N23-masticaton 2 Flashcards

1
Q

what is the masticatory system?

A

– Complex muscle‐joint system

– Symmetrical or asymmetrical jaw movements

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2
Q

what forces can the masticatory system produce?

A
  • Maximum bite forces: 500‐700N between molars

* Up to 150N during mastication

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3
Q

what replaces golgi tendon organs in the mastication system?

A

role replaced by the periodontal ligament which direct control on teeth affects mastication

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4
Q

what are 3 levels of control of mastication?

A
  • reflex
  • pattern generator
  • voluntary
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5
Q

if there is a unilateral signal , is activation unilateral or bilateral?

A

bilateral

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6
Q

what nucleus controls mastication?

A

V motor nucleus

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7
Q

what can act on the V motor nucleus?

A
  • reflexes i.e jaw jerk reflex

- chewing centre

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8
Q

what does chewing centre control?

A

takes over rhymical chewing motion

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9
Q

what controls voluntary mastication?

A

higher centres which can act on chewing centre and V motor nucleus

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10
Q

what is a reflex?

A

Predictable response to a given stimulus

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11
Q

Describe stretch reflexes.

A

- Simple
- Usually mono‐synaptic  Examples:
– Knee Jerk Reflex
– Jaw Jerk Reflex

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12
Q

Describe the knee-jerk reflex.

A

-stimulus: stretch (via patellar tendon tap)
-Receptor: muscle spindle
-Synapses: 1
-Effect -contraction of quadriceps Femoris
Latency: 19-24ms

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13
Q

Describe the jaw-jerk reflex.

A
Stimulus: stretch (via chin tap)
Receptor:muscle spindle
Synapses(s): 1 in V motor nucleus
Effect: contraction of master muscle
Latency: 7-8ms

(the trigeminal mesencephalic nucleus acts on the trigeminal motor nucleus)

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14
Q

what is the tonic role of stretch reflexes?

A

– Resist gravity

– Help maintain posture

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15
Q

what position remains reproducible throughout life in both dentate and edentulous subjects?

A

rest/postural position

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16
Q

how is rest/postural position maintained?

A
  • minimal muscle activity

- is ot governed by muscle elasticity

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17
Q

what is the phasic role of stretch reflexes?

A

– Load compensation during chewing

– Stabilises jaw during vigorous head movements – e.g. during running

18
Q

Describe protective reflexes.

A
  • Polysynaptic (>1 synapse) Reflexes
    - Often a response to a noxious stimulus 
    Examples:
    – Limb: Flexion Withdrawal Reflex
    – Jaw: Jaw “Opening”
19
Q

what happens in the flexion-withdrawal reflex?

A
  • excitatory interneurone causes contraction in bicep

- inhibitory interneurone prevents contraction of tricep

20
Q

what is the stimulus for jaw “opening reflexes”.

A

– Intra‐oral mechanical or noxious

– Extra‐oral noxious

21
Q

what is the jaw opening reflex response in sub-primates?

A

Activation of jaw depressors

22
Q

what is the jaw opening reflex response in primates (humans)?

A

– Inactivation of jaw closers
– i.e. cessation of closing
– Inhibitory Jaw Reflexes

23
Q

what is the jaw opening response and latency with a stimulus of a gentle tap to the tooth?

A

Response: early inhibition
Latency: 10ms

24
Q

what is the jaw opening response and latency with a stimulus of a harder tap to the tooth?

A

Response: Early and late reflex
Latency: 10 and 40ms

25
what is the jaw opening response and latency with a stimulus of a painful stimulus to lip?
Response: late reflex Latency: 40ms
26
what is latency?
time for stimulus to effect
27
what is conduction time?
neurones speed and distance
28
what is the minimum synaptic delay?
0.2ms per synapse
29
what makes singals from nociceptors slower?
- slower C fibres | - several synapses (reticular formation)
30
what is the jaw opening response with an electrical stimulus to the tooth?
response: early and late fused reflex
31
what is the response of inhibitory jaw reflexes?
– inactivation of jaw closing muscles | – two phases ‐ early (10‐30ms), late (40‐90ms)
32
what is the role of inhibitory jaw reflexes?
– Prevent overloading of the masticatory system – Facilitate opening: • Expel noxious material • Minimise damage to intra‐/peri‐oral structures
33
what causes delay of signal on the ECG after being told to clench hard when you see light?
reflex response time
34
what tooth movement is enough to produce inhibitory reflex effects in the master muscle?
9 micrometers
35
what is the stimulus for jaw unloading reflex?
– Sudden closure following hard biting | – e.g. a hard/brittle food breaks
36
what is the response of jaw unloading reflex?
– Inactivation of jaw closing muscles | – Activation of jaw opening muscles
37
what is the result of jaw unloading reflex?
Teeth do not crash together
38
what are types of control of mastication:reflexes?
– Stretch reflexes – Inhibitory reflexes – Unloading reflexes
39
what are the functional roles of control of mastication?
– Modulate voluntary and pattern generated motor neuron drive – Fine control/compensatory – Protective
40
Describe the central pattern generator theory of mastication.
- higher centres (cerebral cortex) to.. - central neural pattern generator (pontine reticular formation) to.. - "masticatory " muscle motoneurons to.. - "masticatory"muscles (peripheral influences act as jaw reflexes on "masticatory" muscle motorneurons)