International Journal of Clinical Pediatric Dentistry

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VOLUME 16 , ISSUE 6 ( November-December, 2023 ) > List of Articles

ORIGINAL RESEARCH

Estimation of Maximum Occlusal Bite Force of School-going Children in Different Dentition: A Cross-sectional Study

Niharika H Mutt, Manoj K Mallela George, Srinivas Nallanchakrava, Rebecca V Charlet, Hari Shanker Alampally, Dwitha Animireddy

Keywords : Body mass index, Bite force, Mixed, Permanent, Primary dentition

Citation Information : Mutt NH, George MK, Nallanchakrava S, Charlet RV, Alampally HS, Animireddy D. Estimation of Maximum Occlusal Bite Force of School-going Children in Different Dentition: A Cross-sectional Study. Int J Clin Pediatr Dent 2023; 16 (6):804-809.

DOI: 10.5005/jp-journals-10005-2718

License: CC BY-NC 4.0

Published Online: 01-02-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Background: Bite force is an important indicator of the clinical state of mastication and its efficiency. Bite force measurement using a gnathodynamometer is a reliable method to assess the biomechanical properties of the masticatory system. It varies with different geographic populations and physiological and environmental factors. Aim: To estimate the maximum occlusal bite force (MOBF) in school-going children of Hyderabad city at different dentition periods and to correlate with different variables. Materials and methods: a total of 392 school-going children in the age range of 3–13 years were selected following selection criteria (214 males and 178 females). They were divided on the basis of the dentition period. Demographic details along with general physical parameters such as height, weight, and maximum mouth opening (MMO) were recorded in a predesigned proforma. Maximum bite force was measured using a digital bite force instrument. Results: Maximum occlusal bite force (MOBF) was 18.04 N in primary dentition of age 3–5 years, 47.64 N in mixed dentition of age 6–11, and 108.39 N in permanent dentition of age 12–13 years. The magnitude of bite force was observed to be directly proportional to age, height, weight, and dentition period. Males had greater bite force than females in all three dentitions. However, the difference was significant only in mixed dentition (p < 0.05). Of all the dentition bite force was significantly higher in permanent dentition. Bite force showed an inverse relation with body mass index (BMI) in primary and mixed dentition but a positive correlation was seen with permanent dentition. The mean MMO in males was slightly higher when compared to females. It increased with an increase in the dentition stage. Conclusion: Bite force is multifactorial. It has a significant correlation with physiologic and morphologic factors that influence the values of bite force.


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  1. Owais AI, Shaweesh M, Abu Alhaija ES. Maximum occusal bite force for children in different dentition stages. Eur J Orthod 2012;35(4):427–433. DOI: 10.1093/ejo/cjs021
  2. Koc D, Dogan A, Bek B. Bite force and influential factors on bite force measurements: a literature review. Eur J Dent 2010;4(2):223–232.
  3. Verma TP, Kumathalli KI, Jain V, et al. Bite force recording devices - a review. J Clin Diagn Res 2017;11(9):ZE01–ZE05. DOI: 10.7860/JCDR/2017/27379.10450
  4. Dejak B, Mlotkowski A, Romanowicz M. Finite element analysis of mechanism of cervical lesion formation in simulated molars during mastication and parafunction. J Prosthet Dent 2005;94(6):520–529. DOI: 10.1016/j.prosdent.2005.10.001
  5. Nanda SK, Merow WW, Sassouni V. Repositioning of the masseter muscle and its effect on skeletal form and structure. Angle Orthod 1967;37(4):304–308. DOI: 10.1043/0003-3219(1967)037<0304:ROTMMA>2.0.CO;2
  6. Ortuğ G. A new device for measuring mastication force. Ann Anat 2002;184(4):393–396. DOI: 10.1016/S0940-9602(02)80063-2
  7. Sonnesen L, Bakke M, Solow B. Temporomandibular disorders in relation to craniofacial dimensions, head posture and bite force in children selected for orthodontic treatment. Eur J Orthod 2001;23(2):179–192. DOI: 10.1093/ejo/23.2.179
  8. Subramaniam P, Babu KG. Evaluation of occlusal forces in different stages of children-an exploratory study. Saudi J Oral Sci 2018;5(1):11–16. DOI: 10.4103/sjos.SJOralSci_52_17
  9. Braun S, Hnat WP, Freudenthaler JW, et al. A study of maximum bite force during growth and development. Angle Orthod 1996;66(4):261–264. DOI: 10.1043/0003-3219(1996)066<0261:ASOMBF>2.3.CO;2
  10. Usui T, Uematsu S, Kanegae H, et al. Change in maximum occlusal force in association with maxillofacial growth. Orthod Craniofac Res 2007;10(4):226–234. DOI: 10.1111/j.1601-6343.2007.00405.x
  11. Bonakdarchian M, Askari N, Askari M. Effect of face form on maximal molar bite force with natural dentition. Arch Oral Biol 2009;54(3):201–204. DOI: 10.1016/j.archoralbio.2008.11.009
  12. Kamegai T, Tatsuki T, Nagano H, et al. A determination of bite force in northern Japanese children. Eur J Orthod 2005;27(1):53–57. DOI: 10.1093/ejo/cjh090
  13. Varga S, Spalj S, Lapter Varga M, et al. Maximum voluntary molar bite force in subjects with normal occlusion. Eur J Orthod 2010;33(4):427–433. DOI: 10.1093/ejo/cjq097
  14. Heydari A, Nakhjavani YB, Anaraki EA, et al. Bite force of 3-6-year-old children after unilateral extraction of primary teeth. J Dent (Tehran) 2018;15(1):47–53.
  15. Serra MD, Gambareli FR, Gavião MB. A 1-year intraindividual evaluation of maximum bite force in children wearing a removable partial dental prosthesis. J Dent Child (Chic) 2007;74(3):171–176.
  16. Olthoff LW, Van Der Glas HW, Van Der Bilt A. Influence of occlusal vertical dimension on the masticatory performance during chewing with maxillary splints. J Oral Rehabil 2007;34(8):560–565. DOI: 10.1111/j.1365-2842.2007.01730.x
  17. Sathyanarayana HP, Premkumar S, Manjula WS. Assessment of maximum voluntary bite force in children and adults with normal occlusion and different types of malocclusions. J Contemp Dent Pract 2012;13(4):534–538. DOI: 10.5005/jp-journals-10024-1181
  18. Jain V, Mathur VP, Pillai RS, et al. A preliminary study to find out maximum occlusal bite force in Indian individuals. Indian J Dent Res 2014;25(3):325–330. DOI: 10.4103/0970-9290.138330
  19. Calderon PD, Kogawa EM, Lauris JR, et al. The influence of gender and bruxism on the human maximum bite force. J Appl Oral Sci 2006;14(6):448–453. DOI: 10.1590/s1678-77572006000600011
  20. Rentes AM, Gavião MB, Amaral JR. Bite force determination in children with primary dentition. J Oral Rehabil 2002;29(12):1174–1180. DOI: 10.1046/j.1365-2842.2002.00957.x
  21. Pereira-Cenci T, Pereira LJ, Cenci MS, et al. Maximal bite force and its association with temporomandibular disorders. Braz Dent J 2007;18(1):65–68. DOI: 10.1590/s0103-64402007000100014
  22. Su CM, Yang YH, Hsieh TY. Relationship between oral status and maximum bite force in preschool children. J Dent Sci 2009;4(1):32–39.
  23. Abu Alhaija ES, Al Zo'ubi IA, Al Rousan ME, et al. Maximum occlusal bite forces in Jordanian individuals with different dentofacial vertical skeletal patterns. Eur J Orthod 2010;32(1):71–77. DOI: 10.1093/ejo/cjp069
  24. Mountain G, Wood D, Toumba J. Bite force measurement in children with primary dentition. Int J Paediatr Dent 2011;21(2):112–118. DOI: 10.1111/j.1365-263X.2010.01098.x
  25. Koç D, Dogan A, Bek B. Effect of gender, facial dimensions, body mass index and type of functional occlusion on bite force. J Appl Oral Sci 2011;19(3):274–279. DOI: 10.1590/s1678-77572011000300017
  26. Duarte MG, Durval AL, Diaz MS, et al. Masticatory performance and bite force in relation to signs and symptoms of temporomandibular disorders in children. Minerva Stomatol 2006;55(10):529–539.
  27. Fields HW, Proffit WR, Case JC, et al. Variables affecting measurements of vertical occlusal force. J Dent Res 1986;65(2):135–138. DOI: 10.1177/00220345860650020901
  28. Tortopidis D, Lyons MF, Baxendale RH, et al. The variability of bite force measurement between sessions, in different positions within the dental arch. J Oral Rehabil 1998;25(9):681–686. DOI: 10.1046/j.1365-2842.1998.00293.x
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