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Comment on Maga et al. The Effect of Selective Occlusal Adjustment on the Disclusion Time Reduction and Symmetry of Occlusal Contacts of the Own Dentition Using Digital Occlusion Analysis in Patients with Temporomandibular Disorders. <i>J. Clin. Med.</i> 2025, <i>14</i>, 7007.

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A prospective single arm study of salivary cortisol changes in muscular temporomandibular disorders patients following computer-guided occlusal adjustments.

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Related Experiment Video

Updated: Jun 27, 2026

Mimicking and Measuring Occlusal Erosive Tooth Wear with the "Rub&amp;Roll" and Non-contact Profilometry
08:47

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Published on: February 2, 2018

Determining a relationship between applied occlusal load and articulating paper mark area.

Jason P Carey1, Mark Craig, Robert B Kerstein

  • 1Ph.D., 4-9 Mechanical Engineering Building, University of Alberta, Edmonton, Alberta, T6G 2G8, Canada.

The Open Dentistry Journal
|December 18, 2008
PubMed
Summary
This summary is machine-generated.

Articulating paper mark size does not directly correlate with occlusal load. Dental professionals should not assume mark size reflects occlusal force when adjusting teeth.

Keywords:
Applied Occlusal LoadArticulating Paper AppearanceMTS Uniaxial Test MachineMark Area

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Last Updated: Jun 27, 2026

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Published on: December 20, 2024

Area of Science:

  • Biomaterials Science
  • Dental Mechanics
  • Biomechanics

Background:

  • Articulating paper mark size is conventionally used to estimate occlusal load in dentistry.
  • A direct quantitative relationship between mark area and applied force has not been definitively established.

Purpose of the Study:

  • To investigate the direct relationship between the area of articulating paper marks and the applied occlusal load.
  • To determine if articulating paper mark size accurately quantifies occlusal contact force.

Main Methods:

  • A uniaxial testing machine applied incremental compressive loads (25N to 450N) to dental casts with articulating paper.
  • Resultant paper markings (n=600) were photographed and analyzed for area using image analysis software.
  • A two-tailed Student's t-test compared mark areas between different teeth (p < 0.05).

Main Results:

  • Mark area exhibited a non-linear increase with increasing applied load.
  • Significant variability in mark area was observed between different teeth at identical loads (p < 0.05 in ~80% of comparisons).
  • No direct, consistent relationship was found between articulating paper mark area and applied occlusal load.

Conclusions:

  • The size of articulating paper marks does not provide a reliable measure of occlusal contact force.
  • Dental operators should exercise caution and avoid assumptions about occlusal load based solely on articulating paper mark size.
  • Further research may be needed to refine methods for quantifying occlusal forces accurately.