Evaluation of Maximum Bite Force in Patients with Complete Dentures
DOI:
https://doi.org/10.3889/oamjms.2018.141Keywords:
Maximum Bite Force, Complete Denture, GnatodynamometerAbstract
OBJECTIVE: This study aimed to evaluate maximum bite forces (mBF) in dominant (DS) and non-dominant sides (NDS) at certain time periods after the insertion of new complete dentures based on prior experience and gender.
MATERIALS AND METHODS: A total of 88 patients, complete denture wearers (CDWs), were examined. The maximum bite force at the intercuspal position between the first molars in 3 seconds was registered and recorded with piezoelectric gnathodynamometer. The procedure was repeated 3 times in identical conditions, with relaxation intervals of 1 minute between repeats and the limiting factor was the subjective feeling of pain. Testing of parametric data was performed with One Way Repeated Measurement of ANOVA test.
RESULTS: The average mBF values increased during the observational period, both on the DS and NDS, with significant difference in DS, which was greater. The analysis of one-factor variance showed that there were differences of average mBF values in DS and NDS during six consecutive measurements (mBF–DS = 11.3, p = 0.0001, and mBF-NDS = 2.26, p = 0.047). Significant changes in the masticatory force (mBF) on the DS and NDS is explained by different measurement times and with the prior experience with complete dentures, BF–DS = 11.76, p = 0.0000; mBF–NDS = 2.42, p = 0.0351; mBFe–DS = 40.48; P = 0.0000 mBFe–NDS = 39.93, p = 0.0000.
CONCLUSION: mBF represents a significant discriminating variable of the level of functional adaptation of new complete denture wearers (nCDWs) about the initial measurements.Downloads
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References
Soboleva U, Laurina L, Slaidina A. The masticatory system-an overview. Stomatologija Baltic Dental and Maxillofacial Journal. 2005; 7:77-80. PMid:16340271
Zmudzki J, Chladek G, et al. The stimulation of mastication efficiency mucous-borne complete dentures. Achievements in Materials and Engineering. 2013; 63:75-86.
Divaris K, Ntounis A, Marinis A, Polyzois G, Polychronopoulou A. Loss of natural dentition: multi-level effects among a geriatric population. Gerodontology. 2012; 29:e192-9. https://doi.org/10.1111/j.1741-2358.2010.00440.x PMid:21083739
Fontijn-Tekamp FA, Slagter AP, Van Der Bilt A, et al. Biting and chewing in overdentures, full dentures, and natural dentitions. J Dent Res. 2000; 79:1519-1524. https://doi.org/10.1177/00220345000790071501 PMid:11005738
Gunne JB, Benbom L and Hogstrem J. Masticatory eficiency of complete denture patients Acta Odontol Scand. 1992; 40: 289-297.
Howell AH, Brudevold F. Vertical forces used during chewing of food. J Dent Res. 1950; 29:133-136. https://doi.org/10.1177/00220345500290020401 PMid:15415485
Mancuso D, Goiato M, Filho H, Gomes E. Bite force and masticatory efficiency in implant-retained dentures. Dentalcetoday magazine. 2009; 104:1-6.
Hickey JC, Kleider JA, Boucher CO, and Stroz O. A method of styding the influence of occlusal schemes on muscuylar actvity. J Pros Dent. 1989; 9:498-506. https://doi.org/10.1016/0022-3913(59)90082-4
Fontijn-Tekamp FA, Slagter AP, van't Hof MA, Geertman ME, Kalk W. Bite forces with mandibular implant-retained overdentures. J Dent Res. 1998; 77:1832–1839. https://doi.org/10.1177/00220345980770101101 PMid:9786640
De Boever J. Experimental occlusal balancing-contact interference and muscle activity. Paradontologie. 1989; 23,59-63.
Pereira LJ, Gavião MB, Bonjardim LR, Castelo PM and Andrade Ada S. UltrasonoFigurey and electromyoFigurey of masticatory muscles in a group of adolescents with signs and symptoms of TMD. Journal of Clinical Pediatric Dentistry. 2006; 30:314-319. https://doi.org/10.17796/jcpd.30.4.w2t51jh08762648g PMid:16937858
Bakke M, Holm B, Gotfredsen K. Masticatory function and patient satisfaction with implant-supported mandibular overdentures: a prospective 5-year study. Int J Prosthodont. 2002; 15:575–581. PMid:12475165
Pocztaruk RL, Frasca LC, Rivaldo EG, Fernandes Ede L, Mattia PR, Vidal RA, et al. Satisfaction level and masticatory capacity in edentulous patients with conventional dentures and implant-retained overdentures. Braz J Oral Sci. 2006; 5:1232-38.
Atkinson HF and Ralph WJ. Tooth loss and biting force in man. J Dent Res. 1973; 52:225-228. https://doi.org/10.1177/00220345730520020701 PMid:4511303
Niwatcharoenchaikul W, Tumrasvin W, Arksornnukit M. Effect of complete denture occlusal schemes on masticatory performance and maximum occlusal force. J Prosthet Dent. 2014; 112(6):1337-42. https://doi.org/10.1016/j.prosdent.2014.06.003 PMid:25062582
Carlsson GE and Ericson S. Postural face height in full dentures wearers. Acta Odont Scand. 1967; 25:145-162. https://doi.org/10.3109/00016356709028744 PMid:5233922
Worner HK. Gnathodynamics, the Measurment of Biting Forcës with a New Design of Gnathodynamometer. Aust Dent J. 1939; 43:381-388.
Andersson DJ. Measurment of stress in mastication I. J Dent Res. 1986; 26:21-29.
Helkimo E. Bite force and state of dentition. Acta Odontol Scand. 1003; 35:297-303. https://doi.org/10.3109/00016357709064128
Ferrario VF, Sforza C, Serrao G, Dellavia C, Tartagilia GM. Single tooth bite forces in healthy young adults. J Oral Rehabil. 2004; 31:18-22. https://doi.org/10.1046/j.0305-182X.2003.01179.x
PMid:15125591
Bonakdarchian M, Askari N, Askari M. Effect of face form on maximal molar bite force with natural dentition. Arch Oral Biol 2009; 54:201-204. https://doi.org/10.1016/j.archoralbio.2008.11.009 PMid:19131047
Olthoff LW, Van Der Glas W, Van Der Blit A. Influence of occlusal vertical dimension on the masticatory performance during chewing with maxillary splints. J Oral Rehabil. 2007; 34:560-565. https://doi.org/10.1111/j.1365-2842.2007.01730.x PMid:17650165
Wichelhaus A, Hüffmeier S, Sander FG. Dynamic functional force measurements on an anterior bite plane during the night. J Orofac Orthop. 2003; 64:417-425. https://doi.org/10.1007/s00056-003-0316-5 PMid:14628133
Shinogaya T, Bakke M, Thomsen CE, Vilmann A, Sodeya- ma A, Matsumoto M. Effects of ethnicity, gender and age on clenching force and load distribution. Clin Oral Invest. 2001; 5:63-68. https://doi.org/10.1007/s007840000099
Waltimo A, Könönen M. A novel bite force recorder and maximal isometric bite force values for healthy young adults. Scand J Dent Res 1993; 101:171-175. https://doi.org/10.1111/j.1600-0722.1993.tb01658.x
Turker SB, Sener ID, Ozkan YK. Satisfaction of the complete denture wearers related to various factors. Arch Gerontol Geriatr. 2009; 49(2):e126-9. https://doi.org/10.1016/j.archger.2008.11.003 PMid:19117618
Gallucci GO, Bernard JP, Belser UC. Treatment of completely edentulous patients with fixed implant-supported restorations: three consecutive cases of simultaneous immediate loading in both maxilla and mandible. The International Journal of Periodontics & Restorative Dentistry. 2005; 25: 27–37.
Caloss R, Al-Arab M, Finn RA, Lonergan O, Throckmorton GS. Does long-term use of unstable dentures weaken jaw muscles? Journal of Oral Rehabilitation. 2010; 37:256-261. https://doi.org/10.1111/j.1365-2842.2009.02046.x PMid:20050986
Koc D, Dogan A, Bek B. Bite force and influential factors on bite force measurements: a literature review. Eur J Dent. 2010; 4(2):223-32. PMid:20396457 PMCid:PMC2853825
Kumar L. Biomechanics and clinical implications of complete edentulous state. Journal of Clinical Gerontology & Geriatrics. 2014; 5:101-104. https://doi.org/10.1016/j.jcgg.2014.03.001
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