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Craniofacial Muscles

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128 B.J. Sessle et al.

activities. Speech is one such activity involving the masticatory muscles. While its

consideration is beyond the scope of this chapter, cortical mechanisms are clearly

crucial to the fi ne control and coordination of the various muscles, including masticatory

muscles, participating in voice production and articulation of speech sounds,

both when a child is learning to speak and once speech has been learned. In addition,

since alteration in somatosensory inputs to the CNS has been associated with

neuroplasticity within other cortical and subcortical regions (e.g., brainstem)

involved in the control of masticatory muscles (Kis et al. 2004 ; Sessle 2006 ) , it is

possible that some of the neuroplastic changes observed within face MI and face SI

are secondary to changes manifested within the other cortical or subcortical

regions.

Acknowledgements Studies of the authors were supported by: grant DE04786 of the US National

Institute of Dental and Craniofacial Research; CIHR grant MT-4918, the Australian Dental

Research Foundation, Inc.; and NHMRC of Australia , grant #512309. BJS is the recipient of a

Canada Research Chair.

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