Main Article Content

Abstract

BACKGROUND


This study intended to compute the maximum bite force in the primary dentition of the young children (3-6 years old) and examine the possible influences of caries, malocclusions (such as crossbite and bruxism), and other factors on maximum bite force. We wanted to ascertain the extent of biting forces in young children's primary dentition, aged three to six, and examine the impact of several factors, including the subjects' gender, caries, crossbite, and bruxism, on the maximum bite force in this study.


METHODS


Children within the age group of 3-6 years were selected from nearby schools. A dental examination was done for caries and malocclusion. The subjects were asked to bite on the unit consisting of a force sensor wedged between wooden sticks wrapped in a polyethylene sheet, 3 times on each side (posteriors) and on anterior teeth with maximum bite force and then the mean value was taken.


RESULTS


502 subjects between the age group of 3-6 years were included in the study. The levels of bite force recorded showed that there was a significant difference in all three teeth standardized for the bite force measurement in the four groups included (p<0.001). The maximum bite force of the posterior teeth was 351.5N seen in the control group, in the caries group (281.7N), crossbite (181.1N), and bruxism (250.2N).


CONCLUSIONS


Bite forces in primary dentition showed comparatively wide intra- and inter-individual variation. For both boys and girls, there was no discernible variation in the maximal bite force, however maximum bite force in children with caries and bruxism had significant differences compared to the control group. No significant difference in bite forces was seen in children having crossbite and non-crossbite sides.

Keywords

Bite Force, Primary Dentition, Malocclusion, Flexisensor.

Article Details

How to Cite
Rajika Karunakaran, Sharan S. Sargod, Reshma Suvarna, Sham S. Bhat, Sundeep Hedge, Afreen Salman, & Shailesh Ramdas Shenoy. (2024). Bite Force Measurement in Children with Primary Dentition. Journal of Evolution of Medical and Dental Sciences, 13(1), 11–17. https://doi.org/10.14260/jemds.v13i1.540

References

  1. 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):71-7.
  2. Castelo PM, Bonjardim LR, Pereira LJ, et al. Facial dimensions, bite force and masticatory muscle thickness in preschool children with functional posterior crossbite. Braz Oral Res 2008;22(1):48-54.
  3. Fontijn-Tekamp FA, Slagter AP, Van Der Bilt A, et al. Biting and chewing in overdentures, full dentures, and natural dentitions. J Dent Res 2000;79(7):1519-24.
  4. Bakke M. Bite force and occlusion. Semin Orthod 2006;12:120-6.
  5. Kiliaridis S, Katsaros C, Raadsheer MC, et al. Bilateral masseter muscle thickness in growing individuals with unilateral crossbites. J Dent Res 2000;79:497.
  6. Lavigne G.J, Khoury S, S. Abe S, et al. Bruxism physiology and pathology: an overview for clinicians. J Oral Rehabil 2008;35(7):476-94.
  7. Mountain G, Wood D, Toumba J. Bite Force Measurement in Children with Primary Dentition. Int J Paediatr Dent 2011;21(2):112-8.
  8. Linderholm H, Lindqvist B, Ringqvist M, et al. Isometric biting force in children and its relation to body build and general muscle force. Acta Odont Scand 1971;29:563-68.
  9. Kiliaridis S, Kjellberg H, Wemieberg B, et al. The relationship between maximal bite force, bite force endurance and facial morphology during growth. Acta Odontal Scand 1993;51(5):324-31.
  10. Braun S, Bantleon HP, Hnat WP, et al. A study of bite force, part 1: relationship to various physical characteristics. Angle Orthod 1995;65(5):367-72.
  11. Ingervall B, Minder C. Correlation between maximum bite force and facial morphology in children. Angle Orthod 1997;67(6):415-24.
  12. Corrucini RS, Henderson AM, Kaul SS. Bite force variation related to occlusal variation in rural and urban Punjabies (North India). Arch Oral Biol 1985;30(1):65-9.
  13. Maki K, Nishioka T, Morimoto A, et al. A study on the measurement of occlusal force and masticatory efficiency in school age Japanese children. Int J Paediatric Dent 2001;11(4):281-5.
  14. García‐Morales P, Buschang PH, Throckmorton GS, et al. Maximum bite force, muscle efficiency and mechanical advantage in children with vertical growth patterns. Eur J Orthod 2003;25(3):265-72.
  15. Dean JS, Throckmorton GS, Ellis EE, et al. A preliminary study of maximum voluntary bite force and jaw muscle efficiency in preorthognathic surgery patients. J Oral Maxillofac Surg 1992;50(12):1284-8.
  16. Bakke M, Holm B, Jensen L, et al. Unilateral, isometric bite force in eight to eighty-eight year old women and men related to occlusal factors. Scand J Dent Res 1990;98:149-58.
  17. Osborne JW, Mao J. A thin bite force transducer with three- dimensional capabilities. Arch Oral Biol 1993;38(2):139-44.
  18. Jayakumar P, Felsy Premila G, Muthu MS, et al. Bite force of children and adolescents: a systematic review and meta-analysis. J Clin Pediatr Dent 2023;47(3):39-53.
  19. Garner LD, Kotwal NS. Correlation study of incisive biting forces with age, sex, and anterior occlusion. J Dent Res 1973;52(4):698-702.
  20. Fields HW, Proffit WR, Case JC, et al. Variables affecting measurements of vertical occlusal force. J Dent Res 1986;65(2):135-8.
  21. Pruim GJ, De Jongh HJ, Ten Bosch JJ. Forces acting on the mandible during bilateral static bite at different bite force levels, J Biomech 1980;13(9):755-63.
  22. Kaur H, Singh N, Gupta H, et al. Effect of various malocclusion on maximal bite force - a systematic review J Oral Biol and Craniofac Res 2022;12(5):687-93.
  23. da Silva HC, de Paiva JB, Neto JR. Anterior crossbite treatment in the primary dentition: Three case reports. Int Orthod 2018;16(3):514-29.
  24. Cosme DC, Baldisserotto SM, Canabarro SD, et al. Bruxism and voluntary maximal bite force in young dentate adults. Int J Prosthodont 2005;18(4):328-32.
  25. Todić JT, Mitić A, Lazić D, et al. Effects of bruxism on the maximum bite force. Vojnosanitetski Pregled 2017;74(2):138-44.