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Lin CS, Chang WJ, Fuh JL. Lower masticatory function relates to cognitive health and intrinsic brain network in older adults. Oral Dis 2023; 29:2895-2906. [PMID: 36577658 DOI: 10.1111/odi.14487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Revised: 11/23/2022] [Accepted: 12/20/2022] [Indexed: 12/30/2022]
Abstract
OBJECTIVES Mastication is associated with brain activation at the primary somatosensory cortex (S1) and the primary motor cortex (M1). Masticatory functions differ between patients with cognitive impairment (CI) and cognitively healthy older adults (non-CI). The association between cognitive health, brain network of functional connectivity, and mastication has remained unknown. The study investigated the association between masticatory performance (MP) and the topological feature of the functional network at the M1 and S1 in the CI and non-CI groups. SUBJECTS AND METHODS Forty-nine non-CI and 15 CI subjects received resting-state (rs) fMRI and assessment of MP. The topological feature of the M1 and S1 was quantified by eigenvector centrality (EC), an index that reflects a brain region as a functional "hub" of brain network. RESULTS In the non-CI group, MP was significantly correlated with EC of the left M1 and the right M1. The correlation was not statistically significant in the CI group. Cognitive status (CI or non-CI) and EC of the left M1 and the right M1, respectively, were statistically significant predictors to individual MP. CONCLUSION Cognitive status and the topological feature of the M1 in the intrinsic functional network may contribute to the individual difference in masticatory function.
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Affiliation(s)
- Chia-Shu Lin
- Department of Dentistry, College of Dentistry, National Yang Ming Chiao Tung University, Taipei, Taiwan
- Institute of Brain Science, National Yang Ming Chiao Tung University, Taipei, Taiwan
- Brain Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - Wen-Ju Chang
- Department of Dentistry, College of Dentistry, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - Jong-Ling Fuh
- Brain Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan
- Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan
- School of Medicine, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
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2
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Iosif CI, Bashir ZI, Apps R, Pickford J. Cerebellar Prediction and Feeding Behaviour. CEREBELLUM (LONDON, ENGLAND) 2023; 22:1002-1019. [PMID: 36121552 PMCID: PMC10485105 DOI: 10.1007/s12311-022-01476-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/01/2022] [Indexed: 06/15/2023]
Abstract
Given the importance of the cerebellum in controlling movements, it might be expected that its main role in eating would be the control of motor elements such as chewing and swallowing. Whilst such functions are clearly important, there is more to eating than these actions, and more to the cerebellum than motor control. This review will present evidence that the cerebellum contributes to homeostatic, motor, rewarding and affective aspects of food consumption.Prediction and feedback underlie many elements of eating, as food consumption is influenced by expectation. For example, circadian clocks cause hunger in anticipation of a meal, and food consumption causes feedback signals which induce satiety. Similarly, the sight and smell of food generate an expectation of what that food will taste like, and its actual taste will generate an internal reward value which will be compared to that expectation. Cerebellar learning is widely thought to involve feed-forward predictions to compare expected outcomes to sensory feedback. We therefore propose that the overarching role of the cerebellum in eating is to respond to prediction errors arising across the homeostatic, motor, cognitive, and affective domains.
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Affiliation(s)
- Cristiana I Iosif
- School of Physiology, Pharmacology and Neuroscience, University of Bristol, Biomedical Sciences Building, University Walk, Bristol, BS8 1TD, UK.
| | - Zafar I Bashir
- School of Physiology, Pharmacology and Neuroscience, University of Bristol, Biomedical Sciences Building, University Walk, Bristol, BS8 1TD, UK
| | - Richard Apps
- School of Physiology, Pharmacology and Neuroscience, University of Bristol, Biomedical Sciences Building, University Walk, Bristol, BS8 1TD, UK
| | - Jasmine Pickford
- School of Physiology, Pharmacology and Neuroscience, University of Bristol, Biomedical Sciences Building, University Walk, Bristol, BS8 1TD, UK
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3
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Demonstration of chewing-related areas in the brain via functional magnetic resonance imaging. Pol J Radiol 2023; 88:e65-e74. [PMID: 36819220 PMCID: PMC9907160 DOI: 10.5114/pjr.2023.124756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2022] [Accepted: 01/01/2023] [Indexed: 02/10/2023] Open
Abstract
Purpose To localize and identify chewing-related areas and their connections with other centres in the human brain using functional magnetic resonance imaging (fMRI). Material and methods The paradigm of the present study was block designed. Spontaneous and controlled chewing with sugar-free gum was used as the main task in a 3-Tesla fMRI unit with a 32-channel birdcage coil. Our study popu-lation comprised 32 healthy volunteers. To determine possible intersections, we also put the rosary pulling (silent tell one's beads) movement in the fMRI protocol. The data analyses were performed with the Statistical Parametric Mapping (SPM) toolbox integrated into the Matlab platform. Results The superomedial part of the right cerebellum was activated during either pulling rosary beads or spontaneous chewing. This region, however, was not activated during controlled chewing. We did not find statistically significant activation or connection related to the brain stem. Conclusion We have confirmed that the cerebellum plays an important role in chewing. However, we could not find a definite central pattern generator (CPG) in the brain stem, which has been hypothesized to underlie spontaneous chewing.
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Use of Buspirone in the Treatment of Nonpharmacological Bruxism: About 4 Cases. Clin Neuropharmacol 2021; 44:247-249. [PMID: 34767327 DOI: 10.1097/wnf.0000000000000486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE The aim of the study was to describe the efficacy of buspirone in controlling nonpharmacological awake and sleep bruxism. METHODS Four cases of nonpharmacological awake and sleep bruxism, one of them with a 20-year-long history, in which buspirone succeeded to control bruxism, are described and discussed. RESULTS Two of the 4 cases had sleep bruxism, and the other 2 cases had sleep and awake bruxism. Besides anxiety, no other predisposing condition was identified. Buspirone was effective in reducing bruxism symptoms in the 4 cases. Mean percentage of bruxism reduction after buspirone was ranked as 65% by subjects. CONCLUSIONS In this small series of cases, buspirone proved effective in the control of nonpharmacological awake and sleep bruxism.
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Silva TVDA, Sobral ADV, Silva HJD, Coriolano MDGWDS, Lins CCDSA. Factors associated with bite force in people with Parkinson's disease. REVISTA CEFAC 2021. [DOI: 10.1590/1982-0216/20212367221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Purpose: to assess the bite force in people with Parkinson’s disease and correlate it with age, sex, stage and time of the disease, dentures use, presence of temporomandibular disorder, side of symptom onset, and masticatory preference. Methods: the Research Diagnostic Criteria for Temporomandibular Disorders and the Hoehn & Yahr Parkinson’s disease scale were used, and the participants’ oral cavity was clinically examined. Then, the bite force was measured with an analog dynamometer, whose bar was adapted for mouth grip. The bite force results and their correlation with the variables were analyzed with the independent t-test (p<0.05). Results: the sample comprised 42 parkinsonians at a mean age of 64 years, 67% of whom were males. No difference was observed in the correlation with age, temporomandibular disorder, stage and time of Parkinson's disease; or between the sides, symptom onset and masticatory preference. However, there was a significant association between the sexes (males and females) for both sides (right - p=0.002; left - p=0.04) and denture use for bite force on the right side (p=0.03). Conclusion: being a female and using dentures are factors associated with decreased bite force in people with Parkinson’s disease.
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Lopez-Chaichio L, Padial-Molina M, O'Valle F, Gil-Montoya JA, Catena A, Galindo-Moreno P. Oral health and healthy chewing for healthy cognitive ageing: A comprehensive narrative review. Gerodontology 2020; 38:126-135. [PMID: 33179281 DOI: 10.1111/ger.12510] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2020] [Revised: 09/11/2020] [Accepted: 10/24/2020] [Indexed: 12/18/2022]
Abstract
INTRODUCTION Ageing leads to physiological cognitive decline that it is worsened in people with neurodegenerative diseases such as Alzheimer's disease. Despite the ongoing search for a solution to this cognitive decline, no effective remedies have been established. It has been determined that modifiable external factors, such as oral health and occlusal function, prevent cognitive decline. OBJECTIVE To analyse the primary interactions between occlusal function and cognitive functions. MAIN FINDINGS Masticatory function is related to cognitive functions. In particular, current evidence, from both animal and human studies, suggests that the activation of masticatory muscles and proper mastication, with natural teeth or dental prosthesis, induces the release of several mediators and the activation of specific brain areas. Together, they result in higher neuronal activity, neurotrophic support, blood flow and the prevention of amyloid-beta plaque formation. Thus, all the components of the masticatory system must work together in order to preserve cognitive function. CONCLUSIONS Available evidence suggests that oral and cognitive health are more interconnected than previously thought. Therefore, maintenance and adequate restoration of the whole masticatory system are important for the prevention of cognitive decline. In summary, oral and chewing health lead to healthy cognitive ageing.
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Affiliation(s)
- Lucia Lopez-Chaichio
- Department of Oral Surgery and Implant Dentistry, School of Dentistry, University of Granada, Granada, Spain
| | - Miguel Padial-Molina
- Department of Oral Surgery and Implant Dentistry, School of Dentistry, University of Granada, Granada, Spain
| | - Francisco O'Valle
- Department of Pathology and IBIMER, School of Medicine, University of Granada, Granada, Spain.,Biosanitary Institute of Granada (ibs.Granada), University of Granada, Granada, Spain
| | - Jose Antonio Gil-Montoya
- Biosanitary Institute of Granada (ibs.Granada), University of Granada, Granada, Spain.,Department of Gerodontology, School of Dentistry, University of Granada, Granada, Spain
| | - Andres Catena
- Mind, Brain and Behavior Research Center, University of Granada, Granada, Spain
| | - Pablo Galindo-Moreno
- Department of Oral Surgery and Implant Dentistry, School of Dentistry, University of Granada, Granada, Spain
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Kobayashi T, Fukami H, Ishikawa E, Shibata K, Kubota M, Kondo H, Sahara Y. An fMRI Study of the Brain Network Involved in Teeth Tapping in Elderly Adults. Front Aging Neurosci 2020; 12:32. [PMID: 32256334 PMCID: PMC7090023 DOI: 10.3389/fnagi.2020.00032] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2019] [Accepted: 02/03/2020] [Indexed: 11/18/2022] Open
Abstract
Cortical activity during jaw movement has been analyzed using various non-invasive brain imaging methods, but the contribution of orofacial sensory input to voluntary jaw movements remains unclear. In this study, we used functional magnetic resonance imaging (fMRI) to observe brain activities during a simple teeth tapping task in adult dentulous (AD), older dentulous (OD), and older edentulous subjects who wore dentures (OEd) or did not wear dentures (OE) to analyze their functional network connections. (1) To assess the effect of age on natural activation patterns during teeth tapping, a comparison of groups with natural dentition—AD and OD—was undertaken. A general linear model analysis indicated that the major activated site in the AD group was the primary sensory cortex (SI) and motor cortex (MI) (p < 0.05, family wise error corrected). In the OD group, teeth tapping induced brain activity at various foci (p < 0.05, family wise error corrected), including the SI, MI, insula cortex, supplementary motor cortex (SMC)/premotor cortex (PMA), cerebellum, thalamus, and basal ganglia in each group. (2) Group comparisons between the OD and OEd subjects showed decreased activity in the SI, MI, Brodmann’s area 6 (BA6), thalamus (ventral posteromedial nucleus, VPM), basal ganglia, and insular cortex (p ¡ 0.005, uncorrected). This suggested that the decreased S1/M1 activity in the OEd group was related to missing teeth, which led to reduced periodontal afferents. (3) A conjunction analysis in the OD and OEd/OE groups revealed that commonly activated areas were the MI, SI, cerebellum, BA6, thalamus (VPM), and basal ganglia (putamen; p < 0.05, FWE corrected). These areas have been associated with voluntary movements. (4) Psychophysiological interaction analysis (OEd vs OE) showed that subcortical and cortical structures, such as the MI, SI, DLPFC, SMC/PMA, insula cortex, basal ganglia, and cerebellum, likely function as hubs and form an integrated network that participates in the control of teeth tapping. These results suggest that oral sensory inputs are involved in the control of teeth tapping through feedforward control of intended movements, as well as feedback control of ongoing movements.
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Affiliation(s)
- T Kobayashi
- Department of Prosthodontics and Oral Implantology, School of Dentistry, Iwate Medical University, Morioka, Japan
| | - H Fukami
- Department of Physiology, School of Dentistry, Iwate Medical University, Shiwa-gun, Japan.,Department of Oral Health Sciences, Faculty of Nursing and Health Care, Baika Women's University, Osaka, Japan
| | - E Ishikawa
- Department of Physiology, School of Dentistry, Iwate Medical University, Shiwa-gun, Japan
| | - K Shibata
- Department of Physiology, School of Dentistry, Iwate Medical University, Shiwa-gun, Japan
| | - M Kubota
- Department of Prosthodontics and Oral Implantology, School of Dentistry, Iwate Medical University, Morioka, Japan
| | - H Kondo
- Department of Prosthodontics and Oral Implantology, School of Dentistry, Iwate Medical University, Morioka, Japan
| | - Y Sahara
- Department of Physiology, School of Dentistry, Iwate Medical University, Shiwa-gun, Japan
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8
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Gouw S, Frowein A, Braem C, de Wijer A, Creugers NHJ, Pasman JW, Doorduin J, Kalaykova SI. Coherence of jaw and neck muscle activity during sleep bruxism. J Oral Rehabil 2020; 47:432-440. [PMID: 31926031 PMCID: PMC7079051 DOI: 10.1111/joor.12932] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Revised: 12/05/2019] [Accepted: 12/31/2019] [Indexed: 12/25/2022]
Abstract
BACKGROUND Studies have shown co-contraction of jaw and neck muscles in healthy subjects during (sub) maximum voluntary jaw clenching, indicating functional inter-relation between these muscles during awake bruxism. So far, coherence of jaw and neck muscles has not been evaluated during either awake or sleep bruxism. OBJECTIVE The objective of this study was to evaluate the coherence between jaw and neck muscle activity during sleep bruxism. METHODS In a cross-sectional observational design, the electromyographic activity of jaw (masseter, temporalis) and neck (sternocleidomastoid, trapezius) muscles in individuals with "definite" sleep bruxism was measured using ambulatory polysomnography (PSG). Coherence for masseter-temporalis, masseter-sternocleidomastoid and masseter-trapezius was measured during phasic and mixed rhythmic masticatory muscle activity episodes using coherence-analysing software. Outcome measures were as follows: presence or absence of significant coherence per episode (in percentages), frequency of peak coherence (FPC) per episode and sleep stage. RESULTS A total of 632 episodes within 16 PSGs of eight individuals were analysed. Significant coherence was found between the jaw and neck muscles in 84.9% of the episodes. FPCs of masseter-temporalis were significantly positively correlated with those of masseter-sternocleidomastoid or masseter-trapezius (P < .001). Sleep stages did not significantly influence coherence of these muscular couples. CONCLUSION During sleep bruxism, jaw and neck muscle activation is significantly coherent. Coherence occurs independently of sleep stage. These results support the hypothesis of bruxism being a centrally regulated phenomenon.
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Affiliation(s)
- Simone Gouw
- Department of Oral Function and Prosthetic DentistryCollege of Dental SciencesRadboud University Medical CenterNijmegenThe Netherlands
- Academic InstituteUtrechtThe Netherlands
| | - Angela Frowein
- Department of Oral Function and Prosthetic DentistryCollege of Dental SciencesRadboud University Medical CenterNijmegenThe Netherlands
| | - Carlijn Braem
- Department of NeurologyRadboud University Medical CenterNijmegenThe Netherlands
- Technical MedicineUniversity of TwenteEnschedeThe Netherlands
| | - Anton de Wijer
- Department of Oral Function and Prosthetic DentistryCollege of Dental SciencesRadboud University Medical CenterNijmegenThe Netherlands
- Academic InstituteUtrechtThe Netherlands
| | - Nico H. J. Creugers
- Department of Oral Function and Prosthetic DentistryCollege of Dental SciencesRadboud University Medical CenterNijmegenThe Netherlands
| | - Jaco W. Pasman
- Department of NeurologyRadboud University Medical CenterNijmegenThe Netherlands
| | - Jonne Doorduin
- Department of NeurologyRadboud University Medical CenterNijmegenThe Netherlands
| | - Stanimira I. Kalaykova
- Department of Oral Function and Prosthetic DentistryCollege of Dental SciencesRadboud University Medical CenterNijmegenThe Netherlands
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9
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Narita N, Ishii T, Iwaki S, Kamiya K, Okubo M, Uchida T, Kantake I, Shibutani K. Prefrontal Consolidation and Compensation as a Function of Wearing Denture in Partially Edentulous Elderly Patients. Front Aging Neurosci 2020; 11:375. [PMID: 32082135 PMCID: PMC7005254 DOI: 10.3389/fnagi.2019.00375] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2019] [Accepted: 12/23/2019] [Indexed: 12/11/2022] Open
Abstract
Background The cognitive effects of wearing a denture are not well understood. This study was conducted to clarify the effects of denture use on prefrontal and chewing muscle activities, occlusal state, and subjective chewing ability in partially edentulous elderly individuals. Methods A total of 16 partially edentulous patients were enrolled. Chewing-related prefrontal cortex and jaw muscle activities were simultaneously examined using a functional near-infrared spectroscopy (fNIRS) device and electromyography, under the conditions of unwearing, and wearing a denture. Occlusal state and masticatory score were also determined under both conditions. Using multiple linear regression analysis, associations between prefrontal and chewing activities with wearing were examined using change rates. Results Chewing rhythmicity was maintained under both conditions. As compared with unwearing, the wearing condition was associated with improved prefrontal cortex and chewing muscle activities, occlusal state in regard to force and area, and masticatory score. Also, prefrontal activities were positively associated with burst duration and peak amplitude in masseter (Mm) and temporal muscle activities, as well as masticatory scores. In contrast, prefrontal activities were negatively associated with occlusal force. Conclusion Wearing a denture induced a positive association between burst duration and peak amplitude in Mm and temporal muscle activities and prefrontal activity, which may indicate a parallel consolidation of prefrontal cortex and rhythmical chewing activities, as well as masticatory scores. On the other hand, denture use induced a negative association of occlusal force with prefrontal activities, which might suggest that prefrontal compensative associations for the physiocognitive acquisition depended on biomechanical efficacy gained by wearing a denture.
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Affiliation(s)
- Noriyuki Narita
- Research Institute of Oral Science, Nihon University School of Dentistry at Matsudo, Matsudo, Japan
| | - Tomohiro Ishii
- Department of Removable Prosthodontics, Nihon University School of Dentistry at Matsudo, Matsudo, Japan
| | - Sunao Iwaki
- Automotive Human Factors Research Center, National Institute of Advanced Industrial Science and Technology, Tsukuba, Japan
| | - Kazunobu Kamiya
- Department of Removable Prosthodontics, Nihon University School of Dentistry at Matsudo, Matsudo, Japan
| | - Masakazu Okubo
- Department of Removable Prosthodontics, Nihon University School of Dentistry at Matsudo, Matsudo, Japan
| | | | - Ikuo Kantake
- Dental Support Co. Ltd., Chiba, Japan.,Department of Anesthesiology, Nihon University School of Dentistry at Matsudo, Matsudo, Japan
| | - Koh Shibutani
- Department of Anesthesiology, Nihon University School of Dentistry at Matsudo, Matsudo, Japan
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10
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Lin CS. Functional Adaptation of Oromotor Functions and Aging: A Focused Review of the Evidence From Brain Neuroimaging Research. Front Aging Neurosci 2020; 11:354. [PMID: 31998112 PMCID: PMC6962247 DOI: 10.3389/fnagi.2019.00354] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2019] [Accepted: 12/05/2019] [Indexed: 12/11/2022] Open
Abstract
“Practice makes perfect” is a principle widely applied when one is acquiring a new sensorimotor skill to cope with challenges from a new environment. In terms of oral healthcare, the traditional view holds that restoring decayed structures is one of the primary aims of treatment. This assumes that the patient’s oromotor functions would be recovered back to normal levels after the restoration. However, in older patients, such a structural–functional coupling after dental treatment shows a great degree of individual variations. For example, after prosthodontic treatment, some patients would adapt themselves quickly to the new dentures, while others would not. In this Focused Review, I argue that the functional aspects of adaptation—which would be predominantly associated with the brain mechanisms of cognitive processing and motor learning—play a critical role in the individual differences in the adaptive behaviors of oromotor functions. This thesis is critical to geriatric oral healthcare since the variation in the capacity of cognitive processing and motor learning is critically associated with aging. In this review, (a) the association between aging and the brain-stomatognathic axis will be introduced; (b) the brain mechanisms underlying the association between aging, compensatory behavior, and motor learning will be briefly summarized; (c) the neuroimaging evidence that suggests the role of cognitive processing and motor learning in oromotor functions will be summarized, and critically, the brain mechanisms underlying mastication and swallowing in older people will be discussed; and (d) based on the current knowledge, an experimental framework for investigating the association between aging and the functional adaptation of oromotor functions will be proposed. Finally, I will comment on the practical implications of this framework and postulate questions open for future research.
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Affiliation(s)
- Chia-Shu Lin
- Department of Dentistry, School of Dentistry, National Yang-Ming University, Taipei, Taiwan.,Institute of Brain Science, School of Medicine, National Yang-Ming University, Taipei, Taiwan.,Brain Research Center, National Yang-Ming University, Taipei, Taiwan
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11
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Saruta J, To M, Sakaguchi W, Kondo Y, Tsukinoki K. Brain-derived neurotrophic factor is related to stress and chewing in saliva and salivary glands. JAPANESE DENTAL SCIENCE REVIEW 2019; 56:43-49. [PMID: 31879531 PMCID: PMC6920199 DOI: 10.1016/j.jdsr.2019.11.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2019] [Revised: 10/07/2019] [Accepted: 11/21/2019] [Indexed: 12/13/2022] Open
Abstract
Chewing is one of the most important orofacial functions. During this process, food is reduced in size, while saliva moistens the food and binds it into a bolus that can be easily swallowed. Characteristics of the oral system, including the number of teeth, bite force, and salivary flow, influence the masticatory process. In addition, salivary glands produce several cell growth factors and play an important role in human health. The nerve growth factor (NGF) family consists of NGF, brain-derived neurotrophic factor (BDNF), and neurotrophins-3 to 7. BDNF is a well-studied neurotrophin involved in the neurogenesis, differentiation, and maintenance of select peripheral and central neuronal cell populations during development and adulthood. However, there has been no detailed description of the expression of neurotrophins other than NGF in the salivary gland. We previously studied the effect of immobilization stress + chewing on BDNF secretion and its receptor, tyrosine receptor kinase B, in rat submandibular glands and found increased BDNF expression in duct cells under these conditions. In this review, we describe recent advances in understanding the role of stress and chewing-related BDNF in the saliva and salivary glands.
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Affiliation(s)
- Juri Saruta
- Department of Oral Science, Division of Salivary Gland and Health Medicine, Graduate School of Dentistry, Kanagawa Dental University, 82 Inaoka-cho, Yokosuka, Kanagawa 238-8580, Japan
| | - Masahiro To
- Department of Oral Science, Division of Salivary Gland and Health Medicine, Graduate School of Dentistry, Kanagawa Dental University, 82 Inaoka-cho, Yokosuka, Kanagawa 238-8580, Japan
| | - Wakako Sakaguchi
- Department of Oral Science, Division of Salivary Gland and Health Medicine, Graduate School of Dentistry, Kanagawa Dental University, 82 Inaoka-cho, Yokosuka, Kanagawa 238-8580, Japan
| | - Yusuke Kondo
- Department of Pathology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan
| | - Keiichi Tsukinoki
- Department of Oral Science, Division of Salivary Gland and Health Medicine, Graduate School of Dentistry, Kanagawa Dental University, 82 Inaoka-cho, Yokosuka, Kanagawa 238-8580, Japan
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12
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Shiohama T, Levman J, Baumer N, Takahashi E. Structural Magnetic Resonance Imaging-Based Brain Morphology Study in Infants and Toddlers With Down Syndrome: The Effect of Comorbidities. Pediatr Neurol 2019; 100:67-73. [PMID: 31036426 PMCID: PMC6755072 DOI: 10.1016/j.pediatrneurol.2019.03.015] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/10/2018] [Revised: 03/12/2019] [Accepted: 03/14/2019] [Indexed: 12/14/2022]
Abstract
BACKGROUND Down syndrome (DS) is the most prevalent chromosomal disorder characterized by intellectual disability, multiple organ anomalies, generalized muscular hypotonia, and characteristic physical features. The presence of DS-associated medical comorbidities has contributed to brain morphologic changes. The aim of this study was to evaluate brain morphologic characteristics during infant and toddler ages in patients with DS using structural brain magnetic resonance imaging. METHODS Structural brain T1-weighted magnetic resonance images from participants with DS with complete chromosome 21 trisomy (n = 20; 1.6 ± 0.6 [mean ± standard deviation] years old) were analyzed using FreeSurfer. The measurements were compared with those of 60 gender- and age-matched neurotypical controls by Cohen's d statistic and unpaired t test with false discovery rate correction for multiple comparisons and analyzed using a univariate general linear model with the following DS-associated medical comorbidities: congenital cardiac disease, infantile spasms, and hypothyroidism. RESULTS We identified 27 candidate measurements with large effect sizes (absolute d > 0.8) and statistically significant differences (P < 6.9 × 10-3). Among them were decreased volumes in bilateral cerebellar gray matter and right cerebellar white matter and brainstem and cortical abnormalities in the right superior temporal, right rostral anterior cingulate, and left rostral middle frontal gyrus, independent of comorbid effects. Only bilateral cerebellar gray matter volumes and brainstem volume showed differences between DS and healthy groups during infancy. CONCLUSION These results suggest that cerebellar gray matter and brainstem may represent the primary regions affected by the presence of an additional copy of chromosome 21.
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Affiliation(s)
- Tadashi Shiohama
- Division of Newborn Medicine, Department of Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts; Department of Pediatrics, Chiba University Hospital, Chiba-shi, Chiba, Japan.
| | - Jacob Levman
- Division of Newborn Medicine, Department of Medicine, Boston Children’s Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA,Department of Mathematics, Statistics and Computer Science, St. Francis Xavier University, 2323 Notre Dame Ave, Antigonish, Nova Scotia B2G 2W5, Canada
| | - Nicole Baumer
- Down Syndrome Program, Developmental Medicine Center, Boston Children’s Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA
| | - Emi Takahashi
- Division of Newborn Medicine, Department of Medicine, Boston Children’s Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA
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13
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Sessle BJ. Can you be too old for oral implants? An update on ageing and plasticity in the oro‐facial sensorimotor system. J Oral Rehabil 2019; 46:936-951. [DOI: 10.1111/joor.12830] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2019] [Revised: 05/06/2019] [Accepted: 05/26/2019] [Indexed: 12/24/2022]
Affiliation(s)
- Barry J. Sessle
- Faculty of Dentistry University of Toronto Toronto Ontario Canada
- Department of Physiology, Faculty of Medicine University of Toronto Toronto Ontario Canada
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Tramonti Fantozzi MP, Diciotti S, Tessa C, Castagna B, Chiesa D, Barresi M, Ravenna G, Faraguna U, Vignali C, De Cicco V, Manzoni D. Unbalanced Occlusion Modifies the Pattern of Brain Activity During Execution of a Finger to Thumb Motor Task. Front Neurosci 2019; 13:499. [PMID: 31156377 PMCID: PMC6533560 DOI: 10.3389/fnins.2019.00499] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Accepted: 04/30/2019] [Indexed: 12/20/2022] Open
Abstract
In order to assess possible influences of occlusion on motor performance, we studied by functional magnetic resonance imaging (fMRI) the changes in the blood oxygenation level dependent (BOLD) signal induced at brain level by a finger to thumb motor task in a population of subjects characterized by an asymmetric activation of jaw muscles during clenching (malocclusion). In these subjects, appropriate occlusal correction by an oral orthotic (bite) reduced the masticatory asymmetry. The finger to thumb task was performed while the subject's dental arches were touching, in two conditions: (a) with the teeth in direct contact (Bite OFF) and (b) with the bite interposed between the arches (Bite ON). Both conditions required only a very slight activation of masticatory muscles. Maps of the BOLD signal recorded during the movement were contrasted with the resting condition (activation maps). Between conditions comparison of the activation maps (Bite OFF/Bite ON) showed that, in Bite OFF, the BOLD signal was significantly higher in the trigeminal sensorimotor region, the premotor cortex, the cerebellum, the inferior temporal and occipital cortex, the calcarine cortex, the precuneus on both sides, as well as in the right posterior cingulate cortex. These data are consistent with the hypothesis that malocclusion makes movement performance more difficult, leading to a stronger activation of (a) sensorimotor areas not dealing with the control of the involved body part, (b) regions planning the motor sequence, and (c) the cerebellum, which is essential in motor coordination. Moreover, the findings of a higher activation of temporo-occipital cortex and precuneus/cingulus, respectively, suggest that, during malocclusion, the movement occurs with an increased visual imagery activity, and requires a stronger attentive effort.
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Affiliation(s)
| | - Stefano Diciotti
- Department of Electrical, Electronic and Information Engineering "Guglielmo Marconi," University of Bologna, Cesena, Italy
| | - Carlo Tessa
- Department of Radiology, Versilia Hospital, Azienda USL Toscana Nord Ovest, Camaiore, Italy
| | | | - Daniele Chiesa
- Department of Orthopedics, University of Genoa, Genoa, Italy
| | - Massimo Barresi
- Institut des Maladies Neurodégénératives, Université de Bordeaux, Bordeaux, France
| | - Giulio Ravenna
- Department of Translational Research and of New Surgical and Medical Technologies, University of Pisa, Pisa, Italy
| | - Ugo Faraguna
- Department of Translational Research and of New Surgical and Medical Technologies, University of Pisa, Pisa, Italy.,Department of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Pisa, Italy
| | - Claudio Vignali
- Department of Radiology, Versilia Hospital, Azienda USL Toscana Nord Ovest, Camaiore, Italy
| | - Vincenzo De Cicco
- Department of Translational Research and of New Surgical and Medical Technologies, University of Pisa, Pisa, Italy
| | - Diego Manzoni
- Department of Translational Research and of New Surgical and Medical Technologies, University of Pisa, Pisa, Italy
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Silva RMD, Santos VLD, Silva TVDA, Lins CCDSA. Prevalence of temporomandibular joint disorder in people with Parkinson’s disease in a public university hospital. REVISTA CEFAC 2019. [DOI: 10.1590/1982-0216/201921317618] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: to evaluate the prevalence of temporomandibular joint disorder in people with Parkinson’s disease in a public university hospital, and relate it to sociodemographic factors, general health and oral health self-report, and phase and time of illness. Methods: the Research Diagnostic Criteria for Temporomandibular Disorders were used. The sample was classified according to the diagnosis of temporomandibular disorder and associated with the variables. The odds ratio of Chi-square was applied with a 95% confidence interval and a level of significance set at p<0.05. Results: 110 people presented with Parkinson's disease were assessed. The prevalence of temporomandibular disorder was 35%, being more frequent among males (58%), in elderly people (53%), in phase 2 of the disease (61%), click (37%) being the predominant clinical indication. Of the variables analyzed, only gender and self-perception of oral health showed to be associated with temporomandibular disorders. Conclusion: the presence of temporomandibular disorder has been observed in people with Parkinson's disease, and the fact of being male and reporting moderate oral health seen as associated factors.
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Aupy J, Noviawaty I, Krishnan B, Suwankpakdee P, Bulacio J, Gonzalez-Martinez J, Najm I, Chauvel P. Insulo-opercular cortex generates oroalimentary automatisms in temporal seizures. Epilepsia 2018; 59:583-594. [DOI: 10.1111/epi.14011] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/05/2018] [Indexed: 11/26/2022]
Affiliation(s)
- Jerome Aupy
- Epilepsy Center; Cleveland Clinic Neurological Institute; Cleveland OH USA
- Department of Clinical Neurosciences; Bordeaux University Hospital; Bordeaux France
- University of Bordeaux; Institute of Neurodegenerative Diseases; National Center for Scientific Research Mixed Unit of Research 5293; Bordeaux France
| | - Ika Noviawaty
- Epilepsy Center; Cleveland Clinic Neurological Institute; Cleveland OH USA
- Department of Neurology; University of Massachusetts Medical School; Worcester MA USA
| | - Balu Krishnan
- Epilepsy Center; Cleveland Clinic Neurological Institute; Cleveland OH USA
| | - Piradee Suwankpakdee
- Epilepsy Center; Cleveland Clinic Neurological Institute; Cleveland OH USA
- Pediatric Neurology; Phramongkutklao Hospital; Bangkok Thailand
| | - Juan Bulacio
- Epilepsy Center; Cleveland Clinic Neurological Institute; Cleveland OH USA
| | | | - Imad Najm
- Epilepsy Center; Cleveland Clinic Neurological Institute; Cleveland OH USA
| | - Patrick Chauvel
- Epilepsy Center; Cleveland Clinic Neurological Institute; Cleveland OH USA
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Lin CS. Revisiting the link between cognitive decline and masticatory dysfunction. BMC Geriatr 2018; 18:5. [PMID: 29304748 PMCID: PMC5756393 DOI: 10.1186/s12877-017-0693-z] [Citation(s) in RCA: 49] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2017] [Accepted: 12/18/2017] [Indexed: 12/17/2022] Open
Abstract
Age-related decline in cognitive functions and dementia are major challenges in geriatric healthcare. Accumulating evidence from clinical, epidemiological and animal research suggests that tooth loss may be a risk factor for the decline of cognitive functions. This issue highlights the role of the brain-stomatognathic axis in geriatric medicine. Whether input from the stomatognathic apparatus can affect the brain remains an open debate. By revisiting the evidence published in the past five years, we argue that the hypothesis regarding the association between cognitive decline and masticatory dysfunction should be carefully interpreted. Most of the available clinical and epidemiological studies present only cross-sectional data. With respect to the prospective studies, important confounding factors, such as nutritional and physical conditions, were not fully controlled for. Animal research has revealed that hippocampal deficits may play key roles in the observed cognitive decline. However, experimental intervention and outcome assessments may not capture the condition of human subjects. Brain neuroimaging research may be suitable for bridging the gap between clinical and animal research, potentially contributing to (a) the clarification of the brain network associated with mastication, (b) the identification of brain imaging markers for exploring the mechanisms underlying long-term changes in masticatory functions, and (c) the elucidation of interactions between mastication and other cognitive-affective processing systems. Three potential models of the brain-stomatognathic axis and relevant hypotheses are summarized, focusing on the sensory feedback mechanisms, the compensation of motor control, and cerebellar deficits. Finally, we highlight four critical aspects of study and experimental design that should be considered in future research: (a) the refinement of the considered behavioral assessments, (b) the inclusion of baseline changes in mental and physical conditions,
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Affiliation(s)
- Chia-Shu Lin
- Department of Dentistry, School of Dentistry, National Yang-Ming University, No. 155, Sec. 2, Linong Street, Taipei, 11221, Taiwan.
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18
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Fulks BA, Callaghan KX, Tewksbury CD, Gerstner GE. Relationships between chewing rate, occlusion, cephalometric anatomy, muscle activity, and masticatory performance. Arch Oral Biol 2017; 83:161-168. [DOI: 10.1016/j.archoralbio.2017.07.020] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2017] [Revised: 07/15/2017] [Accepted: 07/26/2017] [Indexed: 11/16/2022]
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Avivi-Arber L, Sessle BJ. Jaw sensorimotor control in healthy adults and effects of ageing. J Oral Rehabil 2017; 45:50-80. [DOI: 10.1111/joor.12554] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/23/2017] [Indexed: 12/22/2022]
Affiliation(s)
- L. Avivi-Arber
- Faculty of Dentistry; University of Toronto; Toronto ON Canada
| | - B. J. Sessle
- Faculty of Dentistry; University of Toronto; Toronto ON Canada
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20
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Feng CZ, Li JF, Hu N, Jiang H, Wang YY, Liu HC. Brain activation patterns during unilateral premolar occlusion. Cranio 2017; 37:53-59. [PMID: 28937319 DOI: 10.1080/08869634.2017.1379259] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVE To observe the characteristics of brain activation during unilateral premolar occlusion. METHODS Functional magnetic resonance imaging was collected from 10 healthy volunteers during occlusion of the left first premolar (L1), left second premolar (L2), and right first premolar (R1). The brain activation patterns were analyzed, and the primary sensorimotor cortex, supplementary motor area, insula, thalamus, and prefrontal cortex were chosen as regions of interest. RESULTS Single premolar occlusion activated the precentral gyrus, postcentral gyrus, cerebellum, thalamus, frontal lobe, hippocampus, cingulate gyrus, and parietal lobe. The brain areas showing activation during single premolar occlusion were similar to those activated by chewing. The activation pattern of L1 was more similar to that of L2 than R1. No significant left and right hemisphere differences in signal intensity were detected within the regions of interest. CONCLUSION Brain activation patterns from two ipsilateral premolars were more similar than the pattern from a contralateral premolar.
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Affiliation(s)
- Chun-Zhen Feng
- a Department of Stomatology , Chinese PLA General Hospital , Beijing , China
| | - Jin-Feng Li
- b Department of Radiology , Chinese PLA General Hospital , Beijing , China
| | - Nan Hu
- a Department of Stomatology , Chinese PLA General Hospital , Beijing , China
| | - Hua Jiang
- a Department of Stomatology , Chinese PLA General Hospital , Beijing , China
| | - Yan-Yi Wang
- a Department of Stomatology , Chinese PLA General Hospital , Beijing , China
| | - Hong-Chen Liu
- a Department of Stomatology , Chinese PLA General Hospital , Beijing , China
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21
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Piancino MG, Falla D, Merlo A, Vallelonga T, de Biase C, Dalessandri D, Debernardi C. Effects of therapy on masseter activity and chewing kinematics in patients with unilateral posterior crossbite. Arch Oral Biol 2016; 67:61-7. [DOI: 10.1016/j.archoralbio.2016.03.013] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2015] [Revised: 11/09/2015] [Accepted: 03/22/2016] [Indexed: 12/12/2022]
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22
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Ribeiro GR, Campos CH, Rodrigues Garcia RCM. Parkinson’s disease impairs masticatory function. Clin Oral Investig 2016; 21:1149-1156. [DOI: 10.1007/s00784-016-1879-z] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2016] [Accepted: 06/06/2016] [Indexed: 01/15/2023]
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23
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Jaffer H, Ichesco E, Gerstner GE. Kinematic analysis of a Duchenne smile. Arch Oral Biol 2016; 64:11-8. [PMID: 26741999 DOI: 10.1016/j.archoralbio.2015.12.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2015] [Revised: 11/02/2015] [Accepted: 12/20/2015] [Indexed: 11/18/2022]
Abstract
OBJECTIVE Facial expressions are communicative motor outputs, whose kinematics likely are due to musculoskeletal anatomy, neuromotor activity and the well-being and internal states of the individual. However, little has been published on the kinematics of facial expression. This study quantified lip, eye and cheek movements during the production of a Duchenne smile involving movement of lips and tissues surrounding the eyes. DESIGN The three-dimensional positions of 20 markers placed around the eyes, cheeks, lips and chins of 24 young adult female subjects were digitized while they performed smiles after practicing to feedback from an investigator trained in the facial action coding system (FACS). Displacement, velocity and acceleration variables were extracted and analyzed from the markers. RESULTS Results demonstrated several consistencies across subjects including: (1) relatively high peak velocities, accelerations and displacements for lip and cheek markers in the vertical and anteroposterior dimensions, (2) relatively large movements of the lower lateral eye region compared with other eye regions. CONCLUSION The results indicate that there is significant movement in the anteroposterior dimension that is not observable in frontal views of the face alone.
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Affiliation(s)
- H Jaffer
- Department of Biomolecular Sciences, College of Literature, Science, and the Arts, University of Michigan, Ann Arbor, MI 48109, USA.
| | - E Ichesco
- Department of Anesthesiology, School of Medicine, University of Michigan, 24 Frank Lloyd Wright Dr. Lobby M, Ann Arbor, MI 48109, USA.
| | - G E Gerstner
- Department of Biologic and Materials Sciences, School of Dentistry, University of Michigan, Ann Arbor, MI 48109-1078, USA.
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Lin CS, Wu SY, Wu CY, Ko HW. Gray Matter Volume and Resting-State Functional Connectivity of the Motor Cortex-Cerebellum Network Reflect the Individual Variation in Masticatory Performance in Healthy Elderly People. Front Aging Neurosci 2016; 7:247. [PMID: 26779015 PMCID: PMC4703716 DOI: 10.3389/fnagi.2015.00247] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2015] [Accepted: 12/14/2015] [Indexed: 01/18/2023] Open
Abstract
Neuroimaging studies have consistently identified brain activation in the motor area and the cerebellum during chewing. In this study, we further investigated the structural and functional brain signature associated with masticatory performance, which is a widely used index for evaluating overall masticatory function in the elderly. Twenty-five healthy elderly participants underwent oral examinations, masticatory performance tests, and behavioral assessments, including the Cognitive Abilities Screening Instrument and the short-form Geriatric Depression Scale. Masticatory performance was assessed with the validated colorimetric method, using color-changeable chewing gum. T1-weighted structural magnetic resonance imaging (MRI) and resting-state function MRI were performed. We analyzed alterations in gray matter volume (GMV) using voxel-based morphometry and resting-state functional connectivity (rsFC) between brain regions using the seed-based method. The structural and functional MRI analyses revealed the following findings: (1) the GMV change in the premotor cortex was positively correlated with masticatory performance. (2) The rsFC between the cerebellum and the premotor cortex was positively correlated with masticatory performance. (3) The GMV changes in the dorsolateral prefrontal cortex (DLPFC), as well as the rsFC between the cerebellum and the DLPFC, were positively correlated with masticatory performance. The findings showed that in the premotor cortex, a reduction of GMV and rsFC would reflect declined masticatory performance. The positive correlation between DLPFC connectivity and masticatory performance implies that masticatory ability is associated with cognitive function in the elderly. Our findings highlighted the role of the central nervous system in masticatory performance and increased our understanding of the structural and functional brain signature underlying individual variations in masticatory performance in the elderly.
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Affiliation(s)
- Chia-Shu Lin
- Department of Dentistry, School of Dentistry, National Yang-Ming University , Taipei , Taiwan
| | - Shih-Yun Wu
- Department of Dentistry, School of Dentistry, National Yang-Ming University, Taipei, Taiwan; Division of Family Dentistry, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan
| | - Ching-Yi Wu
- Division of Family Dentistry, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan; Institute of Oral Biology, School of Dentistry, National Yang-Ming University, Taipei, Taiwan
| | - Hsien-Wei Ko
- Department of Dentistry, School of Dentistry, National Yang-Ming University , Taipei , Taiwan
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Huckabee ML, Lamvik K, Jones R. Pharyngeal mis-sequencing in dysphagia: characteristics, rehabilitative response, and etiological speculation. J Neurol Sci 2014; 343:153-8. [PMID: 24954087 DOI: 10.1016/j.jns.2014.05.064] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2014] [Revised: 05/26/2014] [Accepted: 05/28/2014] [Indexed: 12/27/2022]
Abstract
OBJECTIVE Clinical data are submitted as documentation of a pathophysiologic feature of dysphagia termed pharyngeal mis-sequencing and to encourage clinicians and researchers to adopt more critical approaches to diagnosis and treatment planning. BACKGROUND Recent clinical experience has identified a cohort of patients who present with an atypical dysphagia not specifically described in the literature: mis-sequenced constriction of the pharynx when swallowing. As a result, they are unable to coordinate streamlined bolus transfer from the pharynx into the esophagus. This mis-sequencing contributes to nasal redirection, aspiration, and, for some, the inability to safely tolerate an oral diet. METHOD Sixteen patients (8 females, 8 males), with a mean age of 44 years (range=25-78), had an average time post-onset of 23 months (range=2-72) at initiation of intensive rehabilitation. A 3-channel manometric catheter was used to measure pharyngeal pressure. RESULTS The average peak-to-peak latency between nadir pressures at sensor-1 and sensor-2 was 15 ms (95% CI, -2 to 33 ms), compared to normative mean latency of 239 ms (95% CI, 215 to 263 ms). Rehabilitative responses are summarized, along with a single detailed case report. CONCLUSION It is unclear from these data if pharyngeal mis-sequencing is (i) a pathological feature of impaired motor planning from brainstem damage or (ii) a maladaptive compensation developed in response to chronic dysphagia. Future investigation is needed to provide a full report of pharyngeal mis-sequencing, and the implications on our understanding of underlying neural control of swallowing.
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Affiliation(s)
- Maggie-Lee Huckabee
- Department of Communication Disorders, University of Canterbury, Christchurch, New Zealand; New Zealand Brain Research Institute, Christchurch, New Zealand.
| | - Kristin Lamvik
- Department of Communication Disorders, University of Canterbury, Christchurch, New Zealand; New Zealand Brain Research Institute, Christchurch, New Zealand
| | - Richard Jones
- Department of Communication Disorders, University of Canterbury, Christchurch, New Zealand; New Zealand Brain Research Institute, Christchurch, New Zealand; Department of Medical Physics & Bioengineering, Christchurch Hospital, New Zealand; Department of Medicine, University of Otago, Christchurch, New Zealand
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Gerstner GE, Madhavan S, Braun TM. Relationships between masticatory rhythmicity, body mass and cephalometrically-determined aesthetic and functional variables during development in humans. Arch Oral Biol 2014; 59:711-21. [PMID: 24798980 DOI: 10.1016/j.archoralbio.2014.04.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2014] [Revised: 04/09/2014] [Accepted: 04/13/2014] [Indexed: 11/24/2022]
Abstract
OBJECTIVE We studied the relationship between chewing rhythmicity, craniomandibular morphology, and age in humans. DESIGN Sixty subjects (10M:10F/group×three age groups, viz., 4-8, 10-14, and 17-21 years) participated. Subjects chewed gum for 2min while jaw movements in the frontal plane were videorecorded. Mean and variation in mean chewing cycle duration (TC) were quantified using maximum opening to maximum opening as cycle boundaries. Five "aesthetic" cephalometric variables (e.g., ANB) and seven "functional" variables (e.g., jaw length) were quantified from subjects' lateral cephalographs. Simple linear regression models and several multivariate analyses were used in comparisons. RESULTS Mean TC increased and variation in TC decreased significantly with age. Body mass correlated with age, height, TC, all seven "functional" variables and only two "aesthetic" variables. Mean TC was correlated significantly with jaw length, distance from condylion to first molar point, distance from gonion to zygomatic arch, and distance from hyoid to menton. CONCLUSIONS TC appeared to adapt with age. Although TC scaled most significantly with age, it is more likely that TC is mechanistically linked to jaw length or size. The decrease in TC variation with age suggests improved efficiency. TC did not scale with "aesthetic" variables, suggesting that these do not impact chewing rate; however, clinical procedures that impact jaw length may. The negative allometric scaling of TC with "functional" variables may reflect the pedomorphic jaw and face of humans. Further human studies will provide insights into the nature of scaling and adaptation of rhythmic chewing during development.
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Affiliation(s)
- Geoffrey E Gerstner
- Department of Biologic and Materials Sciences, School of Dentistry, 1011 North University, University of Michigan, Ann Arbor, MI 48109-1078, USA; Department of Psychology, University of Michigan, Ann Arbor, MI 48109-1043, USA.
| | - Shashi Madhavan
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, 1011 North University, University of Michigan, Ann Arbor, MI 48109-1078, USA
| | - Thomas M Braun
- Department of Biostatistics, M4063 School of Public Health II, 1415 Washington Heights, University of Michigan, Ann Arbor, MI 48109-2029, USA.
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Teixeira FB, Pereira Fernandes LDM, Noronha PAT, dos Santos MAR, Gomes-Leal W, Ferraz Maia CDS, Lima RR. Masticatory deficiency as a risk factor for cognitive dysfunction. Int J Med Sci 2014; 11:209-14. [PMID: 24465167 PMCID: PMC3894406 DOI: 10.7150/ijms.6801] [Citation(s) in RCA: 62] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2013] [Accepted: 11/25/2013] [Indexed: 11/13/2022] Open
Abstract
Several studies have demonstrated that chewing helps to maintain cognitive functions in brain regions including the hippocampus, a central nervous system (CNS) region vital for memory and learning. Epidemiological studies suggest that masticatory deficiency is associated with development of dementia, which is related to spatial memory deficits especially in older animals. The purpose of this paper is to review recent work on the effects of masticatory impairment on cognitive functions both in experimental animals and humans. We show that several mechanisms may be involved in the cognitive deficits associated with masticatory deficiency. The epidemiological data suggest a positive correlation between masticatory deficit and Alzheimer's disease. It may be concluded that chewing has important implications for the mechanisms underlying certain cognitive abilities.
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Affiliation(s)
- Francisco Bruno Teixeira
- 1. Laboratory of Functional and Structural Biology, Institute of Biological Sciences, Federal University of Pará, 66075-900, Belém-Pará, Brazil
| | - Luanna de Melo Pereira Fernandes
- 1. Laboratory of Functional and Structural Biology, Institute of Biological Sciences, Federal University of Pará, 66075-900, Belém-Pará, Brazil; ; 2. Laboratory Pharmacology of Inflammation and Behavior, Institute of Health Sciences, Federal University of Pará, 66075-900, Belém-Pará, Brazil
| | - Patrycy Assis Tavares Noronha
- 3. Laboratory of Experimental Neuroprotection and Neuroregeneration, Institute of Biological Sciences, Federal University of Pará, 66075-900, Belém-Pará, Brazil
| | - Marcio Antonio Raiol dos Santos
- 1. Laboratory of Functional and Structural Biology, Institute of Biological Sciences, Federal University of Pará, 66075-900, Belém-Pará, Brazil
| | - Walace Gomes-Leal
- 3. Laboratory of Experimental Neuroprotection and Neuroregeneration, Institute of Biological Sciences, Federal University of Pará, 66075-900, Belém-Pará, Brazil
| | - Cristiane do Socorro Ferraz Maia
- 2. Laboratory Pharmacology of Inflammation and Behavior, Institute of Health Sciences, Federal University of Pará, 66075-900, Belém-Pará, Brazil
| | - Rafael Rodrigues Lima
- 1. Laboratory of Functional and Structural Biology, Institute of Biological Sciences, Federal University of Pará, 66075-900, Belém-Pará, Brazil
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Crane EA, Rothman ED, Childers D, Gerstner GE. Analysis of temporal variation in human masticatory cycles during gum chewing. Arch Oral Biol 2013; 58:1464-74. [PMID: 23915677 DOI: 10.1016/j.archoralbio.2013.06.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2013] [Revised: 05/08/2013] [Accepted: 06/11/2013] [Indexed: 01/06/2023]
Abstract
OBJECTIVE The study investigated modulation of fast and slow opening (FO, SO) and closing (FC, SC) chewing cycle phases using gum-chewing sequences in humans. DESIGN Twenty-two healthy adult subjects participated by chewing gum for at least 20s on the right side and at least 20s on the left side while jaw movements were tracked with a 3D motion analysis system. Jaw movement data were digitized, and chewing cycle phases were identified and analysed for all chewing cycles in a complete sequence. RESULTS All four chewing cycle phase durations were more variant than total cycle durations, a result found in other non-human primates. Significant negative correlations existed between the opening phases, SO and FO, and between the closing phases, SC and FC; however, there was less consistency in terms of which phases were negatively correlated both between subjects, and between chewing sides within subjects, compared with results reported in other species. CONCLUSIONS The coordination of intra-cycle phases appears to be flexible and to follow complex rules during gum-chewing in humans. Alternatively, the observed intra-cycle phase relationships could simply reflect: (1) variation in jaw kinematics due to variation in how gum was handled by the tongue on a chew-by-chew basis in our experimental design or (2) by variation due to data sampling noise and/or how phases were defined and identified.
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Affiliation(s)
- Elizabeth A Crane
- Department of Biologic and Materials Sciences, School of Dentistry, Ann Arbor, MI 48109-1078, USA.
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