Effects of bruxism on the maximum bite force

  • Jelena T Todić Univesity Pristina in Kosovska Mitrovica, Medical Faculty, , the Department of Dentistry, Department of Prosthodontics
  • Ankica Mitić Department of Dentistry, Faculty of Medicine, University of Priština/Kosovska Mitrovica, Kosovska Mitrovica, Serbia
  • Dragoslav Lazić Department of Dentistry, Faculty of Medicine, University of Priština/Kosovska Mitrovica, Kosovska Mitrovica, Serbia
  • Radivoje Radosavljević Department of Dentistry, Faculty of Medicine, University of Priština/Kosovska Mitrovica, Kosovska Mitrovica, Serbia
  • Radivoje Radosavljević Department of Dentistry, Faculty of Medicine, University of Priština/Kosovska Mitrovica, Kosovska Mitrovica, Serbia
  • Miloš Staletović Department of Dentistry, Faculty of Medicine, University of Priština/Kosovska Mitrovica, Kosovska Mitrovica, Serbia
Keywords: bruxism, bite force, dental occlusion, sex, male, female,

Abstract


Background/Aim. Bruxism is a parafunctional activity of the masticatory system, which is characterized by clenching or grinding of teeth. The purpose of this study was to determine whether the presence of bruxism has impact on maximum bite force, with particular reference to the potential impact of gender on bite force values. Methods. This study included two groups of subjects: without and with bruxism. The presence of bruxism in the subjects was registered using a specific clinical questionnaire on bruxism and physical examination. The subjects from both groups were submitted to the procedure of measuring the maximum bite pressure and occlusal contact area using a single-sheet pressure-sensitive films (Fuji Prescale MS and HS Film). Maximal bite force was obtained by multiplying maximal bite pressure and occlusal contact area values. Results. The average values of maximal bite force were significantly higher in the subjects with bruxism compared to those without bruxism (p < 0.001). Occlusal contact area was significantly higher in the subjects suffering from bruxism (p < 0.001), while the maximal bite pressure values did not show a significant difference between the studied groups (p > 0.01). Maximal bite force was significantly higher in the males compared to the females in all segments of the research. Conclusion. The presence of bruxism influences the increase in the maximum bite force as shown in this study. Gender is a significant determinant of bite force. Registration of maximum bite force can be used in diagnosing and analysing pathophysiological events during bruxism.

 

Author Biography

Jelena T Todić, Univesity Pristina in Kosovska Mitrovica, Medical Faculty, , the Department of Dentistry, Department of Prosthodontics
Doctor of Dental sciences

References

Lobbezoo F, Ahlberg J, Glaros AG, Kato T, Koyano K, Lavigne GJ, et al. Bruxism defined and graded: An international consensus. J Oral Rehabil 2013; 40(1): 2−4.

Huynh N, Lavigne GJ, Okura K, Yao D, Adachi K. Sleep bruxism. In: Pasquale M, Sudhansu C, editors. Sleep Disorder. Part II. Netherlands, Amsterdam: Elsevier; 2011.p. 901−11.

Silverman S, Eversole LR, Trulove EL. Essentials of Oral Medicine. Hamilton, London: BC Decker Inc; 2001.

Bader G, Lavigne G. Sleep bruxism; An overview of an oromandibular sleep movement disorder. Sleep Med Rev 2000; 4(1): 27−43.

Manfredini D, Landi N, Tognini F, Montagnani G, Bosco M. Occlusal features are not a reliable predictor of bruxism. Minerva Stomatol 2004; 53(5): 231−9.

Manfredini D, Landi N, Romagnoli M, Bosco M. Psychic and occlusal factors in bruxers. Aust Dent J 2004; 49(2): 84−9.

Molina OF, dos Santos J Jr. Hostility in TMD/bruxism patients and controls: A clinical comparison study and preliminary results. Cranio 2002; 20(4): 282−8.

Lobbezoo F, Naeije M. Etiology of bruxism: Morphological, pathophysiological and psychological factors. Ned TijdschrTandheelkd 2000; 107(7): 275−80. (Dutch)

Castelo PM, Bonjardim LR, Pereira LJ, Gavião MB. Facial dimensions, bite force and masticatory muscle thickness in preschool children with functional posterior cross-bite. Braz Oral Res 2008; 22(1): 48−54.

Takeuchi N, Yamamoto T. Correlation between periodontal status and biting force in patients with chronic periodontitis during the maintenance phase of therapy. J Clin Periodontol 2008; 35(3): 215−20.

Lasilla V, Holmlund I, Koivumaa KK. Bite force and its correlations in different denture types. Acta Odontol Scand 1985; 43(3): 127−32.

Helkimo E, Ingervall B. Bite force and functional state of the masticatory system in young men. Swed Dent J 1978; 2(5): 167−75.

Gibbs CH, Mahan PE, Mauderli A, Lundeen HC, Walsh EK. Limits of human bite strength. J Prosthet Dent 1986; 56(2): 226−9.

Lyons MF, Baxendale RH. A preliminary electromyographic study of bite force and jaw-closing muscle fatigue in human subjects with advanced tooth wear. J Oral Rehabil 1990; 17(4): 311−8.

Cosme DC, Baldisserotto SM, Canabarrosde A, Shinkai RS. Bruxism and voluntary maximal bite force in young dentate adults. Int J Prosthodont 2005; 18(4): 328−32.

Nishigawa K, Bando E, Nakano M. Quantitative study of bite force during sleep associated bruxism. J Oral Rehabil 2001; 28(5): 485−91.

Nunes LM. Association between bruxism and temporomandibular dysfunction. Bauru: School of Dentistry, University of Sao Paulo; 2003. (Brazilian)

Molina OF, Junior S, Nelson SJ, Nowlin T. A clinical study of specific signs and symptoms of CMD in bruxers classified by the degree of severity. Cranio 1999; 17(4): 268−79.

Helkimo M. Studies of function and dysfunction of the masticatory system. Index for anamnestic and clinical dysfunction and occlusal state. Sweden Dent 1974; 67(2): 101−21.

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.

Pereira-Cenci T, Pereira LJ, Cenci MS, Bonachela WC, del Belcury AA. Maximal bite force and its association with temporomandibular disorders. Braz Dent J 2007; 18(1): 65−8.

Bonakdarchian M, Askari N, Askari M. Effect of face form on maximal molar bite force with natural dentition. Arch Oral Biol 2009; 54(3): 201−4.

Bakke M. Bite force and occlusion. Semin Orthod 2006; 12(2): 120−6.

Pizolato RA, Gavião MB, Berretin-Felix G, Sampaio AC, Trindade Junior AS. Maximal bite force in young adults temporomandibular disorders and bruxism. Braz Oral Res 2007; 21(3): 278−83.

Raadsheer MC, van Eijden TM, van Ginkel FC, Prahl-Andersen B. Contribution of jaw muscle size and craniofacial morphology to human bite force magnitude. J Dent Res 1999; 78(1): 31−42.

Braun S, Freudenthaler JW, Hönigle K. A study of maximum bite force during growth and development. Angle Orthod 1996; 66(4): 261−4.

Olthoff LW, Van Der Glas HW, Van Der Blit A. Influence of occlusal vertical dimension on the masticatory performance during chewing with maxillary splints. J Oral Rehabil 2007; 34(8): 560−5.

Van Der Bilt A, Tekamp A, Van der Glas H, Abbink J. Bite force and electromyograpy during maximum unilateral and bilateral clenching. Eur J Oral Sci 2008; 116(3): 217−22.

Kogawa EM, Calderon PS, Lauris JR, Araujo CR, Conti PC. Evaluation of maximal bite force in temporomandibular disorders patients. J Oral Rehabil 2006; 33(8): 559−65.

Shinogaya T, Bakke M, Thomsen CE, Vilmann A, Matsumoto M. Bite force and occlusal load in healthy young subjects: A methodological study. Eur J Prosthodont Restor Dent 2000; 8(1): 11−5.

Killiaridis S, Johansson A, Haraldson T, Omar R, Carlsson GE. Craniofacial morphology, occlusal traits, and bite force in persons with advanced occlusal tooth wear. Am J Orthod Dentofac Orthop 1995; 107(3): 286−91.

Calderon Pdos S, 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.

Tortopidis D, Lyons MF, Baxendale RH, Gilmour WH. The variability of bite force measurement between sessions, in different positions within the dental arch. J Oral Rehabil 1998; 25(9): 681−6.

Hatch JP, Shinkai RS, Sakai S, Rugh JD, Paunovich ED. Determinants of masticatory performance in dentate adults. Arch Oral Biol 2001; 46(7): 641−8.

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.

Miyaura K, Morita M, Matsuka Y, Yamashita A, Watanabe T. Rehabilitation of biting abilities in patients with different types of dental prostheses. J Oral Rehabil 2000; 27(12): 1073−6.

Alkan A, Bulut E, Arici S, Sato S. Evaluation of Treatments in Patients with Nocturnal Bruxism on Bite Force and Occlusal Contact Area. A preliminary report. Eur J Dent 2008; 2: 276−82.

Kurita H, Ikeda K, Kurashina K. Evaluation of the effect of a stabilization splint on occlusal force in patients with masticatory muscle disorders. J Oral Rehabil 2000; 27(1): 79−82.

Karakis D, Dogan A, Bek B. Evaluation of the effect of two different occlusal splints on maximum occlusal force in patients with sleep bruxism: A pilot study. J Adv Prosthodont 2014; 6(2): 103−8.

Tosun T, Karabuda C, Cuhadaroglu C. Evaluation of sleep bruxism by polysomnographic analysis in patients with dental implants. Int J Oral Maxillofac Implants 2003; 18(2): 286−92.

Lavigne GJ, Rompre PH, Montplasir JY. Sleep bruxism: Validity of clinical research diagnostic criteria in a controlled polysomnographic study. J Den Res 1996; 75(1): 546−52.

Baba K, Haketa T, Clark GT, Ohyama T. Does tooth wear status predict ongoing sleep bruxism in 30-year-old Japanese subject. Int J Prosthodont 2004; 17(1): 39−44

Published
2017/06/02
Section
Original Paper