Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2019, 163(3):274-278

Assessment of the impact of temporomandibular disorders on maximum bite force

Jelena Todica, Brankica Martinovicb, Jasna Pavlovicc, Sasa Tabakovicd, Milo¹ Staletovica
a Department of Prosthodontics, Medical Faculty Pristina in Kosovska Mitrovica, Kosovska Mitrovica, Serbia
b Department of Pediatric and Preventive Dentistry, Medical Faculty Pristina in Kosovska Mitrovica, Kosovska Mitrovica, Serbia
c Department of Orthodontics, Medical Faculty Pristina in Kosovska Mitrovica, Kosovska Mitrovica, Serbia
d Department of Maxillofacial Surgery, Medical Faculty Pristina in Kosovska Mitrovica, Kosovska Mitrovica, Serbia

Aim: Temporomandibular disorders (TMD) refer to functional disorders of the masticatory system, temporomandibular joint (TMJ) and masticatory muscles. The main objective of this study was to determine whether and to what extent temporomandibular disorders (TMD) affect the maximum bite force (MBF).

Methods: The present study included subjects with and without temporomandibular disorder. The presence of TMD was assessed by means of the Helkimo clinical dysfunction index analysis. We measured the maximum bite pressure (MBP) and occlusal contact area (OCA) by means of a Fuji Prescale Pressure measurement film. Based on the MBP and OCA values obtained, MBF values were determined.

Results: The MBF values were significantly lower in patients with TMD compared to subjects without TMD (P Conclusion: TMDs have a significant impact on MBF and masticatory muscle action potential. More research is needed to determine the impact of reduced maximum bite force on the functional efficiency of the masticatory system.

Keywords: temporomandibular disorders; maximum bite force, occlusal contact area, maximum bite pressure, pressure-sensitive film

Received: May 15, 2018; Revised: October 13, 2018; Accepted: January 3, 2019; Prepublished online: January 10, 2019; Published: September 23, 2019  Show citation

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Todic, J., Martinovic, B., Pavlovic, J., Tabakovic, S., & Staletovic, M. (2019). Assessment of the impact of temporomandibular disorders on maximum bite force. Biomedical papers163(3), 274-278
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References

  1. Okeson JP. Menagement of temporomandibular disorders and Occlusion. 7nd ed. Missouri: The C.V. Mosby CoSt. Louis, 2013
  2. Bakke M. Bite force and occlusion. Semin Orthod 2006;12(2):120-6. Go to original source...
  3. Sonnesen L, Bakke M, Solow M. Temporomandibular disorders in relation to craniofacial dimension, head posture and bite force in children selected orthodontic treatment. Eur J Orthod 2001;23(2):179-92. Go to original source... Go to PubMed...
  4. Calderon PS, Kogawa EM, Lauris JR, Conti PC. The influence of gender and bruxism on the human maximum bite force. J Appl Oral Sci 2006;14(6):448-53. Go to original source... Go to PubMed...
  5. Koc D, Dogan A, Bek B. Bite force and influential factors on bite force measurements: A literature revew. Eur J Dent 2010;4(2):223-32. Go to original source...
  6. Varga S, Spalj S, Varga M, Anic S, Milosevic S, Mestrovic S, Slaj M. Maximum voluntary molar bite force in subjects with normal occlusion. Eur J Orthod 2011;33(4):427-33. Go to original source... Go to PubMed...
  7. Castelo PM, Gavião MB, Pereira LJ, Bonjardim LR. Masticatory muscle thickness, bite force, and occlusal contacts in young children with unilateral posterior crossbite. Eur J Orthod 2007;29(2):149-56. Go to original source... Go to PubMed...
  8. Fernandes CP, Glantz PJ, Svensson SA, Bergmark A. A novel sensor for bite force determinations. Dent Mater 2003;19(2):118-26. Go to original source... Go to PubMed...
  9. Braun S, Bantleon HP, Hnat WP, Freudenthaler JW, Marcotte MR, Johnson BE. A study of bite force, part 1: Relationship to various physical characteristics. Angle Orthod 1995;65(5):367-72. Go to PubMed...
  10. Kogawa EM, Calderon PS, Laurus JR, Araujo CR, Conti PC. Evaluation of maximal bite force in temporomandibular disorders patients. J Oral Rehabil 2006;33(8):559-65. Go to original source... Go to PubMed...
  11. Tortopidis D, Lzons MF, Baxendale RH. Bite force, endurance and masseter muscle fatigue in healthy edentulous subjects and those with TMD. J Oral Rehabil 1999;26(4):321-8. Go to original source... Go to PubMed...
  12. Pereira-Cenci T, Pereira LJ, Cenci MS, Bonachela WC, Del Bel Cury AA. Maximal bite force and its association with temporomandibular disorders. Braz Dent J 2007;18(1):65-8. Go to original source... Go to PubMed...
  13. Helkimo M. Studies of function and dysfunction of the masticatory system. Index for anamnestic and clinical dysfunction and occlusal state. Sweden Dent J 1974;67(2):101-21.
  14. Shinogaya T, Bakke M, Thomsen CE, Vilmann A, Sodeyama A, Matsumoto M. Effects of ethnicity, gender and age on clenching force and load distribution. Clin Oral Invest 2001;5:63-8. Go to original source... Go to PubMed...
  15. Pizolato RA, Gavião MB, Berretin-Felix G, Sampaio ACM, Trindade Junior AST. Maximal bite force in young adults temporomandibular disorders and bruxism. Braz Oral Res 2007;21(3):278-83. Go to original source... Go to PubMed...
  16. Ferrario VF, Sforza C, Serrao G, Dellavia C, Tartagilia GM. Single tooth bite forces in healthy young adults. J Oral Rehabil 2004;31(1):18-22. Go to original source... Go to PubMed...
  17. Sato S, Ohta M, Sawatari M, Kawamura H, Motegi K. Occlusal contact area, occlusal pressure, bite force, and masticatory efficiency in patients with anterior disc displacement of the temporomandibular joint. J Oral Rehabil 2001;26(11):906-11. Go to original source... Go to PubMed...
  18. Hidaka O, Iwasaki M, Saito M, Morimoto T. Influence of clenching intensity on bite force balance, occlusal contact area, and average bite pressure. J Dent Res 1999;78(7):1336-44. Go to original source... Go to PubMed...
  19. Kitafusa Y. Application of "Prescale" as an aid to clinical diagnosis in Orthodontics. Bull Tokyo Dent 2002;45(2):99-108. Go to original source... Go to PubMed...
  20. Lasilla V, Holmlund I, Koivumaa KK. Bite force and its correlations in different denture types. Acta Odontol Scand 1985;43:127-32. Go to original source... Go to PubMed...
  21. Bakke M, Michler L, Möller E Bakke M, Michler L, Moller E. Occlusal control of mandibular elevator muscles. Scand J Dent Res 1992;100(5):284-91. Go to original source... Go to PubMed...
  22. Pereira LJ, Gaviao MBD, Bonjardim LR, Castelo PM, van Der Bilt A. Muscle thickness, bite force, and cranio-facial dimensions in adolescents with signs and symptoms of temporomandibular dysfunction. Eur J Orthod 2007;29(1):72-8. Go to original source... Go to PubMed...
  23. Ahlberg JP, Kovero OA, Humerinta KA, Zepa I, Nissinen MJ, Könönen MH. Maximal bite force and its association with signs and symptoms of TMD, occlusion, and body mass index in a cohort of young adults. Cranio 2003;21(4):248-52. Go to original source... Go to PubMed...
  24. Ki-Seo K, Jong-Hoon C, Seong-Taek K, Chong-Youl K, Hyung-Joon A. Bite force, occlusal contact area and occlusal pressure of patients with temporomandibular joint internal derangement. Korean Journal of Oral Medicine 2006;31:265-74.
  25. Wenneberg B, Kjellberg H, Kiliaridis S. Bite force and temporomandibular disorder in juvenile chronic arthritis. J Oral Rehabil 1995;22(8):633-41. Go to original source... Go to PubMed...
  26. Ikebe K, Hazeyama T, Iwase K, Sajima H, Gonda T, Maeda Y, Nokubi T. Association of symptomless TMJ sounds with occlusal force and masticatory performance in older adults. J Oral Rehabil 2008;35(5):317-23. Go to original source... Go to PubMed...
  27. Ow RK, Carlsson GE, Jemt T. Biting forces in patients with craniomandibular disorders. Cranio 1989;7(2):119-25. Go to original source... Go to PubMed...
  28. Bavia PF, Vilanova LS, Garcia RC. Craniofacial Morphology Affects Bite Force in Patients with Painful Temporomandibular Disorders. Braz Dent J 2016;27:619-24. Go to original source... Go to PubMed...
  29. Shinsuke S, Hiroo K, Hitoshi A, Taizo H. Quantitative analysis of occlusal force balance in intercuspal position using Dental Prescal system in pacient with temporomandibular disorders. Int Chin J Dent 2007;7(2):43-7.
  30. Olthoff LW, van Der Glas WH, van Der Blit A. Influence of occlusal vertical dimension on the masticatory performance during chewing with maxillary splints. J Oral Rehabil 2007;34(3):560-5. Go to original source... Go to PubMed...
  31. Bonjardim LR., Gavião MBD, Pereira LJ, Castelo PM. Bite force determination in adolescents with and without temporomandibular dysfunction. J Oral Rehabil 2005;32(8):577-83. Go to original source... Go to PubMed...
  32. Ferrario VF, Sforza C, Zanotti G, Tartaglia GM. Maximal bite forces in healthy young adults as predicted by surface electromyography. J Dent 2004;32(6):451-7. Go to original source... Go to PubMed...
  33. Kampe T, Haraldson T, Hannerz H, Carlsson GE. Occlusal perception and bite force in young subjects with and without dental fillings. Acta Odontol Scand 1987;45(2):101-7. Go to original source... Go to PubMed...
  34. Babic Z, Panduric J, Jerolimov V, Mioc M, Pizeta I, Jakovac M. Bite force in subjects with complete dentition. Coll Antropol 2002;26(1):293-302. Go to PubMed...

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