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Affecting upper extremity strength by changing maxillo-mandibular vertical dimension in deep bite subjects.
Emad F Abdallah1, Noshir R Mehta, Albert G Forgione
1Craniofacial Pain Center, 6th Floor, Tufts University School of Dental Medicine, 1 Kneeland St. Boston, MA 02111, USA. emad.abdallah@tufts.edu
Cranio : the Journal of Craniomandibular Practice
|November 10, 2004
Summary
Altering the vertical dimension of occlusion (VDO) impacts upper body strength. Optimizing VDO with a bite elevating appliance significantly increased isometric deltoid strength (IDS) in individuals with deep overbite.
Area of Science:
- Dental Science
- Kinesiology
- Biomechanics
Background:
- The vertical dimension of occlusion (VDO) is a critical factor in oral function.
- Previous research suggests a link between VDO and overall body strength.
- Individuals with deep overbite may present unique biomechanical responses.
Purpose of the Study:
- To investigate the effect of VDO manipulation on isometric deltoid strength (IDS) in subjects with deep overbite.
- To determine if altering VDO can maximize upper extremity muscle activation.
Main Methods:
- Sixteen female dental students with deep overbite participated.
- Isometric deltoid strength was measured using a hand-held strain gauge under four conditions: habitual occlusion, mandibular rest position, bite elevating appliance, and placebo appliance.
- Each subject served as their own control.
Main Results:
- Isometric deltoid strength was significantly lower in habitual occlusion compared to the mandibular rest position.
- Using a bite elevating appliance to optimize VDO significantly increased IDS compared to both habitual occlusion and rest position.
- No significant difference in IDS was found between habitual occlusion and the placebo appliance.
Conclusions:
- Changes in the vertical dimension of occlusion demonstrably affect isometric strength in the upper extremities.
- Optimizing VDO may be a viable strategy for enhancing muscle strength in specific populations.
- Further research is warranted to explore the clinical implications of VDO on neuromuscular performance.