“…Increased alkaline phosphatase activity associated with biomineralization of TMJ condylar tissues, and changes in osteoclastic and osteoblastic activity also have been noted (Bouvier, 1988;Kim et al, 2003). In addition, altering TMJ force application by varying masticatory loading regime, tooth extraction, unilateral bite raise or corticotomy has been shown to result in gene expression changes and elevated glycosaminoglycan (GAG) content in condylar cartilage (Copray et al, 1985;Carvalho et al, 1995;Holmvall et al, 1995;Pirttiniemi et al, 1996;Mao et al, 1998;Agarwal et al, 2001;Huang et al, 2002;Huang et al, 2003). Lastly, changes in expression of type I and type II collagen vary in response to joint loads, further supporting the hypothesis that mechanotransduction signals changes in gene expression that alter tissue proliferation, composition and function as a response to induced degeneration of the cartilage matrix (Mizoguchi et al, 1996;Pirttiniemi et al, 1996;Grodzinsky et al, 2000;Honda et al, 2000;Lee et al, 2000;Huang et al, 2003;Kim et al, 2003;Wong and Carter, 2003).…”