M. Sunakawa et al., Jaw electromyographic activity induced by the application of algesic chemicals to the rat tooth pulp, PAIN, 80(3), 1999, pp. 493-501
The aim of this study was to determine if the application of mustard oil (M
O), a small-fiber excitant and inflammatory irritant, or other algesic chem
icals (capsaicin, CAP, and bradykinin, BK) to the rat maxillary molar tooth
pulp induces electromyographic (EMG) activity of the masseter and digastri
c muscles, and also to determine if endogenous opioid mechanisms may be inv
olved in any documented EMG changes. Application of MO to the tooth pulp in
duced a significant increase in EMG activity of the ipsilateral masseter up
to 30 min. The application of mineral oil to the pulp or MO application to
the pulp-extirpated tooth did not induce any significant EMG increases. Th
e application of CAP or BK to the pulp in contrast had much weaker effects
on EMG activity of the jaw muscles. CAP produced a small but prolonged incr
ease in masseter EMG activity, and BK induced a short-lasting increase in d
igastric EMG activity. The systemic administration of the opiate antagonist
naloxone significantly reactivated (i.e. rekindled) the EMG response evoke
d by MO application to the pulp. Naloxone did not produce any such signific
ant rekindling effect on EMG activity following CAP, BK or mineral oil appl
ication to the pulp or following MO application to the pulp-extirpated toot
h. The MO, BK and especially CAP groups showed histological evidence of vas
odilatation and polymorphonuclear leukocyte infiltration in the pulp tissue
and a significant increase in plasma extravasation of Evans Blue dye, wher
eas mineral oil did not induce these changes. These findings suggest that p
ulp afferent inputs to the central nervous system evoked by BK, CAP and esp
ecially MO may induce enhanced jaw muscle activity. In addition, the naloxo
ne data suggest that an opioid suppressive mechanism may be induced by the
pulpal afferent inputs evoked by MO, and may serve to limit the jaw muscle
activity elicited by these inputs. (C) 1999 International Association for t
he Study of Pain. Published by Elsevier Science B.V.