Effect of Experimental Muscle Fatigue on Muscle Pain and Occlusal Pattern

실험적으로 유발되는 근피로가 근통증 및 교합양상에 미치는 영향

  • Kim, Jae-Chang (Department of Oral Medicine, College of Dentistry, Wonkwang University) ;
  • Lim, Hyun-Dae (Department of Oral Medicine, College of Dentistry, Wonkwang University) ;
  • Kang, Jin-Kyu (Department of Oral Medicine, College of Dentistry, Wonkwang University) ;
  • Lee, You-Mee (Department of Oral Medicine, College of Dentistry, Wonkwang University)
  • 김재창 (원광대학교 치과 대학 구강내과학 교실) ;
  • 임현대 (원광대학교 치과 대학 구강내과학 교실) ;
  • 강진규 (원광대학교 치과 대학 구강내과학 교실) ;
  • 이유미 (원광대학교 치과 대학 구강내과학 교실)
  • Published : 2008.09.30

Abstract

This study aimed to make an analysis of the occlusion in the state of muscle fatigue produced by excessive mouth opening and clenching during the dental treatment to control the dental pain and to evaluate the sensory nerve in the muscle pain state. Most of the reasons why patients visit the dental office result in pain-either conceivably the dental origin pain or the non-dental origin pain. The dental offices have many therapeutic actions to produce the masticatory muscle fatigue for the treatment. Dental treatment with long minutes of mouth opening can cause some headaches, masticatory muscle pain and mouth opening difficulties. Patients with mastication problems who visits a dental office to alleviate pain run against another unexpected pain with other aspects. This study uses T-scan II system(Tekscan Co., USA) for the evaluation on the occlusal pattern in the experimental muscle fatigue after clenching, opening the mouth excessively and chewing gum. The occlusal contact pattern is analyzed by the contact timing, namely first, intercuspal, maximum and end point of contact. This inspection was performed at frequencies of 2000Hz, 250 Hz and 5 Hz before and after each experimental muscle pain was produced to 24 subjects who had normal occlusion without the orthodontic treatment or a wide range of the prosthesis by using $neurometer^{\circledR}$ CPT/C(Neurotron, Inc. Baltimore, Maryland, USA). The measuring sites were mandibular nerve experimental muscle fatigue respectively. This study could obtain the following results after the assessment of occlusion and sensory nerve of the experimental muscle fatigue. 1. There were the fastest expression after the excessive mouth opening in muscle fatigue and after tooth clenching in muscle pain. In the visual analog scale that records the subjective level, there was the highest scale after the clenching in the muscle fatigue in jumping off the point of pain. 2. Tooth contact time, contact force, relative contact force on the point of the first contact had no difference, and there were decreases in the contact force after the excessive mouth opening on intercuspal position point, after the excessive mouth opening and the gum chewing on the point of the maximum, and in the contact time after all the experimental muscle fatigue state on the point of the end contact. 3. There was no statistic significance in the current perception threshold before and after the experimental muscle fatigue. 4. There was no significant difference in the contact number, the maximal contact number on the point of the first contact, and the contact number after the mouth opening and gum chewing on the point of the intercuspal position and the contact number after the experimental muscle fatigue on the maximum point, and showed significant decreases. In conclusion, it was found that the occlusal pattern can cause the changes on the case of the clinical muscle weakness by intra-external oral events. It was important that the sedulous attention to details is required during dental treatment in case of excessive mouth opening, mastication and clenching.

Keywords

Muscle Fatigue;Muscle Pain;Occlusal Pattern;current perception threshold

References

  1. Cruccu G, Agostino R, Inghilleri M et al. The masseter inhibitory reflex is evoked by innocuous stimuli and mediated by A beta afferent fibers. Exp Brain Res 1989;77:447-450 https://doi.org/10.1007/BF00275005
  2. Graven-Nielsen T, Fenger-Groon LS, Svensson P et al. Quantification of deep and superficial sensibility in saline-induced muscle pain: A psychophysical study. Somatosens Mot Res 1998;15:46-53 https://doi.org/10.1080/08990229870943
  3. Ellrich J, Hopf HC, Treede RD. Nociceptive masseter inhibitory reflexes evoked by laser radiant heat and electrical stimuli. Brain Research 1997;764:214-220 https://doi.org/10.1016/S0006-8993(97)00459-9
  4. Svensson P, Graven-Nielsen T. Craniofacial muscle pain: Review of mechanisms and clinical manifestations. J Orofac Pain 2001;15:117-145
  5. Oliveras JL, Woda A, Guilbaud G, Besson JM. Inhibition of the jaw opening reflex by electrical stimulation of the periaqueductal gray matter in the awake, unrestrained cat. Brain Res 1974;72:328-331 https://doi.org/10.1016/0006-8993(74)90875-0
  6. Pettorossi VE, Della Torre G, Bortolami R, Brunetti O. The role of capsaicin-sensitive muscle afferents in fatigue-induced modulation of the monosynaptic reflex in the rat. J Physiol 1999;515:599-607 https://doi.org/10.1111/j.1469-7793.1999.599ac.x
  7. van Selms MKA, Wang K, Lobbezoo F et al. Effects of masticatory muscle fatigue without and with experimental pain on jaw-stretch reflexes in healthy men and women. Clinical Neurophysiology 2005;116:1415-1423 https://doi.org/10.1016/j.clinph.2005.02.017
  8. Maton B, Rendell J, Gentil M, Gay T. Masticatory muscle fatigue: endurance times and spectral changes in the electromyogram during the production of sustained bite forces. Archs oral Biol 1992;37:521-529 https://doi.org/10.1016/0003-9969(92)90134-T
  9. Graven-Nielsen, T, Arendt-Nielsen, L, Svensson, P, Jensen TS. Stimulus-response functions in areas with experimentally induced referred muscle pain- A psychophysical study. Brain Res 1997;744:121-128 https://doi.org/10.1016/S0006-8993(96)01077-3
  10. Baba K, Tsukiyama Y, Clark GT. Reliability, validity, and utility of various occlusal measurement methods and techniques. J Prosthet Dent 2000;83:83-9 https://doi.org/10.1016/S0022-3913(00)70092-8
  11. Kroon GW, Naeije M, Hansson TL. Electromyographic power-spectrum changes during repeated fatiguing contractions of the human masseter muscle. Archs oral Biol 1986;31:603-608 https://doi.org/10.1016/0003-9969(86)90084-1
  12. Kim HS, Kho HS, Kim YK, Lee SW. Reliability and characteristics of current perception thresholds in the territory of the infraorbital and inferior alveolar nerves. J Orofac Pain 2000;14:286-292
  13. Travell JG, Rinzler S, Herman M. Pain and disability of the shoulder and arm. Treatment by intramuscular infiltration with procaine hydrochloride. J Am Med Assoc 1942;120:417-422 https://doi.org/10.1001/jama.1942.02830410005002
  14. Tataroglu C, Kanik A, Sahin G, ozge A, Yalcinkaya D, Idiman F. Exteroceptive suppression patterns of masseter and temporalis muscles in central and peripheral headache disorders. Cephalalgia 2002;22:444-452 https://doi.org/10.1046/j.1468-2982.2002.00389.x
  15. Svensson P. What can human experimental pain models teach us about clinical TMD? Archive oral biol 2007;52:391-394 https://doi.org/10.1016/j.archoralbio.2006.11.015
  16. Seo Yong-Sun, Park Moon-Soo, Jung Jin-Yoo. Influence of muscle fatigue on perception threshold in masseter muscle and on masseteric silence period. Korean Academy of Oral Medicine 2002;27(1):107-116
  17. Tayor JL, Butler JE, Gandevia SC. Changes in muscle afferents, motorneurons and motor drive during muscle fatigue. Eur J Physiol 2000;83:106-115 https://doi.org/10.1007/s004210000269
  18. Torisu T, Wang K, Svensson P, Laat AD, Fujii H, Arendt-Nielsen L. Effects of muscle fatigue induced by low-level clenching on experimental muscle pain and resting jaw muscle activity: Gender differences. Exp Brain Res 2006;174:566-574 https://doi.org/10.1007/s00221-006-0497-4
  19. Graven-Nielsen T, Arendt-Nielsen L, Svensson P, Jensen TS. Stimulus-response functions in areas with experimentally induced referred muscle pain-a psychophysical study. Brain Research 1997;744:121-128 https://doi.org/10.1016/S0006-8993(96)01077-3
  20. Cruccu G, Deuschl G. The clinical use of brainstem reflexes and handmuscle reflexes. Clin Neurophysiol 2000;111:371-387 https://doi.org/10.1016/S1388-2457(99)00291-6
  21. van der Glas HW, Cadden SW, van der Bilt A. Mechanisms underlying the effects of remote noxious stimulation and mental activities on exteroceptive jaw reflexes in man. Pain 2000;84:193-202 https://doi.org/10.1016/S0304-3959(99)00208-0
  22. Oliveras JL, Redjemi F, Guilbaud G, Besson JM. Analgesia induced by electrical stimulation of the inferior centralis nucleus of the raphe in the cat. Pain 1975;1:139-145 https://doi.org/10.1016/0304-3959(75)90098-6
  23. Sae-Lee D, Wanigaratne K, Whittle T et al. A method for studying jaw muscle activity during standardied jaw movements under experimental jaw muslce pain. J Neurosci Methods 2006;157:285-293 https://doi.org/10.1016/j.jneumeth.2006.05.005
  24. Torisu T, Wang K, Svensson P, Laat AD, Fujii H, Arendt-Nielsen L. Effect of low-level clenching and subsequent muscle pain on exteroceptive suppression and resting muscle activity in human jaw muscles. Clinical Neurophysiology 2007;118:999-1009 https://doi.org/10.1016/j.clinph.2006.11.311
  25. Bendtsen L, Jensen R, Brennum J, Arendt-Nielsen L, Olesen J. Exteroceptive suppression of temporal muscle activity is normal in chronic tension-type headache and not related to actual headache state. Cephalalgia 1996;16:251-256 https://doi.org/10.1046/j.1468-2982.1996.1604251.x
  26. Okeson JP. Management of Temporomandibular Disorders and Occlusion. 6th ed., St. Louis, 2008, Mosby, pp.130-163
  27. de Leeuw R. Orofacial pain: Guidelines for Assessment, Diagnosis, and Management/ the AAOP 4th ed, 2008, Chicago, Quintessence Publishing Co. Inc., pp.1-59
  28. Okeson JP. Bell's Orofacial Pains The Clinical Management of Orofacial Pain 6th ed, Chicago, 2005, Quintessence Publishing Co. Inc., pp.287-328
  29. Okeson JP. Management of Temporomandibular Disorders and Occlusion. 6th ed., St. Louis, 2008, Mosby, pp.164-331
  30. Graven-Nielsen T, Arendt-Neilsen L, Sevensson P, Jensen TS. Experimental muscle pain: a qunatitative study of local and reffered pain in humans following injection of hypertonic saline. J Musculoskel Pain 1997;5:49-69 https://doi.org/10.1300/J094v05n01_04
  31. Wang K, Svensson P, Arendt-Nielsen L. Modulation of exteroceptive suppression periods in human jaw-closing muscles by local and remote experimental muscle pain. Pain 1999;82:253-262 https://doi.org/10.1016/S0304-3959(99)00058-5
  32. Palla S, Ash MM. Power spectral analysis of the surface electromyogram of human jaw muscles during fatigue. Archs oral Biol 1981;26:547-553 https://doi.org/10.1016/0003-9969(81)90016-9
  33. Kalezic I, Bugaychenko LA, Kostyukov AI, Pilyavskii AI, Ljubisavljevic M, Windhorst U, Johansson H Fatigue-related depression of the feline monosynaptic gastrocnemius-soleus reflex. J Physiol 2004;556:283-296 https://doi.org/10.1113/jphysiol.2003.053249
  34. Oliveras JL, Hosobuchi Y, Redjemi F, Guilbaud G, Besson JM. Opiate antagonist, naloxone, strongly reduces analgesia induced by stimulation of a raphe nucleus (centralis inferior). Brain Res 1977;120:221-229 https://doi.org/10.1016/0006-8993(77)90902-7
  35. Svensson P, Graven-Nielsen T, Arendt-Nielsen L. Mechanical hyperesthesia of human facial skin induced by tonic painful stimulation of jaw muscles. Pain 1998;74:93-100 https://doi.org/10.1016/S0304-3959(97)00156-5
  36. Cruccu G, Iannetti GD, Marx JJ et al. Brainstem reflex circuits revisited. Brain 2005;128:386-394 https://doi.org/10.1093/brain/awh366
  37. Schoenen J, Jamart B, Gerard P, Lenarduzzi P, Delwaide PJ. Exteroceptive suppression of temporalis muscle activity in chronic headache. Neurology 1987;37:1834-1836 https://doi.org/10.1212/WNL.37.12.1834
  38. Brunetti O, Della Torre G, Lucchi ML, Chiocchetti R, Bortolami R, Pettorossi VE. Inhibition of muscle spindle afferent activity during masseter muscle fatigue in the rat. Exp Brain Res 2003;152:251-26 https://doi.org/10.1007/s00221-003-1544-z
  39. Leonard CT, Kane J, Perdaems J. et al. Neural modulation of muscle contractile properties during fatigue: afferent feedback dependence. Electroenceph clin neurophysiol 1994;93:209-217 https://doi.org/10.1016/0168-5597(94)90042-6
  40. Lund JP, Donga R, Widmer CG, Stohler CS. The pain-adaptation model:a discussion of the relationship between chronic musculoskeletal pain and motor activity. Can J Physiol Pharmacol 1991;69:683-694 https://doi.org/10.1139/y91-102
  41. Svensson P, McMillan AM, Graven-Nielsen T, Wang K, Arendt-Nielsen L. Modulation of an inhibitory reflex in single motor units in human masseter by tonic painful stimulation. Pain 1999;83:441-446 https://doi.org/10.1016/S0304-3959(99)00124-4
  42. Cadden SW, van der Glass HW, van der Bilt A. Modulation of jaw reflexes by remote noxious stimulation and mental state: possible association with psychological measurements of mental stress and occupation. J Oral Rehabil 1999;26:952-961 https://doi.org/10.1046/j.1365-2842.1999.00457.x
  43. Sundqvist B. Individual Prediction of Treatment Outcome in Patients with Temporomandibular disorders A quality improvement model. Swed Dent J 2007;186(s):1-42
  44. Wang K, Svensson P, Arendt-Nielsen L. Modulation of exteroceptive suppression periods in human jaw-closing muscles by local and remote experimental muscle pain. Pain 1999;82:253-262 https://doi.org/10.1016/S0304-3959(99)00058-5
  45. Cruccu G, Ongerboer de Visser BW. The jaw reflexes. The International Federation of Clinical Neurophysiology. Clin Neurophysiol Suppl 1999;52:243-247
  46. Jubeau M, Zory R, Gondin J, Martin A, Maffiuletti NA. Effect of electrostimulation training--detraining on neuromuscular fatigue mechanisms. Neuroscience Letters 2007;424:41-46 https://doi.org/10.1016/j.neulet.2007.07.018
  47. Bar KJ, Greiner W, Letsch A, Kobele R, Sauer H. Influence of gender and hemispheric lateralization on heat pain perception in major depression. J Psychiatr Res 2003;37:345-353 https://doi.org/10.1016/S0022-3956(03)00051-7
  48. Naeije M. Correlation between surface electromyograms and the susceptibility to fatigue of the human masseter muscle. Archs oral Biol 1984;29:865-870 https://doi.org/10.1016/0003-9969(84)90084-0
  49. Wang K, Svensson P, Arendt-Nielsen L. Modulation of exteroceptive suppression periods in human jaw-closing muscles by local and remote experimental muscle pain. Pain 1999;82:253-262 https://doi.org/10.1016/S0304-3959(99)00058-5