with the new jaw position. Further investigations are required in patients with obstructive sleep apnea (OSA) to see if this cortical neuroplasticity may contribute or perhaps predict treatment effects with MADs in OSA.
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Affiliation(s)
- Satoshi Matsuzaki
- Section of Orofacial Pain and Jaw Function, Department of Dentistry and Oral Health, Faculty of Health, Aarhus University, Denmark.,Scandinavian Center for Orofacial Neurosciences (SCON).,Department of Fixed Prosthodontics and Occlusion, Osaka Dental University, Japan
| | - Akiko Shimada
- Department of Geriatric Dentistry, Osaka Dental University, Japan
| | - Junko Tanaka
- Department of Fixed Prosthodontics and Occlusion, Osaka Dental University, Japan
| | - Mohit Kothari
- Hammel Neurorehabilitation and University Research Clinic, Department of Clinic Medicine, Aarhus University, Hammel, Denmark.,JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Mysore, India
| | - Eduardo Castrillon
- Section of Orofacial Pain and Jaw Function, Department of Dentistry and Oral Health, Faculty of Health, Aarhus University, Denmark.,Scandinavian Center for Orofacial Neurosciences (SCON)
| | - Takashi Iida
- Division of Oral Function and Rehabilitation, Department of Oral Health Science, Nihon University School of Dentistry at Matsudo
| | - Peter Svensson
- Section of Orofacial Pain and Jaw Function, Department of Dentistry and Oral Health, Faculty of Health, Aarhus University, Denmark.,Scandinavian Center for Orofacial Neurosciences (SCON).,Faculty of Odontology, Malmø University, Sweden
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Ribeiro AB, Pita MS, Ribeiro AB, Garcia AR, Junqueira Zuim PR. Effect of short-term increase in occlusal vertical dimension on masticatory muscle electrical activities and pressure-to-pain threshold: A crossover clinical study. J Prosthet Dent 2021; 128:970-976. [PMID: 33678437 DOI: 10.1016/j.prosdent.2021.01.023] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2019] [Revised: 01/29/2021] [Accepted: 01/30/2021] [Indexed: 11/17/2022]
Abstract
STATEMENT OF PROBLEM Increasing the occlusal vertical dimension (OVD) is a common procedure in clinical practice. However, few studies have assessed the short-term influence of an increased OVD on the masticatory muscles. PURPOSE The purpose of this crossover clinical study was to investigate the effect of increased OVD on the electrical activity of masticatory muscles and the pressure-to-pain threshold (PPT) in asymptomatic participants. MATERIAL AND METHODS Twenty asymptomatic participants (22.7 ±2.39 years of age; 10 men, 10 women) were submitted to an increase in OVD by using interocclusal devices of different thicknesses (3- and 6-mm) for 24 hours. Masticatory muscle activity was assessed with electromyography (EMG), expressed in microvolts (μV), while the participants masticated 2 pieces of latex of different consistency (latex S and H) with and without the device. The PPT was measured with a digital algometer before and after the mastication. The results were assessed by using analysis of variance (ANOVA) and the Tukey honestly significant difference (HSD) test (α=.05). RESULTS The change of OVD did not significantly affect the electrical activity of the muscles. The latex of hard consistency (latex H) showed higher electrical activity values than the soft texture (latex S). For the working side anterior temporal muscle, a change in the PPT was detected on the day the 6-mm-device was inserted, but for the other muscles, device thickness and latex mastication did not change the PPT. CONCLUSIONS For a short time, an increase in occlusal vertical dimension did not affect the electrical activity in the masticatory muscles or pressure-to-pain threshold in asymptomatic participants.
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Affiliation(s)
- Adriana Barbosa Ribeiro
- Collaborator Professor, Department of Dental Materials and Prosthodontics, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, Brazil.
| | - Murillo Sucena Pita
- Post-doctoral Research Fellow, Department of Dental Materials and Prosthodontics, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, Brazil
| | - Aline Barbosa Ribeiro
- Post-doctoral Research Fellow, Department of Physiology, Ribeirão Preto Medical School, University of São Paulo (USP), Ribeirão Preto, Brazil
| | - Alício Rosalino Garcia
- Associate Professor, Department of Dental Materials and Prosthodontics, School of Dentistry of Araçatuba, São Paulo State University - UNESP, Araçatuba, SP, Brazil
| | - Paulo Renato Junqueira Zuim
- Associate Professor, Department of Dental Materials and Prosthodontics, School of Dentistry of Araçatuba, São Paulo State University - UNESP, Araçatuba, SP, Brazil
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A novel cortical biomarker signature for predicting pain sensitivity: protocol for the PREDICT longitudinal analytical validation study. Pain Rep 2020; 5:e833. [PMID: 32766469 PMCID: PMC7390594 DOI: 10.1097/pr9.0000000000000833] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Revised: 06/04/2020] [Accepted: 06/10/2020] [Indexed: 11/26/2022] Open
Abstract
PREDICT will undertake analytical validation of a peak alpha frequency and corticomotor excitability biomarker, determining the sensitivity, specificity, and accuracy at predicting pain sensitivity. Introduction: Temporomandibular disorder is a common musculoskeletal pain condition with development of chronic symptoms in 49% of patients. Although a number of biological factors have shown an association with chronic temporomandibular disorder in cross-sectional and case control studies, there are currently no biomarkers that can predict the development of chronic symptoms. The PREDICT study aims to undertake analytical validation of a novel peak alpha frequency (PAF) and corticomotor excitability (CME) biomarker signature using a human model of the transition to sustained myofascial temporomandibular pain (masseter intramuscular injection of nerve growth factor [NGF]). This article describes, a priori, the methods and analysis plan. Methods: This study uses a multisite longitudinal, experimental study to follow individuals for a period of 30 days as they progressively develop and experience complete resolution of NGF-induced muscle pain. One hundred fifty healthy participants will be recruited. Participants will complete twice daily electronic pain diaries from day 0 to day 30 and undergo assessment of pressure pain thresholds, and recording of PAF and CME on days 0, 2, and 5. Intramuscular injection of NGF will be given into the right masseter muscle on days 0 and 2. The primary outcome is pain sensitivity. Perspective: PREDICT is the first study to undertake analytical validation of a PAF and CME biomarker signature. The study will determine the sensitivity, specificity, and accuracy of the biomarker signature to predict an individual's sensitivity to pain. Registration details: ClinicalTrials.gov: NCT04241562 (prospective).
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Zhang HY, Yang HX, Liu Q, Xie MJ, Zhang J, Liu X, Liu XD, Yu SB, Lu L, Zhang M, Wang MQ. Injury responses of Sprague-Dawley rat jaw muscles to an experimental unilateral anterior crossbite prosthesis. Arch Oral Biol 2020; 109:104588. [DOI: 10.1016/j.archoralbio.2019.104588] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2019] [Revised: 10/14/2019] [Accepted: 10/14/2019] [Indexed: 02/06/2023]
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