Age and gender-related differences in premolar and molar functional areas.

The aim of the present study was to underline the difference in premolar-molar functional areas according to both age and gender in a human adult population. Premolar and molar series were marked manually on opposed casts with articulating paper and functional areas were evaluated by quantification of these markings. It was noticed that on average larger functional areas were displayed by the older group (19 individuals, mean age 71.2 years, minimum 68 years, maximum 73 years) in comparison with the younger one (24 individuals, mean age 27.4 years, minimum 22 years; maximum 33 years). It was also observed that the average total functional area (4 hemiarches) was larger in the male subgroup (n: 23; mean age 45; young adults, 14; old adults, 9) compared with the female one (n: 20; mean age 49; young adults, 10; old adults, 10). Nevertheless, this gender difference in premolar-molar functional areas was related to the individual occlusal areas. As a matter of fact, when the individual occlusal area was taken into account for each series in the form of a ratio (functional area/occlusal area), the values obtained were not different between both gender subgroups studied. When comparing premolar and molar functional ratios (functional area/occlusal area) between age groups, it appears that the values obtained were slightly higher for the premolar series (ratios for young and older adults, respectively: Premolar series: 23.6+/-7.5%, 30+/-6.5%; Molar series: 23.1+/-6.8%, 27.3+/-6.7%). This difference was interpreted in relation to the reference (occlusal area) chosen.

Effect of age on salivary flow obtained under feeding and non-feeding conditions.

Age, health status and disease treatments are thought to influence salivary flow. In this study, age effect on salivation was compared in non-feeding (at rest and during parafilm chewing) and feeding (during meat chewing) conditions for two groups of healthy subjects, 25 young subjects (mean age 27.4 years) and 20 old subjects (mean age 71.2 years). In non-feeding conditions, parotid flow was assessed at rest (3 min) and during parafilm chewing (1 min) from the absorptive capacity of a cotton roll placed in front of the upper duct apertures. Remaining saliva emanating mainly from the submandibular/sublingual glands was determined at rest by a sublingual cotton roll. In order not to impede in the chewing process during parafilm chewing, no cotton roll was placed in the lower part of the mouth and the remaining saliva was simply spit out for evaluation. Assessments were made under feeding conditions during the mastication of meat of different textures. The saliva content of the bolus was evaluated at different stages of the chewing process by weighing the mouth contents after spitting. No direct age effect was found on the different salivary flow rates measured during different conditions of stimulation. However, a significant correlation was found between the salivary flow rates at rest and those obtained during meat chewing in the elderly group but not in the young group. In elderly adults, rest salivary flow rate appears as a good predictor of salivary flow during the consumption of food. Within each group, significant correlations were found between salivation elicited by meat and by parafilm chewing. These results confirm the lack of direct global age effect on salivary flow rate by chewing in the 3 min after the stimulation, although adaptations to the measurement conditions are different between both groups of subjects.

Influence of age and dental status on chewing behaviour studied by EMG recordings during consumption of various food samples.

OBJECTIVE: To evaluate the effects of age and dental status on chewing performance in humans. DESIGN: Electromyography recordings (EMG) were made during chewing of six foods (rice, beef, cheese, crispy bread, apple, and peanuts) to compare the masticatory patterns of four subject groups with different ages and dental status. SUBJECTS: Nineteen elders (mean age 67.2 years) classified into three categories according to their number of opposing post-canine teeth pairs (i.e. functional units) and a control group of 10 young adults (mean age 26.5 years) with a high number of functional units. MAIN OUTCOME MEASURES: Number of chewing cycles, chewing time, total muscle activity and muscle activity per chew, burst and inter-burst durations, maximum and mean voltages from EMG recordings. RESULTS: Time-related EMG parameters increased from young subjects to elderly subjects with high, middle and low dental status. Parameters related to EMG voltages per chew decreased in the same order among the different groups of subjects. These tendencies were observed for all the studied products. Subjects with weak muscle contraction may compensate for their poor chewing performance by lengthening both chewing cycle and sequence duration. Additional alterations in the chewing patterns were observed when age effect was associated with a dental status degradation in terms of number of functional units. CONCLUSION: Impairment in mastication for the elderly is due to both ageing and decreasing number of functional pairs of post-canine teeth.

Value of autoantibodies to beta(2)-glycoprotein 1 in the diagnosis of antiphospholipid syndrome.

OBJECTIVES: To define the specificity and positive predictive value of anti-beta(2)-glycoprotein 1 (anti-beta(2)GP1) antibodies for the diagnosis of antiphospholipid syndrome (APS). METHODS: We determined the presence of anticardiolipin (aCL) antibodies and anti-beta(2)-glycoprotein 1 (anti-beta(2)GP1) immunoglobulin (Ig) G and IgM in 191 consecutive sera from 191 patients and reviewed clinical data separately. aCL IgG and IgM were detected separately using commercial ELISA kits. Anti-beta(2)GP1 antibodies were detected with an in-house ELISA using beta(2)GP1. RESULTS: Seven patients were diagnosed as having APS and 184 as having other diseases. Thirty-six patients were aCL-positive and 12 were anti-beta(2)GP1-positive, seven of these 12 were APS patients. The specificity for anti-beta(2)GP1 in our population was 97%, with a positive predictive value (PPV) of 58%. Among the aCL-positive patients, specificity was 90% and PPV 70-87%. CONCLUSIONS: This study shows that anti-beta(2)GP1 antibodies have a higher specificity and PPV than aCL for APS. The PPV of anti-beta(2)GP1 was greater in aCL-positive than in all patients. We conclude that screening for anti-beta(2)GP1 antibodies in aCL-positive patients increases the specificity and the PPV of aCL testing. In addition, we show that there is no need to screen for anti-beta(2)GP1 antibodies in the absence of aCL antibodies and in the absence of strong clinical suspicion of APS.

Correlations between functional and occlusal tooth-surface areas and food texture during natural chewing sequences in humans.

The dental-arch surfaces preferentially used in mastication were studied by measuring functional and occlusal surface areas and comparing these to the number of chews required to swallow foods of different texture properties. The functional surface of the teeth was defined as the total area of visible wear facets on post-incisal teeth, adding to it the contacting areas of restored teeth where no facets were visible. Occlusal surface area was taken as the total area of the occluding parts of post-incisal teeth. Both surfaces were measured with computer image processing on dental-stone casts of the teeth of 31 young adults. Functional surface areas (mean 168 mm(2), four quadrants) were positively correlated with occlusal surface areas (mean 739 mm(2), four quadrants). The left:right area ratios were more variable for functional than for occlusal surfaces. Functional surface-area ratios markedly different from 1.0 might reflect functional side-preponderance of masticatory activity. Correlations between tooth surface area and the number of cycles were examined with five different food samples of known texture during side-imposed mastication. Depending on the elastic moduli of the foods, significant negative correlations were found between the left:right ratios of functional or occlusal surface areas and the left:right ratios of cycle numbers. The rheological properties of the food particles chewed were assumed to be the key factor in the correlations with either the functional or anatomical occlusal surfaces.

Complete denture wearers: electromyography of mastication and texture perception whilst eating meat.

This study was undertaken to evaluate the sensitivity of denture wearers to different food textures and to follow masticatory pattern adaptation with variation in texture using electromyography (EMG) recordings. Nine patients with complete dentures and 9 dentate control patients without any oro-dental pathology were studied. Six different samples of beef were obtained from the same muscle by altering the state of the muscle fibres and by variation of the cooking temperature. The variations in texture were mechanically controlled. Electromyographic activity was recorded during chewing. The patients' subjective appreciation of texture was reported using a 10-cm non-structured analogue scale. The following parameters were analysed: muscle work, number of masticatory cycles, number of rejected samples, initial tenderness, overall tenderness, juiciness, and duration of chewing for each sample in the mouth. Muscle activity was less for the edentulous group, particularly that of the masseter muscles. The masticatory pattern of complete denture wearers was less adapted to each sample texture than was that of the control group. Both groups perceived differences in texture of the samples. It was concluded that although texture perception is little altered, muscular adaptation to the bolus is reduced in patients with complete dentures.

Variations in human masseter and temporalis muscle activity related to food texture during free and side-imposed mastication.

Adjustments of mastication to food texture have been examined in various studies, but the notion of food texture is often ill defined and usually assessed in terms of hardness. The goal of this study was to examine the pattern of activity in masseter and temporalis muscles during mastication of different food samples with known textural properties and to determine the interindividual variability. Electromyograms were recorded from the right and left masseter and temporalis muscles in 36 young adults during 'free-style' and side-imposed mastication. Five different types of food with known rheological properties were used. Both temporalis and masseter activity increased with increased stress at maximum strain of the chewed samples. A power function optimally described the relation between muscle work per chew and the mechanical measurements of food; this confirmed that the masticatory process is adjusted to accommodate to food texture. Temporalis muscle activity was more influenced by food texture than was masseter muscle activity. Less muscle work was needed to prepare the food bolus for swallowing during free-style mastication. However, 25% of the participants showed no differences between unilateral side-imposed mastication and 'free-style', suggesting that they might have greater chewing efficiency on one side.

Bite force displayed during assessment of hardness in various texture contexts.

The relationship between mastication pattern, mechanical properties of the food bolus and texture perception are not fully understood, though the mastication process is known to adjust to different textural properties of foods. This study investigated the role of the bite force as one major aspect in hardness assessment of materials exhibiting simple mechanical properties over a wide hardness range. Elastic, plastic and brittle materials (silicone elastomers, waxes and pharmaceutical tablets, respectively) were tested. The rheological characteristics of these products were measured. For each product, one to four differential thresholds were determined at different points on a hardness scale by 10 individuals free of dental pathology. Bite forces were recorded by placing a small intraoral load cell under each sample. To assess the influence of the nature of the applied force, bites were made either directly on to the sample or on a metal disc placed between the teeth and the sample. As the individuals had to break the brittle products to perceive any hardness difference, bite forces were very closely correlated with the hardness of the products (r = 0.99). For plastic products, bite forces again correlated with the hardness (r = 0.96), even though individuals could stop biting at any time during the plastic deformation. Hardness perception of brittle and plastic products depends directly on sensory information about the bite force. However, hardness assessment of elastic products was obtained under constant bite force; here, the resulting deformation may provide sensory information about hardness.

Chronic recordings from single sites of kitten striate cortex during experience-dependent modifications of receptive-field properties.

1. With the use of chronically implanted floating microelectrodes, we obtained simultaneous single-unit recordings from multiple sites in the kitten striate cortex and followed experience-dependent modifications of receptive-field properties. For induction of experimental modifications, we used the paradigm of monocular deprivation and reverse occlusion. Kittens were implanted when 4-5 wk old. During the following 2 days, receptive-field properties of the recorded units were determined once under light ketamine anesthesia and repeatedly while the kittens were awake and only lightly restrained. Subsequently, one eye was patched, and the resulting changes in neuronal eye preference were followed by repeated measurements of response properties. For investigation of the effects of reverse occlusion, the deprived eye was opened and the previously open eye closed when the neurons had become unresponsive to the initially deprived eye. Alternatively, kittens were monocularly deprived for 1 wk by lid suture before implantation. The closed eye was then opened, the other eye patched, and the effects of reverse occlusion were studied for up to 1 wk by repeated measurements of receptive-field properties. 2. The earliest effect of monocular deprivation was the disappearance of binocular summation, i.e., binocular responses ceased to be superior over monocular responses. Overt changes of ocular dominance were observed as early as 6 h after the beginning of monocular deprivation. These consisted of a gradual decrease of the excitatory response to deprived eye stimulation and, on occasions, of an additional moderate increase of responses to the normal eye. A complete loss of excitatory responses to deprived-eye stimulation was seen as early as 12 h after occlusion. In numerous cells, however, stimulation of the deprived eye continued to evoke inhibitory responses even after excitatory responses had vanished completely. During this shift in ocularity, neurons preserved their orientation and direction selectively. 3. The minimal time required for the manifestation of ocular dominance changes was similar regardless of whether the animals were stimulated continuously or were asleep part of the time, suggesting the existence of an experience-independent consolidation period for ocular dominance changes. 4. The first change after reverse occlusion was a reduction of the response to the newly deprived eye. The time course of this inactivation was similar to that observed after initial deprivation, whereas the recovery of responses to the previously deprived eye had a considerably slower time course.(ABSTRACT TRUNCATED AT 400 WORDS)

Long-term recordings and receptive field measurements from single units of the visual cortex of awake unrestrained kittens.

A method is described which allows simultaneous recording of the activity of several neurons in the visual cortex of awake unrestrained kittens for a period sufficiently long to follow experience-dependent changes in receptive field properties. The electrodes consisted of 25 microns thick Teflon-coated platinum-iridium wires whose tips were tapered and coated with platinum black. They were implanted individually into the striate cortex and fixed with tissue glue to the pia mater. The other end of the electrodes was connected to a 21-pin plug and fixed to the skull in a way which allowed the wires to follow freely any movements of the brain. With this arrangement single and multi unit activity could be recorded from up to 10 sites over several weeks. In fortuitous cases the activity of a single cell could be followed over several days. The receptive field properties of these neurons were determined in awake animals by computing response histograms to moving gratings that covered the whole visual field and whose orientation could be changed in small steps. Comparison with receptive field properties that were determined for the same neurons after the kittens had been lightly anesthetized, revealed that this method allowed reliable determination of the eye preference of the neurons as well as of their orientation and direction selectivity. Since this method allowed repeated non-invasive measurements of neuronal response properties in only lightly restrained kittens, it was possible to study, in individual units, the nature and time course of changes in receptive field properties such as result from monocular deprivation and reverse occlusion.

Central and peripheral residual vision in humans with bilateral deprivation amblyopia.

Residual visual capacities were investigated in the central and peripheral visual fields of 13 patients with bilateral deprivation amblyopia secondary to congenital cataracts removed at an early age. In comparison with a control group of normal subjects, spatial modulation sensitivity function of the amblyopes was markedly impaired in each experimental condition, i.e. both when the stimuli were stationary or drifting (8 Hz) gratings and both in central or peripheral visual field, at 10 and 20 degrees eccentricity. The sensitivity drop was observed over the whole spatial frequency range, although it was much more severe at high frequencies. Threshold elevation, with respect to controls, was very similar in conditions using stationary or drifting gratings, suggesting that both sustained and transient mechanisms are affected by stimulus deprivation amblyopia. Temporal modulation sensitivity function was uniformly impaired over the whole temporal frequency range. When compared with other types of amblyopia, this pattern of spatiotemporal sensitivity loss appeared characteristic of deprivation amblyopia. The peripheral deficit was particularly striking by its severity and extent, as ascertained by static perimetry and visual acuity measurements up to 50 degrees eccentricity. This finding emphasizes the susceptibility of peripheral as well as central human vision to early deprivation and suggests that peripheral visual functions are still immature in newborns. Finally, the overall deficit varied with the severity of the deprivation, in that patients with complete neonatal cataract performed much worse than those with incomplete cataract.