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Jarvie Journal - College of Dental Medicine - Columbia University

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Volume 56, Spring 2013<br />

Effect <strong>of</strong> Forced Mouth Opening on Murine TMJ<br />

Thomas Choi, Yosuke Kamiya, Manshan Xu, Jing Chen, Sunil Wadhwa*<br />

<strong>College</strong> <strong>of</strong> <strong>Dental</strong> <strong>Medicine</strong>, <strong>Columbia</strong> <strong>University</strong>, NY, NY * Faculty Mentor<br />

Introduction: TMJ disease predominantly afflicts women <strong>of</strong> childbearing age, suggesting a female<br />

hormonal component to the disease process. This project examined if estrogen inhibition <strong>of</strong> mechanical<br />

loading-induced periosteal bone formation occurs in the periosteal derived TMJ.<br />

Materials and Methods: Mechanical force was implemented by placing a spring calibrated to exert<br />

0.5N when placed between incisors (forced mouth opening). Spring was placed for one hour a day for<br />

five consecutive days.<br />

The mice were divided into four groups:<br />

1. Female mice with no manipulation (n=3)<br />

2. Male mice with no manipulation (n=4)<br />

3. Female mice undergoing forced mouth opening (n=3)<br />

4. Male mice undergoing forced mouth opening (n=5)<br />

Mice in all four groups were sedated with ketamine during the one hour period <strong>of</strong> either forced mouth<br />

opening or no manipulation. BrdU was injected three hours prior to sacrifice on the fifth day <strong>of</strong> the<br />

experiment. Histology sections <strong>of</strong> five micrometers were prepared. Immunohistochemistry for BrdU and<br />

Tieg1 were done to yield ratio <strong>of</strong> positive cells to total cells.<br />

Results: Forced mouth opening caused a significant increase in cell count in male mice but not in<br />

female mice compared to sex-matched no manipulation controls. On the other hand, forced mouth<br />

opening did not cause any differences in proliferation as measured by BrdU compared to sex matched<br />

controls. Future studies are planned to examine apoptosis.<br />

Conclusion: Similar to periosteal bone, we found decreased TMJ mechanosensitivity in sexually mature<br />

female mice compared to male mice. The decrease in mechanosensitivity in females may provide clues<br />

into the gender predilection <strong>of</strong> TMJ disorders.<br />

Thomas Choi was supported by a <strong>College</strong> <strong>of</strong> <strong>Dental</strong> <strong>Medicine</strong> Pre-Doctor al Summer Research<br />

Fellowship.<br />

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