Effects of gum chewing training on occlusal force, masseter muscle thickness and mandibular shape: A randomised controlled clinical trial.

IF 3.1 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Journal of oral rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-08-30 DOI:10.1111/joor.13830
Hyo-Jung Jung, Na Kyung Hwangbo, Younjung Park, Hyung-Joon Ahn
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引用次数: 0

Abstract

Background: Masticatory muscle training by chewing gum can be performed easily and improve masticatory muscle function and strength. However, increased masticatory muscle activity and function may alter the mandibular shape.

Objective: We aimed to investigate the effects of gum chewing training on the occlusal force, masseter muscle thickness (MMT) and mandibular shape in healthy adults.

Methods: We conducted a prospective randomised controlled trial from January 2020 to September 2020 at the Yonsei University College of Dentistry. Fifty-eight participants were randomly assigned to the training and control groups. The training group chewed gum three times a day for 6 months, while the control group received no training. Changes in the maximum occlusal force and MMT were evaluated at baseline and after 1, 3 and 6 months. Changes in the mandibular shape were evaluated at baseline and after 6 months.

Results: The mean maximum occlusal force of the training group at 3 months was significantly higher than that at baseline, which was also significantly different from that in the control group (p < .001). As the maximum occlusal force increased, the occlusal contact area also increased (p = .020). There was no statistically significant difference in MMT or mandibular shape compared to the baseline.

Conclusion: Mastication training using gum increases maximum occlusal force due to an increase in occlusal contact area but has no effect on MMT or mandibular shape.

咀嚼口香糖训练对咬合力、颌下肌厚度和下颌骨形态的影响:随机对照临床试验
背景:通过咀嚼口香糖进行咀嚼肌训练很容易,而且能改善咀嚼肌功能和力量。然而,咀嚼肌活动和功能的增强可能会改变下颌骨的形状:我们旨在研究咀嚼口香糖训练对健康成年人咬合力、咀嚼肌厚度(MMT)和下颌骨形态的影响:我们于 2020 年 1 月至 2020 年 9 月在延世大学牙科学院进行了一项前瞻性随机对照试验。58名参与者被随机分配到训练组和对照组。训练组每天咀嚼口香糖三次,为期 6 个月,对照组不接受任何训练。在基线和 1、3、6 个月后,对最大咬合力和 MMT 的变化进行评估。在基线和 6 个月后评估下颌形状的变化:结果:训练组 3 个月后的平均最大咬合力明显高于基线时的平均最大咬合力,与对照组相比也有显著差异(p 结论:使用牙胶进行咀嚼训练可提高最大咬合力:使用牙胶进行咀嚼训练可增加咬合接触面积,从而增加最大咬合力,但对MMT或下颌骨形态没有影响。
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来源期刊
Journal of oral rehabilitation
Journal of oral rehabilitation 医学-牙科与口腔外科
CiteScore
5.60
自引率
10.30%
发文量
116
审稿时长
4-8 weeks
期刊介绍: Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.
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