Abstract
The oral cavity is a chamber surrounded by and containing hard and soft tissues, notably the lips, cheeks, tongue, palate, and teeth. The oral cavity is the entrance to the digestive, vocal, and (at times) the respiratory tract. Thus, the structures of the oral cavity serve multiple functions in speaking, breathing, mastication and swallowing. Mastication, the initial phase of digestion, is the primary process of the oral preparatory phase of swallowing. Mastication is primarily controlled by motor pattern generators in the central nervous system and modified by internal factors such as dentition and saliva production and external factors such as food consistency. Coordinated motions of the jaws, tongue, soft palate, and hyoid bone reduce and moisten ingested food to render it suitable for swallowing, and transport food to the pharynx for bolus aggregation prior to swallowing. Saliva supports mastication by lubricating food during chewing, helping to forma bolus optimized for swallowing. Saliva also has protective functions for oral health. Food properties such as hardness, water content, flavor, and temperature modify masticatory performance and influence the initiation of swallowing.
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References
Rodenstein DO, Stanescu DC. The soft palate and breathing. Am Rev Respir Dis. 1986;134:311–25.
Hiiemae KM, Palmer JB. Food transport and bolus formation during complete feeding sequences on foods of different initial consistency. Dysphagia. 1999;14:31–42.
Matsuo K, Hiiemae KM, Palmer JB. Cyclic motion of the soft palate in feeding. J Dent Res. 2005;84:39–42.
Hodgson M, Linforth RS, Taylor AJ. Simultaneous real-time measurements of mastication, swallowing, nasal airflow, and aroma release. J Agric Food Chem. 2003;51:5052–7.
Palmer JB, Hiiemae KM. Eating and breathing: interactions between respiration and feeding on solid food. Dysphagia. 2003;18:169–78.
Buettner A, Beer A, Hannig C, Settles M. Observation of the swallowing process by application of videofluoroscopy and real-time magnetic resonance imaging-consequences for retronasal aroma stimulation. Chem Senses. 2001;26:1211–9.
Matsuo K, Palmer JB. Kinematic linkage of the tongue, jaw, and hyoid during eating and speech. Arch Oral Biol. 2010;55:325–31.
Mioche L, Hiiemae KM, Palmer JB. A postero-anterior videofluorographic study of the intra-oral management of food in man. Arch Oral Biol. 2002;47:267–80.
Dodds WJ, Stewart ET, Logemann JA. Physiology and radiology of the normal oral and pharyngeal phases of swallowing [see comments]. AJR Am J Roentgenol. 1990;154:953–63.
Logemann JA. Evaluation and treatment of swallowing disorders. 2nd ed. Austin, TX: Pro-Ed; 1998.
Palmer JB, Hiiemae KM, Liu J. Tongue-jaw linkages in human feeding: a preliminary videofluorographic study. Arch Oral Biol. 1997;42:429–41.
Palmer JB, Rudin NJ, Lara G, Crompton AW. Coordination of mastication and swallowing. Dysphagia. 1992;7:187–200.
Sanguineti V, Laboissiere R, Ostry DJ. A dynamic biomechanical model for neural control of speech production. J Acoust Soc Am. 1998;103:1615–27.
Green JR, Wang YT. Tongue-surface movement patterns during speech and swallowing. J Acoust Soc Am. 2003;113:2820–33.
Hiiemae KM, Palmer JB, Medicis SW, Hegener J, Scott Jackson B, Lieberman DE. Hyoid and tongue surface movements in speaking and eating. Arch Oral Biol. 2002;47:11–27.
Thexton AJ, Crompton AW, German RZ. Transition from suckling to drinking at weaning: a kinematic and electromyographic study in miniature pigs. J Exp Zool. 1998;280:327–43.
Rodenstein DO, Stanescu DC. Soft palate and oronasal breathing in humans. J Appl Physiol. 1984;57:651–7.
Hairston LE, Sauerland EK. Electromyography of the human palate: discharge patterns of the levator and tensor veli palatini. Electromyogr Clin Neurophysiol. 1981;21:287–97.
Tangel DJ, Mezzanotte WS, White DP. Respiratory-related control of palatoglossus and levator palatini muscle activity. J Appl Physiol. 1995;78:680–8.
Tsuiki S, Ono T, Ishiwata Y, Kuroda T. Functional divergence of human genioglossus motor units with respiratory-related activity. Eur Respir J. 2000;15:906–10.
Hiss SG, Strauss M, Treole K, Stuart A, Boutilier S. Effects of age, gender, bolus volume, bolus viscosity, and gustation on swallowing apnea onset relative to lingual bolus propulsion onset in normal adults. J Speech Lang Hear Res. 2004;47:572–83.
Robbins J, Gensler G, Hind J, Logemann JA, Lindblad AS, Brandt D, Baum H, Lilienfeld D, Kosek S, Lundy D, Dikeman K, Kazandjian M, Gramigna GD, McGarvey-Toler S, Miller Gardner PJ. Comparison of 2 interventions for liquid aspiration on pneumonia incidence: a randomized trial. Ann Intern Med. 2008;148:509–18.
Dessirier JM, Simons CT, Carstens MI, O’Mahony M, Carstens E. Psychophysical and neurobiological evidence that the oral sensation elicited by carbonated water is of chemogenic origin. Chem Senses. 2000;25:277–84.
Green BG, Alvarez-Reeves M, George P, Akirav C. Chemesthesis and taste: evidence of independent processing of sensation intensity. Physiol Behav. 2005;86:526–37.
Logemann JA, Pauloski BR, Colangelo L, Lazarus C, Fujiu M, Kahrilas PJ. Effects of a sour bolus on oropharyngeal swallowing measures in patients with neurogenic dysphagia. J Speech Hear Res. 1995;38:556–63.
Pelletier CA, Lawless HT. Effect of citric acid and citric acid-sucrose mixtures on swallowing in neurogenic oropharyngeal dysphagia. Dysphagia. 2003;18:231–41.
Leow LP, Huckabee ML, Sharma S, Tooley TP. The influence of taste on swallowing apnea, oral preparation time, and duration and amplitude of submental muscle contraction. Chem Senses. 2007;32:119–28.
Ebihara T, Ebihara S, Watando A, Okazaki T, Asada M, Ohrui T, Yamaya M, Arai H. Effects of menthol on the triggering of the swallowing reflex in elderly patients with dysphagia. Br J Clin Pharmacol. 2006;62:369–71.
Yamasaki M, Ebihara S, Ebihara T, Yamanda S, Arai H, Kohzuki M. Effects of capsiate on the triggering of the swallowing reflex in elderly patients with aspiration pneumonia. Geriatr Gerontol Int. 2010;10:107–9.
Daniels SK, Foundas AL. Swallowing physiology of sequential straw drinking. Dysphagia. 2001;16:176–82.
Martin-Harris B, Brodsky MB, Michel Y, Lee FS, Walters B. Delayed initiation of the pharyngeal swallow: normal variability in adult swallows. J Speech Lang Hear Res. 2007;50:585–94.
Stephen JR, Taves DH, Smith RC, Martin RE. Bolus location at the initiation of the pharyngeal stage of swallowing in healthy older adults. Dysphagia. 2005;20:266–72.
Chi-Fishman G, Stone M, McCall GN. Lingual action in normal sequential swallowing. J Speech Lang Hear Res. 1998;41:771–85.
Chi-Fishman G, Sonies BC. Motor strategy in rapid sequential swallowing: new insights. J Speech Lang Hear Res. 2000;43:1481–92.
Chi-Fishman G, Sonies BC. Kinematic strategies for hyoid movement in rapid sequential swallowing. J Speech Lang Hear Res. 2002;45:457–68.
Dantas RO, Kern MK, Massey BT, Dodds WJ, Kahrilas PJ, Brasseur JG, Cook IJ, Lang IM. Effect of swallowed bolus variables on oral and pharyngeal phases of swallowing. Am J Physiol. 1990;258:G675–81.
Lazarus CL, Logemann JA, Rademaker AW, Kahrilas PJ, Pajak T, Lazar R, Halper A. Effects of bolus volume, viscosity, and repeated swallows in nonstroke subjects and stroke patients. Arch Phys Med Rehabil. 1993;74:1066–70.
Clave P, de Kraa M, Arreola V, Girvent M, Farre R, Palomera E, Serra-Prat M. The effect of bolus viscosity on swallowing function in neurogenic dysphagia. Aliment Pharmacol Ther. 2006;24:1385–94.
Daniels SK, Corey DM, Hadskey LD, Legendre C, Priestly DH, Rosenbek JC, Foundas AL. Mechanism of sequential swallowing during straw drinking in healthy young and older adults. J Speech Lang Hear Res. 2004;47:33–45.
Newman LA, Cleveland RH, Blickman JG, Hillman RE, Jaramillo D. Videofluoroscopic analysis of the infant swallow. Invest Radiol. 1991;26:870–3.
Saitoh E, Shibata S, Matsuo K, Baba M, Fujii W, Palmer JB. Chewing and food consistency: effects on bolus transport and swallow initiation. Dysphagia. 2007;22:100–7.
Prinz JF, Lucas PW. An optimization model for mastication and swallowing in mammals. Proc R Soc Lond B Biol Sci. 1997;264:1715–21.
German RZ, Saxe SA, Crompton AW, Hiiemae KM. Food transport through the anterior oral cavity in macaques. Am J Phys Anthropol. 1989;80:369–77.
Hiiemae KM. Feeding in mammals. In: Schwenk K, editor. Feeding: form, function, and evolution in tetrapod vertebrates. 1st ed. San Diego, CA: Academic; 2000. p. 411–48.
Franks HA, Crompton AW, German RZ. Mechanism of intraoral transport in macaques. Am J Phys Anthropol. 1984;65:275–82.
Franks HA, German RZ, Crompton AW, Hiiemae KM. Mechanism of intra-oral transport in a herbivore, the hyrax (Procavia syriacus). Arch Oral Biol. 1985;30:539–44.
Thexton A, Hiiemae KM. The effect of food consistency upon jaw movement in the macaque: a cineradiographic study. J Dent Res. 1997;76:552–60.
Hylander WL, Johnson KR, Crompton AW. Loading patterns and jaw movements during mastication in Macaca fascicularis: a bone-strain, electromyographic, and cineradiographic analysis. Am J Phys Anthropol. 1987;72:287–314.
Matsuo K, Metani H, Mays KA, Palmer JB. Tempospatial linkage of soft palate and jaw movements in feeding [Japanese]. Jpn J Dysphagia Rehabil. 2008;12:20–30.
Matsuo K, Metani H, Mays KA, Palmer JB. Effects of respiration on soft palate movement in feeding. J Dent Res. 2010;89:1401–6.
Matsuo K, Palmer JB. Anatomy and physiology of feeding and swallowing: normal and abnormal. Phys Med Rehabil Clin North Am. 2008;19:691–707.
Palmer JB. Bolus aggregation in the oropharynx does not depend on gravity. Arch Phys Med Rehabil. 1998;79:691–6.
Hatch JP, Shinkai RS, Sakai S, Rugh JD, Paunovich ED. Determinants of masticatory performance in dentate adults. Arch Oral Biol. 2001;46:641–8.
Carlsson GE. Masticatory efficiency: the effect of age, the loss of teeth and prosthetic rehabilitation. Int Dent J. 1984;34:93–7.
Bourdiol P, Mioche L. Correlations between functional and occlusal tooth-surface areas and food texture during natural chewing sequences in humans. Arch Oral Biol. 2000;45:691–9.
Fontijn-Tekamp FA, van der Bilt A, Abbink JH, Bosman F. Swallowing threshold and masticatory performance in dentate adults. Physiol Behav. 2004;83:431–6.
van der Bilt A, Olthoff LW, Bosman F, Oosterhaven SP. The effect of missing postcanine teeth on chewing performance in man. Arch Oral Biol. 1993;38:423–9.
Wayler AH, Muench ME, Kapur KK, Chauncey HH. Masticatory performance and food acceptability in persons with removable partial dentures, full dentures and intact natural dentition. J Gerontol. 1984;39:284–9.
Yven C, Bonnet L, Cormier D, Monier S, Mioche L. Impaired mastication modifies the dynamics of bolus formation. Eur J Oral Sci. 2006;114:184–90.
Karlsson S, Carlsson GE. Characteristics of mandibular masticatory movement in young and elderly dentate subjects. J Dent Res. 1990;69:473–6.
Hiiemae K, Heath MR, Heath G, Kazazoglu E, Murray J, Sapper D, Hamblett K. Natural bites, food consistency and feeding behaviour in man. Arch Oral Biol. 1996;41:175–89.
Watanabe S, Dawes C. A comparison of the effects of tasting and chewing foods on the flow rate of whole saliva in man. Arch Oral Biol. 1988;33:761–4.
Engelen L, van den Keybus PA, de Wijk RA, Veerman EC, Amerongen AV, Bosman F, Prinz JF, van der Bilt A. The effect of saliva composition on texture perception of semi-solids. Arch Oral Biol. 2007;52:518–25.
Ship JA, Pillemer SR, Baum BJ. Xerostomia and the geriatric patient. J Am Geriatr Soc. 2002;50:535–43.
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Matsuo, K., Palmer, J.B. (2013). Oral Phase Preparation and Propulsion: Anatomy, Physiology, Rheology, Mastication, and Transport. In: Shaker, R., Belafsky, P., Postma, G., Easterling, C. (eds) Principles of Deglutition. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3794-9_8
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