CC BY 4.0 · Eur J Dent 2022; 16(03): 656-662
DOI: 10.1055/s-0041-1739438
Original Article

Comparison of Occlusal Parameters between Open Bite and Nonopen Bite Patients Using the T-Scan III System: A Pilot Study

Katika Chaikla
1   Department of Preventive Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand
,
Jittima Pumklin
2   Department of Restorative Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand
,
1   Department of Preventive Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand
› Author Affiliations
Funding This study was partially funded by The Royal College of Dental Surgeons of Thailand and Naresuan University Faculty of Dentistry.

Abstract

Objective To evaluate and compare the first tooth contact region, occlusion time, time to generate total force, and force distribution between open bite (OB) and non-OB (NOB) patients at the maximum intercuspation position using the T-Scan III system.

Materials and Methods Sixteen patients were divided into the OB and NOB groups (n = 8 for each group). The T-Scan III system was used to evaluate the first tooth contact region, occlusion time, time to generate total force, and force distribution.

Statistical Analysis The mean patient age, overjet, overbite, occlusion time, and time to generate total force were compared between the groups by independent samples t-test. Relative force distributions between groups and among regions were compared by the Mann–Whitney U- and Kruskal–Wallis H-tests, respectively. A probability value of less than 5% (p < 0.05) was considered significant.

Results Differences in the first tooth contact region between groups were observed. The molar region was the first tooth contact region in the OB group, while first tooth contact was observed in all regions in the NOB group. Neither the occlusion time nor the time to generate total force was significantly different between the groups (p > 0.05). The highest force distributions were observed in the molar regions in both groups. Significant intragroup differences were found among all regions (p < 0.05), except between the anterior and premolar regions in the NOB group (p = 0.317). Intergroup differences in the force distributions in the anterior (p = 0.000), premolar (p = 0.038), and molar (p = 0.007) regions were significant.

Conclusion Unlike in the NOB group, in which first tooth contact occurred in every region, in the OB group, first tooth contact occurred only in the molar region. Compared with those in the NOB group, the force distributions in the OB group were approximately 1.5 times higher in the molar region but were significantly lower in the anterior and premolar regions.



Publication History

Article published online:
11 January 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Mitchell L. An Introduction to Orthodontics. 4th ed.. Oxford: Oxford University Press; 2013: 149-158
  • 2 Mizrahi E. A review of anterior open bite. Br J Orthod 1978; 5 (01) 21-27
  • 3 Artese A, Drummond S, Nascimento JM, Artese F. Criteria for diagnosing and treating anterior open bite with stability. Dental Press J Orthod 2011; 16 (03) 136-161
  • 4 Henrikson T, Ekberg EC, Nilner M. Symptoms and signs of temporomandibular disorders in girls with normal occlusion and Class II malocclusion. Acta Odontol Scand 1997; 55 (04) 229-235
  • 5 Egermark I, Blomqvist JE, Cromvik U, Isaksson S. Temporomandibular dysfunction in patients treated with orthodontics in combination with orthognathic surgery. Eur J Orthod 2000; 22 (05) 537-544
  • 6 Thilander B, Rubio G, Pena L, de Mayorga C. Prevalence of temporomandibular dysfunction and its association with malocclusion in children and adolescents: an epidemiologic study related to specified stages of dental development. Angle Orthod 2002; 72 (02) 146-154
  • 7 Riolo ML, Brandt D, TenHave TR. Associations between occlusal characteristics and signs and symptoms of TMJ dysfunction in children and young adults. Am J Orthod Dentofacial Orthop 1987; 92 (06) 467-477
  • 8 Tanne K, Tanaka E, Sakuda M. Association between malocclusion and temporomandibular disorders in orthodontic patients before treatment. J Orofac Pain 1993; 7 (02) 156-162
  • 9 Kuroda S, Sugawara Y, Tamamura N, Takano-Yamamoto T. Anterior open bite with temporomandibular disorder treated with titanium screw anchorage: evaluation of morphological and functional improvement. Am J Orthod Dentofacial Orthop 2007; 131 (04) 550-560
  • 10 Kato C, Ono T. Anterior open bite due to temporomandibular joint osteoarthrosis with muscle dysfunction treated with temporary anchorage devices. Am J Orthod Dentofacial Orthop 2018; 154 (06) 848-859
  • 11 Pileicikiene G, Surna A, Barauskas R, Surna R, Basevicius A. Finite element analysis of stresses in the maxillary and mandibular dental arches and TMJ articular discs during clenching into maximum intercuspation, anterior and unilateral posterior occlusion. Stomatologija 2007; 9 (04) 121-128
  • 12 Lila-Krasniqi ZD, Shala KS, Pustina-Krasniqi T, Bicaj T, Dula LJ, Guguvčevski L. Differences between centric relation and maximum intercuspation as possible cause for development of temporomandibular disorder analyzed with T-scan III. Eur J Dent 2015; 9 (04) 573-579
  • 13 Kerstein RB. Handbook of Research on Computerized Occlusal Analysis Technology Applications in Dental Medicine. 1st ed.. Hershey: IGI Global; 2015: 95-151
  • 14 Koos B, Höller J, Schille C, Godt A. Time-dependent analysis and representation of force distribution and occlusion contact in the masticatory cycle. J Orofac Orthop 2012; 73 (03) 204-214
  • 15 Vaahtoniemi L. The reciprocal jaw-muscle reflexes elicited by anterior- and back-tooth-contacts-a perspective to explain the control of the masticatory muscles. BDJ Open 2020; 6 (01) 27
  • 16 Wang C, Yin X. Occlusal risk factors associated with temporomandibular disorders in young adults with normal occlusions. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 114 (04) 419-423
  • 17 Magalhães IB, Pereira LJ, Marques LS, Gameiro GH. The influence of malocclusion on masticatory performance. A systematic review. Angle Orthod 2010; 80 (05) 981-987
  • 18 Laurell L, Lundgren D. Periodontal ligament areas and occlusal forces in dentitions restored with cross-arch unilateral posterior two-unit cantilever bridges. J Clin Periodontol 1986; 13 (01) 33-38
  • 19 Bakke M. Bite force and occlusion. Semin Orthod 2006; 12 (02) 120-126
  • 20 Bates JF, Stafford GD, Harrison A. Masticatory function-a review of the literature: (II) speed of movement of the mandible, rate of chewing and forces developed in chewing. J Oral Rehabil 1975; 2 (04) 349-361
  • 21 Sharma A, Rahul GR, Poduval ST, Shetty K, Gupta B, Rajora V. History of materials used for recording static and dynamic occlusal contact marks: a literature review. J Clin Exp Dent 2013; 5 (01) e48-e53
  • 22 Kim JH. Computerized occlusion using T-Scan III [eBook]. 2016: 1-46 . Accessed May 25, 2021 at: https://www.tscan.nl/wp-content/uploads/2016/12/DTL-T-Scan-Clinical-eBook.pdf
  • 23 Atit MB, Deshmukh SV, Rahalkar J, Subramanian V, Naik C, Darda M. Mean values of Steiner, Tweed, Ricketts and McNamara analysis in Maratha ethnic population: a cephalometric study. APOS Trends Orthod 2013; 3 (05) 137-151
  • 24 Chutchalermpan T, Pumklin J, Tansalarak R, Sirijaroenpun S, Sedtasuppana A, Piyapattamin T. Occlusal force distributions in various Angle's malocclusions: an evaluation by T-Scan III system. J Int Dent Med Res 2019; 12 (02) 628-632
  • 25 Hägg U, Taranger J. Dental development, dental age and tooth counts. Angle Orthod 1985; 55 (02) 93-107
  • 26 Buunk-Werkhoven YAB, Buunk AP. Fear of social rejection and oral self-care in men versus women. Int Dent J 2015; 65 (S1): 13
  • 27 Kerstein RB, Radke J. Masseter and temporalis excursive hyperactivity decreased by measured anterior guidance development. Cranio 2012; 30 (04) 243-254
  • 28 Baldini A, Nota A, Cozza P. The association between occlusion time and temporomandibular disorders. J Electromyogr Kinesiol 2015; 25 (01) 151-154
  • 29 Corrêa EC, Maeda FA, de Miranda ALR, Carvalho PEG, da Silva LH, Torres FC. Masticatory evaluation of anterior open bite malocclusion using the colorimetric capsule method. Gen Dent 2018; 66 (06) 56-59
  • 30 Bakke M, Michler L. Temporalis and masseter muscle activity in patients with anterior open bite and craniomandibular disorders. Scand J Dent Res 1991; 99 (03) 219-228
  • 31 Yoon HR, Choi YJ, Kim KH, Chung C. Comparisons of occlusal force according to occlusal relationship, skeletal pattern, age and gender in Koreans. Korean J Orthod 2010; 40 (05) 304-313
  • 32 Agbaje JO, Casteele EV, Salem AS. et al. Assessment of occlusion with the T-Scan system in patients undergoing orthognathic surgery. Sci Rep 2017; 7 (01) 5356
  • 33 Nanci A. Ten Cate's Oral Histology: Development, Structure, and Function. 9th ed.. St. Louis: Elsevier; 2018: 289-309
  • 34 Choi DS, Cha BK, Jang I, Kang KH, Kim SC. Three-dimensional finite element analysis of occlusal stress distribution in the human skull with premolar extraction. Angle Orthod 2013; 83 (02) 204-211
  • 35 Ferrato G, Falisi G, Ierardo G, Polimeni A, Di Paolo C. Digital evaluation of occlusal forces: comparison between healthy subjects and TMD patients. Ann Stomatol (Roma) 2017; 8 (02) 79-88
  • 36 Dzingutė A, Pileičikienė G, Baltrušaitytė A, Skirbutis G. Evaluation of the relationship between the occlusion parameters and symptoms of the temporomandibular joint disorder. Acta Med Litu 2017; 24 (03) 167-175