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Jockusch J, Hahnel S, Sobotta BBAJ, Nitschke I. The Effect of a Masticatory Muscle Training Program on Chewing Efficiency and Bite Force in People with Dementia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19073778. [PMID: 35409460 PMCID: PMC8997984 DOI: 10.3390/ijerph19073778] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 03/08/2022] [Accepted: 03/11/2022] [Indexed: 12/04/2022]
Abstract
Until now, no study has investigated the effects of masticatory muscle training on chewing function in people with dementia. This study aimed to investigate whether physiotherapeutic exercises for the masticatory muscles have an influence on chewing efficiency and bite force in people with dementia. In a clinical trial with stratified randomization subjects were assigned to three groups based on the Mini Mental State Examination (MMSE: group 1—28–30, group 2—25–27, group 3—18–24). Each group was divided into an experimental (ExpG, intervention) and control group (ConG, no intervention). As intervention a Masticatory Muscle Training (MaMuT) (part 1: three physiotherapeutic treatments and daily home exercises, part 2: daily home exercises only) was carried out. Chewing efficiency and bite force were recorded. The MaMuT influenced the masticatory performance regardless of the cognitive state. Bite force increased in ExpG 1 and 2. Without further training, however, the effect disappeared. Chewing efficiency increased in all ExpG. After completion of the training, the ExpG 2 and 3 showed a decrease to initial values. Subjects of ExpG 1 showed a training effect at the final examination, but a tendency toward the initial values was observed. ExpG 3 seemed to benefit most from the physiotherapeutic exercises in terms of improving chewing efficiency by the end of the intervention phase. ExpG 1 showed the greatest gain in bite force. The MaMuT program is a potential method of improving masticatory performance in people with cognitive impairment or dementia when used on a daily basis.
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Affiliation(s)
- Julia Jockusch
- Department of Prosthodontics and Materials Science, Gerodontology Section, University of Leipzig, 04103 Leipzig, Germany; (S.H.); (B.B.A.J.S.); (I.N.)
- University Research Priority Program “Dynamics of Healthy Aging”, University of Zurich, Andreasstrasse 15/Box 2, 8050 Zurich, Switzerland
- Correspondence: or
| | - Sebastian Hahnel
- Department of Prosthodontics and Materials Science, Gerodontology Section, University of Leipzig, 04103 Leipzig, Germany; (S.H.); (B.B.A.J.S.); (I.N.)
| | - Bernhard B. A. J. Sobotta
- Department of Prosthodontics and Materials Science, Gerodontology Section, University of Leipzig, 04103 Leipzig, Germany; (S.H.); (B.B.A.J.S.); (I.N.)
| | - Ina Nitschke
- Department of Prosthodontics and Materials Science, Gerodontology Section, University of Leipzig, 04103 Leipzig, Germany; (S.H.); (B.B.A.J.S.); (I.N.)
- Clinic of General, Special Care and Geriatric Dentistry, Center of Dental Medicine, University of Zurich, 8032 Zurich, Switzerland
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Shu X, He S, Lo ECM, Leung KCM. A Systematic Review and Meta-analysis of the Effect of Oral Exercises on Masticatory Function. J Dent Res 2021; 101:515-525. [PMID: 34836460 DOI: 10.1177/00220345211050326] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The aim of the current systematic review was to summarize and to evaluate the available information on the effectiveness of oral exercise in improving the masticatory function of people ≥18 y. Electronic databases (Medline, Embase, CENTRAL) and gray literatures were searched (up to December 2020) for relevant randomized and nonrandomized controlled clinical trials. Two reviewers independently conducted the study selection, data extraction, and quality assessments. Meta-analysis was conducted for the comparison of bite force and masticatory performance using mean difference (MD) and standardized mean difference (SMD), respectively. GRADE (Grading of Recommendations Assessment, Development, and Evaluation) assessment was adopted for collective grading of the overall body of evidence. Of the 1,576 records identified, 18 studies (21 articles) were included in the analysis. Results of meta-analysis indicated that oral exercise could significantly improve the mean bite force of the participants (parallel comparison: MD, 41.2; 95% CI, 11.6-70.7, P = 0.006; longitudinal comparison: MD, 126.5; 95% CI, 105.2-144.9, P < 0.001). However, the improvement in masticatory performance was not significant (parallel comparison: SMD, 0.11; 95% CI, -0.20 to 0.42, P = 0.48; longitudinal comparison: SMD, 0.4; 95% CI, -0.11 to 0.91, P = 0.13). Results of meta-regression showed that greater improvements in bite force can be achieved among younger adults and with more intensive exercise. Chewing exercise is the most effective oral exercise, followed by clenching exercise, while simple oral exercise may not have a significant effect. Based on the results of the meta-analysis and GRADE assessment, a weak recommendation for people with declined masticatory function to practice oral exercise is made.
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Affiliation(s)
- X Shu
- Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital, Sai Ying Pun, Hong Kong, China
| | - S He
- Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital, Sai Ying Pun, Hong Kong, China
| | - E C M Lo
- Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital, Sai Ying Pun, Hong Kong, China
| | - K C M Leung
- Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital, Sai Ying Pun, Hong Kong, China
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Kim HE, Lee H. Factors affecting subjective and objective masticatory function in older adults: Importance of an integrated approach. J Dent 2021; 113:103787. [PMID: 34425173 DOI: 10.1016/j.jdent.2021.103787] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2021] [Revised: 08/06/2021] [Accepted: 08/16/2021] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES This study aimed to subjectively and objectively assess masticatory function and identify related factors in older adults. METHODS From July 2017 to September 2018, we enrolled 115 healthy participants aged between 65 and 86 years. They underwent oral examination, and their stimulated salivary secretion rate and masseter muscle tone and biomechanical properties were assessed. Masticatory performance with two-colored chewing wax was objectively evaluated using the mixing ability index (MAI). Key food intake ability (KFIA) was subjectively assessed using a questionnaire. RESULTS The MAI score was significantly associated with the number of remaining teeth (r = 0.524, p < 0.001) and the tone (r = -0.222, p = 0.017), elasticity (r = -0.242, p = 0.009), and dynamic stiffness (r = -0.265, p = 0.004) of the masseter muscles. In contrast, the KFIA score was only significantly associated with the number of remaining teeth (r = 0.450, p < 0.001). A weak association between the MAI and KFIA scores was observed (r = 0.304, p = 0.001). CONCLUSIONS A combination of objective and subjective methods should be used to accurately assess masticatory function in older adults. In addition to physical factors such as the number of remaining teeth, properties of the masticatory muscles should be evaluated to improve the masticatory function of older adults. CLINICAL SIGNIFICANCE In addition to dental problems, various maxillofacial and oral factors must be considered when establishing management strategies for the improvement of masticatory function in older adults.
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Affiliation(s)
- Hee-Eun Kim
- Department of Dental Hygiene, Gachon University College of Health Science, Incheon, South Korea.
| | - Haneul Lee
- Department of Physical Therapy, College of Health Science, Gachon University, Incheon, South Korea
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Fujiwara S, Hori K, Shitara S, Okawa J, Kodama S, Murakami K, Ono T. Effect of hard gummy candy chewing on masticatory function. J Oral Rehabil 2021; 48:909-915. [PMID: 34028839 DOI: 10.1111/joor.13208] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Revised: 03/23/2021] [Accepted: 05/03/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Although various training methods have been reported for improving oral function such as occlusal force, there are few reports that show the training effect of eating hard food on the oral functions. OBJECTIVE To examine the training effects of habitually ating hard gummy candies on oral functions. METHODS Participants of this cohort study were recruited into a training (six women, eight men; mean age 27.6 ± 3.5 years) and control group (two women, seven men; mean age 28.3 ± 4.9 years). The training group ate nine custom-developed hard gummy candies three times per week for 3 months. Training effects were evaluated by measuring the maximal occlusal force, masticatory performance, maximal tongue pressure, number of chewing cycles until swallowing the candy, duration of chewing and cycle time before training, after 1, 2 and 3 months of training, and 1 month after stopping training. The iEMG/force, which evaluates masseter muscle hypertrophy with electromyograms (EMG), was calculated. RESULTS Masticatory performance after 1 month (p = 0.01), maximal occlusal force after 2 months (p < 0.01) and maximal tongue pressure after 3 months of training were significantly increased (p = 0.02), and the cycle time after 2 months of training (p = 0.02) was significantly decreased compared to before the intervention. Except for masticatory performance, the other effects were maintained for 1 month after stopping training. Changes in iEMG/force were not significant, but a tendency for muscle hypertrophy was observed in the training group. CONCLUSION Habitual eating of hard gummy candies is a task-specific training that can improve overall masticatory function, including tongue pressure.
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Affiliation(s)
- Shigehiro Fujiwara
- Division of Comprehensive Prosthodontics, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Kazuhiro Hori
- Division of Comprehensive Prosthodontics, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Satoko Shitara
- Division of Comprehensive Prosthodontics, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Jumpei Okawa
- Division of Comprehensive Prosthodontics, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Shohei Kodama
- Division of Comprehensive Prosthodontics, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Kazuhiro Murakami
- Division of Comprehensive Prosthodontics, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Takahiro Ono
- Division of Comprehensive Prosthodontics, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
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Alsharif HNH, Ganji KK, Alam MK, Manay SM, Bandela V, Sghaireen MG, Mousa MA. Periodontal Clinical Parameters as a Predictor of Bite Force: A Cross-Sectional Study. BIOMED RESEARCH INTERNATIONAL 2021; 2021:5582946. [PMID: 34046498 PMCID: PMC8128538 DOI: 10.1155/2021/5582946] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Revised: 04/22/2021] [Accepted: 04/27/2021] [Indexed: 12/29/2022]
Abstract
OBJECTIVE To investigate the correlation of periodontal parameters and bite force in different stages of periodontitis after phase I periodontal therapy. METHODS Periodontal clinical parameters such as mobility, attachment loss, gingival recession, and percentage of bone remaining were recorded at the mandibular first molar region after phase I therapy in subjects categorized according to the stage of periodontitis. Corresponding bite force was recorded at the first mandibular molar region using a bite force device after phase I therapy. ANOVA test was used to assess the significant difference among different groups. Pearson correlation coefficient was used to assess the correlation between measured variables. RESULTS The ANOVA test represents that there is no statistical significant difference between the bite force in stage I, stage II, and stage III type of periodontitis. A strong positive correlation was found (r = 0.537) between bite force and percentage of remaining alveolar bone support whereas negative correlation was observed in measured parameters such as mobility (r = -0.0181), attachment loss (r = -0.608), and gingival recession (r = -0.435). CONCLUSION Among all periodontal clinical parameters, the percentage of remaining alveolar bone is the strong predictor of bite force and mobility; attachment loss and gingival recession cannot predict the bite force in the first molar region. Bite force is variable in different stages of periodontitis.
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Affiliation(s)
| | - Kiran Kumar Ganji
- Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka, Saudi Arabia
| | - Mohammad Khursheed Alam
- Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka, Saudi Arabia
| | | | - Vinod Bandela
- Department of Prosthetic Dental Sciences, College of Dentistry, Jouf University, Sakaka, Saudi Arabia
| | - Mohammed Ghazi Sghaireen
- Department of Prosthetic Dental Sciences, College of Dentistry, Jouf University, Sakaka, Saudi Arabia
| | - Mohammed Assayed Mousa
- Department of Prosthetic Dental Sciences, College of Dentistry, Jouf University, Sakaka, Saudi Arabia
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Kim HE. Influential Factors of Masticatory Performance in Older Adults: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18084286. [PMID: 33919497 PMCID: PMC8072885 DOI: 10.3390/ijerph18084286] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 04/14/2021] [Accepted: 04/15/2021] [Indexed: 11/16/2022]
Abstract
While appropriate nutrient intake is important for older adults, various oral problems cause decreased masticatory function. This cross-sectional study aimed to identify the factors associated with decreased masticatory performance in older adults. Oral examinations were performed on 80 participants (mean age: 75.10 ± 5.64 years) to determine the number of functional tooth units (FTUs). Symptoms of periodontal and temporomandibular diseases were evaluated via a questionnaire. The tone, elasticity, and dynamic stiffness of the masseter muscle were measured using the Myoton® PRO device. The mixing ability test was used to assess the masticatory performance, and the mixing ability index (MAI) was calculated. The analysis of covariance test was performed to adjust for confounding factors, and multiple logistic regression analysis was performed to identify the risk factors affecting MAI. A lower MAI was significantly associated with higher tone (p = 0.006) and lower elasticity (p = 0.013). The number of FTUs (adjusted odds ratio (OR) = 0.724, p = 0.029), tone (adjusted OR = 1.215, p = 0.016), and elasticity (adjusted OR = 4.789, p = 0.038) were independently associated with the MAI. Muscle function training and prosthetic treatments may help increase masticatory performance in older adults, which would improve overall health.
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Affiliation(s)
- Hee-Eun Kim
- Department of Dental Hygiene, Gachon University College of Health Science, Incheon 21936, Korea
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Brassard C, Merlin M, Guintard C, Monchâtre-Leroy E, Barrat J, Bausmayer N, Bausmayer S, Bausmayer A, Beyer M, Varlet A, Houssin C, Callou C, Cornette R, Herrel A. Bite force and its relationship to jaw shape in domestic dogs. J Exp Biol 2020; 223:jeb224352. [PMID: 32587065 DOI: 10.1242/jeb.224352] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Accepted: 06/18/2020] [Indexed: 08/26/2023]
Abstract
Previous studies based on two-dimensional methods have suggested that the great morphological variability of cranial shape in domestic dogs has impacted bite performance. Here, we used a three-dimensional biomechanical model based on dissection data to estimate the bite force of 47 dogs of various breeds at several bite points and gape angles. In vivo bite force for three Belgian shepherd dogs was used to validate our model. We then used three-dimensional geometric morphometrics to investigate the drivers of bite force variation and to describe the relationships between the overall shape of the jaws and bite force. The model output shows that bite force is rather variable in dogs and that dogs bite harder on the molar teeth and at lower gape angles. Half of the bite force is determined by the temporal muscle. Bite force also increased with size, and brachycephalic dogs showed higher bite forces for their size than mesocephalic dogs. We obtained significant covariation between the shape of the upper or lower jaw and absolute or residual bite force. Our results demonstrate that domestication has not resulted in a disruption of the functional links in the jaw system in dogs and that mandible shape is a good predictor of bite force.
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Affiliation(s)
- Colline Brassard
- Mécanismes Adaptatifs et Evolution (MECADEV), Muséum National d'Histoire Naturelle, CNRS, 55 rue Buffon, 75005 Paris, France
- Archéozoologie, Archéobotanique: Sociétés, Pratiques et Environnements (AASPE), Muséum National d'Histoire Naturelle, CNRS, CP55, 57 rue Cuvier, 75005 Paris, France
| | - Marilaine Merlin
- Mécanismes Adaptatifs et Evolution (MECADEV), Muséum National d'Histoire Naturelle, CNRS, 55 rue Buffon, 75005 Paris, France
| | - Claude Guintard
- ANSES, Laboratoire de la Rage et de la Faune Sauvage, Station Expérimentale d'Atton, CS 40009 54220 Malzéville, France
- Laboratoire d'Anatomie Comparée, Ecole Nationale Vétérinaire, de l'Agroalimentaire et de l'Alimentation, Nantes Atlantique - ONIRIS, Nantes Cedex 03, France
| | - Elodie Monchâtre-Leroy
- GEROM, UPRES EA 4658, LABCOM ANR NEXTBONE, Faculté de Santé de l'Université d'Angers, 49933 Angers Cedex, France
| | - Jacques Barrat
- GEROM, UPRES EA 4658, LABCOM ANR NEXTBONE, Faculté de Santé de l'Université d'Angers, 49933 Angers Cedex, France
| | - Nathalie Bausmayer
- Club de Chiens de Défense de Beauvais, avenue Jean Rostand, 60 000 Beauvais, France
- Société Centrale Canine, 155 Avenue Jean Jaurès, 93300 Aubervilliers, France
| | - Stéphane Bausmayer
- Club de Chiens de Défense de Beauvais, avenue Jean Rostand, 60 000 Beauvais, France
- Société Centrale Canine, 155 Avenue Jean Jaurès, 93300 Aubervilliers, France
| | - Adrien Bausmayer
- Club de Chiens de Défense de Beauvais, avenue Jean Rostand, 60 000 Beauvais, France
- Société Centrale Canine, 155 Avenue Jean Jaurès, 93300 Aubervilliers, France
| | - Michel Beyer
- Club de Chiens de Défense de Beauvais, avenue Jean Rostand, 60 000 Beauvais, France
- Société Centrale Canine, 155 Avenue Jean Jaurès, 93300 Aubervilliers, France
| | - André Varlet
- Société Centrale Canine, 155 Avenue Jean Jaurès, 93300 Aubervilliers, France
| | - Céline Houssin
- Institut de Systématique, Evolution, Biodiversité (ISYEB), CNRS, Muséum National d'Histoire Naturelle, Sorbonne Université, Ecole Pratique des Hautes Etudes, Université des Antilles, CNRS, CP 50, 57 rue Cuvier, 75005 Paris, France
| | - Cécile Callou
- Archéozoologie, Archéobotanique: Sociétés, Pratiques et Environnements (AASPE), Muséum National d'Histoire Naturelle, CNRS, CP55, 57 rue Cuvier, 75005 Paris, France
| | - Raphaël Cornette
- Institut de Systématique, Evolution, Biodiversité (ISYEB), CNRS, Muséum National d'Histoire Naturelle, Sorbonne Université, Ecole Pratique des Hautes Etudes, Université des Antilles, CNRS, CP 50, 57 rue Cuvier, 75005 Paris, France
| | - Anthony Herrel
- Mécanismes Adaptatifs et Evolution (MECADEV), Muséum National d'Histoire Naturelle, CNRS, 55 rue Buffon, 75005 Paris, France
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Manns A, Rojas V, Van Diest N, Rojas D, Sampaio C. Comparative study of molar and incisor bite forces regarding deciduous, mixed, and definitive dentition. Cranio 2020; 40:373-380. [PMID: 32114958 DOI: 10.1080/08869634.2020.1732569] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
OBJECTIVE To compare maximum incisor (MBFinc) and molar (MBFmol) bite forces regarding the type of dentition and sex and to establish a relationship between them. METHODS One hundred-five individuals were divided into 3 groups: G1 - 22 females/13 males (4-5 years); G2 - 15 females/20 males (11-12 years); and G3 - 16 females/19 males (17- 18 years). The maximum bite force was recorded with an extraoral measuring device. Three measurements were recorded: right and left molar level (MBFmol) and incisor level (MBFinc). The ratio %MBFinc/MBFmol was determined. RESULTS MBFmol and MBFinc values increased with age (p < 0.05). MBFmol showed statistically higher values than MBFinc (p < 0.05), when compared within the same group. CONCLUSION MBFinc and MBFmol increased with age. For all groups, MBFmol showed higher values than MBFinc, and %MBFinc/MBFmol ratio was 1:2. No differences were found in maximum bite force between sexes.
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Affiliation(s)
- Arturo Manns
- Department of Restorative Dentistry and Oral Function, Universidad De Los Andes, Santiago, Chile
| | - Víctor Rojas
- Department of Orthodontics, Restorative Dentistry and Oral Function, Universidad De Los Andes, Santiago, Chile
| | | | | | - Camila Sampaio
- Department of Restorative Dentistry and Oral Function, Universidad De Los Andes, Santiago, Chile
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Verma TP, Kumathalli KI, Jain V, Kumar R. Bite Force Recording Devices - A Review. J Clin Diagn Res 2017; 11:ZE01-ZE05. [PMID: 29207848 DOI: 10.7860/jcdr/2017/27379.10450] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2017] [Accepted: 05/20/2017] [Indexed: 11/24/2022]
Abstract
In dental research, bite force serves as a valuable parameter to evaluate the efficacy of masticatory system. A variety of devices with different design and working principle have been used to record bite force, but no single device is capable to record all the required forces. One may find it difficult to choose a device that will fulfil the purpose of recording bite force for research. So, the present review aims to report and compare the wide range of devices and will help in describing their uses for recording bite force.
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Affiliation(s)
- Tarun Prakash Verma
- Senior Lecturer, Department of Periodontics, Sri Aurobindo College of Dentistry, Indore, Madhya Pradesh, India
| | | | - Vinay Jain
- Postgraduate Student, Department of Periodontics, Sri Aurobindo College of Dentistry, Indore, Madhya Pradesh, India
| | - Rajesh Kumar
- Reader, Department of Periodontics, Sri Aurobindo College of Dentistry, Indore, Madhya Pradesh, India
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Park HU, Kim BI, Kang SM, Kim ST, Choi JH, Ahn HJ. Changes in masticatory function after injection of botulinum toxin type A to masticatory muscles. J Oral Rehabil 2013; 40:916-22. [PMID: 24237358 DOI: 10.1111/joor.12111] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/12/2013] [Indexed: 11/26/2022]
Abstract
This study examined changes in masticatory function after botulinum toxin type A (BTX-A) injection using objective and subjective tests during 12 weeks. Also, we compared differences in masticatory function between group in which only masseter muscle (M group) was injected and group in which masseter and temporal muscle (M-T group) were injected. Forty subjects were assigned into two groups; M group (n = 20) and the M-T group (n = 20). The Meditoxin(®) was used as BTX-A injection. The mixing ability index (MAI) was used as the objective indicator, and visual analogue scale (VAS) and food intake ability (FIA) index were used as subjective indicators. Overall, the masticatory function drastically declined after 4 weeks and gradually recovered with time. Compared with the pre-injection state, the masticatory function decreased by 89·2% (MAI), 12·2% (FIA) and 32·2% (VAS) 4 weeks after the injection (P < 0·05). When the results between M group and M-T group were compared, scores of VAS and FIA were significantly different 4 weeks after the injection (P < 0·05), but the MAI score showed no significant difference between two groups. In conclusion, this study showed that masticatory function was significantly decreased after BTX-A injection into the masticatory muscle after 4 and 8 weeks from injection. However, masticatory efficiency measured using MAI could completely recover after 12 weeks. Furthermore, after 8 weeks from the injection, the masticatory function measured after injection into only the masseter muscle was similar to that measured after injection into both masseter and temporal muscle.
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Affiliation(s)
- H U Park
- Department of Oral Medicine, TMJ and Orofacial Pain Clinic, College of Dentistry, Yonsei University, Seoul, Korea
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