Maximal bite force and its association with temporomandibular disorders.

Individuals with temporomandibular disorders (TMD) are expected to have decreased maximum bite forces (MBF). This way, this study compared the MBF in subjects with TMD to a control group and also evaluated its association with age, gender, height and weight. Forty healthy adults with complete natural dentition divided into four groups according to gender and presence or absence of TMD signs/symptoms (based on the Research Diagnostic Criteria RDC) underwent a MBF test with a gnathodynamometer in molar and incisal areas. Statistical analysis was performed by ANOVA and Student-Newman-Keuls test (p=0.05), and the relationship between age, gender, weight, height and MBF was verified by Pearson's correlation test. There were no differences in MBF results between TMD and control groups (p>0.05). Female subjects exhibited lower MBF than male and MBF for the anterior area was lower than that for posterior area (p<0.05). Significant correlation was found between MBF and weight in TMD subjects (p<0.05), except for the anterior area in female subjects. There was a positive correlation between MBF and height in TMD male subjects (p<0.05). Within the limitations of this study, it is possible to conclude that bite force was not affected by TMD. Correlation between MBF and weight in TMD subjects and between MBF and height in TMD male subjects was observed.

[1]  L. Arendt-Nielsen,et al.  Muscle pain modulates mastication: an experimental study in humans. , 1998, Journal of orofacial pain.

[2]  B. Ingervall,et al.  A pilot study of the effect of masticatory muscle training on facial growth in long-face children. , 1987, European journal of orthodontics.

[3]  J. Rugh,et al.  Determinants of masticatory performance in dentate adults. , 2001, Archives of oral biology.

[4]  S. Dworkin,et al.  Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. , 1992, Journal of craniomandibular disorders : facial & oral pain.

[5]  J. Ahlberg,et al.  Maximal Bite Force and Its Association with Signs and Symptoms of TMD, Occlusion, and Body Mass Index in a Cohort of Young Adults , 2003, Cranio : the journal of craniomandibular practice.

[6]  S Braun,et al.  A study of bite force, part 1: Relationship to various physical characteristics. , 1995, The Angle orthodontist.

[7]  M. Bakke,et al.  Unilateral, isometric bite force in 8-68-year-old women and men related to occlusal factors. , 1990, Scandinavian journal of dental research.

[8]  L. Leresche Epidemiology of temporomandibular disorders: implications for the investigation of etiologic factors. , 1997, Critical reviews in oral biology and medicine : an official publication of the American Association of Oral Biologists.

[9]  K. Ikebe,et al.  Association of bite force with ageing and occlusal support in older adults. , 2005, Journal of dentistry.

[10]  M. Bakke,et al.  Temporomandibular disorders in relation to craniofacial dimensions, head posture and bite force in children selected for orthodontic treatment. , 2001, European journal of orthodontics.

[11]  G. Throckmorton,et al.  Mandibular excursions and maximum bite forces in patients with temporomandibular joint disorders. , 1996, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[12]  D Tortopidis,et al.  The variability of bite force measurement between sessions, in different positions within the dental arch. , 1998, Journal of oral rehabilitation.

[13]  M. A. Plant Electromyographic evidence of local muscle fatigue in a subgroup of patients with myogenous craniomandibular disorders , 1992 .

[14]  M. Könönen,et al.  Maximal bite force and its association with signs and symptoms of craniomandibular disorders in young Finnish non-patients. , 1995, Acta odontologica Scandinavica.

[15]  M. Hagberg,et al.  Surface EMG frequency dependence on force in the masseter and the anterior temporal muscles. , 1988, Scandinavian journal of dental research.

[16]  C. Palazzi,et al.  EMG, bite force, and elongation of the masseter muscle under isometric voluntary contractions and variations of vertical dimension. , 1979, The Journal of prosthetic dentistry.

[17]  R. Shinkai,et al.  Bruxism and voluntary maximal bite force in young dentate adults. , 2005, The International journal of prosthodontics.

[18]  J. S. Wang,et al.  The effects of dental condition on hand strength and maximum bite force. , 1993, Cranio : the journal of craniomandibular practice.

[19]  P. Reade,et al.  The effect of an interocclusal appliance on bite force and masseter electromyography in asymptomatic subjects and patients with temporomandibular pain and dysfunction. , 2004, Journal of oral rehabilitation.