Pereira-Cenci Tatiana, Pereira Luciano José, Cenci Maximiliano Sérgio, Bonachela Wellington Cardoso, Del Bel Cury Altair Antoninha
School of Dentistry of Piracicaba, State University of Campinas, Piracicaba, SP, Brazil.
Braz Dent J. 2007;18(1):65-8. doi: 10.1590/s0103-64402007000100014.
Individuals with temporomandibular disorders (TMD) are expected to have decreased maximum bite forces (MBF). This way, this study compared the MBF in subjects with TMD to a control group and also evaluated its association with age, gender, height and weight. Forty healthy adults with complete natural dentition divided into four groups according to gender and presence or absence of TMD signs/symptoms (based on the Research Diagnostic Criteria RDC) underwent a MBF test with a gnathodynamometer in molar and incisal areas. Statistical analysis was performed by ANOVA and Student-Newman-Keuls test (p=0.05), and the relationship between age, gender, weight, height and MBF was verified by Pearson's correlation test. There were no differences in MBF results between TMD and control groups (p>0.05). Female subjects exhibited lower MBF than male and MBF for the anterior area was lower than that for posterior area (p<0.05). Significant correlation was found between MBF and weight in TMD subjects (p<0.05), except for the anterior area in female subjects. There was a positive correlation between MBF and height in TMD male subjects (p<0.05). Within the limitations of this study, it is possible to conclude that bite force was not affected by TMD. Correlation between MBF and weight in TMD subjects and between MBF and height in TMD male subjects was observed.
颞下颌关节紊乱症(TMD)患者的最大咬合力(MBF)预计会降低。因此,本研究比较了TMD患者与对照组的最大咬合力,并评估了其与年龄、性别、身高和体重的关系。40名天然牙列完整的健康成年人根据性别以及是否存在TMD体征/症状(基于研究诊断标准RDC)分为四组,使用咬力计在磨牙区和切牙区进行最大咬合力测试。采用方差分析和Student-Newman-Keuls检验进行统计分析(p = 0.05),并通过Pearson相关检验验证年龄、性别、体重、身高与最大咬合力之间的关系。TMD组和对照组的最大咬合力结果无差异(p>0.05)。女性受试者的最大咬合力低于男性,且前部区域的最大咬合力低于后部区域(p<0.05)。在TMD受试者中,除女性受试者的前部区域外,最大咬合力与体重之间存在显著相关性(p<0.05)。TMD男性受试者的最大咬合力与身高呈正相关(p<0.05)。在本研究的局限性范围内,可以得出结论,咬合力不受TMD影响。观察到TMD受试者的最大咬合力与体重之间以及TMD男性受试者的最大咬合力与身高之间存在相关性。