Bite Force of 3-6-Year-Old Children After Unilateral Extraction of Primary Teeth.

Alireza Heydari, Yahya Baradaran Nakhjavani, Elnaz Askari Anaraki, Siavash Arvan, Maryam Shafizadeh
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Abstract

Objectives: This study aimed to assess the bite force of 3-6-year-old children in primary dentition period after unilateral extraction of a primary first molar (D) and its correlation with the height, weight, gender, type of occlusion, and temporomandibular disorders (TMDs).

Materials and methods: Twenty children between the ages of 3 and 6 years with a unilaterally extracted D comprised our case group, and 29 age-matched children with no extracted teeth comprised the control group. The maximum bite force at the site of posterior teeth was measured using a bite force measuring device with a 0.2-mm thickness and 3-cm diameter, attached to a strain-gage sensor. Each child bit the sensor with maximum force for 3 seconds, and this was repeated three times at 10-minute intervals. The mean value was calculated. Data were analyzed using SPSS 18 software program via generalized estimating equation (GEE).

Results: the bite force on the side of extraction was significantly lower than that on the contralateral side (P<0.05). Also, the bite force was significantly correlated with the height, gender, and age, but the correlations between the bite force and weight, type of occlusion and side of the jaw were not significant (P>0.05).

Conclusions: Extraction of primary first molars decreases the bite force on the respective side of the jaw.

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3-6岁儿童单侧拔除乳牙后的咬合力。
目的:本研究旨在评估3-6岁初生牙列期儿童单侧拔除初生第一磨牙(D)后的咬合力及其与身高、体重、性别、咬合类型和颞下颌疾病(TMDs)的相关性。材料与方法:病例组为3 ~ 6岁单侧拔除D患儿20例,对照组为29例同龄未拔除D患儿。使用厚度为0.2 mm、直径为3 cm的咬合力测量装置,连接应变传感器测量后牙位置的最大咬合力。每个孩子用最大的力量咬传感器3秒,每隔10分钟重复三次。计算平均值。采用SPSS 18软件进行数据分析,采用广义估计方程(generalized estimation equation, GEE)。结果:拔牙侧的咬合力明显低于对侧(P0.05)。结论:拔除初生第一磨牙可降低下颌两侧的咬合力。
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