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Factors influencing jaw position sense in man
Abstract:
The relative contribution of muscle sensors, joint sensors and trigeminal exterosensors to the position sense of the mandible was investigated. Subjects compared the sizes of gauges placed between the teeth with the size of a previously explored standard gauge of 4.75 mm. The experimental conditions were either anaesthesia of both mandibular joints and the oral exterosensors, or load on the jaw-closing muscles, or adaptation to an extreme jaw position. The results were compared with control experiments under normal conditions. (1) All subjects matched to standard fairly well in control conditions, the imprecision of the match being approximately 0.5 mm. Under anaesthesia, the matches were 1-1.5 mm greater than the controls, the imprecision being almost unaffected. Anaesthetizing the joints and oral exterosensors before or after exploring the standard gauge did not affect the match. Imposing various loads (less than or equal to 3.4 kg) did not change the match to the standard. Adaptation to a wide open position introduced a considerable mismatch of the standard, leaving the imprecision of the match unaffected. (2) The experiments provide evidence that muscle afferents are important sources in sensing jaw position and fulfil the criteria for an independent position servo in the trigeminal system. It is suggested that the engram of the standard is built up mainly from muscle sensor information.