Nocturnal Autonomic Nervous System and Jaw Muscle Activities and Ramus Height in Children.

IF 1.7 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Myriam Hamieh, Laura R Iwasaki, Elizabeth Palmer, Dongseok Choi, Jeffrey C Nickel, Hongzeng Liu
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Abstract

Objective: Mandibular growth is influenced by function. This study tested for correlation amongst nocturnal autonomic nervous system (ANS) and jaw muscle activities and mandibular ramus height.

Materials and methods: According to Institutional Review Board oversight, children with skeletal Class II malocclusions were enrolled in this observational study. Subjects had cone-beam computed tomography images, participated in protocols to quantify jaw muscle activity per bite-force, and were trained to use portable recorders to collect jaw muscle and heart rate variability (HRV) data over four nights at home. Night-time ultradian cycling of ANS activity was characterised by fitting a polynomial to the HRV measures of sympathovagal tone (low/high frequency spectral powers, LF/HF). Twenty-minute windows around each inflection point of this polynomial were identified, within which HRV measures and jaw muscle activities (Duty Factor, DF) were quantified. DF versus HRV measures (DF/HRV) were plotted for each subject, and regression slopes calculated. Non-linear regression analysis was used to test for correlation between DF/HRV slopes, age (years), and ramus height (mm).

Results: Thirteen (eight males, five females) of 15 children enrolled completed protocols. DF versus LF/HF had average R2 values of 0.66 ± 0.22 for masseter muscles (left and right), and 0.57 ± 0.19 and 0.55 ± 0.17 for left and right temporalis muscles, respectively. Regression analysis demonstrated that approximately 42% of the variance in mandibular ramus height could be explained by the combined effects of age and masseter muscle DF versus LF/HF.

Conclusions: Mandibular ramus height may reflect the influence of sympathovagal tone on nocturnal jaw muscle activity in children.

儿童夜间自主神经系统、颚肌活动和分支高度。
目的:探讨下颌发育与功能的关系。本研究检验了夜间自主神经系统(ANS)、下颌肌肉活动和下颌分支高度之间的相关性。材料和方法:根据机构审查委员会的监督,患有骨骼II类错颌的儿童被纳入这项观察性研究。受试者接受锥形束计算机断层成像,参与量化每次咬合力下颌肌肉活动的方案,并接受训练,在家中使用便携式记录仪收集下颌肌肉和心率变异性(HRV)数据。通过拟合交感神经迷走神经张力(低频/高频频谱功率,LF/HF) HRV测量值的多项式来表征夜间ANS活动的超昼夜循环。确定该多项式每个拐点周围的20分钟窗口,在此窗口内量化HRV测量和颌骨肌肉活动(占空因子,DF)。绘制每个受试者的DF/HRV测量值(DF/HRV),并计算回归斜率。采用非线性回归分析,检验DF/HRV坡度、树龄(年)、枝高(mm)之间的相关性。结果:15名儿童中有13名(8名男性,5名女性)完成了方案。左侧和右侧咬肌DF与LF/HF的平均R2分别为0.66±0.22,左侧和右侧颞肌DF和LF/HF的平均R2分别为0.57±0.19和0.55±0.17。回归分析表明,大约42%的下颌支高度差异可以用年龄和咬肌DF对LF/HF的综合影响来解释。结论:下颌支高度可反映交感迷走神经张力对儿童夜间颌肌活动的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Orthodontics & Craniofacial Research
Orthodontics & Craniofacial Research 医学-牙科与口腔外科
CiteScore
5.30
自引率
3.20%
发文量
65
审稿时长
>12 weeks
期刊介绍: Orthodontics & Craniofacial Research - Genes, Growth and Development is published to serve its readers as an international forum for the presentation and critical discussion of issues pertinent to the advancement of the specialty of orthodontics and the evidence-based knowledge of craniofacial growth and development. This forum is based on scientifically supported information, but also includes minority and conflicting opinions. The objective of the journal is to facilitate effective communication between the research community and practicing clinicians. Original papers of high scientific quality that report the findings of clinical trials, clinical epidemiology, and novel therapeutic or diagnostic approaches are appropriate submissions. Similarly, we welcome papers in genetics, developmental biology, syndromology, surgery, speech and hearing, and other biomedical disciplines related to clinical orthodontics and normal and abnormal craniofacial growth and development. In addition to original and basic research, the journal publishes concise reviews, case reports of substantial value, invited essays, letters, and announcements. The journal is published quarterly. The review of submitted papers will be coordinated by the editor and members of the editorial board. It is policy to review manuscripts within 3 to 4 weeks of receipt and to publish within 3 to 6 months of acceptance.
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