The Change of Occlusal Bite Force during Clear Aligner Treatment and Squeezing Exercise

Main Article Content

Wisama Withayanukonkij
Chidchanok Leethanakul
Sakarin Tangpothitham

Abstract

Background: No studies revealed the change of occlusal bite force during clear aligner treatment combined with the squeezing exercise. Objective: To study the change of occlusal bite force during anterior open bite treatment with clear aligners and squeezing exercise. Materials and methods: Twenty-two adults with anterior open bite were treated with customized clear aligners. Anterior open bite was corrected using clear aligners combined with squeezing exercise. Squeezing exercise was done by clenching on the clear aligner with submaximal bite force around 80 %. Occlusal bite force was collected at pretreatment (T0), 1 month (T1), 2 months (T2), 3 months (T3), 4 months (T4), 5 months (T5), and 6 months of treatment (T6). Parametric tests were used for statistical analysis. Results: After commencement the treatment, the maximum bite force was significantly higher than the squeezing bite force at all time intervals. Both maximum and squeezing bite force substantially increased from T0 to T2, gradually increased from T2 to T4, and remained stable from T4 to T6. Conclusions: Clear aligner treatment combined with squeezing exercises enhanced both maximum and squeezing bite force during a 6-month observation period.

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1.
Withayanukonkij W, Leethanakul C, Tangpothitham S. The Change of Occlusal Bite Force during Clear Aligner Treatment and Squeezing Exercise. Thai J Orthod [Internet]. 2024 Apr. 16 [cited 2024 May 30];14(1):21-30. Available from: https://he01.tci-thaijo.org/index.php/THAIORTHO/article/view/269397
Section
Original article

References

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.

Koc D, Dogan A, Bek B. Bite force and influential factors on bite force measurements: a literature review. Eur J Dent 2010;4(2):223-32.

Zivko-Babić J, Pandurić J, Jerolimov V, Mioc M, Pizeta L, Jakovac M. Bite force in subjects with complete dentition. Coll Antropol 2002;26(1):293-302.

Lund JP. Mastication and its control by the brain stem. Crit Rev Oral Biol Med 1991;2(1):33-64.

Trulsson M, Johansson RS. Orofacial mechanoreceptors in humans: encoding characteristics and responses during natural orofacial behaviors. Behav Brain Res 2002;135:27-33.

Guarneri MP, Oliverio T, Silvestre I, Lombardo L, Siciliani G. Open bite treatment using clear aligners. Angle Orthod 2013;83(5):913-9.

Giancotti A, Garino F, Mampieri G. Use of clear aligners in open bite cases: an unexpected treatment option. J Orthod 2017;44(2):114-25.

Kuster R, Ingervall B. The effect of treatment of skeletal open bite with two types of bite-blocks. Eur J Orthod 1992;14(6):489-99.

Pativetpinyo D, Supronsinchai W, Changsiripun C. Immediate effects of temporary bite-raising with light-cured orthodontic band cement on the electromyographic response of masticatory muscles. J Appl Oral Sci 2018;26:e20170214.

Rapeepattana S, Thearmontree A, Suntornlohanakul S. The prevalence of orthodontic treatment need and malocclusion problems in 8–9-year-old schoolchildren: A study in the south of Thailand. APOS Trends Orthod 2019;9:99-104.

Machado DB, Brizon VS, Ambrosano GM, Madureira DF, Gomes VE, de Oliveira ACB. Factors associated with the prevalence of anterior open bite among preschool children: a population-based study in Brazil. Dental Press J Orthod 2014;19(5):103-9.

Urzal V, Braga AC, Ferreira AP. The prevalence of anterior open bite in Portuguese children during deciduous and mixed dentition correlations for a prevention strategy. Int Orthod 2013;11(1):93-103.

Greenlee GM, Huang GJ, Chen SSH, Chen J, Koepsell T, Hujoel P. Stability of treatment for anterior open-bite malocclusion: a meta-analysis. Am J Orthod Dentofacial Orthop 2011;139(2):154-69.

Withayanukonkij W, Chanmanee P, Promsawat M, Viteporn S, Leethanakul C. Root resorption during maxillary molar intrusion with clear aligners: a randomized controlled trial. Angle Orthod 2023;93(6):629-37.

Jain V, Mathur VP, Abhishek K, Kothari M. Effect of occlusal splint therapy on maximum bite force in individuals with moderate to severe attrition of teeth. J Prosthodont Res 2012;56(4):287-92.

Al-Khateeb SN, Abu Alhaija ES, Majzoub S. Occlusal bite force change after orthodontic treatment with Andresen functional appliance. Eur J Orthod 2015;37(2):142-6.

Iscan HN, Sarisoy L. Comparison of the effects of passive posterior bite-blocks with different construction bites on the craniofacial and dentoalveolar structures. Am J Orthod Dentofacial Orthop 1997;112(2):171-8.

Irmawati A, Devitha M, Balqis NF, Azzaim YA, Al-Mekhlafi R. Clenching exercise as additional orthodontic treatment in anterior open bite patients. Glob J Heal Sci Res 2023;1:104-9.

Parks LR, Buschang PH, Alexander RA, Dechow P, Rossouw PE. Masticatory exercise as an adjunctive treatment for hyperdivergent patients. Angle Orthod 2007;77(3):457-62.

Thompson DJ, Throckmorton GS, Buschang PH. The effects of isometric exercise on maximum voluntary bite forces and jaw muscle strength and endurance. J Oral Rehabil 2001;28(10):909-17.

English JD, Olfert KDG. Masticatory muscle exercise as an adjunctive treatment for open bite malocclusions. Semin Orthod 2005;11(3):164-9.

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

Wieczorek A, Loster JE. Activity of the masticatory muscles and occlusal contacts in young adults with and without orthodontic treatment. BMC Oral Health 2015;15(1):116.

Palinkas M, Nassar MS, Cecílio FA, Siéssere S, Semprini M, Machado-de-Sousa JP, et al. Age and gender influence on maximal bite force and masticatory muscles thickness. Arch Oral Biol 2010;55(10):797-802.

Ferrario VF, Sforza C, Miani AJ, D’Addona A, Barbini E. Electromyographic activity of human masticatory muscles in normal young people: statistical evaluation of reference values for clinical applications. J Oral Rehabil 1993;20(3):271-80.

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 2022;101(5):515-25.

Luraschi J, Korgaonkar M, Whittle T, Schimmel M, Müller F, Klineberg I. Neuroplasticity in the adaptation to prosthodontic treatment. J Orofac Pain 2013;27(3):206-16.

Varga S, Spalj S, Anic Milosevic S, Lapter Verga M, Mestrovic S, Trinajstic Zrinski M, et al. Changes of bite force and occlusal contacts in the retention phase of orthodontic treatment: A controlled clinical trial. Am J Orthod Dentofacial Orthop 2017;152(6):767-77.

Winocur E, Davidov I, Gazit E, Brosh T, Vardimon AD. Centric slide, bite force and muscle tenderness changes over 6 months following fixed orthodontic treatment. Angle Orthod 2007;77(2):254-9.

Vandenborne K, Elliott MA, Walter GA, Abdus S, Okereke E, Shaffer M, et al. Longitudinal study of skeletal muscle adaptations during immobilization and rehabilitation Muscle Nerve 1998;21(8):1006-12.

Kasper CE, Talbot LA, Gaines JM. Skeletal muscle damage and recovery. AACN Clin Issues 2002;13(2):237-47.

Alomari SA, Alhaija ESA. Occlusal bite force changes during 6 months of orthodontic treatment with fixed appliances. Aust Orthod J 2012;28(2):197-203.

Sathyanarayana HP, Premkumar S, Manjula WS. Assessment of maximum voluntary bite force in adults with normal occlusion and different types of malocclusions. J Contemp Dent Pract 2012;13(4):534-8.

Yawaka Y, Hironaka S, Akiyama A, Matzuduka I, Takasaki C, Oguchi H. Changes in occlusal contact area and average bite pressure during treatment of anterior crossbite in primary dentition. J Clin Pediatr Dent 2003;28(1):75-9.

Lindsey CA, English JD. Orthodontic treatment and masticatory muscle exercises to correct a Class I open bite in an adult patient. Am J Orthod Dentofacial Orthop 2003;124(1):91-8.