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1.
Phys Rev Lett ; 120(3): 035101, 2018 Jan 19.
Article in English | MEDLINE | ID: mdl-29400540

ABSTRACT

The dynamics of weakly magnetized collisionless plasmas in the presence of an imposed temperature gradient along an ambient magnetic field is explored with particle-in-cell simulations and modeling. Two thermal reservoirs at different temperatures drive an electron heat flux that destabilizes off-angle whistler-type modes. The whistlers grow to large amplitude, δB/B_{0}≃1, and resonantly scatter the electrons, significantly reducing the heat flux. Surprisingly, the resulting steady-state heat flux is largely independent of the thermal gradient. The rate of thermal conduction is instead controlled by the finite propagation speed of the whistlers, which act as mobile scattering centers that convect the thermal energy of the hot reservoir. The results are relevant to thermal transport in high-ß astrophysical plasmas such as hot accretion flows and the intracluster medium of galaxy clusters.

2.
J Oral Rehabil ; 43(2): 96-102, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26432778

ABSTRACT

The previous reports suggest that obstructive sleep apnoea (OSA) is related to metabolic syndrome, mineral metabolism disorders and cardiovascular disease. In addition, a possible relationship between obesity and the calcification of ligaments has been implied. However, the potential link between OSA and the calcification of ligaments has not been directly studied. In this present study, to investigate the potential link between OSA and the calcification of ligaments, we examined the prevalence of the calcification of ligaments in OSA patients and the relationship between these findings and OSA severity. Eighty consecutive patients (60 males, 20 females) diagnosed as OSA or a heavy snorer based on full-night polyso-mnography were retrospectively recruited from May 2006 to July 2008. Each patient underwent cephalometric imaging examination before the arrangement of an oral appliance. One calibrated observer (YS) reviewed the cephalometric images for the presence of calcification of the nuchal ligament and osteophytes of the cervical spine. The prevalence of calcification of the nuchal ligament in OSA patients and snorers was 46.3% (males: 52%, females: 30%) There was a significant positive correlation between the severity of OSA (AHI) and the calcification of the nuchal ligament before and after adjusting for BMI. The prevalence of the calcification of the nuchal ligament in OSA subjects and snorers was higher than in previous studies with non-OSA subjects. In addition, it is suggested that the severity of OSA correlates with the presence of calcification of the nuchal ligament.


Subject(s)
Calcinosis/pathology , Ligaments, Articular/pathology , Osteophyte/pathology , Sleep Apnea, Obstructive/pathology , Snoring/pathology , Spine/pathology , Adult , Aged , Aged, 80 and over , Body Mass Index , Cephalometry , Cervical Vertebrae/pathology , Female , Humans , Male , Middle Aged , Polysomnography , Retrospective Studies , Risk Factors
3.
J Oral Rehabil ; 39(8): 630-8, 2012 Aug.
Article in English | MEDLINE | ID: mdl-22506934

ABSTRACT

Occlusal dysesthesia refers to a persistent complaint of uncomfortable bite sensation with no obvious occlusal discrepancy. This systematic review aimed to draw a picture of such patients, to present an agreement of previously reported diagnostic criteria and to analyse the evidence level of the recommended management approaches. An electronic search for all relevant reports on occlusal dysesthesia was thoroughly performed based on previous nomenclatures (e.g. phantom bite, occlusal hyperawareness) in PubMed and The Cochrane Library in July, 2011. A total of 84 reports were matched, among which only 11 studies were included after a two-step (abstract and detailed full-text revision) screening process. Additionally, a thorough manual review of reference lists of the included reports enabled the inclusion of two additional studies. Data analysis revealed that 37 occlusal dysesthesia patients presented a mean age of 51.7 ± 10.6 years and were predominantly women (male/female: 1/5.1) with symptom duration of more than 6 years (average: 6.3 ± 7.5 years) and with concomitant psychological disturbances (e.g. mood disorders, somatoform disorders, personality disorders). Only four authors presented diagnostic criteria for occlusal dysesthesia, which served as the basis for an agreement in the diagnostic criteria. Treatment approaches included psychotherapy, cognitive/behaviour therapy, splint therapy and prescription of anti-depressants or anti-anxiety drugs. Classification of evidence level of management approaches, however, revealed that most of them were expert opinions with single- or multiple-case report(s). Future studies are necessary for a deeper understanding of the mechanisms behind the occlusal dysesthesia symptoms, and consequently, for improvements in evidence-based management approaches.


Subject(s)
Malocclusion/psychology , Paresthesia/psychology , Somatoform Disorders/psychology , Adult , Female , Humans , Male , Malocclusion/etiology , Malocclusion/therapy , Middle Aged , Paresthesia/etiology , Paresthesia/therapy , Somatoform Disorders/complications
4.
Lab Anim ; 45(2): 124-6, 2011 Apr.
Article in English | MEDLINE | ID: mdl-21355022

ABSTRACT

The use of dried blood spots (DBS) in preclinical studies has seen an enormous increase over the past two years. Despite its positive impact on the 3Rs (reduce, replace and refine), its uptake in exploratory drug discovery has been limited due mainly to protracted method development time in bioanalysis but also the need for small volumes (<20 µL) to be sampled manually. Automatic blood sampling technology such as the DiLab(®) AccuSampler(®) is widely used in drug discovery to facilitate exploratory rodent-based pharmacokinetic and pharmacokinetic/pharmacodynamic studies with minimal animal handling. Propranolol was orally administered to a Han-Wistar rat attached to either a standard DiLab(®) AccuSampler(®) or a retrofitted unit designed to directly collect the DBS samples. In all, 50 or 20 µL blood samples were then collected via the standard or retrofitted unit, respectively, at six timepoints over a 7 h period. After drying and storage the DBS samples were analysed for propranolol via liquid chromatography-mass spectrometry. In this report we demonstrate that a standard DiLab(®) AccuSampler(®) can be easily retrofitted to facilitate automatic dried blood spot sampling and that time-concentration data generated from these samples are equivalent to that from manually spotted samples.


Subject(s)
Blood Chemical Analysis/methods , Blood Specimen Collection , Drug Discovery/methods , Propranolol/blood , Animals , Blood Specimen Collection/instrumentation , Blood Specimen Collection/methods , Chromatography, Liquid/methods , Desiccation , Male , Mass Spectrometry/methods , Propranolol/pharmacokinetics , Rats , Rats, Wistar , Reproducibility of Results , Sensitivity and Specificity
5.
Int J Oral Maxillofac Surg ; 39(10): 968-74, 2010 Oct.
Article in English | MEDLINE | ID: mdl-20609564

ABSTRACT

This study evaluated differences in pain sensitivities and psychological profiles among different temporomandibular disorder (TMD) pain subtypes. Evaluation was done on 36 normal subjects and 39 TMD patients with high Graded Chronic Pain scale scores. TMD patients were placed in three pain subgroups (myogenous, arthrogenous, mixed) using the Research Diagnostic Criteria for TMD (RDC/TMD) axis I guidelines. RDC/TMD axis II profiles including depression and somatization were analysed. Cold pain threshold (CPT), heat pain threshold (HPT), and heat pain tolerance threshold (HPTT) were measured on three facial regions (anterior temporalis, masseter, TMJ) and a leg region (anterior tibialis). The arthrogenous pain subgroup showed significantly higher CPT and lower HPT and HPTT in the facial region, and lower HPTT in the anterior tibialis region compared with normal and myogenous pain subgroups. The myogenous pain subgroup had significantly higher somatization scores than normal and arthrogenous pain subgroups, and higher depression scores than normal subjects. The results suggest that peripheral and/or central sensitization are present in chronic arthrogenous pain more so than in myogenous pain, and this phenomenon appears to take place regardless of the patient's psychological profiles. These results may explain the underlying mechanism that aggravates TMD pain.


Subject(s)
Pain Threshold/physiology , Sensory Thresholds/physiology , Temporomandibular Joint Disorders/psychology , Thermosensing/physiology , Adult , Case-Control Studies , Chronic Disease , Cold Temperature , Depression/psychology , Facial Pain/physiopathology , Facial Pain/psychology , Female , Hot Temperature , Humans , Male , Masseter Muscle/physiopathology , Muscle, Skeletal/physiopathology , Pain Measurement , Somatoform Disorders/psychology , Temporal Muscle/physiopathology , Temporomandibular Joint Disorders/classification , Temporomandibular Joint Disorders/physiopathology
6.
Stud Health Technol Inform ; 132: 460-2, 2008.
Article in English | MEDLINE | ID: mdl-18391344

ABSTRACT

The aim of this study was to model the changes in the soft and hard tissues that occur around the upper airway with increasing age and weight, and to visually gauge them through the use of 3D simulation models. We created two standard 3-dimensional models, with one set to represent a healthy subject model and the other serving as an OSA model. The results of the regression models in our anatomical variables were attached to each 3D model. We compared our data with the data of previous studies to recognize the validity of our regression model. In both models the pharyngeal length increased as age increased. We observed an increase in the fat tissue, soft palate length, and a thickening of the soft palate as BMI increased. As age and BMI increased, the narrowing of the airway appeared more severe in the OSA model.


Subject(s)
Aging/physiology , Body Mass Index , Computer Simulation , Imaging, Three-Dimensional , Pharynx/physiology , Adult , Female , Humans , Male , Sleep Apnea, Obstructive , Tomography, X-Ray Computed/methods , United States
7.
Biochem Soc Trans ; 32(Pt 6): 1060-2, 2004 Dec.
Article in English | MEDLINE | ID: mdl-15506963

ABSTRACT

Dynamic lipidomics using ESI-MS (tandem electrospray ionization mass spectrometry) of 9-deuterated choline (choline-d(9)) incorporation into mammalian cell PtdCho (phosphatidylcholine) permits assessment of the molecular specificity of synthesis. Bulk cell PtdCho synthesis occurs in spatially distinct locations, using separate CPTs (1,2 diacylglycerol CDP:choline cholinephosphotransferases). We assessed whether in vitro molecular selectivity of DAG (diacylglycerol) incorporation between CPTs is manifest in situ, by monitoring choline-d(9) incorporation into PtdCho and lyso-PtdCho molecular species over 3 h in control cells and in CHO-K1 cells overexpressing hCEPT1. Compared with controls, the basal molecular species composition of hCEPT1 overexpressors was significantly enriched in arachidonate. This was not due to net accretion of cellular PtdCho arguing against effects of inadequate unsaturated PtdCho degradation or remodelling. Rather, time-course analyses of PtdCho and lyso-PtdCho pools showed that both arachidonate-containing DAG incorporation and turnover of PtdCho is increased in hCEPT1 overexpressors. Increased choline-d(9) incorporation into arachidonyl lyso-PtdCho shows that both phospholipase A(1)- and A(2)-mediated turnover is involved. Spatially distinct molecular specificity of DAG incorporation into cellular PtdCho at the level of hCEPT1 exists in situ.


Subject(s)
Diacylglycerol Cholinephosphotransferase/metabolism , Animals , CHO Cells , Choline/metabolism , Cricetinae , Deuterium , Humans , Molecular Weight , Recombinant Proteins/metabolism , Substrate Specificity
8.
J Nutr ; 133(12): 4230-8, 2003 Dec.
Article in English | MEDLINE | ID: mdl-14652377

ABSTRACT

Animal and human studies have shown that greatly increasing the amount of fish oil [rich in long-chain (n-3) PUFA] in the diet can decrease lymphocyte functions. The effects of a more modest provision of long-chain (n-3) PUFA and whether eicosapentaenoic acid (20:5) and docosahexaenoic acid (22:6) have the same effects as one another are unclear. Whether the position of 20:5 or 22:6 in dietary triacylglycerols (TAG) influences their incorporation into immune cells and their subsequent functional effects is not known. In this study, male weanling rats were fed for 6 wk one of 9 diets that contained 178 g lipid/kg and that differed in the type of (n-3) PUFA and in the position of these in dietary TAG. The control diet contained 4.4 g alpha-linolenic acid (18:3)/100 g total fatty acids. In the other diets, 20:5 or 22:6 replaced a portion (50 or 100%) of 18:3, and were in the sn-2 or the sn-1(3) position of dietary TAG. There were significant dose-dependent increases in the proportion of 20:5 or 22:6 in spleen mononuclear cell phospholipids when 20:5 or 22:6 was fed. These increases were at the expense of arachidonic acid and were largely independent of the position of 20:5 or 22:6 in dietary TAG. Spleen lymphocyte proliferation increased dose dependently when 20:5 was fed in the sn-1(3) position of dietary TAG. There were no significant differences in interleukin-2, interferon-gamma or interleukin-10 production among spleen cells from rats fed the different diets. Prostaglandin E(2) production by spleen mononuclear cells was decreased by inclusion of either 20:5 or 22:6 in the diet in the sn-1(3) position. Thus, incorporation of 20:5 or 22:6 into spleen mononuclear cell phospholipids is not influenced by the position in dietary TAG. However, the pattern of incorporation may be influenced, and there are some differential functional effects of the position of long-chain (n-3) PUFA in dietary TAG. A moderate increase in the intake of 20:5 at the sn-1(3) position of dietary TAG increases lymphocyte proliferation.


Subject(s)
Eicosapentaenoic Acid/chemistry , Eicosapentaenoic Acid/pharmacology , Lymphocytes/cytology , Triglycerides/administration & dosage , Triglycerides/chemistry , Animals , Body Weight , Cell Division/drug effects , Cells, Cultured , Concanavalin A/pharmacology , Cytokines/metabolism , Diet , Fatty Acids/metabolism , Leukocytes, Mononuclear/metabolism , Lymphoid Tissue/anatomy & histology , Male , Molecular Structure , Organ Size , Phospholipids/metabolism , Rats , Rats, Inbred Lew , Spleen/cytology , Spleen/metabolism
9.
Dentomaxillofac Radiol ; 31(6): 350-4, 2002 Nov.
Article in English | MEDLINE | ID: mdl-12424632

ABSTRACT

OBJECTIVE: The ability to measure hemodynamics of skeletal muscle proper is one of the major goals for muscle pain researchers. The aim of the present study was to evaluate the ability of signal intensity (SI) in T2-weighted trapezius muscle magnetic resonance imaging (MRI) to detect intramuscular hemodynamic changes during cold pressor stimulation (CPS). MATERIALS AND METHODS: Fifteen healthy volunteers (mean age, 25.9+/-2.1 years) participated in this study. T2-weighted MRI was acquired using a 1.5 tesla MR unit with a body array coil. The slice level was set perpendicular to the muscle long axis at the mid-point of the horizontal portion of the right trapezius muscle. Cold pressor stimulation (4 degrees C) was applied to each subject's right foot and ankle for 2 min. The SI changes were recorded continuously for 7 min before, 2 min during, and 6 min after withdrawal of cold pressor stimulation. Six of these subjects also underwent a mock-CPS trial. RESULTS: The mean SI level in T2-weighted trapezius muscle MRI significantly increased during CPS (P<0.0001, one way repeated measure ANOVA) and returned to the baseline level after cold pressor withdrawal. No statistically significant signal changes were observed across the mock-CPS trial subjects. These findings are identical to the cold pressor-induced hemodynamic changes documented in the trapezius muscle by near-infrared spectroscopy evaluation. CONCLUSIONS: SI measurement in T2-weighted trapezius muscle MRI is sufficiently sensitive to detect intramuscular hemodynamic changes during CPS.


Subject(s)
Cold Temperature , Magnetic Resonance Imaging , Muscle, Skeletal/physiology , Adult , Analysis of Variance , Ankle , Foot , Hemodynamics/physiology , Humans , Image Processing, Computer-Assisted , Male , Muscle, Skeletal/blood supply , Physical Stimulation , Time Factors
10.
J Exp Biol ; 205(Pt 24): 3989-97, 2002 Dec.
Article in English | MEDLINE | ID: mdl-12432020

ABSTRACT

Cold acclimation of carp from 30 degrees C to 10 degrees C causes a restructuring of liver microsomal phospholipids characterised by increased proportions of monounsaturated fatty acid in phosphatidylcholine (PC) and phosphatidylethanolamine (PE). Here, we have used electrospray ionisation mass spectrometry (ESI-MS) to determine the patterns of alteration to individual molecular species compositions of PC, PE and phosphatidylinositol (PI) in response to gradually decreasing temperature. The results demonstrate that cold induces precise changes to a limited number of phospholipid species, and that these changes are distinct and different for each phospholipid class. The major change for PC was increased 16:1/22:6, but for PE the species that increased was 18:1/22:6. By contrast, the PI species that increased during cold acclimation were characterised by an sn-1 monounsaturated fatty acid in combination with arachidonoyl or eicosapentaenoyl fatty acid at the sn-2 position. Analysis of acyl distribution indicates that cold only caused the accumulation of monounsaturated fatty acids at the sn-1 and not at the sn-2 position of phospholipids. These results highlight the tight and restricted range of modifications that membranes make to their phospholipid composition in response to thermal stress.


Subject(s)
Carps/physiology , Cold Temperature , Phospholipids/metabolism , Animals , Fatty Acids/chemistry , Fatty Acids/metabolism , Microsomes, Liver/chemistry , Microsomes, Liver/metabolism , Phospholipids/chemistry , Spectrometry, Mass, Electrospray Ionization
11.
Article in English | MEDLINE | ID: mdl-12075204

ABSTRACT

OBJECTIVE: The purpose of this study was to determine if mandibular motion measurements could be used to distinguish between common temporomandibular disorder (TMD) subgroups that were established on the basis of only clinical signs and symptoms. STUDY DESIGN: Patients were 41 consecutive TMD clinic patients (31 women and 10 men). These patients were divided into 6 typical TMD subgroups. The subgroups were patients with (1) arthromyalgia, (2) arthromyalgia with disk condyle incoordination, (3) disk condyle incoordination only, (4) osteoarthritis, (5) suspected disk displacement without reduction, or (6) other diagnoses. RESULTS: There were no subjects in the other-diagnosis subgroup and only 1 subject with suspected disk displacement without reduction who was dropped without further consideration. The data for mean age showed that the osteoarthritis subgroup (n = 12) was statistically older (17 years) than the disk-condyle-incoordination-only subgroup (n = 11). The mean age of the other 2 groups, arthromyalgia (n = 11) and arthromyalgia with disk condyle incoordination (n = 6), was between the osteoarthritis and the disk-condyle-incoordination-only subgroups. For the 4 TMD subgroups whose data were analyzed, the mean differences between similar jaw opening measurements ranged from 6 to 8 mm with a standard deviation of approximately 8 to 10 mm. The mean left lateral motions were 0.5 to 1.3 mm larger than observed on the right. The widest mean jaw opening (56 mm) occurred in the disk-condyle-incoordination-only group. These differences were not found to be statistically significant. CONCLUSION: Analysis of opening, lateral and protrusive jaw motion data showed these measurements could not reliably differentiate between patients with osteoarthritis, arthromyalgia, arthromyalgia with disk condyle incoordination and disk condyle incoordination only.


Subject(s)
Mandible/physiopathology , Temporomandibular Joint Disorders/diagnosis , Adult , Age Factors , Analysis of Variance , Arthralgia/diagnosis , Arthralgia/physiopathology , Dental Occlusion , Diagnosis, Differential , Facial Pain/physiopathology , Female , Humans , Joint Capsule/physiopathology , Joint Dislocations/diagnosis , Joint Dislocations/physiopathology , Male , Mandibular Condyle/physiopathology , Masseter Muscle/physiopathology , Movement , Muscular Diseases/diagnosis , Muscular Diseases/physiopathology , Neck Muscles/physiopathology , Osteoarthritis/diagnosis , Osteoarthritis/physiopathology , Palpation , Sound , Statistics as Topic , Temporal Muscle/physiopathology , Temporomandibular Joint Disc/physiopathology , Temporomandibular Joint Disorders/classification , Temporomandibular Joint Disorders/physiopathology
12.
Arch Oral Biol ; 46(11): 1031-8, 2001 Nov.
Article in English | MEDLINE | ID: mdl-11543710

ABSTRACT

The forces that develop in the human temporomandibular joint during function have never been directly measured, yet many patients exhibit excessive localized wear and tear of the joint, suggesting that at times these forces exceed tissue tolerance. The purpose here was to gain insight into vibration transmission between the cranium and mandible in healthy humans during variations of jaw position. In 13 normal healthy adult men (age 25-40 years) with normal dentitions, vibration (around 400 Hz, sine wave) was applied to the skull vertex and changes in the intensity of the vibration signal were measured using several small linear accelerometers cemented to the buccal surfaces of mandibular first molars and the labial surfaces of maxillary central incisors. The jaw was opened, protruded and moved laterally by the individual participant and vibration signal intensities were tested (lower first molar signal/upper incisor signal) for change at each mandibular position by ANOVA. The results showed the vibration signal changed significantly with opening and less so on protrusion and laterotrusion. The vibration signal during opening could be categorized into three types: (1) signal increased continuously with increased opening; (2) signal increased, then reached a plateau during last third of opening; (3) signal increased, then decreased when the individual moved from 40 mm to maximum opening. These findings show that as the jaw moves laterally, and especially as it opens, the magnitude of the vibration signal increases substantially compared with the near-closed position.


Subject(s)
Mandible/anatomy & histology , Skull/physiology , Tooth/physiology , Vibration , Acceleration , Adult , Analysis of Variance , Dental Occlusion , Humans , Incisor/physiology , Male , Mandible/physiology , Maxilla , Molar/physiology , Movement , Range of Motion, Articular/physiology , Statistics as Topic , Temporomandibular Joint/physiology , Transducers
13.
J Prosthet Dent ; 86(2): 184-94, 2001 Aug.
Article in English | MEDLINE | ID: mdl-11514808

ABSTRACT

The American Dental Association has approved several devices as aids in the diagnosis of temporomandibular disorders. Concerns remain, however, about their safety and effectiveness. This article reviews the validity and use of several instruments that claim to serve as aids in the detection of masticatory muscle pain, trismus, joint noises, and limitation of jaw motion. A review of data from 62 published articles indicated that, although commercial devices that measure jaw muscle tenderness, muscle activity levels, joint noises, and jaw motion are safe and can document these phenomena, cost-benefit analyses of these devices have not yet been conducted. Moreover, these devices have not been shown to have stand-alone diagnostic value and, when tested, they have demonstrated unacceptable sensitivity and specificity levels. None of the instruments reviewed in this article can be said to provide more than ancillary documentation.


Subject(s)
Diagnosis, Oral/instrumentation , Temporomandibular Joint Dysfunction Syndrome/diagnosis , Auscultation/instrumentation , Electromyography/instrumentation , Humans , Jaw Relation Record/instrumentation , Mandible/physiopathology , Movement , Pain Measurement/instrumentation , Reproducibility of Results , Trismus/diagnosis
14.
J Prosthet Dent ; 86(2): 195-202, 2001 Aug.
Article in English | MEDLINE | ID: mdl-11514809

ABSTRACT

STATEMENT OF PROBLEM: An accurate, easy-to-use, long-term method other than EMG is needed to monitor bruxism. PURPOSE: This article presents pilot data on the reproducibility, validity, and utility of an intrasplint piezoelectric film method. MATERIAL AND METHODS: Simulated bruxism behaviors (steady-state and rhythmic clenching, grinding, and tapping) in 5 subjects were recorded with the use of both masseter EMG and an intrasplint piezoelectric film method. RESULTS: Correlation coefficients calculated for simulated bruxism event duration with the use of a masseter EMG or an intrasplint piezoelectric film method were 0.99 for tapping and steady-state clenching, 0.96 for rhythmic clenching, and 0.79 for grinding. CONCLUSION: Piezoelectric film has its limitations and does not faithfully capture sustained force magnitudes. However, for the target behaviors associated with bruxism (tooth grinding, clenching, and tapping), it appears to faithfully reproduce above-baseline events with durations statistically indistinguishable from those recorded with masseter EMG. Masseter EMG was poorest at detecting a simulated side-to-side grinding behavior.


Subject(s)
Bite Force , Bruxism/diagnosis , Electrodiagnosis/instrumentation , Adult , Electromyography , Female , Humans , Male , Masseter Muscle/physiology , Middle Aged , Occlusal Splints , Reproducibility of Results , Signal Processing, Computer-Assisted , Transducers, Pressure
15.
J Am Dent Assoc ; 132(6): 770-7, 2001 Jun.
Article in English | MEDLINE | ID: mdl-11433856

ABSTRACT

BACKGROUND: There is substantial controversy regarding the value of occlusal appliances for managing temporomandibular joint disorders. This article specifically assesses whether the evidence is sufficient to judge occlusal appliances as being efficacious for the management of localized masticatory myalgia, arthralgia or both. A major confounder is that few studies have measured or evaluated whether subjects had strong, ongoing parafunctional activity (such as clenching or grinding) and whether appliances influenced this behavior. LITERATURE REVIEWED: The authors evaluated four placebo-controlled studies, several randomized wait-list controlled studies and several random-assignment treatment-comparison studies. Data from the wait-list condition studies vs. those from the occlusal appliance condition studies consistently suggested that the latter treatment's effect on patient symptom level is far more than that of no treatment on a wait-list group's condition. In contrast, the studies on placebo-controlled vs. occlusal appliance studies yielded a mix of data: two showed a positive benefit of occlusal vs. nonoccluding appliances, and two showed a null effect or no difference. CONCLUSIONS: Considering all of the available data (pro and con), the authors conclude that the use of occlusal appliances in managing localized masticatory myalgia, arthralgia or both is sufficiently supported by evidence in the literature. CLINICAL IMPLICATIONS: The mechanism of action by which occlusal appliances affect localized myalgia and arthralgia probably is behavioral modification of jaw clenching. However, if the behavior continues unabated, even the best splint will not work.


Subject(s)
Occlusal Splints , Temporomandibular Joint Disorders/therapy , Arthralgia/therapy , Bruxism/complications , Confounding Factors, Epidemiologic , Equipment Design , Facial Pain/therapy , Humans , Masticatory Muscles/physiopathology , Muscle Contraction/physiology , Muscular Diseases/therapy , Occlusal Splints/standards , Placebo Effect , Placebos , Randomized Controlled Trials as Topic , Treatment Outcome
16.
J Prosthet Dent ; 86(1): 57-66, 2001 Jul.
Article in English | MEDLINE | ID: mdl-11458263

ABSTRACT

STATEMENT OF PROBLEM: Occlusal adjustment therapy has been advocated as a treatment modality for temporomandibular disorders. In contrast to this position, a panel at the 1996 National Institute of Health technology assessment conference on TMD indicated that no clinical trials demonstrate that occlusal adjustment is superior to noninvasive therapies. PURPOSE: This article summarizes the published experimental studies on occlusal adjustments and temporomandibular disorders. MATERIAL AND METHODS: Eleven research experiments involving 413 subjects with either bruxism (n = 59), temporomandibular disorders (n = 219), headaches and temporomandibular disorders (n = 91), or chronic cervical pain (n = 40) were selected for critical review from the English dental literature. RESULTS: Three experiments evaluated the relationship between occlusal adjustment and bruxism. Six experiments evaluated occlusal adjustment therapy as a treatment for patients with primary temporomandibular disorders. One experiment looked at occlusal adjustment effect on headache/temporomandibular disorder symptoms; another looked at its effect on chronic neck pain. Most of these experiments used a mock adjustment or a comparison treatment as the control condition in adults who had an existing nonacute general temporomandibular disorder. Overall, the data from these experiments did not demonstrate elevated therapeutic efficacy for occlusal adjustment over the control or the contrasting therapy. CONCLUSION: The experimental evidence reviewed was neither convincing nor powerful enough to support the performance of occlusal therapy as a general method for treating a nonacute temporomandibular disorder, bruxism, or headache.


Subject(s)
Evidence-Based Medicine , Occlusal Adjustment , Temporomandibular Joint Disorders/therapy , Adult , Anesthetics, Local/therapeutic use , Anti-Inflammatory Agents/therapeutic use , Betamethasone/therapeutic use , Biofeedback, Psychology , Bruxism/therapy , Chronic Disease , Counseling , Electromyography , Follow-Up Studies , Headache/therapy , Humans , Injections, Intra-Articular , Lidocaine/therapeutic use , Neck Muscles/physiopathology , Neck Pain/therapy , Occlusal Splints , Placebos , Sleep Bruxism/physiopathology , Sleep Bruxism/therapy
17.
Arch Oral Biol ; 46(8): 721-7, 2001 Aug.
Article in English | MEDLINE | ID: mdl-11389864

ABSTRACT

The purpose of this study was to compare and contrast blood volume changes transcutaneously measured using near-infrared (NIR) spectroscopy against water signal intensity changes taken from a transverse T(2)-weighted MR image of the masseter muscle in healthy human subjects before, during and after contraction. Eight healthy non-smoking males with no history of chronic muscle pain or vascular headaches participated (mean age: 23.9+/-0.6 years). The MRI data were gathered using a turbo spin echo sequence (TR: 2300 ms; TE: 90 ms; FOV: 188x300 mm; scanning time: 30 s; slice thickness: 10 mm) and the slice level was set at the mid-point between the origin and insertion of the masseter. Intramuscular haemoglobin (Hb) levels and water content of the right masseter muscle were continuously monitored for 2 min before, 30 s during and 15 min after a maximum voluntary clenching (MVC) task. Both the near-infrared and MRI data were baseline-corrected and normalized and mean levels were established and plotted. Plots of the data showed that both near-infrared-based total Hb and T(2)-weighted MRI-based signal-intensity levels clearly decreased during contraction and a clear post-contraction rebound response was evident after the contraction. The near-infrared data were found to be highly correlated with MRI-based signal-intensity data (Pearson's r=0.909, P<0.0001). In conclusion, these data provide powerful evidence that near-infrared data (total Hb), transcutaneously taken from the masseter muscle in humans, will reflect the intramuscular water signal intensity changes seen using a T(2)-weighted MRI imaging method.


Subject(s)
Blood Volume/physiology , Magnetic Resonance Imaging , Masseter Muscle/physiology , Spectroscopy, Near-Infrared , Adult , Analysis of Variance , Body Water/chemistry , Calibration , Hemoglobins/analysis , Humans , Image Enhancement , Image Processing, Computer-Assisted , Male , Muscle Contraction/physiology , Signal Processing, Computer-Assisted , Statistics as Topic
18.
Arch Oral Biol ; 46(7): 661-6, 2001 Jul.
Article in English | MEDLINE | ID: mdl-11369321

ABSTRACT

Ten healthy non-smoking males (mean age 24.3+/-0.8 years) with no history of chronic muscle pain or migraine participated in this study. Intramuscular total haemoglobin (Hb), an indicator of blood volume in the illuminated area, was measured with a non-invasive, near-infrared spectroscopic device. Each participant was told to maintain maximal mouth opening to extend the masseter muscle for 30, 60 or 120 s in random order. Data were continuously recorded from the right masseter 1 min before, at set times during and for 5 min after sustained muscle extension in each trial. Each trial was separated by a 10-min interval. Heart rate (HR) and blood pressure (BP) were also recorded. The mean normalized Hb decreased during muscle extension and rebound hyperaemia was observed after it in each trial (P=0.0001). Hb returned to baseline within 60 s. The magnitude of the decremental change during extension and of the incremental change in the rebound hyperaemia was not significantly different among the three trials (P=0.9071); neither were mean normalized HR and BP. These data suggest that sustained extension of the masseter produces a reduction in total intramuscular Hb during extension and a secondary increase in Hb following a return to the resting muscle's normal length.


Subject(s)
Masseter Muscle/blood supply , Masseter Muscle/physiology , Adult , Analysis of Variance , Blood Pressure , Blood Volume , Electromyography , Heart Rate , Hemoglobins/analysis , Humans , Male , Muscle Spindles/physiology , Regional Blood Flow , Signal Processing, Computer-Assisted
19.
J Prosthet Dent ; 85(3): 233-5, 2001 Mar.
Article in English | MEDLINE | ID: mdl-11264929

ABSTRACT

For the single subject tested to date, the bruxism-contingent vibratory-feedback system for occlusal appliances effectively inhibited bruxism without inducing substantial sleep disturbance. Whether the reduction in bruxism would continue if the device no longer provided feedback and whether the force levels applied are optimal to induce suppression remain to be determined.


Subject(s)
Sleep Bruxism/therapy , Vibration/therapeutic use , Adult , Analysis of Variance , Electric Conductivity , Electronics, Medical/instrumentation , Equipment Design , Feedback , Female , Humans , Occlusal Splints , Physical Stimulation/instrumentation , Pressure , Statistics as Topic , Telemetry/instrumentation , Treatment Outcome
20.
J Biol Chem ; 276(11): 8492-9, 2001 Mar 16.
Article in English | MEDLINE | ID: mdl-11121419

ABSTRACT

Chromatin-associated phospholipids are well recognized. A report that catalytically active endonuclear CTP:choline-phosphate cytidylyltransferase alpha is necessary for cell survival questions whether endonuclear, CDP-choline pathway phosphatidylcholine synthesis may occur in situ. We report that chromatin from human IMR-32 neuroblastoma cells possesses such a biosynthetic pathway. First, membrane-free nuclei retain all three CDP-choline pathway enzymes in proportions comparable with the content of chromatin-associated phosphatidylcholine. Second, following supplementation of cells with deuterated choline and using electrospray ionization mass spectrometry, both the time course and molecular species labeling pattern of newly synthesized endonuclear and whole cell phosphatidylcholine revealed the operation of spatially separate, compositionally distinct biosynthetic routes. Specifically, endogenous and newly synthesized endonuclear phosphatidylcholine species are both characterized by a high degree of diacyl/alkylacyl chain saturation. This unusual species content and synthetic pattern (evident within 10 min of supplementation) are maintained through cell growth arrest by serum depletion and when proliferation is restored, suggesting that endonuclear disaturated phosphatidylcholine enrichment is essential and closely regulated. We propose that endonuclear phosphatidylcholine synthesis may regulate periodic nuclear accumulations of phosphatidylcholine-derived lipid second messengers. Furthermore, our estimates of saturated phosphatidylcholine nuclear volume occupancy of around 10% may imply a significant additional role in regulating chromatin structure.


Subject(s)
Cytidine Diphosphate Choline/metabolism , Nuclear Matrix/metabolism , Phosphatidylcholines/biosynthesis , Choline-Phosphate Cytidylyltransferase/metabolism , Humans , Spectrometry, Mass, Electrospray Ionization , Tumor Cells, Cultured
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