4.5 Article

Impact of pivoting bite tip on bite force measurement tests

Journal

CLINICAL ORAL INVESTIGATIONS
Volume 27, Issue 6, Pages 2993-3000

Publisher

SPRINGER HEIDELBERG
DOI: 10.1007/s00784-023-04901-x

Keywords

Bite force; Gnathodynamometer; Dynamometer; Occlusal force; Low cost

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A new gnathodynamometer design was presented to improve patient comfort, precision, and ease for the operator during bite force tests. A rotating bite tip was tested on 24 dental students and showed no difference in comfort and precision for incisors, but showed a difference for molars. Further investigations are needed to determine the impact of these improvements on bite force measurements.
ObjectivePresent a gnathodynamometer design that increases patient comfort, precision, and/or ease for the operator during bite force tests.Materials and methodsA bite tip capable of pivoting 180 degrees was tested on senior dental students in a double-blind trial. The tests were performed in teeth 11 and 16 with the bite tip on the long axis of the clamp and at an angle of 90 degrees to the clamp. The sample was composed of 24 students, 13 males and 11 females, randomly divided into two groups: the operator group (OP), which was composed of 12 students, 7 males and 5 females, and the test group (TI), which was composed of 12 students, 6 males and 6 females. The operator and participants were asked to evaluate comfort and precision/ease in positioning the bite tip by attributing scores from 0 (total discomfort) to 10 (total comfort) during the test.ResultsNo difference was noted in tooth 11 (P > 0.05). In tooth 16, there was a statistically significant improvement (P < 0.01) for the participants tested and the operator using the pivoting bite tip.ConclusionsThe pivoting bite tip showed no difference in the comfort of the participants and operator precision when testing incisors; however, the tip showed a difference for both conditions in the molar region. The gnathodynamometer geometry showed good results in participant comfort and operator precision when used in bite force tests of the incisors and molars. Further investigations are needed to confirm whether these improvements influence the mean value and maximum bite force measurement.Clinical relevanceBite force measurement is a method for obtaining important data to check the functional conditions of the stomatognathic system. With the aging of the world population, it has become important to check the quality of life during aging. The pivoting bite tip improves the comfort and precision of bite tests for the participants tested and for the operator, respectively.

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