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Adaptive brain activity changes during tongue movement with palatal coverage from fMRI data.

Yuka Inamochi1, Kenji Fueki2, Nobuo Usui3

  • 1Removable Partial Prosthodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan.

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New dentures initially impair tongue movement and alter brain activity in the angular gyrus and precuneus. As users adapt over seven days, tongue function improves, and associated brain activity decreases.

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Area of Science:

  • Neuroscience
  • Oral Health
  • Sensory Adaptation

Background:

  • Successful adaptation to dentures with palatal coverage may involve neural changes.
  • Tongue motor control is crucial for adapting to new oral environments.

Purpose of the Study:

  • To investigate changes in brain activity during tongue movement in response to a new oral environment.
  • To understand the neural basis of adaptation to palatal coverage.

Main Methods:

  • Functional magnetic resonance imaging (fMRI) was used to measure brain activity during tongue movement.
  • Tongue motor dexterity and perceived difficulty were assessed over seven days.
  • Twenty-eight subjects without prior denture experience participated.

Main Results:

  • Difficulty with tongue movement was highest immediately after insertion (Day 1) and decreased over time.
  • Brain activity in the angular gyrus and right precuneus was significantly higher on Day 1 compared to Day 7.
  • Increased activation correlated with impaired tongue motor function and spatial monitoring.

Conclusions:

  • Initial tongue motor impairment from palatal plates activates brain regions involved in spatial monitoring and motor imagery.
  • Reduced activation over time indicates successful adaptation and recovery of tongue motor function.
  • Cortical plasticity in sensorimotor areas underlies adaptation to oral appliances.