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      Integrating piezoresistive sensors on the embouchure analysis of the lower lip in single reed instrumentalists: implementation of the lip pressure appliance (LPA)

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          Abstract

          Background

          It is essential to understand, characterize, and measure the embouchure mechanism of a wind instrumentalists, where the applied forces on the perioral tissues can usually promote discomfort or pain.

          Methods

          The sample consisted of five clarinet players and five saxophone players. The embouchure force measurements at the lower lip area were assessed using a piezoresistive sensor (FlexiForce TM, Tekscan, Boston, USA, 0.07 kgf/cm 2) placed on the lower part of the mouthpiece of the single reed instrument. Furthermore, each participant performed three times three different notes at different pitches: high, medium, and low. An intraoral device was manufactured in order to dissipate the existing pressures.

          Results

          The piezoresistive sensors applied to the mouthpiece of the five clarinetists presented values between 16 and 226 g of force. In the case of the five saxophonists, the values registered were between 5 and 320 g of force.

          Conclusions

          Piezoresistive sensors are a valid option to characterize that single reed instrumentalists apply substantial forces at the lower lip that can be equivalent to medium orthodontic forces. The implementation of the Lip Pressure Appliance can be a valid solution on the prevention of eventual lesions resulting from the embouchure forces.

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          Most cited references22

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          Optimum force magnitude for orthodontic tooth movement: a systematic literature review.

          The aim of this study was to perform a meta-analysis of the literature concerning the optimal force or range of forces for orthodontic tooth movement. Over 400 articles both on human research and animal experiments were found in Medline and by hand searching of main orthodontic and dental journals. Articles on animal experiments were in the majority. A wide range of animal species such as rat, cat, rabbit, beagle dog, monkey, mouse, and guinea pig were used. Besides variation in species, there was also a wide range of force magnitudes, teeth under study, directions of tooth movement, duration of experimental period, and force reactivation. Furthermore, hardly any experiments were reported that provide information on the relation between the velocity of tooth movement and the magnitude of the applied force. Data from human research on the efficiency of orthodontic tooth movement appeared to be very limited. The large variation in data from current literature made it impossible to perform a meta-analysis. Therefore, we have systematically reviewed the literature. It appeared that no evidence about the optimal force level in orthodontics could be extracted from literature. Well-controlled clinical studies and more standardized animal experiments in the orthodontic field are required to provide more insight into the relation between the applied force and the rate of tooth movement.
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            Intermittent force induces high RANKL expression in human periodontal ligament cells.

            Intermittent compressive force stimulates bone resorption in orthodontic treatment. This study examined the molecular mechanism in human periodontal ligament (PDL) cells stimulated by an intermittent force. PDL cells were subjected to compressive force (2.0 or 5.0 g/cm(2)) for 2-4 days. Continuous or intermittent force was applied all day or for 8 hrs per day, respectively. At days 3 and 4, cell damage was less with intermittent force than with continuous force. At day 4, RANKL and IL-1beta expressions were greater with intermittent force than with continuous force. An IL-1 receptor antagonist inhibited the compressive force-induced RANKL expression. These findings indicate that IL-1beta is an autocrine factor regulating compressive force-induced RANKL expression in PDL cells, and that intermittent force can effectively induce RANKL in PDL cells with less cell damage.
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              Specific orofacial problems experienced by musicians.

              Patients who play musical instruments (especially wind and stringed instruments) and vocalists are prone to particular types of orofacial problems. Some problems are caused by playing and some are the result of dental treatment. This paper proposes to give an insight into these problems and practical guidance to general practice dentists.
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                Author and article information

                Contributors
                miguelpaisclemente@hotmail.com
                Journal
                Clin Exp Dent Res
                Clin Exp Dent Res
                10.1002/(ISSN)2057-4347
                CRE2
                Clinical and Experimental Dental Research
                John Wiley and Sons Inc. (Hoboken )
                2057-4347
                05 September 2019
                October 2019
                : 5
                : 5 ( doiID: 10.1002/v5.5 )
                : 491-496
                Affiliations
                [ 1 ] INEGI, Labiomep Faculty of Medicine Porto Porto Portugal
                [ 2 ] INEGI, Labiomep, Faculty of Engineering University of Porto Porto Portugal
                [ 3 ] Faculty of Dental Medicine Porto Porto Portugal
                [ 4 ] Department of Dental Biomaterials, Faculty of Dental Medicine University of Porto Porto Portugal
                [ 5 ] Department of Orthodontics, Faculty of Dental Medicine University of Porto Porto Portugal
                Author notes
                [*] [* ] Correspondence

                Miguel Pais Clemente, INEGI, Labiomep, Faculty of Medicine Porto, Rua Caldas Xavier Nr. 38 1°.esq°., 4150‐162 Porto, Portugal.

                Email: miguelpaisclemente@ 123456hotmail.com

                Author information
                https://orcid.org/0000-0003-4254-1879
                https://orcid.org/0000-0001-7226-0715
                Article
                CRE2214 CRE2.20190079
                10.1002/cre2.214
                6820570
                4691a8f0-1c3a-4c5f-8597-952479261e0f
                ©2019 The Authors. Clinical and Experimental Dental Research published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/3.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 15 April 2019
                : 08 June 2019
                Page count
                Figures: 2, Tables: 2, Pages: 6, Words: 4407
                Funding
                Funded by: FCT – Fundação para a Ciência e a Tecnologia
                Award ID: FCT‐UID/EMS/50022/2013
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                cre2214
                October 2019
                Converter:WILEY_ML3GV2_TO_NLMPMC version:5.7.0 mode:remove_FC converted:30.10.2019

                clarinet,embouchure,ethylene‐vinyl acetate,forces,lip pressure appliance,mouthpiece,piezoresistive sensors,saxophone

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