title: The masseteric jaw-jerk reflex in older dentate subjects and edentulous denture wearers.
abstract: The aim of the present study was to investigate any variations in the jaw-jerk reflex in edentulous subjects wearing complete dentures, compared to an age and sex-matched dentate group. The reflex was elicited by chin taps in 22 older dentate subjects with mean age 61.3 years and in 22 denture wearers with mean age 63.1 years. Surface electromyographic recordings were obtained from the masseter muscle of the preferred chewing side during mandibular rest and at moderate clenching (40% of the individual maximum clenching masseteric EMG activity). A jaw-jerk reflex was recorded in all subjects at least once, and its occurrence during clenching was reduced compared to rest. The occurrence of the reflex was however increased in the denture wearers in both experimental conditions, while minor differences were observed in the values for latency, duration and amplitude between the two dental status groups. These results suggest that under the present experimental conditions the periodontal ligament receptors might inhibit reflex activity. Multiple sensory interactions are expected in denture wearing. However a particular source of sensory feedback is provided by the stimulation of mucosal receptors from the acrylic denture base. Since the occurrence of the jaw-jerk at clench in the denture wearers was also reduced compared to the rest experiments, a potential inhibitory effect of the mucosal receptors can be speculated. According to the findings in the present study the loss of teeth and the rehabilitation with complete dentures do not severely disrupt the reflex activity investigated.
authors.affiliation: Experimental EMG Laboratory, Department of Removable Prosthodontics, Dental School, University of Athens, Greece.
authors.forename: A E
authors.initials: AE
authors.lastname: Kossioni
authors.forename: H C
authors.initials: HC
authors.lastname: Karkazis
authors.forename: P A
authors.initials: PA
authors.lastname: Molivdas
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D003824:Denture, Complete; D004576:Electromyography; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000502:physiology*; D008406:Masseter Muscle / Q000502:physiology*; D008875:Middle Aged; D009066:Mouth, Edentulous / Q000503:physiopathology*; D012026:Reflex, Stretch / Q000502:physiology*; D012737:Sex Factors; D018709:Statistics, Nonparametric