Influence of intra-oral sensory impairment by anaesthesia on food comminution and mixing in dentate subjects

J Oral Rehabil. 2015 Jun;42(6):401-6. doi: 10.1111/joor.12276. Epub 2015 Jan 17.

Abstract

Sensory input from sensory receptors regarding food morsels can affect jaw motor behaviours during mastication. The aim was to clarify the effects of intra-oral sensory input on the food-comminuting and food-mixing capacities of dentate subjects. Eleven dentate subjects without sensory dysfunction in their oro-facial region participated in this study. Local anaesthesia was achieved on the periodontal structures and on the oral mucosa of the subjects' preferred chewing side by injecting a lidocaine solution with adrenalin. At baseline (control) and after anaesthesia, data on the subjects' food-comminuting and food-mixing capacities were gathered. The food-comminuting capacity was quantified by measuring the degree of pulverisation of peanuts (objective hardness; 45.3 [Newton, N]) after a prescribed 20 chewing strokes. The food-mixing capacity was measured as the degree of immixture of a two-coloured paraffin wax cube after 10 chewing strokes. Wax cubes of three different hardness levels were used (soft, medium and hard: 20.3, 32.6 and 75.5 [N], respectively) and were chewed in random order. After anaesthesia, the subjects' food-comminuting capacity significantly decreased (P < 0.001), as did the food-mixing capacity for each hardness level of the wax cubes (P < 0.01). A significant correlation was observed between the objective hardness values and the anaesthesia effects for the food-mixing capacity (P < 0.05), indicating that after anaesthesia, deterioration of the mixing capacity increased as the hardness increased. In conclusion, intra-oral sensory input can affect both food-comminuting and food-mixing capacities.

Keywords: anaesthesia; feedback; mastication; mechanoreceptors; mouth mucosa; sensory; tooth.

MeSH terms

  • Adult
  • Anesthesia, Dental*
  • Anesthesia, Local*
  • Anesthetics, Local
  • Arachis
  • Female
  • Hardness
  • Humans
  • Lidocaine
  • Male
  • Mastication / physiology*
  • Particle Size
  • Waxes

Substances

  • Anesthetics, Local
  • Waxes
  • Lidocaine