Two subject groups had their mandibular positions determined, using an electrognathograph, at the clinical rest position (CRP) and at the closest speaking position (CSP). They were classified into a toothwear (largely of attritional origin) group (n=30) and a non-toothwear, or normal, group (n=60). The mean CRP deduced for the groups was similar in all three dimensions and found to be just less than 2 mm open from and 0.6 mm posterior to intercuspal position (IP) and approximately in the midline. The CSP, in two dimensions, of the toothwear group was significantly closer to IP than that of the normal group. The vertical component of CRP and CSP was similar for the normal group but CSP was significantly reduced in comparison to CRP for the toothwear group. The most forward component of CSP was significantly more anteriorly placed than was that of CRP. Although there was a pronounced inter-individual variation the results suggest toothwear, of long acting aetiology, has less affect on CRP than on CSP.
The purpose of this investigation was to determine whether the production of sibilant sounds involved adopting a jaw position that corresponded to the closest vertical speaking space (CSS), by analysis of the smallest vertical excursion of the mandible during the performance of different phonetic exercises. A further objective was to establish the variability in the CSS produced by individual sibilant phonemes. Thirty young adult subjects had their CSS determined during three separate phonetic tests, using a kinesiograph (Sirognathograph, Siemens A.G., Benshiem, Germany) and a Bio-Pak (BioResearch Associates Inc., Milwaukee, WI) jaw-tracking software program. The first test was a general phonetic articulation test containing all the sounds of the English language and specifically including all six sibilant word sounds. The second phonetic test contained the six sibilant sound making up a short sentence. The third test included six single words, each expressing a different sibilant sound. No statistically significant difference among the mean CSS determined in each of three exercises was demonstrable. A phonetic test containing all sibilant sounds produced a CSS equivalent to that of a test containing all speech sounds. The vertical component of the CSS was also independent of the form or duration of the phonetic tests containing the sibilant word sounds used in this investigation. The CSS determined for 5 of the individual sibilant phonemes in the third exercise differed (p < 0.05) from that calculated for the three complete exercises. It was concluded that voicing sibilant phonemes, or word sounds, does cause the subject to adopt the CSS.(ABSTRACT TRUNCATED AT 250 WORDS)
The purpose of this study was to compare absolute and proportional electromyography (EMG) levels in the masseter and temporalis muscles during performance of a variety of oral functions for migraineurs and age- and sex-matched controls. Both groups consisted of nine women and one man, with a mean age of 43 years (range, 29 to 51 years). Absolute resting EMG levels and those levels during swallowing and speech were not significantly different between the groups, but the levels of the group with migraine were significantly higher during maximum voluntary effort contractions on the anterior teeth and on the posterior teeth for both muscles. When expressed as a percentage of those levels obtained at maximal posterior contraction (ie, proportional levels), no difference in functional activity was demonstrated between groups. It was concluded that the two groups studied had similar levels of EMG activity in the masseter and temporalis muscles during the normal oral functions investigated, but that the group with migraine had higher levels of absolute EMG activity during anterior and posterior maximum voluntary contractions. Furthermore, the group with migraine demonstrated higher levels of anterior and posterior bite force, although not correlated with EMG levels.
The purpose of this study was to compare absolute and proportional electromyography (EMG) levels in the masseter and temporalis muscles during performance of a variety of oral functions for migraineurs and age-and sex-matched controls. Both groups consisted of nine women and one man, with a mean age of 43 years (range, 29 to 51 years). Absolute resting EMG levels and those levels during swallowing and speech were not significantly different between the groups, but the levels of the group with migraine were significantly higher during maximum voluntary effort contractions on the anterior teeth and on the posterior teeth for both muscles. When expressed as a percentage of those levels obtained at maximal posterior contraction (ie, proportional levels), no difference in functional activity was demonstrated between groups. It was concluded that the two groups studied had similar levels of EMG activity in the masseter and temporalis muscles during the normal oral functions investigated, but that the group with migraine had higher levels of absolute EMG activity during anterior and posterior maximum voluntary contractions. Furthermore, the group with migraine demonstrated higher levels of anterior and posterior bite force, although not correlated with EMG levels.
The purpose of this investigation was to compare the masticatory muscle volume, bite force, and craniofacial morphology of migrainous subjects with age- and sex-matched controls. Ten adult dentate migraineurs were matched with 10 dentate age- and sex-matched controls. The groups consisted of nine women and one man (mean age, 43 years; range, 29 to 51 years). Volumetric analysis of the masseter and medial pterygoid muscles was performed using magnetic resonance imaging. Craniofacial morphology was analyzed from standard cephalometric radiographs using 30 angular and linear variables. Recordings of bite force were made using a strain gauge transducer. There was a significant difference in the volume of both masseter and medial pterygoid muscles between the two subject groups (P<.0001), with the muscles of the migraineurs nearly 70% larger. The migraineurs recorded significantly higher maximal bite forces (P<.0001) than did the controls. No significant differences for any craniofacial morphological measurement were demonstrated between the two groups. It was concluded that the migraineurs had larger masseter and medial pterygoid muscle volumes, and greater bite forces than the controls, which could not be explained by any change in craniofacial morphology.
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