NDLI: The mandible advancement may alter the coordination between breathing and the non-nutritive swallowing reflex.

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The mandible advancement may alter the coordination between breathing and the non-nutritive swallowing reflex.

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The mandible advancement may alter the coordination between breathing and the non-nutritive swallowing reflex.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ayuse, T. Ishitobi, S. Yoshida, H. Nogami, T. Kurata, S. Hoshino, Y. Oi, K.
Description	Country affiliation: Japan Author Affiliation: Ayuse T ( Department of Special Care Dentistry, Nagasaki University Hospital, Nagasaki, Japan.)
Abstract	The coordination between nasal breathing and non-nutritive swallowing serves as a protective reflex against potentially asphyxiating material, i.e. saliva and secretions, entering the respiratory tract. Although this protective reflex is influenced by positional changes in the head and body, the effect of mandible position on this reflex is not fully understood. We examined the effect of mandible advancement associated with mouth opening on the coordination between nasal breathing and non-nutritive swallowing induced by continuous infusion of distilled water into the pharyngeal cavity. The combination of mandible advancement and mouth opening increased the duration of swallowing apnoea and submental electromyographic burst duration. When the mandible was advanced with the mouth open, the duration of swallowing apnoea increased significantly compared with the centric position (0.79 +/- 0.23 vs. 0.64 +/- 0.12 s, P < 0.05, n = 12), and the duration of submental electromyographic activity increased significantly (2.11 +/- 0.63 vs. 1.46 +/- 0.25 s, P < 0.05, n = 12). Mandible advancement with mouth opening altered the respiratory phase resetting during swallowing and the timing of swallow in relation to respiratory cycle phase. We conclude that mandible re-positioning may strongly influence the coordination between nasal breathing and non-nutritive swallowing by altering respiratory parameters and by inhibiting movement of the tongue-jaw complex.
File Format	HTM / HTML
ISSN	0305182X
Issue Number	5
Volume Number	37
e-ISSN	13652842
Journal	Journal of Oral Rehabilitation
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2010-05-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Dentistry Deglutition Physiology Mandibular Advancement Reflex Respiration Adult Electromyography Female Humans Male Occlusal Splints Supine Position Tongue Young Adult Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Dentistry

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Relationship between ease of swallowing and deglutition-related muscle activity in various postures.

Tongue-mandible coupling movements during saliva swallowing.

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Both head extension and mouth opening impair the ability to swallow in the supine position.

Activity pattern of swallowing-related muscles, food properties and body position in normal humans.

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Mandibular advancement impairs swallowing ability more than head extension but less than mouth opening in the supine position

The effects of cranio-cervical flexion on activation of swallowing-related muscles.

The mandible advancement may alter the coordination between breathing and the non-nutritive swallowing reflex.

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