Effects of preventing intercuspation on the precision of jaw movements

J Oral Rehabil. 2021 Apr;48(4):392-402. doi: 10.1111/joor.13137. Epub 2021 Jan 7.

Abstract

Background: Closing movements are among the jaw's basic physiological motor actions. During functional movements, the jaw changes position continually, which requires appropriate proprioception. However, the significance of the various proprioceptive receptors involved and how they interact is not yet fully clear.

Objectives: This study's main objective was to test whether preventing intercuspation (IC) for 1 week would affect the precision of jaw-closing movements into IC and the functional space of habitual chewing movements (HCM). A secondary objective was to compare precision of jaw-closing movements into IC with the precision of movements into a target position (TP) far from IC.

Methods: Fourteen participants' HCM and jaw-closing movements into IC were recorded on two sessions (T1 and T2) 1 week apart. Between sessions, participants wore posterior bite plates to prevent IC. They also received a 10-minute training session at T1 to guide their jaw-closing movements into TP. The precision of the closing movements into IC and TP was analysed. For HCM, the vertical amplitude, lateral width and area of chewing cycles were evaluated.

Results: The precision of jaw movements into IC increased as the jaw gap decreased, but precision did not differ significantly between T1 and T2. For HCM, the vertical amplitude and area of chewing cycles increased significantly between T1 and T2. The precision of the closing trajectory into TP increased significantly during the training session.

Conclusion: Our results confirm the excellent adaptability of the craniomandibular system, controlled by stringent motor programmes that are supported by continuous peripheral sensory input.

Keywords: chewing; intercuspation; jaw movements; neuromuscular control; occlusion; proprioception; training.

MeSH terms

  • Humans
  • Jaw
  • Mastication*
  • Movement*
  • Periodicity