Regulation of mandibular postures: mechanisms and clinical implications.

This review argues that (1) the habitual mandibular position is constantly variable and so cannot be considered as a craniomandibular reference point, (2) there is no unique centric relation, (3) mandibular posture greatly depends on head posture, (4) clinical evaluation of the occlusal vertical dimension is mostly empirical, and (5) neither the vertical dimension at rest nor the centric relation can be determined by means of existing instrument-based clinical methods. However, some physiological conditions exist that facilitate the recording of craniomandibular position.

[1]  B. C. Cooper,et al.  Myofacial pain dysfunction syndrome: A clinical study of asymptomatic subjects , 1984, The Laryngoscope.

[2]  J. Tidball,et al.  Macrophage activation and muscle remodeling at myotendinous junctions after modifications in muscle loading. , 1994, The American journal of pathology.

[3]  J. Garnick,et al.  Rest position: An electromyographic and clinical investigation , 1962 .

[4]  S. Palla,et al.  A comparative study of two methods for the orientation of the occlusal plane and the determination of the vertical dimension of occlusion in edentulous patients. , 1992, Journal of oral rehabilitation.

[5]  Mohl Nd Head posture and its role in occlusion. , 1977 .

[6]  S. Kiliaridis,et al.  Effects of masticatory muscle function on bone mass in the mandible of the growing rat. , 1996, Acta anatomica.

[7]  W. B. Williams,et al.  Influence of cervical posture on mandibular movement. , 1984, The Journal of prosthetic dentistry.

[8]  C. Palazzi,et al.  EMG, bite force, and elongation of the masseter muscle under isometric voluntary contractions and variations of vertical dimension. , 1979, The Journal of prosthetic dentistry.

[9]  A. Turrell Clinical assessment of vertical dimension. , 1972, The Journal of prosthetic dentistry.

[10]  L. J. Goldberg,et al.  Relationship among recruitment order, spike amplitude, and twitch tension of single motor units in human masseter muscle. , 1977, Journal of neurophysiology.

[11]  Bell Wh,et al.  Correction of vertical maxillary deficiency: stability and soft tissue changes. , 1981 .

[12]  D. Mcmillan,et al.  A comparative study of three different approaches to the comfortable zone. , 1977, Journal of Oral Rehabilitation.

[13]  J. Gamon,et al.  Perception of vertical dimension. , 1982, Journal of oral rehabilitation.

[14]  T. Zwemer,et al.  Can biting force be used as a criterion for registering vertical dimension , 1959 .

[15]  Rolf Bjehin A Comparison Between the Frankfort Horizontal and the Sella Turcica -Nasion as Reference Planes in Cephalometric Analysis , 1957 .

[16]  R. Miralles,et al.  Influence of the vertical dimension in the treatment of myofascial pain-dysfunction syndrome. , 1983, The Journal of prosthetic dentistry.

[17]  W. Laird Vertical relationships of edentulous jaws during swallowing. , 1976, Journal of dentistry.

[18]  Y. Saeki,et al.  Effect of an increase in occlusal vertical dimension on the rate of cyclic actin-myosin interaction in guinea-pig masseter muscle. , 1997, Archives of oral biology.

[19]  D. Mcmillan,et al.  Factors influencing the determination of the occlusal vertical dimension by means of a screw jack. , 1974, Journal of oral rehabilitation.

[20]  Y. Munakata,et al.  Determination of occlusal vertical dimension by means of controlled pressure against tissues supporting a complete denture. , 1990, Journal of oral rehabilitation.

[21]  R. Yemm,et al.  Forces developed by tissue elasticity as a determinant of mandibular resting posture in the rat. , 1974, Archives of oral biology.

[22]  E. Møller The chewing apparatus. An electromyographic study of the action of the muscles of mastication and its correlation to facial morphology. , 1966, Acta physiologica Scandinavica. Supplementum.

[23]  B Jankelson,et al.  Measurement accuracy of the mandibular kinesiograph--a computerized study. , 1980, The Journal of prosthetic dentistry.

[24]  N. Brill,et al.  Horizontal stabilization of upper and lower borders of the comfortable zone. , 1978, Journal of oral rehabilitation.

[25]  N. Brill,et al.  Physiology of mandibular positions. , 1974, Frontiers of oral physiology.

[26]  S. Grillner The role of muscle stiffness in meeting the changing postural and locomotor requirements for force development by the ankle extensors. , 1972, Acta physiologica Scandinavica.

[27]  J. Lambadakis,et al.  Changes in the mandibular rest position after removal of remaining teeth and insertion of complete dentures. , 1992, The Journal of prosthetic dentistry.

[28]  O Bondevik,et al.  Growth changes in the cranial base and the face: a longitudinal cephalometric study of linear and angular changes in adult Norwegians. , 1995, European journal of orthodontics.

[29]  Sarit Kraus,et al.  Relationship of head posture and the rest position of the mandible. , 1984, The Journal of prosthetic dentistry.

[30]  Rivera-Morales Wc,et al.  Are speech-based techniques for determination of occlusal vertical dimension reliable? , 1997 .

[31]  J. Rugh,et al.  Vertical dimension: a study of clinical rest position and jaw muscle activity. , 1981, The Journal of prosthetic dentistry.

[32]  H. Preiskel SOME OBSERVATIONS ON THE POSTURAL POSITION OF THE MANDIBLE. , 1965, The Journal of prosthetic dentistry.

[33]  H. Makofsky The effect of head posture on muscle contact position: the sliding cranium theory. , 1989, Cranio : the journal of craniomandibular practice.

[34]  R. Ohrbach,et al.  Devices for the diagnosis and treatment of temporomandibular disorders. Part III: Thermography, ultrasound, electrical stimulation, and electromyographic biofeedback. , 1990, The Journal of prosthetic dentistry.

[35]  S. Wright The effect of body posture on the preferred vertical dimension of occlusion. , 1984, Journal of oral rehabilitation.

[36]  D. J. Moore,et al.  A diagnostic craniometric method for determining occlusal vertical dimension. , 1994, The Journal of prosthetic dentistry.

[37]  Occlusion in a stress situation. , 1960, Journal of the American Dental Association.

[38]  N. Brill,et al.  Short-term changes in the perception of comfortable mandibular occlusal positions. , 1977, Journal of oral rehabilitation.

[39]  C. Palazzi,et al.  Body position effects on sternocleidomastoid and masseter EMG pattern activity in patients undergoing occlusal splint therapy. , 1997, Cranio : the journal of craniomandibular practice.

[40]  D. K. Hill,et al.  Tension due to interaction between the sliding filaments in resting striated muscle. the effect of stimulation , 1968, The Journal of physiology.

[41]  A. Taylor Neurophysiology of the Jaws and Teeth , 1990 .

[42]  J C Tabary,et al.  Physiological and structural changes in the cat's soleus muscle due to immobilization at different lengths by plaster casts * , 1972, The Journal of physiology.

[43]  A Tallgren,et al.  The continuing reduction of the residual alveolar ridges in complete denture wearers: a mixed-longitudinal study covering 25 years. , 2003, The Journal of prosthetic dentistry.

[44]  L. Dessner A clinical method for determination of riboflavin standard in urine after a test dose and the riboflavin excretion of clinically normal subjects. , 1952, Acta odontologica Scandinavica.

[45]  D. C. McNamara Inhibitory effects in the masticatory neuromusculature of human subjects at median occlusal position. , 1976, Archives of oral biology.

[46]  B R Mackenna,et al.  Jaw separation and maximum incising force. , 1983, The Journal of prosthetic dentistry.

[47]  J. P. Lund Specialization of the Reflexes of the Jaws , 1990 .

[48]  S. Kiliaridis,et al.  Effect of chewing training on mandibular postural position. , 1989, Journal of oral rehabilitation.

[49]  L. McMillen Border movements of the human mandible. , 1972, The Journal of prosthetic dentistry.

[50]  H. Brenman,et al.  Effects of Changing Body Position on Dental Occlusion , 1973, Journal of dental research.

[51]  H. Tsuru,et al.  Histologic changes in rat masticatory muscles subsequent to experimental increase of the occlusal vertical dimension. , 1983, The Journal of prosthetic dentistry.

[52]  P. Dawson Evaluation, diagnosis, and treatment of occlusal problems , 1974 .

[53]  J. V. van Willigen,et al.  The precision of measurement and the stability of the preferred vertical dimension of occlusion in man. , 1982, Archives of oral biology.

[54]  W. C. Rivera-Morales,et al.  Relationship of occlusal vertical dimension to the health of the masticatory system. , 1991, The Journal of prosthetic dentistry.

[55]  J. Jarabak An electromyographic analysis of muscular behavior in mandibular movements from rest position , 1957 .

[56]  G. Hellsing,et al.  Functional adaptation to changes in vertical dimension. , 1984, The Journal of prosthetic dentistry.

[57]  J. V. van Willigen,et al.  Relationship of the preferred vertical dimension of occlusion to the height of the complete dentures in use. , 1984, Journal of oral rehabilitation.

[58]  M. Gelb Length-tension relations of the masticatory elevator muscles in normal subjects and pain dysfunction patients. , 1990, Cranio : the journal of craniomandibular practice.

[59]  D. Mcmillan,et al.  The fallacy of facial measurements of occlusal height in edentulous subjects. , 1976, Journal of oral rehabilitation.

[60]  L H Timmer,et al.  A reproducible method for determining the vertical dimension of occlusion. , 1969, The Journal of prosthetic dentistry.

[61]  M. Mack Vertical dimension: a dynamic concept based on facial form and oropharyngeal function. , 1991, The Journal of prosthetic dentistry.

[63]  R. Bessette,et al.  Electromyographic evaluation of the Myo-Monitor. , 1973, The Journal of prosthetic dentistry.

[64]  Y. H. Ismail,et al.  The consistency of the swallowing technique in determining occlusal vertical relation in edentulous patients. , 1968, The Journal of prosthetic dentistry.

[65]  J. P. Lund,et al.  Evaluation of diagnostic tests for TMD. , 1990, Journal of the California Dental Association.

[66]  J. Tidball,et al.  Differential response of macrophage subpopulations to soleus muscle reloading after rat hindlimb suspension. , 1994, Journal of applied physiology.

[67]  Ronald Dubner,et al.  The Neural Basis of Oral and Facial Function , 1978 .

[68]  Z Ormianer,et al.  A 2-year follow-up of mandibular posture following an increase in occlusal vertical dimension beyond the clinical rest position with fixed restorations. , 1998, Journal of oral rehabilitation.

[69]  L. A. Weinberg Vertical dimension: a research and clinical analysis. , 1982, The Journal of prosthetic dentistry.

[70]  J. D. De Boever,et al.  Influence of occlusal splints on jaw postion and musculature in patients with temporomandibular joint dysfunction. , 1975, The Journal of prosthetic dentistry.

[71]  R. A. Davidoff,et al.  Skeletal muscle tone and the misunderstood stretch reflex , 1992, Neurology.

[72]  D. Carlson,et al.  Adaptation of the suprahyoid muscle complex to large mandibular advancements. , 1988, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[73]  O. Krogstad,et al.  Long-term observations of an increased occlusal face height obtained by a combined orthodontic/prosthetic approach. , 1985, Journal of oral rehabilitation.

[74]  M Azarbal,et al.  Comparison of Myo-Monitor centric position to centric relation and centric occlusion. , 1977, The Journal of prosthetic dentistry.

[75]  Psychophysical investigations of the preferred vertical dimension of occlusion in edentulous patients. , 1976, The Journal of prosthetic dentistry.

[76]  R. E. Clark,et al.  Clinical study of location and reproducibility of three mandibular positions in relation to body posture and muscle function. , 1995, The Journal of prosthetic dentistry.

[77]  J. R. Blankenship,et al.  Increased occlusal vertical dimension in adult monkeys. , 1981, The Journal of prosthetic dentistry.

[78]  R. Miralles,et al.  The changes in electrical activity of the postural muscles of the mandible upon varying the vertical dimension. , 1981, The Journal of prosthetic dentistry.

[79]  Sumner Cohen,et al.  A cephalometric study of rest position in edentulous persons: Influence of variations in head position , 1957 .

[80]  Y. Kawamura Physiology of mastication , 1974 .

[81]  M. E. Watt,et al.  Vertical dimension in edentulous patients. , 1984, Journal of dentistry.

[82]  R. Boos Intermaxillary Relation Established by Biting Power , 1940 .

[83]  Jean Massion,et al.  Body orientation and control of coordinated movements in microgravity , 1998, Brain Research Reviews.

[84]  L. Boucher Limiting factors in posterior movements of mandibular condyles , 1961 .

[85]  D. Atwood A cephalometric study of the clinical rest position of the mandible , 1958 .

[86]  N. Mohindra A preliminary report on the determination of the vertical dimension of occlusion using the principle of the mandibular position in swallowing , 1996, British Dental Journal.

[87]  D. Atwood A cephalometric study of the clinical rest position of the mandible: Part I. The variability of the clinical rest position following the removal of occlusal contacts , 1956 .

[88]  M Urbanowicz,et al.  Alteration of vertical dimension and its effect on head and neck posture. , 1991, Cranio : the journal of craniomandibular practice.

[89]  Dynamic and static recordings of the comfortable zone. , 1978, Journal of oral rehabilitation.

[90]  V. Sassouni,et al.  Cephalometric study of the changes occurring in the face height following prosthetic treatment. I. Gradual reduction of both occlusal and rest face heights. , 1968, The Journal of prosthetic dentistry.

[91]  B. Ingervall,et al.  Recording of the retruded position of the mandible with application of varying external pressure to the lower jaw in man. , 1971, Archives of oral biology.

[92]  E Pound,et al.  Utilizing speech to simplify a personalized denture service. , 1970, Journal - Southern California Dental Association.

[93]  K. Türker,et al.  Twitch tension in the jaw muscles of the cat at various degrees of mouth opening. , 1978, Archives of oral biology.

[94]  P. Dechow,et al.  Adaptation of the suprahyoid muscle complex to mandibular advancement surgery. , 1987, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[95]  L. C. Maxwell,et al.  Adaptation of the masseter and temporalis muscles following alteration in length, with or without surgical detachment , 1981, The Anatomical record.

[96]  M. J. Mora,et al.  Myoelectrical activity of clinical rest position and jaw muscle activity in young adults. , 1997, Journal of oral rehabilitation.

[97]  R. Wilding,et al.  The prevalence of temporomandibular joint dysfunction in edentulous non-denture wearing individuals. , 1987, Journal of oral rehabilitation.

[98]  J. P. Lund,et al.  Devices for the diagnosis and treatment of temporomandibular disorders. Part II: Electromyography and sonography. , 1990, The Journal of prosthetic dentistry.

[99]  A. Watkinson The mandibular rest position and electromyography--a review. , 1987, Journal of oral rehabilitation.

[100]  G. Carlsson,et al.  Effect of increasing vertical dimension on the masticatory system in subjects with natural teeth. , 1979, The Journal of prosthetic dentistry.

[101]  Y. Lamarre,et al.  Human jaw reflexes. , 1983, Advances in neurology.

[102]  F. Berzin,et al.  Electromyographic study of the temporal, masseter and suprahyoid muscles in the mandibular rest position. , 1998, Journal of oral rehabilitation.

[103]  Sarit Kraus,et al.  Head posture: a case study of the effects on the rest position of the mandible*. , 1984, The Journal of orthopaedic and sports physical therapy.

[104]  Alteration in the bite force and EMG activity with changes in the vertical dimension of edentulous subjects. , 1996, Journal of oral rehabilitation.

[105]  T. Magnusson Change in recurrent headache and mandibular dysfunction after treatment with new complete dentures. , 1982, Journal of oral rehabilitation.

[106]  R. Bryant,et al.  The effect of head position on electromyographic evaluations of representative mandibular positioning muscle groups. , 1987, Cranio : the journal of craniomandibular practice.

[107]  J. Türp,et al.  The effect of musculoskeletal facial pain on registration of maxillomandibular relationships and treatment planning: a synthesis of the literature. , 1998, The Journal of prosthetic dentistry.

[108]  P E Dawson,et al.  New definition for relating occlusion to varying conditions of the temporomandibular joint. , 1995, The Journal of prosthetic dentistry.

[109]  E. Møller,et al.  Postural activity in the muscles of mastication with the subject upright, inclined, and supine. , 1970, Scandinavian journal of dental research.

[110]  B. Solow,et al.  Long-term changes in hyoid bone position and craniocervical posture in complete denture wearers. , 1984, Acta odontologica Scandinavica.

[111]  M LoSchiavo,et al.  Determination of vertical dimension by hydraulic intraoral jack. , 1988, Journal of oral rehabilitation.

[112]  J. P. Lund,et al.  Can electrical stimulation be used to establish a physiologic occlusal position? , 1988, The Journal of prosthetic dentistry.

[113]  Lund Jp,et al.  Clinical diagnosis of orofacial pain: impact of recent FDA ruling on electronic devices. , 1995, Journal of orofacial pain.

[114]  A Study of Centric Relation as Recorded an A Supine Rest Position , 1951 .

[115]  J C Remien,et al.  "Myo-Monitor centric": an evaluation. , 1974, The Journal of prosthetic dentistry.

[116]  Y. Munakata The effects of changes in bite pressure and mucosal stimulation on the perception of mandibular position in man. , 1986, Archives of oral biology.

[117]  K. Vig,et al.  Variables Affecting Measurements of Vertical Occlusal Force , 1986, Journal of dental research.

[118]  E. Luschei,et al.  The strength of the reflex response to sinusoidal stretch of monkey jaw closing muscles during voluntary contraction. , 1978, The Journal of physiology.

[119]  Y. Kawamura Some physiologic considerations on measuring rest position of the mandible , 1957 .

[120]  R. Yemm,et al.  Passive control in mandibular rest position. , 1969, The Journal of prosthetic dentistry.

[121]  D. Carlson,et al.  Stability of midface augmentation: an experimental study of musculoskeletal interaction and fixation methods. , 1989, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[122]  Electromyographic relaxed mandibular position in long-faced subjects. , 1985, The Journal of prosthetic dentistry.

[123]  J. Christensen Effect of occlusion-raising procedures on the chewing system. , 1970, The Dental practitioner and dental record.

[124]  R. Lytle Vertical relation of occlusion by the patient's neuromuscular perception , 1964 .

[125]  R Martina,et al.  Mandibular rest position and electrical activity of the masticatory muscles. , 1997, The Journal of prosthetic dentistry.

[126]  H. Swerdlow Roentgencephalometric study of vertical dimension changes in immediate denture patients , 1964 .

[127]  T Jemt,et al.  Interocclusal distance measurement comparing chin and tooth reference points. , 1982, The Journal of prosthetic dentistry.

[128]  Z Ormianer,et al.  A preliminary study on the effect of occlusal vertical dimension increase on mandibular postural rest position. , 1994, The International journal of prosthodontics.

[129]  Phillips Km,et al.  Occlusal vertical dimension: alteration concerns. , 1997 .

[130]  B. Jankelson,et al.  Kinesiometric instrumentation: a new technology. , 1975, Journal of the American Dental Association.

[131]  B. Wyke Neuromuscular mechanisms influencing mandibular posture: a neurologist's review of current concepts. , 1974, Journal of dentistry.

[132]  W D McCall,et al.  Devices for the diagnosis and treatment of temporomandibular disorders. Part I: Introduction, scientific evidence, and jaw tracking. , 1990, The Journal of prosthetic dentistry.

[133]  D. Carlson,et al.  Cephalometric analysis of adaptations after lengthening of the masseter muscle in adult rhesus monkeys, Macaca mulatta. , 1983, Archives of oral biology.

[134]  N. Hunt,et al.  The use of kinesiography to assess mandibular rest positions following corrective orthognathic surgery. , 1998, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[135]  Electromyographic-force Characteristics in the Assessment of Oral Function , 1991, Journal of dental research.