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VOLUME 23 , ISSUE 5 ( May, 2022 ) > List of Articles


Evaluation of the Mean Bite Force and Masticatory Performance of Maxillary and Mandibular Complete Dentures vs Mandibular Implant-supported Over Denture

Anil Kumar, Kopparapu Venkata Guru Charan Karthik, Lokesh Sunkala, Venkatesh Bejagam, Kiran Kunwar Rathore, Priyanka Rai

Keywords : Bite force, Complete dentures, Edentulism, Implant-supported overdentures, Masticatory performance

Citation Information : Kumar A, Karthik KV, Sunkala L, Bejagam V, Rathore KK, Rai P. Evaluation of the Mean Bite Force and Masticatory Performance of Maxillary and Mandibular Complete Dentures vs Mandibular Implant-supported Over Denture. J Contemp Dent Pract 2022; 23 (5):513-519.

DOI: 10.5005/jp-journals-10024-3341

License: CC BY-NC 4.0

Published Online: 10-08-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Aim: To compare and evaluate the mean bite force and masticatory performance of conventional complete dentures (CD) in comparison with the lower implant-supported overdenture opposing an upper CD by using a strain gauge transducer and a test material respectively, in the same patient over a different period of time. Materials and methods: The study included 20 edentulous patients in the age range 45–65 years with a good general and oral health. In the first phase of the study, conventional CD were fabricated and delivered to each patient who participated in the study. A strain gauge transducer was used to analyze the maximum bite force and an agar test material was used to assess the masticatory performance using the sieve method. The existing lower denture was used to deliver a two-implant overdenture system and two implants were placed in the intermental–foraminal region of the mandible. One month after the delivery of implant-supported overdenture, the maximum bite force and masticatory performance were assessed as before. Results: To test two independent variables, the data were analyzed statistically using an unpaired t-test. In comparison to the conventional upper and lower CD rehabilitations, the implant-supported lower denture and conventional upper CD rehabilitations resulted in statistically significant improvements in biting force and masticatory performance. Conclusion: Study findings demonstrate that the completely edentulous patients can be rehabilitated with the upper CD and lower two-implant supported overdenture system that offers improved biting force and masticatory performance than conventional upper and lower dentures. Clinical significance: Masticatory efficiency is one of the important indicators of functional state of stomatognathic system. Determination of individual masticatory performance has been used to ascertain the therapeutic effect of prosthetic device.

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  1. Mericske–Stern RD, Taylor TD, Belser U. Management of the edentulous patient. Clin Oral Implants Res 2000;11(Suppl 1):108–125. DOI: 10.1034/j.1600-0501.2000.011s1108.x.
  2. Budală DG, Baciu ER, Virvescu DI, et al. Quality of life of complete denture wearers: A comparative study between conventional dentures and acrylic dentures with vitamin B12 incorporated. Medicina 2021;57(8):820. DOI: 10.3390/medicina57080820.
  3. Doundoulakis JH, Eckert SE, Lindquist CC, et al. The implant-supported overdenture is an alternative to the complete mandibular denture. J Am Dent Assoc;134(11):1455–1458. DOI: 10.14219/jada.archive.2003.0073.
  4. Pan Y, Ramp LC, Liu P. Patient responses to dental implant-retained mandibular overdenture therapy: A 6-year clinical study. Chang Gung Med J 2007; 30(4):363–369. PMID: 17939266.
  5. Budtz–Jörgensen E. Restoration of the partially edentulous mouth: A comparison of overdentures, removable partial dentures, fixed partial dentures and implant treatment. J Dent 1996;24(4):237–244. DOI: 10.1016/0300-5712(95)00075-5.
  6. Thomason JM, Kelly SA, Bendkowski A, et al. Two implant-retained overdentures: A review of the literature supporting the McGill and York consensus statements. J Dent 2012; 40(1):22–34. DOI: 10.1016/j.jdent.2011.08.017.
  7. Feine JS, Carlsson GE, Awad MA, et al. The McGill consensus statement on overdentures. Quintessence Int 2003;34(1):78–79. PMID: 12674364.
  8. Tripathi G, Ponnanna AA, Rajwadha N, et al. Comparative evaluation of maximum bite force in dentulous and edentulous individuals with different facial forms. J Clin and Diagn Res 2014;8:37–40. DOI: 10.7860/JCDR/2014/8801.4837.
  9. Parle D, Desai D, Bansal A. Estimation of individual bite force during normal occlusion using fea. In proceedings of the Altair Technology Conference, Pune, India 2013. pp. 18-19.
  10. Lyons MF, Baxendale RH. A preliminary electromyographic study of bite force and jaw-closing muscle fatigue in human subjects with advanced tooth wear. J Oral Rehabil 1990;17(4):311–318. DOI: 10.1111/j.1365-2842.1990.tb00014.x.
  11. Bates JF, Stafford GD, Harrison A. Masticatory function: A review of the literature. J Oral Rehabil 1975;2(4):349–361. DOI: 10.1111/j.1365-2842.1975.tb01535.x.
  12. Hellsing E, Hagberg C. Changes in maximum bite force related to the extension of the head. Eur J Orthod 1990;12(2):148–153. DOI: 10.1093/ejo/12.2.148.
  13. Sonnesen L, Bakke M. Molar bite force in relation to occlusion, craniofacial dimensions, and head posture in pre-orthodontic children. Eur J Orthod 2005;27(1):58–63. DOI: 10.1093/ejo/cjh069.
  14. Tortopidis D, Lyons MF, Baxendale RH, et al. The variability of bite force measurement between sessions, in different positions within the dental arch. J Oral Rehabil 2002;25(9):681–686. DOI: 10.1046/j.1365-2842.1998.00293.x.
  15. Jian C, Yi Y, Deng L, et al. A device for multi-teeth bite force measurement. In: Advanced Robotics and Mechatronics (ICARM), International Conference on Internet. IEEE; 2016. pp.657–662.
  16. Ohira A, Ono Y, Yano N, et al. The effect of chewing exercise in preschool children on maximum bite force and masticatory performance. Int J Paediatr Dent 2012;22(2):146–153. DOI: 10.1111/j.1365-263X.2011.01162.x.
  17. Arima T, Takeuchi T, Honda K, et al. Effects of interocclusal distance on bite force and masseter EMG in healthy participants. J Oral Rehabil 2013; 40(12):900–908. DOI: 10.1111/joor.12097.
  18. Owais AI, Shaweesh M, Alhaija ESA. Maximum occlusal bite force for children in different dentition stages. Eur J Orthod 2013;35(4):427–433. DOI: 10.1093/ejo/cjs021.
  19. Kapur KK, Soman SD. Masticatory performance and efficiency in denture wearers. 1964. J Prosthet Dent 2006; 95(6):407–411. DOI: 10.1016/j.prosdent.2006.03.012.
  20. Rosa LB, Bataglion C, Siéssere S, et al. Bite force and masticatory efficiency in individuals with different oral rehabilitations. Open J Stomatol 2012;2(1):21–26. DOI: 10.4236/ojst.2012.21004.
  21. Malo P, Rangert B, Nobre M. All-on-4 immediate function concept with Brånemark system implants for the completely edentulous maxilla. A 1-year retrospective clinical study. Clin Implant Dent Relat Res 2005;7(Suppl. 1):S88–S94. DOI: 10.1111/j.1708-8208.2005.tb00080.x.
  22. Soni R, Yadav H, Pathak A, et al. Comparative evaluation of biting force and chewing efficiency of all-on-four treatment concept with other treatment modalities in completely edentulous individuals. J Indian Prosthodont Soc 2020; 20(3):312–320. DOI: 10.4103/jips.jips_464_19.
  23. 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):1519–1524. DOI: 10.1177/00220345000790071501.
  24. Bakke M, Holm B, Gotfredsen K. Masticatory function and patient satisfaction with implant-supported mandibular overdentures: a prospective 5-year study. Int J Prosthodont 2002;1:15(6):575–581. PMID: 12475165.
  25. Boven GC, Raghoebar GM, Vissink A, et al. Improving masticatory performance, bite force, nutritional state and patient's satisfaction with implant overdentures: A systematic review of the literature. J Oral Rehabil 2015;42(3):220–233. DOI: 10.1111/joor.12241.
  26. Schimmel M, Memedi K, Parga T, et al. Masticatory performance and maximum bite and lip force depend on the type of prosthesis. Int J Prosthodont 2017;30(6):565–572. DOI: 10.11607/ijp.5289.
  27. Marcello–Machado RM, Bielemann AM, Nascimento GG, et al. Masticatory function parameters in patients with varying degree of mandibular bone resorption. J Prosthodont Res 2017; 61(3):315–323. DOI: 10.1016/j.jpor.2016.12.002.
  28. Possebon AP, Schuster AJ, Bielemann AM, et al. Evaluation of bite force and masticatory performance: Complete denture vs mandibular overdenture users. Braz Dent J 2020;31(4):399–403. DOI: 10.1590/0103-6440202003525.
  29. Caloss R, Al–Arab M, Finn RA, et al. Does long‐term use of unstable dentures weaken jaw muscles? J Oral Rehabili 2010;37(4):256–261. DOI: 10.1111/j.1365-2842.2009.02046.x.
  30. Dwivedi H, Singh R, Banerjee A, et al. Implant overdenture: A panacea for atrophied ridge. J Dent Implant 2012;2(2):131–135. DOI: 10.4103/0974-6781.102235.
  31. Batenburg RH, Raghoebar GM, van Oort RP, et al. Mandibular overdentures supported by two or four endosteal implants. A prospective, comparative study. Int J Oral Maxillofac Surg 1998;27(6):435–439. DOI: 10.1016/s0901-5027(98)80032-5.
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