Introduction: Functional impairment of the masticatory region can have significant consequences that range from a loss of quality of life to severe health issues. Increased temporomandibular joint loading is often connected with temporomandibular disorders, but the effect of morphological factors on joint loading is a heavily discussed topic. Due to the small size and complex structure of the masticatory region in vivo investigations of these connections are difficult to perform.
Objectives: We propose a novel in silico approach for the investigation of the effect of wear facet inclination and position on TMJ stress.
Methods: We use a forward-dynamics tracking approach to simulate lateral bruxing on the canine and first molar using 6 different inclinations, resulting in a total of 12 simulated cases. By using a computational model, we control a single variable without interfering with the system. Muscle activation pattern, maximum bruxing force as well as TMJ disc stress are reported for all simulations.
Results: Muscle activation patterns and bruxing forces agree well with previously reported EMG findings and in vivo force measurements. The simulation results show that an increase in inclination leads to a decrease in TMJ loading. Wear facet position seems to play a smaller role with regard to bruxing force but might be more relevant for TMJ loading.
Conclusion: Together these results suggest a possible effect of tooth morphology on TMJ loading during bruxism.
Keywords: Bruxism; Computer simulation; Mechanical stress; Temporomandibular joint; Temporomandibular joint biomechanics; Temporomandibular joint disc.
© 2021 The Authors. Published by Elsevier B.V. on behalf of Cairo University.