Normalization of mandibular function in children is important for normal orofacial development because their function is not still matured. This case report examined jaw movement during chewing in a young patient with unilateral scissors-bite. He could hardly chew on the affected side, preferring to chew only on the unaffected side, and his minimum opening position was initially unstable, i.e., he had two positions before active treatment. Retention did not stabilize his minimal opening position and his dual-bite was not corrected. His minimal opening position was stabilized after equipping his upper canines with a resin cap. Although orthodontic treatment morphologically improved the patient's malocclusion, his function did not improve. Normal jaw movement on both sides was achieved after interfering with his old chewing pattern. Because normalization is needed for acquisition of normal function in children, long-term observations of their growth and functional changes are necessary after orthodontic treatment.
We investigated brain activity in response to orofacial pain in 20 healthy subjects in order to characterize the relationship between pain and changes in brain function. First, the pressure pain threshold (PPT) at the styloid process of the temporal bone (Libman's point) of 20 subjects was measured by a pressure algometer. Second, electroencephalographic (EEG) changes of 20 subjects before and after 10 s of constant pressure stimulation at Libman's point were measured. These 20 subjects were divided into two groups: 10 subjects with higher PPT (high group) and 10 subjects with lower PPT (low group). EEG change in beta activity after stimulation was greater in the low group than the high group, and there was a significant negative correlation between this change and PPT, with even minor constant stimulation inducing larger EEG change in individuals highly receptive to pain. The present study demonstrated that a relative reduction in beta activity after pain stimulation was more remarkable in subjects with lower PPT than in subjects with higher PPT, and that this change was closely related to a hemispheric balance, with even minor constant stimulation inducing changes in brain waves in individuals highly sensitive to pain.
Key wordselectroencephalography, hemispheric balance, pressure pain threshold, pressure stimulation, styloid process of the temporal bone.
A 10-year-old boy was referred to our pediatric dentistry clinic with complaints of anterior crossbite and crowding in the maxillary dentition. Most of his molars were severely decayed and the level of his oral hygiene was very poor. A removable orthodontic appliance was used to correct his anterior crossbite. The use of this appliance enabled us to treat the patient's severely decayed molars and improve the poor level of his oral hygiene simultaneously.
Case Report
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