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Aims: To test the effects of occlusal force (OF) angle on the variations
in predicted muscle and temporomandibular joint (TMJ)
forces during unilateral molar bites. Methods: The craniomandibular
(CM) geometries of 21 individuals were determined
from lateral and posteroanterior cephalometric radiographs. These
geometries were used in a numerical model based on minimization
of muscle effort. This model was previously validated for this subject
group through the use of jaw tracking and electromyographic
data. The model predicted muscle and TMJ forces associated with
static OFs on the right mandibular first molar. OF angle was varied
from vertical to 40 degrees in the buccal and lingual directions,
in increments of 10 degrees. Results: Intra- and intersubject variations
in predicted muscle and TMJ forces for unilateral molar biting
were dependent on OF angle and CM geometry. Nonvertical
OFs were associated with either large anterior temporalis muscle
forces ( 100% of applied OF in 3 subjects) or large inferior lateral
pterygoid muscle forces ( 90% of applied OF in 3 subjects).
On average, vertically and buccally directed OFs were associated
with higher mean contralateral TMJ forces (60% of applied OF,
SD 12%). Two subjects had large ipsilateral or contralateral TMJ
forces ( 90% of applied OF). Conclusion: In a group of healthy
subjects, depending on the individual CM geometry, large muscle
and/or TMJ forces were predicted to be associated with specific
unilateral molar OF angles. Propensities to increased muscle or
joint forces may be predisposing factors in the development of
myofascial pain or intracapsular disease. The results may explain,
in part, the variation in location of symptoms in individuals who
first present with temporomandibular disorders. J OROFAC PAIN
2004;18:235–245
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