Association between preferred chewing side and dynamic occlusal parameters

J Int Med Res. 2019 May;47(5):1908-1915. doi: 10.1177/0300060519827165. Epub 2019 Feb 14.

Abstract

Objectives: Evaluation of dynamic occlusal parameters can help dentists to understand the association of occlusion with the preferred chewing side (PCS) and enable optimal restoration of masticatory efficiency. This study evaluated the association between PCS and dynamic occlusal parameters.

Methods: One hundred participants (50 each, right and left PCS) were included in this study. PCS was determined by the visual spot-checking method, and occlusal analysis was conducted by T Scan. Occlusal parameters evaluated included initial contact, center of force, tooth contact area, occlusal interferences, and occlusal time. Data were assessed by chi-squared test and eta correlation coefficient.

Results: Initial contact towards the PCS was observed in 68% and 70% of right and left unilateral chewers, respectively. Likewise, center of force towards the PCS was present in 72% and 66% of right and left unilateral chewers, respectively. A larger area of tooth contact was predominant towards the PCS in 70% and 72% of right and left unilateral chewers, respectively. Chi-squared analysis showed a strong positive correlation between PCS and occlusal parameters at maximum intercuspation. Eta correlation coefficients between PCS and occlusal interferences, as well as centric and eccentric occlusion, revealed negligible associations.

Conclusion: Dynamic occlusal parameters may be associated with PCS.

Keywords: Preferred chewing side; center of force; centric occlusion; dental occlusion; eccentric occlusion; mastication; occlusal analysis; unilateral chewing.

Publication types

  • Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Chi-Square Distribution
  • Dental Occlusion*
  • Female
  • Humans
  • Male
  • Mastication / physiology*
  • Time Factors
  • Young Adult