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ACTIVATION OF FIXED LABIAL APPLIANCES, BRIEFLY AT INITIATION, MAY REDUCE MASTICATORY PERFORMANCE AND BITE FORCE
The Journal of Evidence-Based Dental Practice
|September 9, 2023
Summary
Orthodontic appliances temporarily impair chewing function. This systematic review and meta-analysis confirms that the activation and installation of these devices negatively impact mastication, affecting oral function.
Area of Science:
- Orthodontics
- Masticatory Science
- Dental Biomechanics
Background:
- Mastication is crucial for nutrient intake and overall health.
- Orthodontic treatment involves appliances that can alter oral structures and functions.
- The impact of orthodontic appliance activation on masticatory performance requires detailed investigation.
Purpose of the Study:
- To systematically review and meta-analyze existing evidence on the effects of orthodontic appliance activation and installation on mastication.
- To quantify the degree to which orthodontic interventions impair masticatory function.
Main Methods:
- A systematic review of relevant literature was conducted.
- Data from eligible studies were pooled using meta-analysis techniques.
- Studies focusing on the functional changes in mastication following orthodontic appliance placement were included.
Main Results:
- The activation and installation of orthodontic appliances were found to temporarily impair masticatory function.
- Pooled data indicated a statistically significant negative effect on masticatory performance metrics.
- The impairment was temporary, suggesting a recovery period post-intervention.
Conclusions:
- Orthodontic appliance therapy can lead to transient deficits in masticatory efficiency.
- Clinicians should be aware of these functional impairments and consider patient counseling.
- Further research may explore strategies to mitigate masticatory dysfunction during orthodontic treatment.

