Lateral jaw movements in mammalian dentitions

Removable partial denture occlusion

No single occlusal morphology, scheme, or material will successfully treat all patients. Many patients have been treated, both successfully and unsuccessfully, using widely varying theories of occlusion, choices of posterior tooth form, and restorative materials. Therefore, experience has demonstrated that there is no one righ r way to restore the occlusion of all patients. Partially edentulous patients have many and varied needs. Clinicians must understand the healthy physiologic gnathostomatic system and properly diagnose what is or may become pathologic. Henderson [3] stated that the occlusion of the successfully treated patient allows the masticating mechanism to carry out its physiologic functions while the temporomandibular joints, the neuromuscular mechanism, the teeth and their supporting structures remain in a good state of health. Skills in diagnosis and treatment planning are of utmost importance in treating these patients, for whom the clinician's goals are not only an esthetic and functional restoration but also a lasting harmonious state. Perhaps this was best state by DeVan [55] more than 60 years ago in his often-quoted objective. "The patient's fundamental need is the continued meticulous restoration of what is missing, since what is lost is in a sense irretrievably lost." Because it is clear that there is no one method, no one occlusal scheme, or one material that guarantees success for all patients, recommendations for consideration when establishing or reestablishing occlusal schemes have been presented. These recommendations must be used in conjunction with other diagnostic and technical skills.

Internal architecture, origin-insertion site, and mass of jaw muscles in Old World hamsters

The jaw muscle (i.e., masticatory, suprahyoid, and extrinsic tongue) anatomy and mass were examined in four genera of Old World hamsters (cricetine murids), Mesocricetus, Cricetulus, Tscherskia, and Phodopus. The masseter was the largest and most complicated of the muscles examined. In the superficial layer, a few ventral fibers form a small medially turned portion with an insertion site more similar to those of sciurids than of other murids. In Mesocricetus, the superficial layer has a discrete anteroventral portion that has not been reported for other murid rodents. Examination of the fiber attachment sites indicated that the deep layer contains four parts and the medial layer contains three parts. The deep layer originates from two aponeuroses that are firmly connected to each other at their anterior ends and lie along the zygomatic arch. The aponeurosis of insertion for the deep layer is situated along the masseteric ridge and the dorsal border of the angular process, but is absent in its middle part, consistent with reports in two relatives, sigmodontine and arvicoline murids. In cricetine murids, unlike in other rodents, fibers insert on the dorsal narrow strip of the posterior mandibular aponeurosis, not on its broad medial aspect. The relative mass of some masticatory and suprahyoid muscles is related to body mass. Small species (Cricetulus and Phodopus) have relatively larger masseter and mylohyoid muscles and smaller temporalis and geniohyoid muscles than large species (Mesocricetus and Tscherskia).

Dental homologies in lamniform sharks (Chondrichthyes: Elasmobranchii)

The dentitions of lamniform sharks are said to exhibit a unique heterodonty called the "lamnoid tooth pattern." The presence of an inflated hollow "dental bulla" on each jaw cartilage allows the recognition of homologous teeth across most modern macrophagous lamniforms based on topographic correspondence through the "similarity test." In most macrophagous lamniforms, three tooth rows are supported by the upper dental bulla: two rows of large anterior teeth followed by a row of small intermediate teeth. The lower tooth row occluding between the two rows of upper anterior teeth is the first lower anterior tooth row. Like the first and second lower anterior tooth rows, the third lower tooth row is supported by the dental bulla and may be called the first lower intermediate tooth row. The lower intermediate tooth row occludes between the first and second upper lateral tooth rows situated distal to the upper dental bulla, and the rest of the upper and lower tooth rows, all called lateral tooth rows, occlude alternately. Tooth symmetry cannot be used to identify their dental homology. The presence of dental bullae can be regarded as a synapomorphy of Lamniformes and this character is more definable than the "lamnoid tooth pattern." The formation of the tooth pattern appears to be related to the evolution of dental bullae. This study constitutes the first demonstration of supraspecific tooth-to-tooth dental homologies in nonmammalian vertebrates.

Histochemical study of the elastic fibers in pathologic human temporomandibular joint discs

PURPOSE

This study investigated histochemically the elastic fibers in human temporomandibular joint (TMJ) discs with varying degrees of tissue degeneration/regeneration to determine whether there are differences that correlate with the histologic findings.

MATERIALS AND METHODS

Ten diseased human TMJ discs and 2 control specimens were studied histochemically by staining with Weigert's resorcin-fuchsin after oxidation with peracetic acid. This technique selectively stains elastic, elaunin, (pre-elastic), and oxytalan fibers.

RESULTS

In TMJ discs with an abnormal collagen fiber arrangement, an increased number of oxytalan fibers could be observed, contrary to discs with scar-like tissue transformation in which oxytalan fibers were decreased in number. In discs showing tears and clefts, the oxytalan fibers run perpendicular to the defects, whereas elaunin and elastic fibers were mainly circumferentially arranged. In discs with chondroid metaplasia, elastic, elaunin, and oxytalan fibers were extensively detected.

CONCLUSIONS

It is hypothesized that the elastic, elaunin, and oxytalan fibers found in severely damaged discs appear to ensure biomechanical compliance by reinforcing regions devoid of collagen bundles and thus function as shock absorbers of stretch and compression.

Enlargement of the rabbit mandibular condyle after experimental induction of anterior disc displacement: a histomorphometric study

PURPOSE

Clinical and autopsy studies have shown that patients with temporomandibular joint dysfunction are more likely to have enlargement and deformity of the condyle and subsequently occlusal disharmony. However, it is not known what causes this enlargement. This study was designed to test the hypothesis that surgical induction of anterior disc displacement (ADD) in the rabbit craniomandibular joint (CMJ) could lead to enlargement and deformity of the condyle.

MATERIALS AND METHODS

The right CMJ was exposed surgically, and the discal attachments were severed except for the posterior discal attachment (bilaminar zone). Then, the disc was repositioned anteriorly and sutured to the zygomatic arch. The left joint served as a sham-operated control. CMJ tissues then were removed after fixation at 24 hours (5 rabbits), 1 week (10 rabbits), 2 weeks (10 rabbits), or 6 weeks (10 rabbits), processed, and stained with hematoxylineosin. Histomorphometric assessment was used to evaluate changes in condylar volume, and thickness of the fibrous, reserve cell, and condylar cartilage layers.

RESULTS

The results showed a progressive enlargement of the condylar volume in all experimental joints compared with controls (P < .01). The enlargement was attributable to a significant increase in the cartilage thickness and surface area of the nonarticulating portion of the condyle in the 1-week group (P < .01). In the 2- and 6-week groups, there were significant, progressive increases in cartilage thickness and surface area of the articulating portion of the condyle (P < .01). In all animals, increased cartilage thickness was associated with a decrease in the thickness of the fibrous and the reserve cell layers (P < .01).

CONCLUSION

It is concluded that surgical induction of ADD in the rabbit CMJ causes enlargement of the condyle, which is in part caused by hyperplasia of the condylar cartilage.

Changes in the innervation of rabbit craniomandibular joint tissues associated with experimental induction of anterior disk displacement: histochemical and immunohistochemical studies

We have previously reported that surgical induction of anterior disk displacement (ADD) in a rabbit craniomandibular joint (CMJ) leads to histopathological changes consistent with osteoarthritis. This paper reports the changes that were noted in the innervation of rabbit CMJ tissues following surgical induction of ADD. The right joint of 30 rabbits was exposed surgically and the discal attachments were severed except for the posterior discal attachment (bilaminar zone). The disk was then displaced anteriorly and sutured to the zygomatic arch. The left joints was used as sham-operated control. CMJ tissues were then removed after fixation and processed for histochemical localization of nerve fibers using the silver impregnation technique and immunohistochemical localization of neurofilaments using monoclonal antibodies. The results showed an absence of nerve fibers in the control and experimental disks and their presence in the control and experimental bilaminar zones. The bilaminar zone adhesions to the experimental condyles were also innervated. The spread of nerve fibers into the pathological fibrous adhesions surrounding the arthritic condyles in this animal model of ADD may indicate a possible mechanism of nociception in this disease.

Histopathological changes in rabbit craniomandibular joint associated with experimentally induced anterior disk displacement (ADD)

Several studies have shown that anterior disk displacement (ADD) of human temporomandibular joint (TMJ) can lead to cellular and extracellular alterations in the disk proper, bilaminar zone (BZ), condyle, articular eminence and synovial membrane. Due to lack of an animal model for this disease, it is not known whether the mechanical displacement of the disk could lead to the observed histopathological changes. The purpose of this experiment was to investigate the histopathological changes that occur in the rabbit craniomandibular joint (CMJ) following surgical induction of ADD. The right CMJ was exposed surgically and the discal attachments were severed except for the BZ attachments. Then the disk was displaced anteriorly and sutured to the zygomatic arch. The left joint served as surgical control. The CMJs were removed after 24 h, 1 week, 2 weeks or 6 weeks and stained with H&E or modified Masson stain. The results showed neovascularization, cell clustering and fibrillation of the displaced disk. The BZ showed marked fibrosis. The condyle showed subchondral hemorrhage and fibrosis followed by osteoarthritic changes in the articular cartilage. The articular eminence showed chondrocytic clustering and an increase in the amount of chondroid bone. Synovial membrane exhibited marked hyperplasia. We concluded that surgical induction of ADD in the rabbit CMJ leads to cellular and extracellular alterations in the disk proper, BZ, condyle, articular eminence and synovial membrane similar to those described previously in human ADD. It appears that the mechanical trauma resulting from ADD could lead to a cascade of reparative and degenerative changes of the affected joints similar to those described for osteoarthritis.

Computer-aided modeling in the assessment of the biomechanical determinants of diverse skeletal patterns

Aberrant functional patterns of the masticatory musculature have been alleged as a factor influencing the morphogenesis of mandibular dysplasias. These include such expressions as the hyperdivergent skeletal open bite and its counterpart, the hypodivergent skeletal deep bite. A lack of anatomic data dealing with the actual musculoskeletal orientations of these types has resulted in speculative reports on divergent anatomy and its purported effects. In this study anatomic dissections of a hyperdivergent and a hypodivergent human cadaver illustrated that skeletally dysmorphic types possess different spatial orientations of the masticatory adductors in relation to dentofacial structures. A two-dimensional analysis of static equilibrium using computer-aided modeling demonstrated that these two types produce biomechanically distinct modes of muscle action. Temporalis activity must be 40% higher in the hyperdivergent model as compared with its counterpart to produce a biting force of 500 N (112 lb). The data suggest a rationale for the weak biting forces previously reported in long-faced persons when compared with horizontally developed subjects. The direction of condylar reaction force was also found to vary from a vertical orientation in the hyperdivergent model to oblique in the hypodivergent model. "Physis-like" behavior of the condyle, which can orient axially toward loading forces, may present an explanation for the reported differences in the direction of condylar growth in dysmorphic persons. A finite element analysis pictured distinct regions of deformation and compression in a novel perspective to help evaluate the currency of accepted hypotheses of stress-induced osteogenesis. The data support previous work reporting a latent geometric interdependency existing between muscle orientation and mandibular morphology.

Crossed and uncrossed central effects of muscle spindle afferents from the lateral pterygoid muscle of the guinea pig

Physiological evidence is presented for the presence of stretch reflexes in the lateral pterygoid (Pt) muscle of the guinea pig. The central reflex effects of excitation of Pt stretch reflex afferents were also investigated. Passive lateral jaw displacement, which resulted in stretch of the Pt muscle on the side of jaw movement and stretch of the zygomatico-mandibularis (Z) muscle on the side contralateral to the movement, evoked increased EMG activity in these muscles. Stimulation of the trigeminal mesencephalic nucleus (mes V) evoked monosynaptic reflexes in both the Pt and Z nerves. Tonic stretch of the Pt muscle facilitated the monosynaptic reflex in the Pt nerve evoked by stimulation of mes V. Tonic vibration of the Pt muscle facilitated the mes V evoked monosynaptic reflex in the nerves to the ipsilateral Pt and contralateral Z muscles. Conversely, tonic vibration of the Z muscle facilitated the monosynaptic reflex evolved by mes V stimulation in the contralateral Pt and ipsilateral Z nerve. The results support the view that muscle spindles exist in the Pt and Z muscles and that there is a monosynaptic stretch reflex for both the Pt and Z muscles with cell bodies located in the mes V nucleus. It was also shown that the ipsilateral Pt muscle and the contralateral Z muscle act as synergists in the production of lateral jaw movements and that the organization of the stretch reflexes originating from the Pt and Z muscles support their synergistic action.

Mandibular movements of the albino rat during feeding

Jaw movements of albino rats during biting and mastication of relatively hard food were recorded by means of conventional and X-ray cinematography. Mandibular kinetics have been analysed in the context of passive mechanical limits imposed by jaw morphology, particularly of the joints, and by the food itself. Movements have been described in terms of degrees of gape, condylar translation and horizontal rotation of the rami about the symphysis. During biting the condyle remains in the anterior two-thirds of the fossa, moves forward as the jaw opens and the converse. The rami usually spread well apart; the lower incisors are usually approximated. Incised food particles are transported toward the molars by means of coordinated jaw and tongue movements. The prominent palatal rugae of the diastemal region abet this process. In the power stroke of mastication, the mandible shifts forward as the lower toothrows move a little inward; the condyles occupy the posterior two-thirds of the fossa. All movements seen were bilaterally symmetrical. Simultaneous chewing occurred on both sides. It is suggested that the lingual components in the primarily anterior power stroke enhance grinding efficiency. A movable symphysis appears to be of critical importance in facilitating this type of mastication.

Musculoskeletal arrangements for lateral mandibular movements in the rabbit and rat: electromyographic and other analyses

Electromyography using wire microelectrodes and multichannel recording of the masseter and medial pterygoid muscles demonstrated that in the rabbit, the ipsilateral medial pterygoid muscle actively opposes lateral mandibular movement. In the rat, the ipsilateral medial pterygoid muscle and contralateral masseter muscle oppose the movement. The results correlate with the musculoskeletal arrangements of the two animals.