Reflex responses to periodontal and auditory stimulation in human masseter.

An investigation was made of the reflex responses evoked in the human masseter by periodontal mechanoreceptors. Weak taps were applied to the labial surface of a central incisor tooth by an electromechanical stimulator with a flexible probe (von Frey hair). Forces as low as 0.2 N evoked inhibitory reflex responses in the surface electromyograms of both masseter muscles. These reflexes were modulated to markedly different extents in different subjects by auditory white noise, which always reduced the amplitude of the inhibition. The reflexes were abolished when local anaesthesia was infiltrated around the stimulated tooth and white noise was played into the ears. Evidence is presented that the sound of the tap on the tooth, transmitted through the air, is in itself sufficient to evoke an inhibitory reflex in masseter which is qualitatively similar to that from the periodontal receptors. Thus, in the absence of auditory masking, the total reflex evoked by tooth taps is the result of the summation of the inputs from both periodontal mechanoreceptors and auditory receptors.