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Association of salivary flow rates with maximal bite force.

Mean salivary secretion and bite force decrease with advancing age. Previous studies have shown that salivary flow rates are influenced by mastication. In the present study, we examined the relationship between salivary flow rates and maximal bite force in a community-based sample of men and women 35 years of age or older. Salivary flow rates for unstimulated whole and unstimulated submandibular/sublingual (SMSL) saliva as well as citrate-stimulated parotid and SMSL saliva were measured in 399 subjects. Bite force was assessed with a bilateral force transducer. Pearson correlation analysis yielded significant positive correlations between bite force and flow rates for unstimulated whole saliva (r = 0.24, p < 0.0001), stimulated parotid saliva (r = 0.13, p < 0.03), unstimulated SMSL (r = 0.14, p < 0.0001), and stimulated SMSL (r = 0.16, p < 0.003). When adjusted for age and gender, the partial correlations between bite force and salivary flow rates remained significant for unstimulated whole saliva (r = 0.10, p < 0.05), stimulated parotid saliva (r = 0.13, p < 0.02), and stimulated SMSL saliva (r = 0.14, p < 0.006). Subjects were divided into four groups based on their maximal bite force score (low, medium low, medium high, and high). For each saliva type, the flow rate of the high-bite-force group was significantly greater than that of the low-bite-force group as well as that of the medium-high-bite-force group. These results confirm an age-related decrease in bite force and salivary flow rates and show that, regardless of age or gender, bite force is correlated with salivary flow.

Adult↗

The effect of pressure on a maximum incisal bite force in man.

The maximum bite force an individual can exert on an upper central incisor when the force is transmitted through a point on the incisal edge (no cover) was compared with maximum bite force when distributed over a full acrylic cap (full cover). Eighteen participants rapidly produced a maximum bite force three times each under no-cover and full-cover conditions. The magnitude and direction of the maximum bite force were monitored by a transducer placed between upper and lower incisors. There was no significant change in the direction of the bite force under the two conditions. The average maximum bite force was significantly larger (mean-4.9%, SD-4.6%, p < 0.001) in the full-cover condition. The increase in maximum bite force was attributed to the reduced pressure on the crown under the full-cover condition when compared with the no-cover condition. This implies the existence of mechanoreceptors within the pulp of a tooth because periodontal mechanoreceptors can affect feedback only by monitoring differences in the force on a tooth, not differences in pressure on the crown.

Adult↗

The effect of periodontal bone loss on bite force discrimination.

This study compared bite force discrimination between 14 treated periodontal patients with significant bone resorption and 14 control subjects who were free of periodontal disease. Bite force was measured using a strain gauge scale which permitted subjects to visually monitor when their bite force equaled a preset resistance. A bite force of 500 gm was selected as the standard. Subjects were presented with a series of paired resistance settings, one at a time, the first of each pair being the standard and the second being the comparator setting of some predetermined different amount. This procedure was continued until the subject's difference limen (DL) value, the threshold of discrimination between two bite forces, was established. The periodontal patients required an average of 334 additional grams of resistance over the standard before they could detect a difference, whereas the control subjects required only 201 additional grams. These group means were significantly different (P less than 0.01). The results of this study suggest that the periodontal ligament provides sensory feedback relative to bite force discrimination.

Adult↗

Three-dimensional analyses of human bite-force magnitude and moment.

The effect of the three-dimensional orientation of occlusal force on maximal bite-force magnitude was examined in seven human subjects at three different unilateral anteroposterior bite positions (canine, second premolar and second molar). At each position, bite-force magnitude was registered in 17 precisely defined directions using a three-component force transducer and a feedback method. In addition, to assess the efficiency of transfer of muscle to bite force, for bites produced in the sagittal plane, moment-arm length was determined and the produced bite-force moment calculated. The results showed that the largest possible bite force was not always produced in a direction perpendicular to the occlusal plane. Generally, maximal bite force in medial and posterior directions was larger than that in, respectively, corresponding lateral and anterior directions. In each direction the produced force was larger at the posterior bite point than at the anterior bite point. The combined moment produced by the jaw muscles was largest for vertical bites, smallest for posteriorly directed bites and intermediate for anteriorly directed bites. In the case of vertically and anteriorly directed bites the produced moment did not vary significantly with the bite position. Hence, for these bite positions the jaw closing moment of the muscles must have kept constant. In the case of posteriorly directed bites the produced moment decreased when bite position changed from the anterior to the posterior side of the dentition. This indicated that jaw muscle activity had declined.

Adult↗

On the regulation of interincisor bite force in man.

The maximum bite force and the ability to perform a requested interincisor bite force was tested on eight healthy subjects with normal dentition and on five full denture wearers under various conditions. Anaesthesia of temporomandibular joint (TMJ) capsular and/or periodontal receptors, with or without simultaneous vibration-induced increase of muscle receptor discharge, did not lead to noticeable changes in these capacities. It is concluded that in maximal voluntary efforts, as well as in trained and prepatterned motor acts, the motor activity may function without significant involvement of peripheral feedback mechanisms. However, all subjects significantly underestimated their bite force in the test series. Another conclusion from the present study is that neither jaw open nor jaw elevator vibration is of any influence upon the maximum bite force. On the other hand, the maximum bite force significantly increased after the performance of the test series.

Dental Occlusion↗

Quantitative study of bite force during sleep associated bruxism.

Nocturnal bite force during sleep associated bruxism was measured in 10 subjects. Hard acrylic dental appliances were fabricated for the upper and lower dentitions of each subject. Miniature strain-gauge transducers were mounted to the upper dental appliance at the right and left first molar regions. In addition, thin metal plates that contact the strain-gauge transducers were attached to the lower dental appliance. After a 1-week familiarization with the appliances, nocturnal bite force was measured for three nights at the home of each subject. From the 30 recordings, 499 bruxism events that met the definition criteria were selected. The above described system was also used to measure the maximum voluntary bite forces during the daytime. The mean amplitude of detected bruxism events was 22.5 kgf (s.d. 13.0 kgf) and the mean duration was 7.1 s (s.d. 5.3 s). The highest amplitude of nocturnal bite force in individual subjects was 42.3 kgf (15.6-81.2 kgf). Maximum voluntary bite force during the daytime was 79.0 kgf (51.8-99.7 kgf) and the mean ratio of nocturnal/daytime maximum bite force was 53.1% (17.3-111.6%). These data indicate that nocturnal bite force during bruxism can exceed the amplitude of maximum voluntary bite force during the daytime.

Acrylic Resins↗

Scaling of bite force in the blacktip shark Carcharhinus limbatus.

Although bite force is a frequently studied performance measure of feeding ecology, changes in bite force over ontogeny have rarely been investigated. Biting by the blacktip shark Carcharhinus limbatus was theoretically modeled over ontogeny to investigate the scaling of bite force, the morphological basis of the observed scaling relationship, the ecological consequences of ontogenetic changes in performance, and whether cranial morphometrics can be used as an accurate proxy for bite force. Theoretical bite force, which was positively allometric with respect to total length (TL), ranged from 32 N (61 cm TL) to 423 N (152 cm TL) at the anterior tips of the jaws and from 107 (61 cm TL) to 1083 N (152 cm TL) at the posterior teeth. This observation is attributed to positive allometry in the mechanical advantage of the jaw-adducting mechanism and the cross-sectional area of all four jaw-adducting muscles. Theoretical bite force was accurately predicted by cranial morphometrics including prebranchial length and head width as well. Although positive allometry of bite force in C. limbatus would seem to indicate an ecological necessity for this phenomenon, dietary analyses do not necessarily indicate any ontogenetic shift in prey types requiring larger bite forces. The positively allometric increase in theoretical bite force may be associated with numerous other selective pressures including maintenance of an apical position within the ecosystem.

Age Factors↗

Bite force and state of dentition.

The maximal bite force and the strength of the finger-thumb grip of 125 Skolt Lapps, aged 15 to 65, was measured with a specially devised apparatus. The bite force was measured with the biting fork placed between the first molars and between the incisors, respectively. The finger-thumb grip was measured by letting the subject press the prongs of the fork between the thumb and forefinger of each hand as hard as possible. The range of inter-individual variation of the maximal bite force and finger-thumb grip was great. The mean values were higher for the males than for the females. In the males the maximal bite force thus measured in the molar region was 39 kg (382 N) and 18 kg (176 N) in the incisor region. The corresponding values for the females were 22 kg (216 N) and 11 kg (108 N). The finger-thumb grip strength for males was, on the average, 10 kg (98 N); that of the females, 7 KG (69 N). The average difference in bite force between the men and the women was larger in the group with natural teeth than in the one with complete dentures. The values found for the bite force decreased with increasing age, especially for the females. Most of this reduction with increasing age was probably due to the age-dependent deterioration of the dentition. In both sexes the bite force was notably smaller among the denture wearers than among the dentate persons. The number of natural teeth varied closely with the bite force, i.e. the greater number of natural teeth the greater the bite force.

Adolescent↗

Effect of jaw opening on the direction and magnitude of human incisal bite forces.

The maximum bite force (MBF) appears to be different when measured at different jaw openings (e.g., Manns et al., 1979; Mackenna and Turker, 1983; Lindauer et al., 1993). However, the change could be related to a change in the bite direction. We have measured the MBF on incisors and its direction in three dimensions for different jaw openings in ten subjects. Surface electromyography (EMG) of anterior temporalis and masseter muscles on both sides was recorded simultaneously. The results showed that: (1) the average %MBF increased as the jaw was opened, reached a plateau between 14 and 28 mm of incisal separation, and then decreased at wider jaw openings; (2) the initial forward bite direction with respect to the mandibular occlusal plane shifted backwards during jaw opening; and (3) the activity of the masseter muscles declined and that of the temporalis muscles was largely unchanged, resulting in an increase of the ratio between the activity in temporalis and masseter muscles (T/M). There was a significant correlation between bite direction and jaw opening (r = 0.51, p < 0.001) and between T/M ratio and jaw opening (r = 0.56, p < 0.001). Based on comparative data, we have calculated sarcomere lengths while the jaw is opened and hypothesize that the average %MBF reaches its maximum when the sarcomeres in the masseter muscle achieve their optimum length. A plateau continues during further jaw opening, until those of temporalis reach their optimum length while those of masseter lengthen beyond their optimum length. The change in bite direction was attributed to either a change in the relation between upper and lower bite points as the jaw was opened or the gradual decline of masseter activity at larger openings.

Adult↗

Altered control of submaximal bite force during bruxism in humans.

The control of bite force during varying submaximal loads was examined in patients suffering from bruxism compared to healthy humans not showing these symptoms. The subjects raised a bar (preload) with their incisor teeth and held it between their upper and lower incisors using the minimal bite force required to keep the bar in a horizontal position. Further loading was added during the preload phase. A sham load was also used. Depending on the session, the teeth were loaded by the experimenter or the subject and in one session the subject did not see the load (no visual feedback). The bite force was measured continuously using a calibrated force transducer. In all the subjects, the bite force increased with increasing load. Following the addition of the load, the level of the tonic bite force was reached rapidly with no marked overshoot. The patients with bruxism used significantly higher bite forces to hold the submaximal loads compared to the control subjects. In the control subjects, the holding forces for each submaximal load were identical in the men and the women and were independent of subject maximal bite force. Sham loading evoked no marked responses in biting force. Whether the subject or the experimenter added the load or whether the subject had visual feedback or not were not significant factors in determining the level of bite force. The results indicated that the patients with bruxism used excessively large biting forces for each given submaximal load. This study showed no evidence that the inappropriate control of bite force by patients with bruxism was due to an abnormality in the higher cortical circuits that regulates the function of trigeminal motoneurons in the brainstem. This was shown by a lack of abnormality in coordination of voluntary hand movement with biting force, a lack of abnormal anticipation response to a sham load and a lack of any effect of visual feedback. The results were in line with the hypothesis that afferent input from oral (periodontal or masticatory muscle) tissues does not provide an appropriate control of motor command in bruxism.

Adult↗

Contribution of jaw muscle size and craniofacial morphology to human bite force magnitude.

The existence of an interaction among bite force magnitude, jaw muscle size (e.g., cross-sectional area, thickness), and craniofacial morphology is widely accepted. Bite force magnitude depends on the size of the jaw muscles and the lever arm lengths of bite force and muscle forces, which in turn are dictated by craniofacial morphology. In this study, the relative contributions of craniofacial morphology and jaw muscle thickness to the bite force magnitude were studied. In 121 adult individuals, both magnitude and direction of the maximal voluntary bite force were registered. Craniofacial dimensions were measured by anthropometrics and from lateral radiographs. The thicknesses of the masseter, temporal, and digastric muscles were registered by ultrasonography. After a factor analysis was applied to the anthropometric and cephalometric dimensions, the correlation between bite force magnitude, on the one hand, and the "craniofacial factors" and jaw muscle thicknesses, on the other, was assessed by stepwise multiple regression. Fifty-eight percent of the bite force variance could be explained. From the jaw muscles, only the thickness of the masseter muscle correlated significantly with bite force magnitude. Bite force magnitude also correlated significantly positively with vertical and transverse facial dimensions and the inclination of the midface, and significantly negatively with mandibular inclination and occlusal plane inclination. The contribution of the masseter muscle to the variation in bite force magnitude was higher than that of the craniofacial factors.

Adolescent↗

[Biting force and physical fitness in athletes].

The maximum biting force in 82 male athletes and 12 male subjects without any particular athletic activity (nonathletes) were measured in order to evaluate the relationship between biting force and physical fitness in athletes. The results obtained were as follows. 1. The maximum biting force in athletes (50.8 +/- 17.4kg) were significantly (p < 0.01) higher than that in the nonathletes (28.1 +/- 9.1kg). The maximum biting forces in the men who belonged to the rugby or judo clubs were predominantly higher than in other subjects. 2. In men who masticated on the left side of the mouth, the habitual (i. e., left) biting force was significantly higher than the nonhabitual (i. e., right) biting force. In men who masticated on the right side of the mouth, the habitual (i. e., right) biting force was also higher than the nonhabitual (i. e., left) biting force, but was not significantly so. 3. There was a significant positive correlation between the biting force and grip strength and back strength in athletes. In athletes, there was a significant correlation between biting force and the numbers of chin-ups, the numbers for the side-step tests and the time for 50m running.

Adult↗

The effects of gape angle and bite point on bite force in bats.

Models of mammalian mastication predict that bite force is affected by both the degree of mouth opening (gape angle) and the point along the tooth row at which force is transferred to a food item (bite point). Despite the widespread use of these models in comparative analyses, experimental data documenting bite force in non-human mammals are extremely limited. The goal of this study is to document variation in non-stimulated bite force associated with change in gape angle and bite point in a broad range of species. We focus on plant-visiting bats because they exhibit a relatively primitive cranial morphology and are good models for generalized mammals. Assessments of the relationship between gape angle and bite force within and among species demonstrate that bite force decreases significantly as gape angle increases. The relationship between bite force and bite point within each of seven species demonstrates that unilateral molar biting universally generates the highest forces while the unilateral canine biting produces the lowest forces. Bilateral canine biting is intermediate. Beyond these general patterns, differences among species suggest that bite force reflects variation in craniofacial architecture. Finally, these data suggest that behavioral variation in gape angle and bite point may be important variables in comparative, functional analyses of feeding.

Animals↗

Effects of local anesthesia on bite force generation and electromyographic activity.

Maximum voluntary bite force has been used to evaluate functional changes following orthognathic surgery. It has been proposed by others that maximum voluntary bite force may depend, in part, on sensory input from the dentition. However, results from previous studies have shown contradictory effects of local anesthesia on bite force following anesthetization of the dentition. The purpose of this study was to investigate the effects of drug-induced local anesthesia on the generation of first molar bite force and electromyographic (EMG) activity in adults. Twenty normal adults (3 women, 17 men) were evaluated. Electromyographic activity was monitored from four muscles of mastication bilaterally, and bite force was concurrently recorded at the right and left first molars. Maximal and submaximal bite forces were then measured after sequential unilateral anesthetization of the right mandible and maxilla with 2% lidocaine containing 1:100,000 epinephrine. No statistically significant differences in bite force or integrated EMG levels were observed between the unanesthetized and anesthetized sides, nor on the anesthetized side at different levels of anesthesia.

Adult↗

Dental survey in Nigeria. Part 2. Biting force of Nigerian.

The biting force of 855 Nigerian children and adults from the age of 3 to 60 was recorded in the Joint Dental Epidemiological Survey in Nigeria in 1981. The biting force of the Nigerian rural group (245 males and 178 females) was significantly greater than those of the Nigerian urban group (227 males and 203 females) and the Japanese males and females.

Adolescent↗

Relationships between the size, position, and angulation of human jaw muscles and unilateral first molar bite force.

Human subjects commonly show large variations in bite force produced at the first molar teeth. To evaluate the role of muscle cross-sectional sizes and lever arms in bite-force production, we correlated these variables in 11 healthy adults. Axial and coronal images obtained by magnetic resonance were combined with conventional lateral cephalograms and dental cast data to reconstruct the craniomandibular morphology in each subject. The cross-sectional sizes of the right masseter and medial pterygoid muscles, their lever arms, and the bite-point lever arms were measured directly from these reconstructions. Physiological recordings of bite force were made in the region of the right first molar by means of a customized transducer aligned perpendicular to the functional occlusal plane. The average bite force for the sample as a whole was 189 +/- 78 N. The coefficients of variance were greater for bite forces, and for the cross-sectional sizes of the two muscles, than for their respective lever arms. Highly significant Pearson Product Moment correlation coefficients (p less than 0.005) were found between masseter and medial pterygoid cross-sectional size, and between the cross-sectional size of each muscle and bite force. No significant correlations (p greater than 0.1) were found between muscle or bite-point lever arms and bite force. Despite the fact that craniofacial spatial morphology may differ among subjects, jaw muscle size alone seems to explain most of the variation in bite force reported by ourselves and others.

Adult↗

A study of maximum bite force during growth and development.

Bilateral bite force was measured in a sample of 457 subjects (231 males and 226 females) from 6 years through 20 years. The mean maximum bite force was found to increase from 78 Newtons at 6 to 8 years to 176 Newtons at 18 to 20 years. While earlier studies have shown adult males have a greater mean bite force than females, this difference is not evident during growth and development. Gender-related bite force difference likely develops during the postpubertal period in association with greater muscle mass development in males.

Adolescent↗