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Trigeminal Stimulation and Visuospatial Performance: The Struggle between Chewing and Trigeminal Asymmetries.
Maria Paola Tramonti Fantozzi1, Vincenzo De Cicco1, Paola d'Ascanio1
1Department of Translational Research and of New Surgical and Medical Technologies, University of Pisa, 56123 Pisa, Italy.
Biomedicines
|August 26, 2023
Summary
Chewing enhances visuospatial skills by activating the locus coeruleus (LC). Chewing
Area of Science:
- Neuroscience
- Cognitive Psychology
- Dental Science
Background:
- Chewing stimulates the locus coeruleus (LC), a brain region influencing cognitive functions.
- Visuospatial performance can be modulated by chewing activity.
- Individual differences in chewing muscle activity (masseter electromyography) and resting pupil size (anisocoria) may reflect underlying LC asymmetry.
Purpose of the Study:
- To investigate how bilateral and unilateral chewing affect visuospatial performance.
- To examine the influence of chewing asymmetry on these effects.
- To explore the relationship between chewing-induced changes and pupil size asymmetry.
Main Methods:
- Assessed visuospatial performance changes during bilateral and unilateral chewing.
- Measured masseter electromyographic (EMG) activity during clenching to quantify chewing asymmetry.
- Recorded resting pupil size (anisocoria) as a proxy for locus coeruleus (LC) imbalance.
Main Results:
- Visuospatial performance improved with chewing, particularly in males.
- Chewing effects were modulated by the degree of chewing asymmetry (trigeminal asymmetries).
- Pupil size changes correlated with asymmetry values, independent of sex.
Conclusions:
- Chewing facilitates visuospatial performance, with effects influenced by trigeminal asymmetries.
- Occlusal rebalancing may be a strategy to enhance cognitive performance.
- Individual differences in chewing mechanics impact cognitive benefits derived from mastication.

