Facial approximation: an evaluation of mouth-width determination

Facial approximation techniques rely on the prediction of soft tissues from the skull, yet few prediction methods have been scientifically evaluated, despite being frequently used in the past. This study tests several published and commonly used methods for determining mouth width from the skull. The methods tested are: 1) that mouth width is equal to the distance between the pupils; 2) that mouth width is equal to the distance between the medial borders of the iris; and 3) that mouth width is equal to the distance between the most lateral junctions of the canines and the first premolars. The study primarily examines living Australian European and Central/South East Asian participants (of both sexes) using photogrammetric methods. The results of this study indicate that methods 1 and 3 are highly inaccurate. Method 1 overestimated mouth width, on average, by approximately 11 mm (SD, 4 mm), while method 3 underestimated mouth width by approximately 13 mm (SD, 3 mm). Method 2 was the most accurate of the methods evaluated, but on average underrepresented mouth width by approximately 2 mm (SD, 4 mm). All three methods produced mouth-width predictions that, in general, were statistically different from actual mouth widths (P < 0.05). A new guideline, describing mouth width as canine width plus 57% of the cumulative distance between the lateral canine borders and the pupil centers on each side was found not to differ at statistically significant levels from actual mouth widths (P > 0.05). On average, this guideline did not under/overestimate actual mouth width, with the difference between them being 0 mm (SD, 3 mm). The increased accuracy of this new guideline in comparison to others suggests that it is the most appropriate for facial approximation. However, it should be further tested using independent samples. The finding that commonly used mouth-width prediction guidelines are not accurate suggests that many facial approximations previously made have incorrect mouth widths. This could reduce the recognition of these facial approximations and may, especially if other guidelines are inaccurate, render the facial approximations unrecognizable as their respective target individual (individual to whom the skull belongs).     

ABILITY OF HAND EVALUATION VERSUS MOUTH EVALUATION TO DIFFERENTIATE TEXTURE OF CHEESE

Hand evaluation and mouth evaluation were compared for texture of cheese. Panelists (n = 11) identified seven mouth terms and five hand terms and developed definitions and standard procedures for evaluation during the course of training. The terms were used to evaluate texture properties of fourteen different types of natural and processed full fat and reduced fat cheeses. Hand and mouth evaluation were able to discriminate cheese texture (P≦0.05). Principal component analysis of data revealed that hand and mouth evaluation differentiated the cheeses in a similar manner. Correlation analysis, factor analysis, and canonical analysis revealed that mouth and hand terms were highly correlated (P≦0.05). Either hand or mouth evaluation can be used to discriminate cheese texture.     

Impact of dry mouth conditions on oral health-related quality of life in older people

Objective: The aim of the present study was to evaluate the impact of dry mouth conditions on oral health‐related quality of life in frail old people, residents at community care centers. Further, reliability and validity of a visual analogue scale (VAS) for dry mouth symptoms were determined within the study cohort. Background: In old people functional, social and psychological impacts of oral conditions are associated with an overall sense of well being and general health. Subjective dry mouth and reduced saliva flow are common disorders in old people caused by disease and medication. Thus, dry mouth conditions may be determinants for compromised oral health‐related quality of life in old people. Method: In total, 50 old people living at service homes for the old people were asked to answer questionnaires on subjective dry mouth (VAS) and Oral Health Impact Profile (OHIP14) for oral health‐related quality of life. Saliva flow was estimated by absorbing saliva into a pre‐weighed cotton roll. Results: The final study cohort comprised 41 old people (aged 83–91 years). Significant associations were identified between both objective and subjective dry mouth and overall or specific aspects of oral health‐related quality of life. Conclusion: Dry mouth (objective and subjective) is significantly associated with oral health‐related quality of life strengthening the value of monitoring dry mouth conditions in the care of frail old people.     

Dorsoventral axis inversion: A phylogenetic perspective

Recent molecular evidence suggests that the body plans of insects and vertebrates may be dorsoventrally inverted with respect to one another. This poses a major challenge for comparative zoologists, either to explain how this came about or to offer alternative interpretations of the data. Dorsoventral inversion is most easily explained if the mouth of deuterostome metazoans (which would include vertebrates) is truly a secondary structure unrelated to the protostome mouth, located opposite to the latter on the dorsal surface of the body. Two possibilities are (1) that the definitive deuterostome mouth has replaced a preexisting protostome-type mouth, or (2) that ancestral deuterostomes lacked a protostome-type mouth altogether, and formed a secondary dorsal mouth entirely de novo. Our current understanding of invertebrate embryogenesis and larval morphology provides at least as much support, if not more, for (2) as for (1). By implication, even if ancestral protostomes and deuterostomes shared common anteroposterior and dorsoventral patterning systems, they may still have differed significantly with respect to other aspects of body organization and been otherwise very dissimilar organisms.     

A quantitative theory of expected volume changes of the mouth during feeding in teleost fishes

The mechanism of mouth expansion in fish, consisting of jaws, suspensoria (j) and hyoids (h) has been modelled by a four-bar isosceles linkage. This model provides insight into limitations and demands of the expansion system used in feeding, as it can be optimized with regard to maximum mouth volume increase. The optimum length ratio of hyoids and jaws was found to be h/j = 0–7. This optimum is modified by mouth bottom depression, jaw protrusion and swimming.
To expand the mouth, at least two forces are required; one exerted by the sternohyoid and ventral body muscles, the other by the epaxial muscles through transmission in the quadrato-articular joints. (Data from EMG experiments confirm the synchronous activity of these muscle groups.) Force transmission and mouth volume increase are constraining quantities, which can be compromised. This leads to a model of the initial mouth shape which is actually found in many 'generalized' fishes, and to demands concerning volume and physiological cross-sectional area of the muscles involved.
Options for specific relative lengths of jaws and hyoids (h/j-ratios) are, for various fish species, compared with model predictions. The applicability of the model approach is shown by the obtained results.     

Mouth pressure curve on abrupt interruption of airflow during forced expiration

An attempt was made to investigate how the mouth pressure curve represents the process of air flowing into the collapsed segment downstream to the choke point when the airflow is abruptly interrupted at the mouth during forced expiration. Immediately after the interruption of airflow, the mouth pressure suddenly increased (phase 1), followed by a slower rise in pressure (phase 2) within approximately 100 ms until the pressure reached the alveolar pressure. The pleural and alveolar pressures remained constant during this process. The first phase of the abrupt rise represented the pressure induced by the instantaneous interruption of the airflow itself. Analysis of the supramaximal flow (Vsupramax) observed after resumption of the airflow suggested that the choke point remained constant during the second phase of the mouth pressure after interruption of maximal flow (Vmax). From these results, examination of the second phase of the mouth pressure curve may provide useful information about the downstream segment of the airway.     

The effects of a customized over-the-counter mouth guard on neuromuscular force and power production in trained men and women

Although mouth guards were originally designed for injury prevention, even elite athletes are now using performance mouth guards to improve athletic success. Both expensive custom models and over-the-counter models are available, but the efficacy is not well known. Some athletes remain wary of the perceived potential for detriments using a mouth guard to their performance. Thus, the purpose of this study was to examine various physical performance tests when using a mouth guard including a customized over-the-counter mouth guard. Twenty-six trained men (25 ± 4 years; 1.78 ± 0.07 m; 83.3 ± 11.4 kg) and 24 trained women (23 ± 3 years; 1.65 ± 0.08 m; 62.6 ± 7.8 kg) volunteered for the investigation. The subjects completed a familiarization period and then balanced and randomized treatment conditions that included: (a) a customized Power Balance performance mouth guard (PB MG); (b) a regular over the counter boil-and-bite mouth guard (Reg MG); and (c) a no mouth guard (No MG) treatment condition. At each visit, the subjects completed a testing protocol that was sequenced in the following order: sit-and-reach flexibility, medial-lateral balance, visual reaction time, vertical jump, 10-m sprint, bench throw, and plyo press power quotient (3PQ). Heart rate and rating of perceived exertion (RPE) were recorded around the 3PQ. Significance was set at p ≤ 0.05. Expected significant sex differences existed for all power, strength, and speed variables. Bench throw power (watts) and force (newtons) were significantly higher under PB MG than either Reg MG or No MG or in both men and women. The 3PQ power and force production were higher than that for the other 2 treatments for the PB MG for men only. There were no significant differences for treatment conditions in the heart rate or RPE after the 3PQ test. Men were better able to maintain significantly higher 3PQ power production under PB MG treatment condition compared with the other 2 treatment conditions. Rate of power development was significantly higher in men for the vertical jump when using the PB MG compared with that for other treatment conditions in men only. No differences were observed in flexibility, balance, visual reaction time, or sprint time. The PB MG performance mouth guard improves performance of upper-body loaded power exercises in both men and women and lower body power exercise in men without compromising performance on any other performance parameters.     

Implicit Processing of the Eyes and Mouth: Evidence from Human Electrophysiology

The current study examined the time course of implicit processing of distinct facial features and the associate event-related potential (ERP) components. To this end, we used a masked priming paradigm to investigate implicit processing of the eyes and mouth in upright and inverted faces, using a prime duration of 33 ms. Two types of prime-target pairs were used: 1. congruent (e.g., open eyes only in both prime and target or open mouth only in both prime and target); 2. incongruent (e.g., open mouth only in prime and open eyes only in target or open eyes only in prime and open mouth only in target). The identity of the faces changed between prime and target. Participants pressed a button when the target face had the eyes open and another button when the target face had the mouth open. The behavioral results showed faster RTs for the eyes in upright faces than the eyes in inverted faces, the mouth in upright and inverted faces. Moreover they also revealed a congruent priming effect for the mouth in upright faces. The ERP findings showed a face orientation effect across all ERP components studied (P1, N1, N170, P2, N2, P3) starting at about 80 ms, and a congruency/priming effect on late components (P2, N2, P3), starting at about 150 ms. Crucially, the results showed that the orientation effect was driven by the eye region (N170, P2) and that the congruency effect started earlier (P2) for the eyes than for the mouth (N2). These findings mark the time course of the processing of internal facial features and provide further evidence that the eyes are automatically processed and that they are very salient facial features that strongly affect the amplitude, latency, and distribution of neural responses to faces.     

Intensity of mouth coloration in Blackcap Sylvia atricapilla nestlings affects food distribution among siblings but not provisioning of the whole brood

Among various begging stimuli, mouth coloration has received increasing attention in recent years, and previous research has demonstrated that mouths of nestling Canaries Serinus canaria get redder with the extent of food deprivation and that parents preferentially feed nestlings of redder gapes. This study assesses whether the intensity of red mouth colour in nestling Blackcaps Sylvia atricapilla is a signal in parent–offspring communication. This is one of the few species with a naturally red gape in which the function of mouth redness has been tested. Three predictions were experimentally tested: (1) reddening the gape of a single nestling within a brood increases its provisioning in relation to other siblings; (2) reddening the gapes of all nestlings within a brood increases parental feeding rate; and (3) food deprivation increases nestling mouth redness. The effect of nestling quality on mouth redness was also assessed. The intensity of gape coloration affected food distribution, but in a way opposite to that expected: an increase in mouth redness of the nestling caused reduced feeding by parents. However, reddening the gapes of all nestlings had no effect on provisioning of the whole brood, suggesting that Blackcap parents use different cues for provisioning particular nestlings and the whole brood. Intensity of mouth redness in Blackcap nestlings was not affected either by food deprivation or by nestling quality in terms of mass and rank in the nest.     

Hedgehog activity controls opening of the primary mouth

To feed or breathe, the oral opening must connect with the gut. The foregut and oral tissues converge at the primary mouth, forming the buccopharyngeal membrane (BPM), a bilayer epithelium. Failure to form the opening between gut and mouth has significant ramifications, and many craniofacial disorders have been associated with defects in this process. Oral perforation is characterized by dissolution of the BPM, but little is known about this process. In humans, failure to form a continuous mouth opening is associated with mutations in Hedgehog (Hh) pathway members; however, the role of Hh in primary mouth development is untested. Here, we show, using Xenopus, that Hh signaling is necessary and sufficient to initiate mouth formation, and that Hh activation is required in a dose-dependent fashion to determine the size of the mouth. This activity lies upstream of the previously demonstrated role for Wnt signal inhibition in oral perforation. We then turn to mouse mutants to establish that SHH and Gli3 are indeed necessary for mammalian mouth development. Our data suggest that Hh-mediated BPM persistence may underlie oral defects in human craniofacial syndromes.     

Early development of the anterior body region of the grey widow spider Latrodectus geometricus Koch, 1841 (Theridiidae, Araneae)

We document the early morphogenesis of Latrodectus geometricus, particularly of the anterior body region. Significant changes in the development of the external prosomal structures revealed with scanning electron microscopy (SEM) images include: (1) reorganisation of each pre-cheliceral lobe by subdivision and internalisation of its central area; (2) shortening of the ventro-median bridge connecting the pre-cheliceral lobes and its eventual disappearance; (3) appearance and expansion of a prospective mouth region between the pre-cheliceral lobes with a recessed median area surrounded by lip-like borders, the anterior lip-part developing into the hypostome; (4) reduction of the mouth region to an area around the hypostome and the lip-like latero-posterior border of the mouth opening; (5) change of the position of the mouth region from anterior to the insertions of the chelicerae to posterior to them; (6) eventual shortening of the mouth opening to a slit overhung by the hypostome; (7) origination of the prosomal shield from the anterior margin of the pre-cheliceral lobes and the tergal portions of the four posterior-most prosomal segments; and (8) expansion of a ‘ventral sulcus’ from the cheliceral to the fifth opisthosomal segment separating the sides of these segments. Embryonic features are compared across the Chelicerata and discussed briefly in a phylogenetic context.     

Association between Mouth Breathing and Atopic Dermatitis in Japanese Children 2–6 years Old: A Population-Based Cross-Sectional Study

As mouth breathing is associated with asthma and otitis media, it may be associated with other diseases. Therefore, this population-based cross-sectional study evaluated the association of mouth breathing with the prevalences of various diseases in children. Preschool children older than 2 years were included. A questionnaire was given to parents/guardians at 13 nurseries in Tokushima City. There were 468 valid responses (45.2%). We defined a subject as a mouth breather in daytime (MBD) if they had 2 or more positive items among the 3 following items: “breathes with mouth ordinarily,” “mouth is open ordinarily,” and “mouth is open when chewing.” We defined subjects as mouth breathers during sleep (MBS) if they had 2 or more positive items among the following 3 items: “snoring,” “mouth is open during sleeping,” and “mouth is dry when your child gets up.” The prevalences of MBD and MBS were 35.5% and 45.9%, respectively. There were significant associations between MBD and atopic dermatitis (odds ratio [OR]: 2.4, 95% confidence interval [CI]: 1.4–4.2), MBS and atopic dermatitis (OR: 2.4, 95% CI: 1.3–4.2), and MBD and asthma (OR: 2.2, 95% CI: 1.2–4.0). After adjusting for history of asthma and allergic rhinitis; family history of atopic dermatitis, asthma, and allergic rhinitis; and nasal congestion; both MBD (OR: 2.6, 95% CI: 1.3–5.4) and MBS (OR: 4.1, 95% CI: 1.8–9.2) were significantly associated with atopic dermatitis. In preschool children older than 2 years, both MBD and MBS may be associated with the onset or development of atopic dermatitis.     

Boundary cells of endodermal origin define the mouth of Hydra vulgaris (Cnidaria)

We investigated morphology, dynamics and origin of cells surrounding the mouth of Hydra vulgaris using the monoclonal antibody L96. This antibody recognises a one cell-thick ring of endodermal epithelial cells exactly at the boundary between endoderm (gastrodermis) and ectoderm (epidermis). L96⁺ cells can stretch considerably without any cell rupture during mouth opening. Thus, our data prove the existence of a distinct cell population defining hydra's mouth. A model for mouth opening is proposed and the significance of L96⁺ cells for boundary formation between ectoderm and endoderm is discussed.     

Evolution of deuterostomy – and origin of the chordates

The chordates are usually characterized as bilaterians showing deuterostomy, i.e. the mouth developing as a new opening between the archenteron and the ectoderm, serial gill pores/slits, and the complex of chorda and neural tube. Both numerous molecular studies and studies of morphology and embryology demonstrate that the neural tube must be considered homologous to the ventral nerve cord(s) of the protostomes, but the origin of the ‘new’ mouth of the deuterostomes has remained enigmatic. However, deuterostomy is known to occur in several protostomian groups, such as the chaetognaths and representatives of annelids, molluscs, arthropods and priapulans. This raises the question whether the deuterostomian mouth is in fact homologous with that of the protostomes, viz. the anterior opening of the ancestral blastopore divided through lateral blastopore fusion, i.e. amphistomy. A few studies of gene expression show identical expression patterns around mouth and anus in protostomes and deuterostomes. Closer studies of the embryology of ascidians and vertebrates show that the mouth/stomodaeum differentiates from the anterior edge of the neural plate. Together this indicates that the chordate mouth has moved to the anterior edge of the blastopore, so that the anterior loop of the ancestral circumblastoporal nerve cord, which is narrow in the protostomes, has become indistinguishable. In the vertebrates, the mouth has moved further around the anterior pole to the ‘ventral’ side. The conclusion must be that the chordate mouth (and that of the deuterostomes in general) is homologous to the protostomian mouth and that the latest common ancestor of protostomes and deuterostomes developed through amphistomy, as suggested by the trochaea theory.     

Acquisition of Lateralized Predation Behavior Associated with Development of Mouth Asymmetry in a Lake Tanganyika Scale-Eating Cichlid Fish

The scale-eating cichlid Perissodus microlepis with asymmetric mouth is an attractive model of behavioral laterality: each adult tears off scales from prey fishes’ left or right flanks according to the direction in which its mouth is skewed. To investigate the development of behavioral laterality and mouth asymmetry, we analyzed stomach contents and lower jaw-bone asymmetry of various-sized P. microlepis (22≤SL<115mm) sampled in Lake Tanganyika. The shapes of the pored scales found in each specimen’s stomach indicated its attack side preference. Early-juvenile specimens (SL<45mm) feeding mainly on zooplankton exhibited slight but significant mouth asymmetry. As the fish acquired scale-eating (45mm≤SL), attack side preference was gradually strengthened, as was mouth asymmetry. Among size-matched individuals, those with more skewed mouths ate more scales. These findings show that behavioral laterality in scale-eating P. microlepis is established in association with development of mouth asymmetry which precedes the behavioral acquisition, and that this synergistic interaction between physical and behavioral literalities may contribute to efficient scale-eating.     

Quantification of flow during suction feeding in bluegill sunfish

Nearly all aquatic-feeding vertebrates use some amount of suction to capture prey items. Suction prey capture occurs by accelerating a volume of water into the mouth and taking a prey item along with it. Yet, until recently, we lacked the necessary techniques and analytical tools to quantify the flow regime generated by feeding fish. We used a new approach; Digital Particle Image Velocimetery (DPIV) to measure several attributes of the flow generated by feeding bluegill sunfish. We found that the temporal pattern of flow was notably compressed during prey capture. Flow velocity increased rapidly to its peak within 20 ms of the onset of the strike, and this peak corresponded to the time that the prey entered the mouth during capture. The rapid acceleration and deceleration of water suggests that timing is critical for the predator in positioning itself relative to the prey so that it can be drawn into the mouth along with the water. We also found that the volume of water affected by suction was spatially limited. Only rarely did we measure significant flow beyond 1.75 cm of the mouth aperture (in 20 cm fish), further emphasizing the importance of mechanisms, like locomotion, that place the fish mouth in close proximity to the prey. We found that the highest flows towards the mouth along the fish midline were generated not immediately in front of the open mouth, but approximately 0.5 cm anterior to the mouth opening. Away from the midline the peak in flow was closer to the mouth. We propose that this pattern indicates the presence of a bow wave created by the locomotor efforts of the fish. In this scheme, the bow wave acts antagonistically to the flow of water generated by suction, the net effect being to push the region of peak flow away from the open mouth. The peak was located farther from the mouth opening in strikes accompanied by faster locomotion, suggesting faster fish created larger bow waves.     

Air entry in infant resuscitation: oral or nasal routes?

Wilson-Davis, S. L., S. L. Tonkin, and T. R. Gunn. Air entry in infant resuscitation: oral ornasal routes?. J. Appl. Physiol.82(1): 152-155, 1997.The current recommendation for resuscitation of infants is to blow air into both the nose and mouth.We have observed that mothers cannot cover both the nose and mouth oftheir infants. We compared postmortem tracheal and esophageal air entryby using the nose, combined nose and mouth, and mouth routes in eightinfants. Air entry into the trachea occurred at lower pressures(P < 0.05) via a nose mask than via a combined nose and mouth mask or via a mouth mask. Air entry into thetrachea occurred at lower pressures (P < 0.05) via the nose route in the neutral and extended neck positionscompared with the flexed position. We were unable to demonstrate aneffect of the route of air entry on esophageal air entry. The findings indicate that the nasal route of air entry is more effective than thecombined nose and mouth or mouth routes and that neck flexion impedesair entry. We recommend that parents are taught to blow air into theirinfants' noses if the infant stops breathing.

     

口泰含漱液对控制菌斑和牙龈炎的疗效分析

本研究采用双盲随机对照法观察口泰含液对牙龈炎及控制菌斑的疗效。结果显示：实验组的牙龈指数,龈沟出血指数及菌斑指数以在含漱５天后均有明显的改善,且与对照组的比较也有明显的差异。     

Larval Konosirus punctatus(Clupeidae) in a brackish river mouth on the Pacific coast of central Japan

Eggs of Konosirus punctatus in early developmental stages were collected from the eastern part of the mouth of Sagami Bay on the Pacific coast of central Japan. Advanced‐stage eggs and early larvae with notochord length ( L _N) of <7·5 mm were collected from the inner bay near the mouth of the Sagami River. Feeding larvae of >8·4 mm L _N were distributed in the mouth of the river, and juveniles of 24–90 mm standard length ( L _S) were collected from the lower reaches of the river between the river mouth and c . 3 km upstream of the river mouth. Hatch dates of larvae and juveniles collected in 2001 ( n  = 158) and in 2002 ( n  = 109) extended from late March to late July. The relationship between the otolith radius ( R _O) and L _N or L _S changed during the metamorphosis stage as characterized by 320 μm R _O and 22 mm L _S. Otolith growth rate, as an index of somatic growth rates in larval and early juvenile stages, was higher in cohorts that hatched later in the spawning season, i.e . from March to July. Konosirus punctatus that were spawned in the bay mouth area survived with different growth histories in the bay and lower reaches of the river, and recruited to the young‐of‐year population in the Pacific coastal waters of central Japan.     

Development of the primary mouth in Xenopus laevis

The initial opening between the gut and the outside of the deuterostome embryo breaks through at the extreme anterior. This region is unique in that ectoderm and endoderm are directly juxtaposed, without intervening mesoderm. This opening has been called the stomodeum, buccopharyngeal membrane or oral cavity at various stages of its formation, however, in order to clarify its function, we have termed this the "primary mouth". In vertebrates, the neural crest grows around the primary mouth to form the face and a "secondary mouth" forms. The primary mouth then becomes the pharyngeal opening. In order to establish a molecular understanding of primary mouth formation, we have begun to examine this process during Xenopus laevis development. An early step during this process occurs at tailbud and involves dissolution of the basement membrane between the ectoderm and endoderm. This is followed by ectodermal invagination to create the stomodeum. A subsequent step involves localized cell death in the ectoderm, which may lead to ectodermal thinning. Subsequently, ectoderm and endoderm apparently intercalate to generate one to two cell layers. The final step is perforation, where (after hatching) the primary mouth opens. Fate mapping has defined the ectodermal and endodermal regions that will form the primary mouth. Extirpations and transplants of these and adjacent regions indicate that, at tailbud, the oral ectoderm is not specifically required for primary mouth formation. In contrast, underlying endoderm and surrounding regions are crucial, presumably sources of necessary signals. This study indicates the complexity of primary mouth formation, and lays the groundwork for future molecular analyses of this important structure.