Editor, Editors, USER, admin, Bureaucrats, Check users, dev, editor, founder, Interface administrators, member, oversight, Suppressors, Administrators, translator
11,492
edits
(41 intermediate revisions by 2 users not shown) | |||
Line 1: | Line 1: | ||
{{ | {{main menu}} | ||
{{ArtBy| | {{ArtBy| | ||
Line 16: | Line 9: | ||
| autore7 = Irene Minciacchi | | autore7 = Irene Minciacchi | ||
}} | }} | ||
'''Abstract:''' The transition to "System Logic" in medical science, particularly within the dental field, is guided by two fundamental elements: dental clinical indices and the logic of medical language. Clinical indices, such as the Henderson-Hasselbalch equation, offer objective reference points critical for accurate diagnoses, yet their validity is often debated. While indices provide measurable data, subjective interpretations have historically influenced clinical outcomes. In orthodontics, indices like the Peer Assessment Rating (PAR) have been adopted to assess treatment success, but concerns arise over their ability to fully capture the complexity of dental occlusion and function. | |||
The logic of medical language also faces scrutiny for its limitations in addressing the dynamic, complex nature of living systems. Classical logic and probabilistic models, while useful, often fall short when dealing with the uncertainties inherent in medical diagnoses. This has led to the introduction of "fuzzy logic" as a more flexible approach that can handle gradations of truth and uncertainty in clinical decision-making. | |||
Furthermore, this work delves into Systems Theory as a framework for understanding biological and clinical phenomena. The masticatory system is examined through this lens, using electrophysiological tests such as Root-MEPs (Motor Evoked Potentials) to demonstrate the practical application of systems logic. By integrating bioengineering models with clinical practice, this approach aims to enhance diagnostic accuracy, reduce errors, and allow for early detection of pathologies, thereby improving patient outcomes. | |||
==Foreword== | ==Foreword== | ||
Line 25: | Line 21: | ||
There are 'Indices' that can be considered elements of System Logic as objective data, such as the 'Henderson-Hasselbalch equation' (for blood pH analysis) and other 'Indices' developed in the medical field in disparate disciplines.<ref>{{cita libro | There are 'Indices' that can be considered elements of System Logic as objective data, such as the 'Henderson-Hasselbalch equation' (for blood pH analysis) and other 'Indices' developed in the medical field in disparate disciplines.<ref>{{cita libro | ||
| autore = | | autore = Xiao W | ||
| autore2 = | | autore2 = Yang Y | ||
| autore3 = | | autore3 = Shi J | ||
| autore4 = | | autore4 = Xu J | ||
| autore5 = | | autore5 = Zhu J | ||
| titolo = The diagnostic efficacy and predictive value of combined lipoprotein laboratory indexes for atherosclerosis | | titolo = The diagnostic efficacy and predictive value of combined lipoprotein laboratory indexes for atherosclerosis | ||
| url = https://www.thefreelibrary.com/The+diagnostic+efficacy+and+predictive+value+of+combined+lipoprotein...-a0653913341 | | url = https://www.thefreelibrary.com/The+diagnostic+efficacy+and+predictive+value+of+combined+lipoprotein...-a0653913341 | ||
Line 47: | Line 41: | ||
}} | }} | ||
</ref><ref>{{cita libro | </ref><ref>{{cita libro | ||
| autore = | | autore = Ferraro D | ||
| autore2 = | | autore2 = Bedin R | ||
| autore3 = | | autore3 = Natali P | ||
| autore4 = | | autore4 = Franciotta D | ||
| autore5 = | | autore5 = Smolik K | ||
| autore6 = | | autore6 = Santangelo M | ||
| autore7 = | | autore7 = Immovilli P | ||
| autore8 = | | autore8 = Camera V | ||
| autore9 = | | autore9 = Vitetta F | ||
| autore10 = | | autore10 = Gastaldi M | ||
| autore11 = | | autore11 = Trenti T | ||
| autore12 = | | autore12 = Meletti S | ||
| autore13 = | | autore13 = Sola P | ||
| titolo = Kappa Index versus CSF Oligoclonal Bands in Predicting Multiple Sclerosis and Infectious/Inflammatory CNS Disorders | | titolo = Kappa Index versus CSF Oligoclonal Bands in Predicting Multiple Sclerosis and Infectious/Inflammatory CNS Disorders | ||
| url = https://www.mdpi.com/2075-4418/10/10/856/pdf?version=1603436673 | | url = https://www.mdpi.com/2075-4418/10/10/856/pdf?version=1603436673 | ||
Line 75: | Line 69: | ||
| OCLC = | | OCLC = | ||
}}</ref><ref>{{cita libro | }}</ref><ref>{{cita libro | ||
| autore = | | autore = Kayadibi H | ||
| autore2 = | | autore2 = Yilmaz B | ||
| autore3 = | | autore3 = Ozgur Yeniova A | ||
| autore4 = | | autore4 = Koseoglu H | ||
| autore5 = | | autore5 = Simsek Z | ||
| titolo = Development and evaluation of a novel noninvasive index for predicting significant fibrosis, advanced fibrosis, and cirrhosis in patients with chronic hepatitis B infection | | titolo = Development and evaluation of a novel noninvasive index for predicting significant fibrosis, advanced fibrosis, and cirrhosis in patients with chronic hepatitis B infection | ||
| url = | | url = https://pubmed.ncbi.nlm.nih.gov/33177385/ | ||
| volume = | | volume = | ||
| opera = Eur J Gastroenterol Hepatol. | | opera = Eur J Gastroenterol Hepatol. | ||
Line 98: | Line 90: | ||
}}</ref> | }}</ref> | ||
A test, a normative reference datum or an 'Index' (as well as a 'Constant') are strategies related to mathematical-statistical models that generate data. These data are mandatory for the accuracy of the diagnosis, for the differential diagnosis as well as for the therapeutic guidelines. On these reference data, in the times of scientific dental history, implementations and modifications have been generated but also uncertainties and beliefs that in the form of axioms or schools of thought have set guidelines that are not always scientifically justifiable, and sometimes untrue. | A test, a normative reference datum or an 'Index' (as well as a 'Constant') are strategies related to mathematical-statistical models that generate data. These data are mandatory for the accuracy of the diagnosis, for the differential diagnosis as well as for the therapeutic guidelines. On these reference data, in the times of scientific dental history, implementations and modifications have been generated but also uncertainties and beliefs that in the form of axioms or schools of thought have set guidelines that are not always scientifically justifiable, and sometimes untrue. | ||
===In literature=== | === In literature=== | ||
We can take into consideration the data reported in the literature regarding the 'Indices' studied on patients suffering from 'Temporomandibular Disorders'<ref>Results in [https://pubmed.ncbi.nlm.nih.gov PubMed] for "[https://pubmed.ncbi.nlm.nih.gov/?term=%22temporomandibular+disorders+index%22&filter=datesearch.y_1 Temporomandibular disorders Index]"</ref> or enter more specifically about masticatory rehabilitations and verify the 'Clinical Indices' topic in orthodontic disciplines.<ref>Results in [https://pubmed.ncbi.nlm.nih.gov PubMed] for "[https://pubmed.ncbi.nlm.nih.gov/?term=%22orthodontics%20index%22&filter=simsearch2.ffrft&filter=datesearch.y_1 Orthodontics Indexes]"</ref> | We can take into consideration the data reported in the literature regarding the 'Indices' studied on patients suffering from 'Temporomandibular Disorders'<ref>Results in [https://pubmed.ncbi.nlm.nih.gov PubMed] for "[https://pubmed.ncbi.nlm.nih.gov/?term=%22temporomandibular+disorders+index%22&filter=datesearch.y_1 Temporomandibular disorders Index]"</ref> or enter more specifically about masticatory rehabilitations and verify the 'Clinical Indices' topic in orthodontic disciplines.<ref>Results in [https://pubmed.ncbi.nlm.nih.gov PubMed] for "[https://pubmed.ncbi.nlm.nih.gov/?term=%22orthodontics%20index%22&filter=simsearch2.ffrft&filter=datesearch.y_1 Orthodontics Indexes]"</ref> | ||
In a recent article by Andrea Scribante and collaborators,<ref>{{cita libro | In a recent article by Andrea Scribante and collaborators,<ref>{{cita libro | ||
| autore = | | autore = Sfondrini MF | ||
| autore2 = | | autore2 = Zampetti P | ||
| autore3 = | | autore3 = Luscher G | ||
| autore4 = | | autore4 = Gandini P | ||
| autore5 = | | autore5 = Gandía-Franco JL | ||
| autore6 = | | autore6 = Scribante A | ||
| autore7 = | | autore7 = | ||
| titolo = Orthodontic Treatment and Healthcare Goals: Evaluation of Multibrackets Treatment Results Using PAR Index (Peer Assessment Rating) | | titolo = Orthodontic Treatment and Healthcare Goals: Evaluation of Multibrackets Treatment Results Using PAR Index (Peer Assessment Rating) | ||
Line 132: | Line 124: | ||
| autore3 = Hurst D | | autore3 = Hurst D | ||
| titolo = Orthodontic outcomes assessment using the peer assessment rating index | | titolo = Orthodontic outcomes assessment using the peer assessment rating index | ||
| url = https:// | | url = https://meridian.allenpress.com/angle-orthodontist/article/71/3/164/57522/Orthodontic-Outcomes-Assessment-Using-the-Peer | ||
| volume = | | volume = | ||
| opera = Angle Orthod | | opera = Angle Orthod | ||
Line 186: | Line 178: | ||
| LCCN = | | LCCN = | ||
| OCLC = | | OCLC = | ||
}} - [https://grortho.gr/associations-between-pretreatment-age-and-treatment-time-with-orthodontic-treatment-outcome-a-comparison-by-means-of-two-orthodontic-indices/?lang=en see also]</ref> and to improve the quality of future treatments.<ref>{{cita libro | }} - ''[https://grortho.gr/associations-between-pretreatment-age-and-treatment-time-with-orthodontic-treatment-outcome-a-comparison-by-means-of-two-orthodontic-indices/?lang=en see also]''</ref> and to improve the quality of future treatments.<ref>{{cita libro | ||
| autore = Hickman JH | | autore = Hickman JH | ||
| titolo = Directional edgewise orthodontic approach. 5 | | titolo = Directional edgewise orthodontic approach. 5 | ||
Line 244: | Line 236: | ||
| url = https://www.researchgate.net/publication/6389456_PAR_Index_in_the_Evaluation_of_the_Stability_of_the_Orthodontic_Treatment_Results_A_Review/fulltext/5adbdc64a6fdcc29358a3491/PAR-Index-in-the-Evaluation-of-the-Stability-of-the-Orthodontic-Treatment-Results-A-Review.pdf?origin=publication_detail | | url = https://www.researchgate.net/publication/6389456_PAR_Index_in_the_Evaluation_of_the_Stability_of_the_Orthodontic_Treatment_Results_A_Review/fulltext/5adbdc64a6fdcc29358a3491/PAR-Index-in-the-Evaluation-of-the-Stability-of-the-Orthodontic-Treatment-Results-A-Review.pdf?origin=publication_detail | ||
| volume = | | volume = | ||
| opera = Acta Medica (Hradec | | opera = Acta Medica (Hradec Králové) | ||
| anno = 2006 | | anno = 2006 | ||
| editore = | | editore = | ||
Line 300: | Line 292: | ||
Spyridon N. Papageorgiou<ref>{{cita libro | Spyridon N. Papageorgiou<ref>{{cita libro | ||
| autore = | | autore = Angst C | ||
| autore2 = | | autore2 = Eliades T | ||
| autore3 = | | autore3 = Papageorgiou SN | ||
| titolo = Stability of occlusal outcome during long-term retention: the time-dependent variation of the American Board of Orthodontics index | | titolo = Stability of occlusal outcome during long-term retention: the time-dependent variation of the American Board of Orthodontics index | ||
| url = https://www.zora.uzh.ch/id/eprint/194364/1/p01_ok.pdf | | url = https://www.zora.uzh.ch/id/eprint/194364/1/p01_ok.pdf | ||
Line 321: | Line 313: | ||
Other authors state that relapse after orthodontic treatment can also occur in cases with good functional occlusion.<ref>{{cita libro | Other authors state that relapse after orthodontic treatment can also occur in cases with good functional occlusion.<ref>{{cita libro | ||
| autore = | | autore = Lyotard N | ||
| autore2 = | | autore2 = Hans M | ||
| autore3 = | | autore3 = Nelson S | ||
| autore4 = | | autore4 = Valiathan M | ||
| titolo = Short-term postorthodontic changes in the absence of retention | | titolo = Short-term postorthodontic changes in the absence of retention | ||
| url = https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8929484/pdf/i0003-3219-80-6-1045.pdf | | url = https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8929484/pdf/i0003-3219-80-6-1045.pdf | ||
Line 333: | Line 322: | ||
| opera = Angle Orthod | | opera = Angle Orthod | ||
| anno = 2010 | | anno = 2010 | ||
| editore = | | editore = The EH Angle Education and Research Foundation, Inc. | ||
| città = | | città = | ||
| ISBN = | | ISBN = | ||
Line 365: | Line 354: | ||
| autore = Reitan K | | autore = Reitan K | ||
| autore2 = Kvam E | | autore2 = Kvam E | ||
| titolo = Comparative behavior of human and animal tissue during experimental tooth movement | | titolo = Comparative behavior of human and animal tissue during experimental tooth movement | ||
| url = https://meridian.allenpress.com/angle-orthodontist/article-pdf/41/1/1/1368969/0003-3219(1971)041_0001_cbohaa_2_0_co_2.pdf | | url = https://meridian.allenpress.com/angle-orthodontist/article-pdf/41/1/1/1368969/0003-3219(1971)041_0001_cbohaa_2_0_co_2.pdf | ||
Line 385: | Line 369: | ||
| OCLC = | | OCLC = | ||
}}</ref> physiological maturation of the human dentition which affects its width, length or perimeter<ref>{{cita libro | }}</ref> physiological maturation of the human dentition which affects its width, length or perimeter<ref>{{cita libro | ||
| autore = | | autore = Thilander B | ||
| titolo = Dentoalveolar development in subjects with normal occlusion. A longitudinal study between the ages of 5 and 31 years | | titolo = Dentoalveolar development in subjects with normal occlusion. A longitudinal study between the ages of 5 and 31 years | ||
| url = https://academic.oup.com/ejo/article-pdf/31/2/109/1273020/cjn124.pdf | | url = https://academic.oup.com/ejo/article-pdf/31/2/109/1273020/cjn124.pdf | ||
Line 423: | Line 407: | ||
| OCLC = | | OCLC = | ||
}}</ref> and parafunctions.<ref>{{cita libro | }}</ref> and parafunctions.<ref>{{cita libro | ||
| autore = | | autore = Lang G | ||
| autore2 = | | autore2 = Alfter G | ||
| autore3 = | | autore3 = Göz G | ||
| autore4 = | | autore4 = Lang GH | ||
| titolo = Retention and stability--taking various treatment parameters into account | | titolo = Retention and stability--taking various treatment parameters into account | ||
| url = https://pubmed.ncbi.nlm.nih.gov/11974450/ | | url = https://pubmed.ncbi.nlm.nih.gov/11974450/ | ||
Line 444: | Line 428: | ||
Retention of treatment results is therefore considered to be one of the most difficult problems in orthodontics, and relapses, especially of the mandibular incisors, could also be observed with the use of retention devices after debonding.<ref>{{cita libro | Retention of treatment results is therefore considered to be one of the most difficult problems in orthodontics, and relapses, especially of the mandibular incisors, could also be observed with the use of retention devices after debonding.<ref>{{cita libro | ||
| autore = | | autore = Steinnes J | ||
| autore2 = | | autore2 = Johnsen G | ||
| autore3 = | | autore3 = Kerosuo H | ||
| titolo = Stability of orthodontic treatment outcome in relation to retention status: An 8-year follow-up | | titolo = Stability of orthodontic treatment outcome in relation to retention status: An 8-year follow-up | ||
| url = https://pubmed.ncbi.nlm.nih.gov/28554448/ | | url = https://pubmed.ncbi.nlm.nih.gov/28554448/ | ||
Line 466: | Line 446: | ||
| OCLC = | | OCLC = | ||
}}</ref> Most of the existing post-treatment stability studies evaluate short-term relapses of the anterior region by primarily measuring the irregularity of the incisors after extractive or non-extractive treatment and compare different retention patterns. These studies largely use the Peer Assessment Rating (PAR) index<ref>{{cita libro | }}</ref> Most of the existing post-treatment stability studies evaluate short-term relapses of the anterior region by primarily measuring the irregularity of the incisors after extractive or non-extractive treatment and compare different retention patterns. These studies largely use the Peer Assessment Rating (PAR) index<ref>{{cita libro | ||
| autore = | | autore = de Freitas KM | ||
| autore2 = | | autore2 = Janson G | ||
| autore3 = | | autore3 = de Freitas MR | ||
| autore4 = | | autore4 = Pinzan A | ||
| autore5 = | | autore5 = Henriques JF | ||
| autore6 = | | autore6 = Pinzan-Vercelino CR | ||
| autore7 = | | autore7 = | ||
| titolo = Influence of the quality of the finished occlusion on postretention occlusal relapse | | titolo = Influence of the quality of the finished occlusion on postretention occlusal relapse | ||
Line 487: | Line 467: | ||
| LCCN = | | LCCN = | ||
| OCLC = | | OCLC = | ||
}} | }}</ref> which is not a trigeminal electrophysiological analysis approach in considering 'Normocclusion' much less the details of a well balanced occlusion (such as contacts, inclinations and alignment of each tooth) or changes in retention only in the short term.<ref>{{cita libro | ||
| autore = Hoybjerg AJ | |||
| autore2 = Currier GF | |||
| autore3 = Kadioglu O | |||
| titolo = Evaluation of 3 retention protocols using the American Board of Orthodontics cast and radiograph evaluation | |||
| url = https://pubmed.ncbi.nlm.nih.gov/23810041/ | |||
| volume = | |||
| opera = Am J Orthod Dentofacial Orthop | |||
| anno = 2013 | |||
| editore = | |||
| città = | |||
| ISBN = | |||
| DOI = 10.1016/j.ajodo.2013.02.022 | |||
| PMID = 23810041 | |||
| PMCID = | |||
| oaf = <!-- qualsiasi valore --> | |||
| LCCN = | |||
| OCLC = | |||
}}</ref> | |||
To the authors' knowledge at the time of publication of their study, only one study<ref>Nett | To the authors' knowledge at the time of publication of their study, only one study<ref>{{cita libro | ||
| autore = Nett BC | |||
| autore2 = Huang GJ | |||
| titolo = Long-term posttreatment changes measured by the American Board of Orthodontics objective grading system | |||
| url = https://pubmed.ncbi.nlm.nih.gov/15821689 | |||
| volume = | |||
| opera = Am J Orthod Dentofacial Orthop | |||
| anno = 2005 | |||
| editore = Elsevier Inc | |||
| città = | |||
| ISBN = | |||
| DOI = 10.1016/j.ajodo.2004.03.029 | |||
| PMID = 15821689 | |||
| PMCID = | |||
| oaf = <!-- qualsiasi valore --> | |||
| LCCN = | |||
| OCLC = | |||
}}</ref> used the American Board of Orthodontics (ABO)<ref>{{cita libro | |||
| autore = Casko JS | |||
| autore2 = Vaden JL | |||
| autore3 = Kokich VG | |||
| autore4 = Damone J | |||
| autore5 = James RD | |||
| autore6 = Cangialosi TJ | |||
| autore7 = Riolo ML | |||
| author8 = Owens SE Jr | |||
| author9 = Bills ED | |||
| titolo = Objective grading system for dental casts and panoramic radiographs | |||
| url = https://pubmed.ncbi.nlm.nih.gov/9810056 | |||
| volume = | |||
| opera = Am J Orthod Dentofacial Orthop | |||
| anno = 1998 | |||
| editore = | |||
| città = | |||
| ISBN = | |||
| DOI = 10.1016/s0889-5406(98)70179-9 | |||
| PMID = 9810056 | |||
| PMCID = | |||
| oaf = <!-- qualsiasi valore --> | |||
| LCCN = | |||
| OCLC = | |||
}}</ref> detailed objective classification system for models and radiographs which measures the details of a well-finished and well-balanced occlusion. | |||
{{q2|The aforementioned study is not only interesting but also stimulating, from a scientific point of view, as it states that relapses could occur even in the presence of adequate functional occlusion. |Constructive criticism, however, is inherent in the statement itself: how is an efficient masticatory function and, therefore, a 'Normocclusion' defined? }} | {{q2|The aforementioned study is not only interesting but also stimulating, from a scientific point of view, as it states that relapses could occur even in the presence of adequate functional occlusion. |Constructive criticism, however, is inherent in the statement itself: how is an efficient masticatory function and, therefore, a 'Normocclusion' defined? }} | ||
Line 520: | Line 558: | ||
==Systems Theory== | ==Systems Theory== | ||
In the scientific field, systems theory, more properly general system theory (definition by Ludwig von Bertalanffy),<ref>{{Cita libro|autore = | In the scientific field, systems theory, more properly general system theory (definition by Ludwig von Bertalanffy),<ref>{{Cita libro | ||
|autore = von Bertalanffy L | |||
|titolo = General System Theory: Foundations, Development, Applications | |||
|url = https://archive.org/details/generalsystemthe0000bert | |||
|anno = 1968 | |||
|opera = Arch Gen Psychiatry | |||
|editore = George Braziller | |||
|città = New York | |||
|p = 295 | |||
|ISBN = 978-0807604533 | |||
|DOI = 10.1001/archpsyc.1969.01740200123021 | |||
}}</ref> is an often interdisciplinary field of study, straddling mathematics and natural sciences, which deals with the analysis of properties and the constitution of a system. It is essentially composed of the theory of dynamic systems (simple and complex) and of the theory of control: it is the basis of various disciplines such as automation, robotics and cybernetic physics, as well as the technical-scientific study of systems in general as much as in biology and medicine. | |||
Systems theory is the interdisciplinary study of systems, that could be described as cohesive groups of interconnected and interdependent parts that can be natural or man-made. Each system is bounded by space and time, influenced by its environment, defined by its structure and expressed through its functioning. A system can be more than the sum of its parts if it expresses emerging synergies or behaviors.<ref>[https://pubmed.ncbi.nlm.nih.gov/?term=%22emergent+behaviour%22&filter=datesearch.y_10 Emergent Behaviour]</ref> | Systems theory is the interdisciplinary study of systems, that could be described as cohesive groups of interconnected and interdependent parts that can be natural or man-made. Each system is bounded by space and time, influenced by its environment, defined by its structure and expressed through its functioning. A system can be more than the sum of its parts if it expresses emerging synergies or behaviors.<ref>[https://pubmed.ncbi.nlm.nih.gov/?term=%22emergent+behaviour%22&filter=datesearch.y_10 Emergent Behaviour] on PubMed</ref> | ||
Changing one part of a system might affect other parts or the whole system. It may be possible to predict these changes in behavior patterns. Some systems support other systems, keeping the others to prevent failure. The goals of systems theory are to model the dynamics, constraints, conditions of a system and to clarify the principles (such as purpose, measure, methods, tools) that can be identified and applied to other systems at any level of nesting and in a 'wide range of fields to achieve optimized equifinality.<ref>[[wikipedia:Equifinality|Equifinality]]</ref> | Changing one part of a system might affect other parts or the whole system. It may be possible to predict these changes in behavior patterns. Some systems support other systems, keeping the others to prevent failure. The goals of systems theory are to model the dynamics, constraints, conditions of a system and to clarify the principles (such as purpose, measure, methods, tools) that can be identified and applied to other systems at any level of nesting and in a 'wide range of fields to achieve optimized equifinality.<ref>Wikipedia article for ''[[wikipedia:Equifinality|Equifinality]]''</ref> | ||
To be practical and effective in the description of the concept 'System logic' we consider an approach to a part of the trigeminal motor system, since it is the cornerstone of this scientific work, in which the conceptual connection with the 'Theory of Systems'. | To be practical and effective in the description of the concept 'System logic' we consider an approach to a part of the trigeminal motor system, since it is the cornerstone of this scientific work, in which the conceptual connection with the 'Theory of Systems'. | ||
Line 530: | Line 579: | ||
===Masticatory System Logic=== | ===Masticatory System Logic=== | ||
Regarding the analysis of the state of the masticatory system, the EMG technique has been widely used but there are still a number of concerns regarding the reliability of the measures based on the interferential EMG. <ref>Reaz MB | Regarding the analysis of the state of the masticatory system, the EMG technique has been widely used but there are still a number of concerns regarding the reliability of the measures based on the interferential EMG.<ref>{{cita libro | ||
| autore = Reaz MB | |||
| autore2 = Hussain MS | |||
| autore3 = Mohd-Yasin F | |||
| titolo = Techniques of EMG signal analysis: detection, processing, classification and applications (Correction) | |||
| url = https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1455479/pdf/bpo_v8_p11_m115.pdf | |||
| volume = | |||
| opera = Biol Proced Online | |||
| anno = 2006 | |||
| editore = | |||
| città = | |||
| ISBN = | |||
| DOI = 10.1251/bpo115 | |||
| PMID = 16799694 | |||
| PMCID = PMC1455479 | |||
| oaf = <!-- qualsiasi valore --> | |||
| LCCN = | |||
| OCLC = | |||
}}</ref> | |||
This is why most of the studies performed so far aimed at showing a possible correlation between EMG signals with Temporomandibular Disorders (TMD), Orofacial Pain (OP) or Malocclusion (IO), but they have not yielded convincing results.<ref>Masci C | This is why most of the studies performed so far aimed at showing a possible correlation between EMG signals with Temporomandibular Disorders (TMD), Orofacial Pain (OP) or Malocclusion (IO), but they have not yielded convincing results.<ref>{{cita libro | ||
| autore = Masci C | |||
| autore2 = Ciarrocchi I | |||
| autore3 = Spadaro A | |||
| autore4 = Necozione S | |||
| autore5 = Marci MC | |||
| autore6 = Monaco A | |||
| titolo = Does orthodontic treatment provide a real functional improvement? A case control study | |||
| url = https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3827987/pdf/1472-6831-13-57.pdf | |||
| volume = | |||
| opera = BMC Oral Health | |||
| anno = 2013 | |||
| editore = BioMed Central Ltd | |||
| città = | |||
| ISBN = | |||
| DOI = 10.1186/1472-6831-13-57 | |||
| PMID = 24152806 | |||
| PMCID = PMC3827987 | |||
| oaf = CC-BY 2<!-- qualsiasi valore --> | |||
| LCCN = | |||
| OCLC = | |||
}}</ref> | |||
In an unknown percentage of OP patients visited by specialist dentists, some neurological diseases such as intracranial tumours, multiple sclerosis, etc. are the underlying symptoms cause of TMD or OP. | In an unknown percentage of OP patients visited by specialist dentists, some neurological diseases such as intracranial tumours, multiple sclerosis, etc. are the underlying symptoms cause of TMD or OP. | ||
These patients, who actually suffer from neurological symptoms superimposed on dental-facial ones, may undergo unnecessary dental interventions before the correct diagnosis is made, sometimes too late.<ref>Moazzam AA | These patients, who actually suffer from neurological symptoms superimposed on dental-facial ones, may undergo unnecessary dental interventions before the correct diagnosis is made, sometimes too late.<ref>{{cita libro | ||
| autore = Moazzam AA | |||
| autore2 = Habibian M | |||
| titolo = Patients appearing to dental professionals with orofacial pain arising from intracranial tumors: a literature review | |||
| url = https://pubmed.ncbi.nlm.nih.gov/23036798/ | |||
| volume = | |||
| opera = Oral Surg Oral Med Oral Pathol Oral Radiol | |||
| anno = 2012 | |||
| editore = | |||
| città = | |||
| ISBN = | |||
| DOI = 10.1016/j.oooo.2012.06.017 | |||
| PMID = 23036798 | |||
| PMCID = | |||
| oaf = <!-- qualsiasi valore --> | |||
| LCCN = | |||
| OCLC = | |||
}}</ref> | |||
{{q2|When approaching the modeling of a diagnostic 'Index' it is essential to consider the 'Fundamental Unit' of the system to be studied mathematically.|... as said, the 'Observable' cannot be the occlusal element because it is hierarchically lower than the Trigeminal Nervous System.}} | {{q2|When approaching the modeling of a diagnostic 'Index' it is essential to consider the 'Fundamental Unit' of the system to be studied mathematically.|... as said, the 'Observable' cannot be the occlusal element because it is hierarchically lower than the Trigeminal Nervous System.}} | ||
[[File:Bilateral Root-MEPs.jpg|thumb | [[File:Bilateral Root-MEPs.jpg|thumb|center|500px|'''Figure 4:''' Virtual segmentation of the Trigeminal Nervous System and annotation of the motor Root level from which the trigeminal Motor Evoked Potentials (R-MEPs) are evoked |alt=]] | ||
Cortical projections to the trigeminal motor neurons are generally believed to be bilateral and symmetrical and can be electrophysiologically analyzed by electrical or magnetic brain stimulation through the intact scalp.<ref>Merton PA | Cortical projections to the trigeminal motor neurons are generally believed to be bilateral and symmetrical and can be electrophysiologically analyzed by electrical or magnetic brain stimulation through the intact scalp.<ref>{{cita libro | ||
| autore = Merton PA | |||
| autore2 = Morton HB | |||
| titolo = Stimulation of the cerebral cortex in the intact human subject | |||
| url = https://www.nature.com/articles/285227a0.pdf | |||
| volume = | |||
| opera = Nature | |||
| anno = 1980 | |||
| editore = Springer Nature Limited | |||
| città = | |||
| ISBN = | |||
| DOI = 10.1038/285227a0 | |||
| PMID = 7374773 | |||
| PMCID = | |||
| oaf = <!-- qualsiasi valore --> | |||
| LCCN = | |||
| OCLC = | |||
}}</ref> | |||
In the ipsilateral masseter, the transcranial electrical stimulation (eTCS) is capable of evoking a large short-latency potential in relaxed and active muscles. The characteristics of ipsilateral Motor Evoked Potentials (MEPs) do not change under relaxed or active conditions. Mean onset latency is approximately 2 ms, peak latency of 3.9 ms and amplitude of 5.4 mV, and there is no latency variability in similar pacing conditions. These motor potentials, considered secondary to trigeminal motor root excitation, have been called Root-MEP (Root-MEP or simplified into R-MEPs) to differentiate them from M-waves and Cortex-MEPs.<ref>Cruccu G | In the ipsilateral masseter, the transcranial electrical stimulation (eTCS) is capable of evoking a large short-latency potential in relaxed and active muscles. The characteristics of ipsilateral Motor Evoked Potentials (MEPs) do not change under relaxed or active conditions. Mean onset latency is approximately 2 ms, peak latency of 3.9 ms and amplitude of 5.4 mV, and there is no latency variability in similar pacing conditions. These motor potentials, considered secondary to trigeminal motor root excitation, have been called Root-MEP (Root-MEP or simplified into R-MEPs) to differentiate them from M-waves and Cortex-MEPs.<ref>{{cita libro | ||
| autore = Cruccu G | |||
| autore2 = Berardelli A | |||
| autore3 = Inghilleri M | |||
| autore4 = Manfredi M | |||
| titolo = Functional organization of the trigeminal motor system in man. A neurophysiological study | |||
| url = https://academic.oup.com/brain/article-abstract/112/5/1333/285684?redirectedFrom=fulltext&login=false | |||
| volume = | |||
| opera = Brain | |||
| anno = 1989 | |||
| editore = | |||
| città = | |||
| ISBN = | |||
| DOI = 10.1093/brain/112.5.1333 | |||
| PMID = 2804615 | |||
| PMCID = | |||
| oaf = <!-- qualsiasi valore --> | |||
| LCCN = | |||
| OCLC = | |||
}}</ref> | |||
To make the understanding of 'Systems Theory' more suitable for the context of the masticatory system, we report some trigeminal electrophysiological procedures and implement them with the mathematical models of the theory. | To make the understanding of 'Systems Theory' more suitable for the context of the masticatory system, we report some trigeminal electrophysiological procedures and implement them with the mathematical models of the theory. | ||
====Mathematical formalism in 'Systems Theory'==== | ==== Mathematical formalism in 'Systems Theory'==== | ||
The "systems theory" studies oriented systems, in which it becomes possible to classify the quantities of interest into two categories: | The "systems theory" studies oriented systems, in which it becomes possible to classify the quantities of interest into two categories: | ||
Line 556: | Line 696: | ||
A real system can have multiple inputs and multiple outputs. In particular, we indicate with: | A real system can have multiple inputs and multiple outputs. In particular, we indicate with: | ||
*<math>u(t)= (u_1(t),..., u_r(t))</math>the vector of the inputs at time <math>{t}</math> | * <math>u(t)= (u_1(t),..., u_r(t))</math>the vector of the inputs at time <math>{t}</math> | ||
*<math>y(t)= (y_1(t),..., u_m(t))</math>the vector of the output at time <math>{t}</math> | *<math>y(t)= (y_1(t),..., u_m(t))</math>the vector of the output at time <math>{t}</math> | ||
Line 582: | Line 722: | ||
</math> is called the output transformation. | </math> is called the output transformation. | ||
In the field of biosignals, the (<math>g</math>) models are used to analyze EEG and vibration systems in vehicles, human hearing systems and vascular systems, and so on. While much is still unknown about the physiological mechanism or pattern of internal changes in the tested system, the output transfer or transformation function <math>g</math> in our context allows us to reconstruct a wave function by interpolating the points detected by the instrument which has its own particular sampling frequency. This <math>g</math> function, for our purposes, is a reconstruction of a wave function on which to search for latencies, amplitudes and integral areas and make the necessary conclusions,<ref>Haebeom | In the field of biosignals, the (<math>g</math>) models are used to analyze EEG and vibration systems in vehicles, human hearing systems and vascular systems, and so on. While much is still unknown about the physiological mechanism or pattern of internal changes in the tested system, the output transfer or transformation function <math>g</math> in our context allows us to reconstruct a wave function by interpolating the points detected by the instrument which has its own particular sampling frequency. This <math>g</math> function, for our purposes, is a reconstruction of a wave function on which to search for latencies, amplitudes and integral areas and make the necessary conclusions,<ref>{{cita libro | ||
| autore = Haebeom L | |||
| autore2 = Hyunho K | |||
| autore3 = Jungkuk K | |||
| autore4 = Hwan-Sup O | |||
| autore5 = Young-Jae P | |||
| autore6 = Young-Bae P | |||
| titolo = Feasibility study of transfer function model on electrocardiogram change caused by acupuncture | |||
| url = https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5299648/pdf/12906_2017_Article_1615.pdf | |||
| volume = | |||
| opera = BMC Complement Altern Med | |||
| anno = 2017 | |||
| editore = | |||
| città = | |||
| ISBN = | |||
| DOI = 10.1186/s12906-017-1615-5 | |||
| PMID = 28178964 | |||
| PMCID = PMC5299648 | |||
| oaf = yes<!-- qualsiasi valore --> | |||
| LCCN = | |||
| OCLC = | |||
}}</ref><ref>{{cita libro | |||
| autore = Smith RJ | |||
| autore2 = Kamali G | |||
| autore3 = Hays M | |||
| autore4 = Coogan C | |||
| autore5 = Crone NE | |||
| autore6 = Kang JY | |||
| autore7 = Sarma SV | |||
| titolo = Transfer Function Models for the Localization of Seizure Onset Zone From Cortico-Cortical Evoked Potentials | |||
| url = https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7758451/pdf/fneur-11-579961.pdf | |||
| volume = | |||
| opera = Front Neurol | |||
| anno = 2020 | |||
| editore = Frontiers in Neurology | |||
| città = | |||
| ISBN = | |||
| DOI = 10.3389/fneur.2020.579961 | |||
| PMID = 33362689 | |||
| PMCID = PMC7758451 | |||
| oaf = y<!-- qualsiasi valore --> | |||
| LCCN = | |||
| OCLC = | |||
}}</ref> and, obviously, by retesting the system in subsequent epochs, the integrity of the system itself can be compared. | |||
In the engineering field, various mathematical modeling of a system are possible, depending on whether or not they explicitly consider the state variables. | In the engineering field, various mathematical modeling of a system are possible, depending on whether or not they explicitly consider the state variables. | ||
[[File:Finite Elements - electric field within the intracranial brain tissue - FEM.jpg|thumb | [[File:Finite Elements - electric field within the intracranial brain tissue - FEM.jpg|thumb|center|'''Figure 5:''' A. Positioning of the electrodes for the delivery of the electrical stimulus. B. Representation of the electric field within the brain structure. C. Localization of the induced electric field at the level of the trigeminal roots ]] | ||
====Mathematical formalism of the Trigeminal System Logic==== | ====Mathematical formalism of the Trigeminal System Logic==== | ||
Line 611: | Line 794: | ||
[[File:Potenziale Evocato della Radice Trigeminale.jpg|thumb|'''Figure 6:'''Ipsilateral trigeminal motor evoked potential|alt=|378px|right]] | [[File:Potenziale Evocato della Radice Trigeminale.jpg|thumb|'''Figure 6:'''Ipsilateral trigeminal motor evoked potential|alt=|378px|right]] | ||
==Conclusion== | == Conclusion== | ||
[[File:FIGU01.jpg|alt=|left|thumb|'''Figura 7:''' The figure shows three ways of analyzing the system. In A the interferential EMG trace, in B the bilateral Root-MEPs and in C the jaw jerk..|200px]] | [[File:FIGU01.jpg|alt=|left|thumb|'''Figura 7:''' The figure shows three ways of analyzing the system. In A the interferential EMG trace, in B the bilateral Root-MEPs and in C the jaw jerk..|200px]] |
edits