Waltimo A, Könönen M
Department of Prosthetic Dentistry, University of Helsinki, Finland.
Acta Odontol Scand. 1995 Aug;53(4):254-8. doi: 10.3109/00016359509005982.
Maximal bite force values and subjective symptoms and clinical signs of craniomandibular disorders (CMD) were recorded for a non-patient sample of 129 young adults, 56 men and 73 women. The signs and symptoms of CMD were classified on the basis of Helkimo's clinical dysfunction index. The two genders reported equally frequently subjective symptoms of CMD, but women had significantly more severe clinical signs of CMD than did men. Mean maximal bite force values for men were 909 N (SD, 177) in the molar region and 382 N (SD, 133) in the incisal region and thus significantly higher than corresponding figures for women, 777 N (SD, 168) in the molar, 325 N (SD, 116) in the incisal region, suggesting that separate evaluation of the genders would be advisable in future studies involving bite force assessments. Neither subjective symptoms nor clinical signs of CMD correlated significantly with maximal bite force values. The bite force values measured were in line with theoretical calculations.
记录了129名年轻成年人（56名男性和73名女性）非患者样本的最大咬合力值以及颞下颌关节紊乱病（CMD）的主观症状和临床体征。CMD的体征和症状根据赫尔基莫临床功能指数进行分类。两性报告CMD主观症状的频率相同，但女性CMD的临床体征比男性严重得多。男性在磨牙区的平均最大咬合力值为909 N（标准差177），在前牙区为382 N（标准差133），因此显著高于女性的相应数值，女性在磨牙区为777 N（标准差168），在前牙区为325 N（标准差116），这表明在未来涉及咬合力评估的研究中，对两性进行单独评估是可取的。CMD的主观症状和临床体征均与最大咬合力值无显著相关性。测量的咬合力值与理论计算结果一致。
