Geoffrey E. Gerstner

Altered Functional Connectivity Between the Insula and the Cingulate Cortex in Patients With Temporomandibular Disorder: A Pilot Study

Background.— Among the most common chronic pain conditions, yet poorly understood, are temporomandibular disorders (TMDs), with a prevalence estimate of 3‐15% for Western populations. Although it is increasingly acknowledged that central nervous system mechanisms contribute to pain amplification and chronicity in TMDs, further research is needed to unravel neural correlates that might abet the development of chronic pain.

CHEWING RATE ALLOMETRY AMONG MAMMALS

Abstract Mammalian chewing rate scales inversely to body mass (M); however, controversy exists over the value of the scaling exponent. Different mechanisms explain different values of the scaling exponent; hence, a better estimate of the exponent would provide insight into the mechanisms governing chewing rate across mammalian species. We evaluated the relationship between mean chewing cycle duration (CD; i.e., the inverse of mean chewing rate) and M in 132 species and removed phylogenetic effects by using an independent contrast method currently used in evolutionary biology studies. A one-third–power law resulted when independent contrasts were not used; however, a one-third– to one-fourth–power law resulted when independent contrasts were used to remove phylogenetic effects. We hypothesize that variation in the scaling exponent is due to natural selection acting to increase metabolic efficiency; and variation in the complexity of mandibular kinematics, motor control asymmetry, and mandibular biomechanics, which may act to increase CDs above the “ideal” one-fourth–power law. Future studies should consider effects due to jaw-movement kinematics, motor control issues, and biomechanics.

Brain Activity and Human Unilateral Chewing An fMRI Study

Brain mechanisms underlying mastication have been studied in non-human mammals but less so in humans. We used functional magnetic resonance imaging (fMRI) to evaluate brain activity in humans during gum chewing. Chewing was associated with activations in the cerebellum, motor cortex and caudate, cingulate, and brainstem. We also divided the 25-second chew-blocks into 5 segments of equal 5-second durations and evaluated activations within and between each of the 5 segments. This analysis revealed activation clusters unique to the initial segment, which may indicate brain regions involved with initiating chewing. Several clusters were uniquely activated during the last segment as well, which may represent brain regions involved with anticipatory or motor events associated with the end of the chew-block. In conclusion, this study provided evidence for specific brain areas associated with chewing in humans and demonstrated that brain activation patterns may dynamically change over the course of chewing sequences.

Posterior Insular Molecular Changes in Myofascial Pain

Temporomandibular disorders (TMD) include craniocervical pain conditions with unclear etiologies. Central changes are suspected; however, few neuroimaging studies of TMD exist. Single-voxel proton magnetic resonance spectroscopy (1H-MRS) was used before and after pressure-pain testing to assess glutamate (Glu), glutamine (Gln), N-acetylaspartate (NAA), and choline (Cho) levels in the right and left posterior insulae of 11 individuals with myofascial TMD and 11 matched control individuals. Glu levels were significantly lower in all individuals after pain testing. Among those with TMD, left-insular Gln levels were related to reported pain, left posterior insular NAA and Cho levels were significantly higher at baseline than in control individuals, and NAA levels were significantly correlated with pain-symptom duration, suggesting adaptive changes. The results suggest that significant central cellular and molecular changes can occur in individuals with TMD.

Functional Connectivity of Human Chewing An fcMRI Study

Mastication is one of the most important orofacial functions. The neurobiological mechanisms of masticatory control have been investigated in animal models, but less so in humans. This project used functional connectivity magnetic resonance imaging (fcMRI) to assess the positive temporal correlations among activated brain areas during a gum-chewing task. Twenty-nine healthy young-adults underwent an fcMRI scanning protocol while they chewed gum. Seed-based fcMRI analyses were performed with the motor cortex and cerebellum as regions of interest. Both left and right motor cortices were reciprocally functionally connected and functionally connected with the post-central gyrus, cerebellum, cingulate cortex, and precuneus. The cerebellar seeds showed functional connections with the contralateral cerebellar hemispheres, bilateral sensorimotor cortices, left superior temporal gyrus, and left cingulate cortex. These results are the first to identify functional central networks engaged during mastication.

Effect of registration on cyclical kinematic data.

Given growing interest in functional data analysis (FDA) as a useful method for analyzing human movement data, it is critical to understand the effects of standard FDA procedures, including registration, on biomechanical analyses. Registration is used to reduce phase variability between curves while preserving the individual curves shape and amplitude. The application of three methods available to assess registration could benefit those in the biomechanics community using FDA techniques: comparison of mean curves, comparison of average RMS values, and assessment of time-warping functions. Therefore, the present study has two purposes. First, the necessity of registration applied to cyclical data after time normalization is assessed. Second, we illustrate the three methods for evaluating registration effects. Masticatory jaw movements of 22 healthy adults (2 males, 21 females) were tracked while subjects chewed a gum-based pellet for 20s. Motion data were captured at 60 Hz with two gen-locked video cameras. Individual chewing cycles were time normalized and then transformed into functional observations. Registration did not affect mean curves and warping functions were linear. Although registration decreased the RMS, indicating a decrease in inter-subject variability, the difference was not statistically significant. Together these results indicate that registration may not always be necessary for cyclical chewing data. An important contribution of this paper is the illustration of three methods for evaluating registration that are easy to apply and useful for judging whether the extra data manipulation is necessary.

Comparison of chin and jaw movements during gum chewing

STATEMENT OF PROBLEM Knowledge of mastication is based on studies that use jaw tracking equipment in nonroutine settings. Ethologists would argue that such data probably does not reflect routine masticatory function. If jaw movements could be tracked noninvasively, then the hypothesis that jaw tracking equipment and nonroutine settings alter mastication could be investigated. PURPOSE This study quantitatively evaluated the relationship between chin and jaw movements during a gum-chewing task. MATERIAL AND METHODS Masticatory chin and jaw movements of 50 subjects were tracked in the x-, y-, and z-axes for 15 seconds, which resulted in approximately 15 chewing cycles obtained per subject. For each chewing cycle, magnitude and timing of displacement, velocity, and acceleration extrema in each axis were computed for both jaw and chin movement data. Extrema means were calculated for each 15-second trial. The respective means representing chin versus jaw movements were compared with linear regression and correlation analyses. RESULTS All mean extrema were significantly correlated (r range 0. 30-0.99; P <.05). Magnitude correlations were larger than timing correlations for acceleration extrema. In contrast, magnitude correlations were smaller than timing correlations for displacement extrema. The highest correlation occurred for chewing rate. CONCLUSIONS Chin and jaw movements were correlated during chewing; however, only chewing rate was highly predictable from chin movement data.

Relationship between anteroposterior maxillomandibular morphology and masticatory jaw movement patterns.

The causal relationships between oral function and craniomandibular morphology are poorly understood. The aim of this study was to determine whether quantifiable features of masticatory jaw movements and associated EMG activity correlated with variation in morphology as defined by the ANB angle. Thirty-six healthy subjects with no previous orthodontic treatment, asymptomatic masticatory muscles, and asymptomatic temporomandibular joints participated. While subjects chewed gum, jaw movement data and surface EMG data were digitized and then quantified into a 300 variable vector for each subject. ANB angle measurements were calculated from digitized tracings of lateral cephalographs. Step-wise linear regression and discriminant analyses were used to determine the relationship between the ANB angle and a subset of the variables defining jaw movement patterns and EMG patterns. A linear combination of seven jaw movements and EMG variables accounted for over 75% of the variation in the ANB angle (adjusted x R2 = 0.78, P <.001). A jackknifed cross-validation of the discriminant analysis, which was forced to use the same seven variables as the regression analysis, resulted in correct classification of 14 of 20 skeletal Class I, 7 of 9 skeletal Class II, and 7 of 7 skeletal Class III subjects. These results suggest that there is an association between anteroposterior skeletal morphology, as quantified by the ANB angle, and masticatory jaw movement patterns, as quantified in this study.

A model of vertebrate resting metabolic rate: balancing energetics and O2 transport in system design

In vertebrates, maximal rates of oxygen consumption (V(O(2),max)) exceed resting rates (V(O(2),rest)) by an average factor of ten. This pattern of factorial scope has led to the hypothesis that V(O(2),rest) and V(O(2),max) are causally linked in vertebrates (aerobic capacity model, Bennett and Ruben, Science 206, 649-654, 1979). We propose an alternate theory that vertebrate resting metabolic rates are regulated at levels to optimize metabolic performance during activity, by reducing cardiovascular response times for O(2) transport. First, we argue that circulatory convection has the potential to be rate-limiting to vertebrate aerobic adjustment. We then show mathematically that incremental changes in convection requirements exhibit a nonlinear dependence on initial values. From this, a cost-benefit model is constructed, using energetics and blood-convection requirements, to predict the optimal fractional allocation to V(O(2),rest) in vertebrates as 11% of V(O(2),max). The implications of our results to vertebrate metabolic design and the evolution of endothermy are discussed.

Licking rate adaptations to increased mandibular weight in the adult rat.

In this experiment, chronic mandibular loading was used to study adaptation in licking rate. Twenty-four 115-day-old rats were randomly divided into two groups. The experimental group received 1.791 +/- 0.083 g submandibular gold implants, and the control group received 0.179 +/- 0.009 g submandibular acrylic implants. The animals were videotaped while lapping on two separate occasions preoperatively, and once every week postoperatively for 12 weeks. The videotapes were used to obtain licking rates for each animal at each taping session. The findings showed that licking rate decreased significantly after surgery for both groups; however, the decrease was similar for both the experimental and control groups. This indicates that licking rate was affected by the experimental design, but not specifically by the weight of the gold implant.