Cortical representation of experimental periodontal pain: a functional magnetic resonance imaging study

AbstractThe aim of this study was to investigate central pain representations during loading of the periodontium induced by orthodontic and occlusal stress. Nineteen healthy male volunteers (25.7 ± 2.8 years) were tested on two consecutive days: after phenotyping (questionnaires) and determination of warmth (WPT) and heat (HPT) pain thresholds, functional magnetic resonance imaging was performed as event-related paradigm including 36 tooth clenchings of 3 s duration, alternating with rest periods varying between 20–30 s. The task was performed in absence (T1) and 24 h after placement of an elastic separator between the second bicuspid and the first molar on the right side of the lower jaw (T2). No significant changes in WPT and HPT were observed but pain ratings were significantly elevated at T2. Significantly elevated activation at T2, as compared to T1, was found in bilateral sensorimotor cortex, bilateral secondary sensory cortex, supplementary motor area, right rolandic operculum, and bilateral insula. Our data show for the first time in humans that periodontal stimulation, as tested by tooth clenching in the presence of an elastic separator, goes along with specific expressions of pain at behavioral and neuronal network levels. Findings supplement the existing neuroimaging literature on odontogenic pain.

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Cerebellum and Speech Perception: A Functional Magnetic Resonance Imaging Study

Journal of Cognitive Neuroscience ◽

10.1162/089892902760191126 ◽

2002 ◽

Vol 14 (6) ◽

pp. 902-912 ◽

Cited By ~ 77

Author(s):

Klaus Mathiak ◽

Ingo Hertrich ◽

Wolfgang Grodd ◽

Hermann Ackermann

Keyword(s):

Magnetic Resonance Imaging ◽

Speech Perception ◽

Magnetic Resonance ◽

Functional Magnetic Resonance Imaging ◽

Imaging Study ◽

Cerebellar Hemisphere ◽

Magnetic Resonance Imaging Study ◽

Functional Magnetic Resonance ◽

Resonance Imaging ◽

The Right

A variety of data indicate that the cerebellum participates in perceptual tasks requiring the precise representation of temporal information. Access to the word form of a lexical item requires, among other functions, the processing of durational parameters of verbal utterances. Therefore, cerebellar dysfunctions must be expected to impair word recognition. In order to specify the topography of the assumed cerebellar speech perception mechanism, a functional magnetic resonance imaging study was performed using the German lexical items “Boden” ([bodn], Engl. “floor”) and “Boten” ([botn], “messengers”) as test materials. The contrast in sound structure of these two lexical items can be signaled either by the length of the wordmedial pause (closure time, CLT; an exclusively temporal measure) or by the aspiration noise of wordmedial “d” or “t” (voice onset time, VOT; an intrasegmental cue). A previous study found bilateral cerebellar disorders to compromise word recognition based on CLT whereas the encoding of VOT remained unimpaired. In the present study, two series of “Boden—Boten” utterances were resynthesized, systematically varying either in CLT or VOT. Subjects had to identify both words “Boden” and “Boten” by analysis of either the durational parameter CLT or the VOT aspiration segment. In a subtraction design, CLT categorization as compared to VOT identification (CLT VOT) yielded a significant hemodynamic response of the right cerebellar hemisphere (neocerebellum Crus I) and the frontal lobe (anterior to Broca's area). The reversed contrast (VOT CLT) resulted in a single activation cluster located at the level of the supra-temporal plane of the dominant hemisphere. These findings provide first evidence for a distinct contribution of the right cerebellar hemisphere to speech perception in terms of encoding of durational parameters of verbal utterances. Verbal working memory tasks, lexical response selection, and auditory imagery of word strings have been reported to elicit activation clusters of a similar location. Conceivably, representation of the temporal structure of speech sound sequences represents the common denominator of cerebellar participation in cognitive tasks acting on a phonetic code.

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