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This study was designed to evaluate patterns of stress generation in the temporomandibular joint after mandibular protraction, by using a 3-dimensional finite element method.
Although several projects have examined the maxillary protraction by computation methods such as finite element analysis (FEA) [13 18], the specific mechanical benefit of maxillary expansion on the suture has not been demonstrated and questions remain on its necessity.
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The rhythmic whisker protraction evoked by wM1 stimulation might be driven by excitation of excitatory and inhibitory premotor neurons in the brainstem reticular formation innervating both intrinsic and extrinsic muscles.
Rhythmic whisker protraction driven by stimulation of wM1 might therefore be driven by a circuit wM1→IRt (intrinsic premotor)→FN (intrinsic motor) (Fig. 7F).
During AB, overall scapula protraction decreased by 1.8° per 10-degree increase in humerus angle.
The rhythmic whisker protraction evoked by wM1 stimulation resembles exploratory whisking and is thus probably involved in enhancing the flow of incoming information.
The so called active exploratory whisking is a combination of protraction followed by retraction movement within an antero-posterior horizontal plane, in air and over objects at frequencies of 4 to 15 Hz recorded by electrodes [ 2, 3, 4].
Bipolar, rectangular electrical pulses (0.5 4.0 V, 40 µs duration) were applied through an isolated pulse stimulator (A360, WPI) at 100 Hz to produce whisker protraction, followed by a passive whisker retraction.
We demonstrated that the potential for treatment benefits in performing RPE adjunctive to maxillary expansion definitely exists because the mechanical environment generated by protraction alone can disrupt or inhibit the normal growth of the midpalatal suture.
However, in regard to treatment mechanics in the extraction cases and according to patients' charts, after crowding was addressed by the retraction of the anterior teeth, the implemented biomechanics aimed at closure of the remaining spaces by protraction of the posterior teeth.
Head yaw can be achieved by protraction of one occipital process and retraction of the other.
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