- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01286363
Facial Patterns and Masticatory Symmetries
Preferred Chewing Side, Symmetry of Bite Force and Occlusal Contact Area of Subjects With Different Craniofacial Vertical Dimensions
Study Overview
Status
Conditions
Detailed Description
Dolichofacial subjects presents poorer mechanical advantage, less efficiency in masticatory muscles during mastication and in generating bite force, smaller occlusal contact area and masticatory capacity when compared to brachyfacial individuals.
Wide, bilateral chewing cycles were related to better masticatory performance, however, unilateral chewing was reported to be very common in population, and it has been associated to lateral asymmetry on bite force and occlusal contact area.
It has been reported that dolichofacial subjects need greater muscular effort during mastication when compared to meso and brachyfacial subjects. This may cause functional overloading of weaker masticatory muscles, and may lead to functional asymmetries.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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São Paulo
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Piracicaba, São Paulo, Brazil, 13414-903
- Piracicaba Dental School
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Full dentition, good general and oral health
Exclusion Criteria:
- Facial deformities
- Severe malocclusion
- History of signs and symptoms of temporomandibular disorder
- History of parafunctions
- History of maxillofacial surgery or jaw injuries and orthodontic treatment concluded in the last 2 years
Study Plan
How is the study designed?
Design Details
- Time Perspectives: Cross-Sectional
Cohorts and Interventions
Group / Cohort |
|---|
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Brachyfacial
Subjects with a horizontal facial growth pattern
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Mesofacial
Subjects with a balanced facial growth pattern
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Dolichofacial
Subjects with a vertical facial growth pattern
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Masticatory movements during mastication
Time Frame: 2 hours
|
A jaw tracking device was positioned on subjects face, who were asked to chew an artificial material in their habitual way.
Tracings of jaw lateral movements during mastication were analyzed to classify in which side each chewing stroke was taken.
If 80 percent or more chewing cycles were classified as left or right, the subjects were considered as unilateral chewer.
|
2 hours
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Bite force and occlusal contact area
Time Frame: 2 hours
|
A strain gauge was positioned on subject's first molar region unilaterally to measure the symmetry of bite force. The individual was asked to bite as hard as possible. The procedure was repeated to the other side, and the bite symmetry of sides was analyzed. To evaluate symmetry of occlusal contact area, a registration of posterior teeth was performed with the subjects in maximal intercuspal position. The registration was digitalized, discolored, color inverted and adjusted for size to evaluate thickness of registration material using a software. |
2 hours
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Simone G Farias Gomes, PhD, Universidade Federal de Pernambuco
- Study Chair: William Custodio, MS, Piracicaba Denal School, State University of Campinas
- Study Chair: Fernanda Faot, PhD, Federal University of Pelotas
- Study Director: Altair A Del Bel Cury, PhD, Piracicaba Dental School, State University of Campinas
- Study Director: Renata CM Rodrigues Garcia, PhD, Piracicaba Dental School, State University of Campinas
Publications and helpful links
General Publications
- Gomes SG, Custodio W, Faot F, Del Bel Cury AA, Garcia RC. Masticatory features, EMG activity and muscle effort of subjects with different facial patterns. J Oral Rehabil. 2010 Nov;37(11):813-9. doi: 10.1111/j.1365-2842.2010.02075.x. Epub 2010 Aug 19.
- Martinez-Gomis J, Lujan-Climent M, Palau S, Bizar J, Salsench J, Peraire M. Relationship between chewing side preference and handedness and lateral asymmetry of peripheral factors. Arch Oral Biol. 2009 Feb;54(2):101-7. doi: 10.1016/j.archoralbio.2008.09.006. Epub 2008 Oct 22.
- Garcia-Morales P, Buschang PH, Throckmorton GS, English JD. Maximum bite force, muscle efficiency and mechanical advantage in children with vertical growth patterns. Eur J Orthod. 2003 Jun;25(3):265-72. doi: 10.1093/ejo/25.3.265.
- Sonnesen L, Bakke M, Solow B. Temporomandibular disorders in relation to craniofacial dimensions, head posture and bite force in children selected for orthodontic treatment. Eur J Orthod. 2001 Apr;23(2):179-92. doi: 10.1093/ejo/23.2.179.
- Gomes SG, Custodio W, Faot F, Cury AA, Garcia RC. Chewing side, bite force symmetry, and occlusal contact area of subjects with different facial vertical patterns. Braz Oral Res. 2011 Sep-Oct;25(5):446-52. doi: 10.1590/s1806-83242011005000014.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- monegfg11
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