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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of oral rehabilitation 14 (1987), S. 0 
    ISSN: 1365-2842
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The relationships of the lateral pterygoid muscle within the infratemporal fossa were observed by conventional dissections and by examination of specimens sectioned in the horizontal and frontal planes. The following less well-known features were noted. At the origins of the superior and inferior heads there are regions in which the fibres are interlaced or closely overlapped by fibres of either the temporalis muscle or the medial pterygoid muscle. Fibres of the superior head insert not only into the meniscus of the temporomandibular joint, but also into the pterygoid fovea at the neck of the mandibular condyle. Specimens sectioned through the origin of the inferior head of the muscle show internal tendon lamellae consistent with a pennate structure.Electromyographic (EMG) activity was recorded in five healthy subjects using concentric needle and fine-wire electrodes. Strong to very strong activity was consistently observed in the superior head during clenching and tooth gnashing. The inferior heads were silent or had negligible to slight activity most of the time during ipsilateral movements or clenching, but were co-activated bilaterally, with strong to very strong activity during jaw opening, protrusion, swallowing, tooth gnashing and during passive retrusion. They showed marked activity unilaterally during contra-lateral movements.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of oral rehabilitation 13 (1986), S. 0 
    ISSN: 1365-2842
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Abnormalities associated with the chewing contraction of the masseteric and anterior temporal muscles were evaluated in patients who sensed pain in the area of the temporomandibular joint during mandibular movement. The patients were instructed in the use of an electronic switch to mark any event of discomfort/pain during natural chewing. Individual stimulus to response reaction-times were determined. The electromyographic pattern of the jaw elevators was quantified by root mean square (r.m.s.) peak voltage and contraction time. The statistical analysis of group data showed significantly prolonged contraction times and greater r.m.s. amplitudes for chewing cycles with, compared to cycles without, indication of pain. Also, individual data showed statistically significant differences between painful and non-painful cycles in some cases. It is concluded, that the conscious perception of nociception during the closing phase of chewing is associated with an excitatory response of jaw elevators.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of oral rehabilitation 13 (1986), S. 0 
    ISSN: 1365-2842
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The complexity of managing TMJ and muscle dysfunction is reflected in the variety of treatment modalities that are continually being advocated. The multidimensional nature of the problem is readily appreciated in a TMJ Oral-Facial Pain Clinic where most of the referred patients represent a broad spectrum of treatments that have failed. Where such a clinic has been present for several decades the introduction of new ideas, or the reintroduction of old forms of treatment, are readily seen as well as the quantity and quality of treatment successes and failures. A major shift in ideas concerning the natural history of TMJ/muscle dysfunction, and an explosion of treatment problems and failures related to mandibular repositioning appliances and surgery suggest the need to reconsider various approaches to the diagnosis and treatment of TMJ and muscle dysfunction. Guidelines for diagnosis and treatment of these disorders are discussed.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of oral rehabilitation 12 (1985), S. 0 
    ISSN: 1365-2842
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Silent periods were elicited in the electromyographic activity of the masseter and temporalis muscles from six normal subjects, by electrical stimulation of the skin over the contralateral masseter during clenching. Pairs of suprathreshold square pulses with varied time intervals were delivered using surface electrodes. It was found that the silent periods, which were mostly of the long latency (about 53 ms) type, had a refractory period, during which a new silent period could be evoked only by increasing the strength of the second stimulus. This refractory period could last for up to 1.5 s. During the first 200 ms after the first stimulus a second silent period was almost impossible to evoke with the moderately painful stimuli used in the present experiments. It is suggested that the refractory period should be considered as significant for the methodology when recording the silent period duration. It is also suggested that the long latency silent period should be recorded as a separate parameter and differentiated from the short latency (10–12 ms) silent period. This may be of special importance to recognize when a short latency silent period and a long latency silent period merge.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd
    Journal of oral rehabilitation 28 (2001), S. 0 
    ISSN: 1365-2842
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: There are several terms that identify proposed paradigms for the way things ought to be carried out in the health sciences: evidence-based, cause-and-effect, diagnostic gold-standard, patient-centred-outcomes, risk assessment, cost/benefit/risk, and efficacious/effective. Collectively these paradigms exhibit varying degrees of interdependence, and have the potential for changing the way dentistry is practiced. A paradigm can be thought of as a standard by which research and health science ought to be conducted and evaluated. In this sense scientists and clinicians try to figure out how to account for various observations and phenomena dictated by paradigms or models of health care; however, it may become necessary to shift to new paradigms that are more consistent with scientific and clinically reality. Some of the potential effects of these shifting paradigms on the practice and teaching of occlusion and temporomandibular disorders are considered.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of oral rehabilitation 7 (1980), S. 0 
    ISSN: 1365-2842
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: In eighteen subjects assigned for immediate complete upper and lower dentures, roentgen cephalometric recordings were made before extraction of the residual anterior dentition and 3 weeks, 3 months, 6 months and 1 year after denture insertion. The cephalometric analysis was based on electronic measurements of linear and angular morphological variables and computer head plots generated from 177 reference points (Walker, 1967), derived for each subject for each of the five observation stages.The reduction of the alveolar ridges was most rapid during the first 3 months of denture wear and particularly during the post-extraction period of 3 weeks. The reduction in anterior height of the lower ridge was on average twice as great as that of the upper ridge. The ridge resorption and the accompanying settling of the dentures on the basal seats, measured from lead shots inserted in the dentures, brought about an upward rotation of the mandible with a resulting decrease in occlusal vertical dimension and reduction in overjet of the dentures. In accordance with the amount of ridge reduction, these changes showed great individual variation.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of oral rehabilitation 3 (1976), S. 0 
    ISSN: 1365-2842
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: An electromyographic study of the masseter and anterior part of the temporalis muscles was performed on ten patients presenting temporomandibular joint dysfunction symptoms. The EMG silent periods (SP) produced in the open-close-clench cycle and jaw-jerk reflex were compared for duration before and after treatment with an occlusal bite splint. Following use of the splint, there was a shortening of SP indicating the possible use of the duration of SP as a diagnostic measurement, and also as an indication of treatment effectiveness.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of oral rehabilitation 8 (1981), S. 0 
    ISSN: 1365-2842
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The purpose of this research was to investigate the effect of bite force changes on the duration and latency of the menton tap silent period and particularly whether a decrease in bite force can increase the duration of the silent period to the extent which may be found in dysfunctional patients. The menton tap silent period was recorded from both anterior temporal and masseter muscles while the subject was clenching at different force levels. A bilaterally stable force transducer was used to monitor the clenching force. The results indicated no statistically significant differences in the mean durations and latencies of silent periods at different clenching forces. They suggest that duration and latency are not related to the degree of clenching force.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of oral rehabilitation 15 (1988), S. 0 
    ISSN: 1365-2842
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The techniques and sites for EMG recordings from the digastric muscles are controversial. To re-evaluate old techniques for recording from the digastric muscles, especially the posterior bellies, the morphology of the muscles was studied by conventional dissections and by examination of specimens sectioned in the frontal and the horizontal planes. Based on these anatomical findings, recording sites and approaches to them were developed for the anterior and posterior bellies of the digastric muscles. EMG recordings from the two bellies of the muscle were obtained from five healthy subjects. The EMG recordings were ranked according to muscle activity level and the activity within single muscles and between muscles compared using the Wilcoxon signed rank test. The anterior and posterior bellies had synchronized activity in all mandibular movements but were silent or had negligible activity with the mandible in the rest position, when the head was rotated, and while clenching. Both bellies had marked to very marked activity during jaw opening, and moderate to marked activity during protrusion, retrusion and lateral movements. During swallowing the anterior and posterior bellies had patterns characterized by bursts of activity of high amplitude and short duration. The two bellies were not, however, always synchronously active.
    Type of Medium: Electronic Resource
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  • 10
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of oral rehabilitation 12 (1985), S. 0 
    ISSN: 1365-2842
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: A significant question relative to treatment and disappearance of symptoms is raising the bite in combination with a maxillary bite plane splint in patients with TMJ muscle dysfunction. The objective of this research was to investigate the effect, if any, occlusal bite plane splints have on the latency and duration of the menton tap silent period and particularly whether the degree to which the bite is raised is of significance. Recordings were made in healthy young adults from both anterior temporal and masseteric muscles while subjects were clenching at their 70% maximum clenching effort. Placement of a splint significantly (P〉0·05) prolonged the silent period duration (SPD). However, mean SPD values taken at two different vertical raised bites did not differ significantly (P〉0·05). The anterior temporal muscle SPD was less sensitive to a smaller change of vertical dimension than the masseteric SPD. Silent period latencies remained unchanged in all experimental conditions.
    Type of Medium: Electronic Resource
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