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A determination of bite force in northern Japanese children.

The bite force of 2594 school children (1248 males and 1346 females) living in northern Japan was investigated during oral health examinations in May and June 2001, using a new type of occlusal force gauge. The subjects were recruited from a variety of educational institutes and comprised: 73 nursery (3-5 years old), 1019 primary (6-11 years old), 902 junior high (12-14 years old) and 600 high (15-17 years old) school children. The measuring apparatus consisted of a hydraulic pressure gauge, with a bite element encased in a plastic tube. The bite force was measured at the first molar or second primary molar in the children presenting in the permanent and primary dentitions, respectively. The findings revealed significant variations in bite force between children of different ages. The average bite force was 186.2 N in males and 203.4 N in females of nursery school children; 374.4 N in males and 330.5 N in females of primary school children; 514.9 N in males and 448.7 N in females of junior high school children; and 545.3 N in males and 395.2 N in females of high school children. The prevalence of malocclusion in the nursery school children was found to be less than 30 per cent, which contrasted with almost 70 per cent in the high school children.

Adolescent↗

The effect of incisal bite force on condylar seating.

The purpose of this study was to investigate the relationship between different incisal biting forces and condylar seating. Bite force was measured with strain gauges at the incisors in 22 adult subjects. The subjects were positioned with mandibles in retruded centric and with an opening not exceeding the range of hinge axis movement. Condylar movement was measured using standard true hinge axis location procedures. Condylar position was measured with no force, then with bite forces of 4.5 kg, 7.5 kg and a comfortable maximum. Biting force significantly affected condylar movement (p < 0.001). As incisal bite forces increased, so did the amount of condylar seating to an average of 0.49 mm anteriorly and 0.27 mm superiorly using maximum biting force. Therefore, when taking a centric relation record, a technique involving an anterior stop and sufficient biting force should seat the condyles more fully.

Adult↗

A three-dimensional mathematical model of the human masticatory system predicting maximum possible bite forces.

A three-dimensional mathematical model of the human masticatory system, containing 16 muscle forces and two joint reaction forces, is described. The model allows simulation of static bite forces and concomitant joint reaction forces for various bite point locations and mandibular positions. The system parameters for the model were obtained from a cadaver head. Maximum possible bite forces were computed using optimization techniques; the optimization criterion we used was the minimizing of the relative activity of the most active muscle. The model predicts that at each specific bite point, bite forces can be generated in a wide range of directions, and that the magnitude of the maximum bite force depends on its direction. The relationship between bite force direction and its maximum magnitude depends on bite point location and mandibular position. In general, the direction of the largest possible bite force does not coincide with the direction perpendicular to the occlusal plane.

Biomechanical Phenomena↗

Bite force and its correlations in different denture types.

Maximal bite force was measured and intraoral condition was examined in 89 patients at the Institute of Dentistry, University of Turku. These patients formed three different denture groups: those with complete dentures, those with full maxillary denture and partial mandibular denture, and those with natural dentition or skeleton-supported partial maxillary denture and partial mandibular denture. There were three age groups: greater than or equal to 70, 60-69, and less than or equal to 59 years old. Maximal bite force was recorded with an appliance at seven different measuring points by placing a biting fork between the antagonistic teeth while at the same time the occlusion was stabilized contralaterally with a plastic tube. Maximal bite force had a correlation with age and sex (P less than 0.01). In partial-denture groups high bite force had a correlation with the breaking of dentures (P less than 0.001 and P less than 0.05, respectively). Satisfied patients had a higher bite force than dissatisfied ones. When there was some disturbance in occlusion, the bite force was smaller, especially in full-denture groups (P less than 0.001). Full-denture wearers also had a good bite force, but the best biting area was located more posteriorly than in patients who still had some natural teeth left in both jaws. Changes in the denture-bearing mucosa in patients with complete dentures and negative height of the mandibular alveolar process decreased the bite force slightly.

Age Factors↗

Bite force production capability and efficiency in Neandertals and modern humans.

Although there is consensus that Neandertal craniofacial morphology is unique in the genus Homo, debate continues regarding the precise anatomical basis for this uniqueness and the evolutionary mechanism that produced it. In recent years, biomechanical explanations have received the most attention. Some proponents of the "anterior dental loading hypothesis" (ADLH) maintain that Neandertal facial anatomy was an adaptive response to high-magnitude forces resulting from both masticatory and paramasticatory activity. However, while many have argued that Neandertal facial structure was well-adapted to dissipate heavy occlusal loads, few have considered, much less demonstrated, the ability of the Neandertal masticatory system to generate these presumably heavy loads. In fact, the Neandertal masticatory configuration has often been simultaneously interpreted as being disadvantageous for producing large bite forces. With rare exception, analyses that attempted to resolve this conflict were qualitative rather than quantitative. Using a three-dimensional digitizer, we recorded a sequence of points on the cranium and associated mandible of the Amud 1, La Chapelle-aux-Saints, and La Ferrassie 1 Neandertals, and a sample of early and recent modern humans (n = 29), including a subsample with heavy dental wear and documented paramasticatory behavior. From these points, we calculated measures of force-production capability (i.e., magnitudes of muscle force, bite force, and condylar reaction force), measures of force production efficiency (i.e., ratios of force magnitudes and muscle mechanical advantages), and a measure of overall size (i.e., the geometric mean of all linear craniofacial measurements taken). In contrast to the expectations set forth by the ADLH, the primary dichotomy in force-production capability was not between Neandertal and modern specimens, but rather between large (robust) and small (gracile) specimens overall. Our results further suggest that the masticatory system in the genus Homo scales such that a certain level of force-production efficiency is maintained across a considerable range of size and robusticity. Natural selection was probably not acting on Neandertal facial architecture in terms of peak bite force dissipation, but rather on large tooth size to better resist wear and abrasion from submaximal (but more frequent) biting and grinding forces. We conclude that masticatory biomechanical adaptation does not underlie variation in the facial skeleton of later Pleistocene Homo in general, and that continued exploration of alternative explanations for Neandertal facial architecture (e.g., climatic, respiratory, developmental, and/or stochastic mechanisms) seems warranted.

Animals↗

Analysis of the bite force and mechanical design of the feeding mechanism of the durophagous horn shark Heterodontus francisci.

Three-dimensional static equilibrium analysis of the forces generated by the jaw musculature of the horn shark Heterodontus francisci was used to theoretically estimate the maximum force distributions and loadings on its jaws and suspensorium during biting. Theoretical maximum bite force was then compared with bite forces measured (1) voluntarily in situ, (2) in restrained animals and (3) during electrical stimulation of the jaw adductor musculature of anesthetized sharks. Maximum theoretical bite force ranged from 128 N at the anteriormost cuspidate teeth to 338 N at the posteriormost molariform teeth. The hyomandibula, which connects the posterior margin of the jaws to the base of the chondrocranium, is loaded in tension during biting. Conversely, the ethmoidal articulation between the palatal region of the upper jaw and the chondrocranium is loaded in compression, even during upper jaw protrusion, because H. francisci's upper jaw does not disarticulate from the chondrocranium during prey capture. Maximum in situ bite force averaged 95 N for free-swimming H. francisci, with a maximum of 133 N. Time to maximum force averaged 322 ms and was significantly longer than time away from maximum force (212 ms). Bite force measurements from restrained individuals (187 N) were significantly greater than those from free-swimming individuals (95 N) but were equivalent to those from both theoretical (128 N) and electrically stimulated measurements (132 N). The mean mass-specific bite of H. francisci was greater than that of many other vertebrates and second highest of the cartilaginous fishes that have been studied. Measuring bite force on restrained sharks appears to be the best indicator of maximum bite force. The large bite forces and robust molariform dentition of H. francisci correspond to its consumption of hard prey.

Animals↗

A novel sensor for bite force determinations.

OBJECTIVES: The clinical usefulness, accuracy and precision of a novel bite force sensor based on force sensing resistors were tested in six subjects wearing maxillary removable partial dentures retained by conical crowns. METHODS: The surfaces of the sensor were manufactured in a silicone material that had mechanical properties similar to those of tough foodstuffs. In two separate series of standardized bite force tests, submaximum force levels were recorded with the sensor and with a strain gaged bite fork. Subjects were assisted in the loading tests with visual feedback instrumentation. Reliability estimates for the bite force sensor were calculated in order to show their reproducibility. Strain gages attached to the prostheses were used to determine the pattern of force distribution during loading tests. The bite force results obtained with the new bite force sensor and with the bite fork were analyzed with ANOVA and Scheffés tests. The strain patterns registered with strain gages were analyzed with F-test. RESULTS: The bite force sensor and the bite fork transducer showed no statistically significant differences in respect of intra-individual bite force levels (range 50-300N). The bite forces registered with the new sensor were dependent on the loading position (p<0.05), sex (p<0.05) and test subject (p<0.05). The reliability of the new sensor for submaximum bite forces was calculated to be 93%. Strain gage results showed that the new sensor generated strain patterns of less variance (p<0.05) than the bite fork and therefore allowed for higher precision during biting tests. SIGNIFICANCE: The presented instrument has such clinical merits, as to favor its use in experimental clinical studies on the biomechanics of prosthetic appliances.

Aged↗

Changes in maximum bite force related to extension of the head.

The maximum bite force and position of the hyoid bone during natural and extended head posture were studied in 15 adults. All participants had normal occlusions and full dentitions. In addition, there were no signs or symptoms of craniomandibular disorders. The bite force was measured with a bite force sensor placed between the first molars. Six registrations of gradually increasing bite force up to a maximum were made with randomized natural and extended head postures. With one exception, the mean maximum bite force value was found to be higher for every subject with extended head posture compared to natural head posture. The sample mean was 271.6 Newton in natural head posture and 321.5 Newton with 20 degrees extension. With changed head posture, the cephalometric measurements pointed towards a changed position of the hyoid bone in relation to the mandible and pharyngeal airway. The cephalometric changes in the position of the hyoid bone could be due to a changed interplay between the elevator and depressor muscle groups. This was one factor which could have influenced the registered maximum bite force.

Adult↗

Correlation between maximum bite force and facial morphology in children.

The correlation between maximum bite force and facial morphology was studied in 54 boys, 8 to 16 years old, and 66 girls, 7 to 17 years old. Bite force was measured at the first molars with a miniature bite force recorder. Facial morphology was evaluated on profile cephalograms. In addition, the number of teeth in contact in the intercuspal position was recorded with occlusal foils. In the girls, maximum bite force was correlated with the inclination of the mandible, the size of the gonial angle, and the ratio between posterior and anterior face heights. The correlations implied a large bite force with a small mandibular inclination and gonial angle, a large posterior face height in relation to the anterior face height, and a small bite force with the opposite facial characteristics. These correlations were nonexistent or weaker in boys. In both sexes, bite force was correlated with the number of occlusal contacts. Elimination of the influence of age and occlusal contact in the group of girls by the use of partial correlations reduced the correlation between bite force and facial morphology. A significant correlation with the size of the gonial angle remained, however, and the correlation with mandibular inclination was close to significance. In addition to the correlations found with facial morphology, the study clearly demonstrated the need to take gender and occlusal contacts into consideration in future studies of masticatory muscle function and strength in relation to facial morphology.

Adolescent↗

Bite force measurement in awake rats.

This report describes the implementation of bite force measurement in awake rats and software instruments (Spike 2 script programs) that quantify and analyze the bite force data. One script program employs user-defined control of threshold bite force, which allows an easy adjustment of target force prior to training the rat. Furthermore, the interactive program allows on-line control of threshold bite force at anytime during the training session. Upon detection of the bite force crossing the threshold, it automatically triggers the external water delivery system for reinforcement. Another script program detects successful biting attempts, compiles times stamps and force level for each attempted bite, and calculates the total number of bites, success rate and mean bite force per training session. Using the new methodology, we trained five adult rats to produce the bite force of 1300 g. Our results demonstrated that all rats achieved the target force with a similar time course and exhibited little variability in success rate and mean bite force. The script programs provided instant review and analyses of the captured data. These techniques simplify assessment of bite force in behaving rats.

Algorithms↗

Maximal bite force with centric and eccentric load.

Premolar bite force was measured conventionally with a pressure transducer. During biting the tips of the buccal cusps made contact with the transducer. It was shown that the maximal bite force increased significantly if the eccentric load on the upper premolar was made centric and axial with respect to the transducer by covering the whole occlusal surface of the tooth with a plastic filling. Possible neurophysiological explanations of the difference in bite force are discussed. It is concluded that biting on a pressure transducer with an eccentric load cannot give a fair estimation of the true value of the maximal bite force during clenching in the position of intercuspidation.

Adult↗

Comparison of biting forces in different age and sex groups: a study of biting efficiency with mobile and non-mobile teeth.

This study aimed (1) to investigate the influences of sex, age and number of teeth on biting ability through a descriptive survey, and (2) to compare the biting ability between the subjects with and without mobile teeth in a case-control study. A total of 687 subjects cooperated in the descriptive survey. Each subject bit on a pressure detecting sheet with their maximum biting force. Three indices of biting ability: biting pressure (MPa), biting force (N) and occlusal contact area (mm2) were calculated from the impressed marks on the sheet using a high vision video processor system. These indices were correlated well with the number of teeth according to the multiple regression analysis. In the case-control study, matching procedures with sex, age and number of teeth were performed between the subjects with and without mobile teeth. No differences in the three indices were observed between the two well-balanced groups. The results showed that the number of teeth is most important to maintain biting ability, and that the presence of mobile teeth does not always reduce biting ability.

Adolescent↗

Single tooth bite forces in healthy young adults.

The assessment of bite forces on healthy single tooth appears essential for a correct quantification of the actual impact of single implant oral rehabilitations. In the present study, a new single tooth strain-gauge bite transducer was used in 52 healthy young adults (36 men, 16 women) with a complete permanent dentition. The influences of tooth position along the dental arch, of side, and of sex, on maximum bite force were assessed by an ANOVA. No significant left-right differences were found. On average, in both sexes the lowest bite force was recorded on the incisors (40-48% of maximum single tooth bite force), the largest force was recorded on the first molar. Bite forces were larger in men than in women (P < 0.002), and increased monotonically along the arch until the first or second permanent molar (P < 0.0001). The present data can be used as reference values for the comparison of dental forces in patients.

Adult↗

Stress of tooth and PDL structure created by bite force.

Stress is created by the bite force and distributed along the tooth towards the PDL structure. It is of interest to investigate the complex tooth structure, consisting of enamel, dentine, pulp, and thin cementum layer and how it functions in stress distribution. This study was intended to analyze the role of the tooth and PDL structures in stress distribution, by using a three-dimensional finite element method. A mandibular first molar was constructed for the finite element model. The bite forces were measured by Pressensor, and these bite force values were programmed to load down upon the occlusal surface of the model. The results were expressed by stress contours and principal stress graphs. The stress was found to decrease as it distributed from the occlusal surface towards the cervical portion in the dentine and the pulp. In contrast, the stress, especially a compressive stress, increased gradually in the enamel layer in the lower half of the crown, in the same direction. It was apparent in displayed pattern of stress that the stress distributed outward towards the surrounding portion of the lower half of the crown. This resulted in a uniform magnitude of the principal stresses for all aspects of the mesial and distal roots. The stresses of both roots were generally compressive stress. When comparing the stress values of sampling points positioned between the root surfaces and the periphery of the PDL (the alveolar wall), all principal stresses for those of the PDL (periodontal ligament) were less than those of the root surfaces. These findings revealed that the PDL, the dentine, and the pulp functioned in cooperation in stress reduction; and the sequences of enamel, dentine, and pulp influenced the pattern of stress distribution. The different material properties of the tooth structure in sequence was considered a very important factor for stress reduction and for the pattern of stress distribution, especially in the root.

Alveolar Process↗

Clinical significance of isometric bite force versus electrical activity in temporal and masseter muscles.

Bite force and activity in temporal and masseter muscles during biting and chewing were recorded in 19 control subjects and 23 subjects with symptoms and signs of functional disorders of the craniomandibular system. The entire group comprised 13 men and 29 women, 14-63 yr of age. Maximal unilateral bite force was 480 Newton (N) in control subjects and 387 N in patients, with corresponding bilateral values of 347 N and 230 N. At predetermined levels of contraction, temporalis and masseter activity were linearly related. Correlations of bite force and activity in short static contractions were significant with respect to unilateral, but not to bilateral force measurements. Only in the masseter muscle was strength of dynamic contractions during chewing significantly correlated to bite force. With the present method it was demonstrated that unilateral bite force is a simple clinical indicator of mandibular elevator strength as a whole, but inadequate to disclose asymmetric conditions. During isometric contraction, relative strength of electromyographic activity fairly accurately imaged the output of mechanical activity.

Adolescent↗

Maximal bite force in patients with reduced periodontal tissue support with and without splinting.

BACKGROUND: Chewing and biting forces are supposed to be limited by sensory input from periodontal mechanoreceptors. This is why the threshold level of those receptors should be lower in teeth with reduced periodontal tissue support. The purposes of the present study were to evaluate the influence of reduced periodontal tissue support on maximal bite force in natural dentitions and to study the effect of splinting on maximal bite force. METHODS: In 10 patients with reduced periodontal tissue support (test), as well as in 10 periodontally healthy subjects (control), maximal bite force was measured. The remaining periodontal ligament area in the test group was calculated from x-rays. Bite force was assessed at 4 mm mouth opening in the premolar region without and following splinting of the posterior teeth and transduced using a strain-gauge (full-bridge circuit). Maximal bite force measured with and without splinting was compared between test and control subjects, and within each group. RESULTS: In test subjects, the mean periodontal ligament area was 48.5% (SD = 10.1) across first premolars and 50.0% (SD = 12.2) across posterior teeth (control: 100%). In test subjects, the mean maximal bite force without splinting was 357 N (SD = 70), and in control subjects, 378 N (SD = 66; P > 0.05). After splinting, the bite force in test subjects was 509 N (SD = 75), and in control subjects, 534 N (SD = 49; P > 0.05). Bite force before and after splinting was P < 0.05 within each group. CONCLUSIONS: Reduced periodontal tissue support does not seem to limit bite force with maximal strength in natural dentitions as measured by a device that opens the bite by 4 mm. Furthermore, maximal biting forces at 4 mm mouth opening are increased when molar teeth are included in a posterior splint.

Adult↗

[Effects of chewing exercise on the maximum biting force and chewing performance].

Maximum biting force and chewing performance were measured in adult subjects before and after four-weeks training by newly devised "Chewing Ability Enhancing Substances (CAES)". The CAES is made of glucomannan. The number of chewing strokes and chewing time until the last swallowing action are much larger when chewing CAES than those of other usual eating materials. By four weeks training using CAES, the maximum biting force and chewing performance of the subject were clearly increased. However, this increased chewing ability began to return to the control level gradually 2 weeks after the cessation of the training.

Adult↗

Bite force in subjects with complete dentition.

Bite force is the condition, expression and measure of the masticatory function. The purpose of this study was to examine, by means of a newly constructed electronic gnathodynamometer, the values of maximal bite forces in subjects with complete dentition, the time in which they express 50% and 75% respectively of the total forces value, and the shape of the bite curve during testing. The obtained data was statistically analyzed with respect to gender and age. Analysis of the variance confirmed the finding that there was no statistically significant correlation between the values of forces and subjects' age, but there was a statistically significant difference between males and females in the values of the bite forces in the front segment, as well as between the values of the force on anterior and posterior teeth. The correlation between the time T1 posterior right and T1 posterior left, and between T1 and T2 for anterior teeth are statistically significant. Analysis of the bite curves suggests that males "bite" shorter than females with a sharper peak of the curve. Numerical values and bite curves should be a diagnostic factor in the further follow-up of subjects or in the choice of prosthodontic therapy.

Adult↗