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Journal of Oral Rehabilitation 2001 28; 328334

The effects of chewing rates on mandibular kinematics


G. S. THROCKMORTON*, B. H. BUSCHANG*, H. HAYASAKI & T. PHELAN* *Baylor
College of Dentistry, The Texas A&M University System Health Science Center, Dallas, TX, U.S.A. and Faculty of Dentistry, Kyushu University,
Fukuoka, Japan

SUMMARY The purpose of this study is to provide posterior (AP), vertical and lateral jaw excursions
basic understanding of how the speed of chewing were signicantly less for the fast than the habitual
affects masticatory jaw kinematics. Twenty-six or slow rates. While the shape of 3-D pathway was
healthy subjects (236 25 years of age) chewed a similar for the three rates, the perimeter of the
standardized bolus of gum at fast (100 cycles s)1), pathway was signicantly shorter for fast chewing
habitual and slow (50 cycles s)1) rates. The rates cycles. Maximum AP, vertical, lateral and total 3-D
were controlled with a metronome and the order of jaw velocities were signicantly different among the
rates was randomized for each subject. An optoelec- three rates. Between cycle variation in cycle dur-
trical system independently recorded head and jaw ation and jaw excursion were least during fast
movement. Special computer programs identied chewing and the greatest during slow chewing;
representative cycles for each subject and computed variability in maximum velocity was similar for
various aspects of jaw movement. Multilevel statis- the three rates.
tical procedures were used to compare cycle varia- KEYWORDS : jaw kinematics, chewing rates, human,
bles among the three rates, estimate variability and chewing cycles
model jaw movements. Maximum ranges of antero-

subjects are asked to chew more slowly than their


Introduction
habitual rate.
A number of studies have examined how chewing The ability of subjects to control mandibular move-
cycles change when subjects alter their normal chewing ments during mastication has also received relatively
rate. When subjects are asked to chew at a faster than little study. Plesh et al. (1988) reported that mandibular
normal rate not only are the total duration of the cycles excursions were less variable in fast chewers than slow
reduced, but vertical and lateral excursions of the chewers and that automatic chewing cycles were less
mandible are reduced (Morimoto et al., 1984; Plesh variable than voluntary chewing cycles. In addition,
et al., 1987, 1988, 1993). Such studies indicate that subjects more accurately matched chewing frequencies
cycle duration was reduced, at least in part, by reducing to the metronome when it was set close to their
the 3-D pathway taken by the mandible during the habitual chewing rate. Within subject variability of
chewing cycle. chewing cycles for rates other than the habitual rate
Chewing cycle duration could also be reduced by have not been evaluated.
increasing mandibular velocity. However, previous The purpose of this study was to determine whether
studies do not provide a clear indication as to whether subjects chew at different speeds by altering the length
mandibular velocity increased during all or part of a of their 3-D pathway, by changing mandibular velocity
cycle. Morimoto et al. (1984) reported greater during all or part of the cycle, or both. In addition, we
mandibular velocities, but only for very fast cycles examined whether chewing speed affects the within-
(>3 Hz). Finally, there have been no studies that subject variability of cycle shape, cycle duration and
characterize how chewing cycles change when mandibular velocity.

2001 Blackwell Science Ltd 328


1 EFFECTS OF CHEWING RATES ON MANDIBULAR KINEMATICS 329

tongue and then, when recording started, to chew the


Materials and methods
gum naturally. Two chewing sequences of 2025 cycles
were timed for each subject and the duration of these
Subjects
two sequences was then divided by the total number of
Twenty-six healthy subjects (236 25 years of age) cycles to establish each subject's automatic habitual
were recruited among students, faculty and staff of Texas chewing rate.
A&M University System Health Science Center, Baylor Each subject was then asked to chew six additional
College of Dentistry. Half of the subjects were male and sequences with the gum, two at their habitual rate, two
half female. All subjects had a Class I normal occlusions at a fast rate (100 cycles min)1) and two at a slow rate
and no subjects had periodontal disease, signs or (50 cycles min)1). The different sequences were con-
3 symptoms of temparo-mandibular dysfunction (TMD), ducted in random order. During each sequence the
extensive dental work, or were currently undergoing subject was asked to match their chewing rate to a
dental treatment. Informed consent, as established by metronome. Jaw kinematics was recorded for 2025
the Institutional Review Board at Texas A&M Baylor cycles of each of the six chewing sequences.
College of Dentistry, was obtained from each participant.
For this within-subject design each subject served as
Kinematic analysis
their own control as chewing speed was changed.
A special computer program written by one of us (H.H.)
used the chin marker's vertical coordinates to identify
Recording jaw kinematics
chewing cycles within each chewing sequence. The
A rigid eyeglass frame (415 g) with six infrared-emit- program identied all chewing cycles that were more
ting diodes was strapped to the subject's head to track than 300 ms in duration and had a vertical excursion of
head movements. A single infrared-emitting diode at least 3 mm. The rst cycle was discarded from further
(12 g) was taped to the subject's chin to track mandib- analysis because transferring the gum from the teeth
ular movements during the chewing cycle. Movements results in an atypical cycle. The duration and maximum
of the diodes during mastication were tracked in 3-D excursive ranges for each of the remaining cycles
space using an Optotrak computer system. X, Y and Z during each chewing sequence were determined,
coordinates of each diode were recorded at 100 Hz in allowing the calculation of average cycle duration and
real time. After recording, movement of the head diodes mandibular excursive ranges in the anteroposterior
was subtracted from movement of the chin diode to (AP), vertical and lateral directions for each sequence.
derive 3-D mandibular movements. A special probe was Each cycle was given a standard score based upon its
used to digitize the positions of right and left tragus and deviation from these averages and the 10 cycles with
orbitale relative to the head rigid body, allowing all the least deviation were selected as the most represen-
mandibular movements to be oriented relative to the tative cycles for that chewing sequence. For each
Frankfort horizontal. subject further analysis was based upon the most
Each subject was seated in an upright position representative cycles from their six chewing sequences
approximately 2 m in front of the Optotrak cameras. (20 habitual, 20 fast and 20 slow cycles).
Subjects were allowed to accustom themselves to the A second computer program (also by H.H.) calculated
recording apparatus by chewing a piece of gum prior to the duration of each of the representative cycles, as
recording. well as the length of the total 3-D pathway of the chin
marker, maximum excursive ranges along the AP,
vertical and mediolateral axes and maximum cycle
Chewing tasks
velocities. In order to compare the shapes of the cycles,
Gum was used as the test food because it produces more chin position was plotted for each 5% of cycle duration
consistent chewing patterns than do natural foods during opening and each 5% of cycle duration during
(Jemt et al., 1979). The size of each piece of gum was closing, a total of 41 points.
standardized by forcing it into a specially built mould The data were evaluated using multilevel statistical
(900 mm3) producing a bolus weighing 25 g. Subjects models (Strenio et al., 1983; Goldstein, 1986, 1987).
were asked to initially place the bolus of gum on his/her The estimation procedures used iterative generalized

2001 Blackwell Science Ltd, Journal of Oral Rehabilitation 28; 328334


330 G . S . T H R O C K M O R T O N et al.

least squares. A three-level model, with variation Table 1. Total, opening and closing duration (ms) for slow,
hierarchically partitioned (i) between subjects, (ii) habitual and fast chewing cycles

between trials within subjects, (iii) between cycles


Total Opening Closing
within trials, was used to evaluate systematic rate Chewing
differences in cycle duration, excursive ranges and rate Mean s.e. Mean s.e. Mean s.e.
maximum velocities. Each analysis was based on a Slow 11490 210 5482 206 6000 172
sample of 520 (26 subjects 2 trials 10 repeats) data Habitual 9166 186 4257 125 4909 120
points. Eighth-order polynomials were used to sepa- Fast 6051 24 2698 96 3354 95
rately model the horizontal, vertical and lateral changes
s.e. standard error.
in jaw position as a function of cycle duration. The
polynomials were tted using four-level models, which
included the aforementioned three levels of variation
plus within cycle variation.

Results

Cycle duration

As expected there were signicant differences in total


cycle duration among the three chewing rates (Table 1;
Fig. 1). Duration of the fast chewing cycles was
approximately 30% less than duration of the habitual
cycles (605 24* versus 917 186* ms, respectively). Fig. 1. Average (s.e.) cycle duration for fast, habitual and slow
rates.
Duration of the slow chewing cycles was approximately
25% longer than the habitual cycles (1149 21* versus
917 + 186* ms, respectively). The small standard errors when chewing at the habitual rate (Table 2). Although
associated with each of these mean rates are because of slightly larger, the lateral excursive range during slow
the selection of the 10 most representative cycles and chewing did not differ signicantly from lateral excur-
the subjects who were chewing being controlled with a sions during habitual chewing.
metronome.

Cycle shape and the 3-D pathway


Cycle excursive range
A comparison of jaw movements in the frontal plane
The range of inferior chin movement was signicantly (Fig. 2) shows that cycles, when chewing gum, begin
less when chewing at the fast rate than when chewing with excursion towards the balancing side during
at the habitual and slow rates (Table 2). Maximum opening. At about 1 mm of opening, the chin begins
inferior movement did not differ signicantly between to move gradually towards the working side as opening
the slow chewing rate and the habitual rate. The range continues. At maximum opening the chin is located a
of posterior movement of the chin showed a similar little less than 2 mm lateral to the midline in the fast
pattern, but the differences were not statistically signi- cycles and a little more than 2 mm lateral to the
cant. Inferior and posterior excursive ranges are two midline during habitual and slow cycles. During clo-
components of mouth opening. These results indicate sing, the chin continues its excursion towards the
that subjects open less widely when chewing faster, but working side until about 3 mm below its starting
open to the same size when chewing slowly or at their position. During the remainder of the closing motion
habitual rate. the chin moves back towards the midline.
The lateral excursive range of the chin marker was The pathway traced by the chin in the frontal plane is
signicantly less when chewing at the fast rate than essentially identical for slow and habitual chewing
cycles. During the rst 6 mm of opening, the pathways
* Standard error. are also essentially identical among all three chewing

2001 Blackwell Science Ltd, Journal of Oral Rehabilitation 28; 328334


1 EFFECTS OF CHEWING RATES ON MANDIBULAR KINEMATICS 331

Table 2. Inferior, posterior and lateral


Inferior Posterior Lateral Total 3-D
ranges of jaw excursion (mm) and total Chewing
3-D distances for slow, habitual and fast rate Mean s.e. Mean s.e. Mean s.e. Mean s.e.
chewing cycles
Slow 861 047 609 052 665 038 284 13
Habitual 856 032 609 035 648 024 276 09
Fast 752 043 547 047 552 032 239 12

Fig. 2. Frontal view of the jaw movements for habitual, slow and Fig. 3. Superior view of jaw movements for habitual, slow and
fast chewing rates. The y-axis represents inferior excursion of the fast chewing rates. The y-axis represents posterior excursion of the
chin in mm, the x-axis represents mediolateral excursions of the chin in mm, the x-axis represents mediolateral excursions of the
8 chin in mm. 9 chin in mm.

rates. However, at maximum opening, the chin is less about 1 mm further posterior during slow and habitual
laterally and less inferiorly located during fast cycles cycles than it is during fast cycles. As the chin moves
than it is during either slow or habitual cycles. During back anteriorly during closing, it is less lateral in fast
the last 2 mm of closing the three chewing rates again cycles than in slow and habitual cycles.
trace almost identical paths. However, during most of These differences in pathways can be summarized
the closing phase the chin is located closer to the by comparing their total 3-D lengths (Table 2). The
midline in the fast cycles than it is during slow or total pathway is about 4 mm shorter when subjects
habitual cycles. There is clearly less mouth opening and chewed fast than when they chewed habitually or
less lateral excursion during closing in the fast cycles slowly. There was no signicant difference in the total
compared with the other two rates. 3-D pathway between chewing at a slow rate or the
A comparison of jaw movements from a superior habitual rate.
perspective (Fig. 3) shows a similar pattern. When
chewing gum the chin moves initially towards the
Mandibular velocities
balancing side and posteriorly during opening, then the
chin moves towards the working side as posterior Total 3-D velocity is the sum of the velocities along the
excursion continues. At maximum opening, the chin is vertical, AP and mediolateral axes. When 3-D velocity

2001 Blackwell Science Ltd, Journal of Oral Rehabilitation 28; 328334


332 G . S . T H R O C K M O R T O N et al.

Table 4. Between cycle variation in total cycle duration (ms),


total distance (mm) and maximum 3-D velocity (mm s1) for slow,
habitual and fast chewing cycles

Duration 3-D distance 3-D velocity


Chewing
rate Mean s.e. Mean s.e. Mean s.e.

Slow 501 33 191 13 1084 72


Habitual 132 09 100 07 1129 74
Fast 23 01 40 03 1161 76

Chewing cycle variability


Fig. 4. 3-D velocities of jaw movements for habitual, slow and
fast chewing rates plotted as percentage of total cycle duration As shown in Table 4, subjects had the most difculty in
()100 represents the beginning of the opening phase; 0 represents matching cycle duration with the metronome when
maximum opening, the end of the opening phase and the
chewing slowly. Even when chewing at their habitual
beginning of the closing phase; and 100 represents the end of
the closing phase). rate, subjects showed considerable variance in the
duration of their chewing cycles. Variance in cycle
duration was least during fast chewing. A similar
is plotted against standardized cycle duration it is clear
pattern is seen in variation in length of the 3-D
that velocity increases rapidly at the beginning of the
pathway. As chewing speed increased variation in path
opening phase, gradually increases to a peak at about
length decreased signicantly. Interestingly, variation
75% of the opening phase and then decreases as
in maximum 3-D velocities was essentially identical
maximum opening is achieved (Fig. 4). The 3-D velo-
among the three chewing rates. Although the coef-
cities increase again to a peak at 2530% of the closing
cients of variation show that variability in maximum
phase and then gradually decrease until about 95% of
velocity decreases with increasing speed, these differ-
the closing phase, when there is a sharp decrease in
ences are not statistically signicant.
velocity until closing is complete.
Except for the rst 5% and last 5% of the cycle
duration, mandibular velocity is always greater during Discussion
the fast chewing cycles than during habitual cycles and
When subjects were asked to chew faster than their
mandibular velocity is always slower during the slow
normal rate they used a combination of a smaller 3-D
chewing cycles than in the habitual cycles. Differences
pathway and a higher mandibular velocity to achieve
are the greatest at the peak velocities of opening and
the shorter duration. In our study, the duration of the
closing. Even at maximum opening, where the vertical
fast cycles was about 30% less than the subject's
and AP velocities are zero, the lateral velocities (the
habitual rate. The 3-D pathway during fast cycles was
only velocity contributing to the 3-D velocity) are
about 10% shorter than the pathway of habitual cycles.
signicantly different among the three chewing speeds.
If these two chewing rates had used the same mandib-
Maximum vertical, AP, lateral and total 3-D velocities
ular velocity, the fast cycle duration would be expected
were all signicantly different among the three rates
to be only about 10% shorter. However, peak mandib-
(Table 3).
ular velocities during the fast cycles were also about
25% higher than those of the habitual cycles. The
Table 3. Maximum vertical, AP, lateral and total 3-D jaw
velocities (mm s)1) for slow, habitual and fast chewing cycles combination of a faster velocity and shorter 3-D
pathway are sufcient to explain the 30% shorter
Vertical AP Lateral 3-D duration of the fast cycles.
Chewing When subjects were asked to chew slower than
rate Mean s.e. Mean s.e. Mean s.e. Mean s.e.
normal their 3-D pathway was the same as the pathway
Slow 441 26 350 26 347 17 614 29 used at habitual chewing rates although the duration of
Habitual 511 23 406 25 401 17 710 27
the cycles was 25% longer. Their longer duration must
Fast 632 40 469 40 452 23 839 43
therefore be entirely because of a slower velocity during

2001 Blackwell Science Ltd, Journal of Oral Rehabilitation 28; 328334


1 EFFECTS OF CHEWING RATES ON MANDIBULAR KINEMATICS 333

the slow cycles. The peak velocities during slow cycles more slowly than normal. Normal adult chewing rates
were indeed 25% lower than the peak velocities during generally centre around 1 cycle s)1 (1 Hz) (Shepherd,
habitual cycles. The velocity decrease is sufcient to 1960; Beyron, 1964; Ahlgren, 1966; Atkinson &
explain the 25% longer duration of the slow cycles. Shepherd, 1967; Wictorin et al., 1968; Hedegard et al.,
Our results for faster than normal cycles are in close 6 1970; Gillings et al., 1973; Morimoto et al., 1984; Plesh
agreement with those of Plesh et al. (1987, 1993), who et al., 1988) although some faster rates have been
reported that as chewing speed increased, vertical gape, reported (Anderson, 1954; Mller, 1966). Plesh et al.
the 3-D gape and the total 3-D pathway all decreased. (1993) examined chewing rates of 100 and 160
In addition, the amount of lateral excursion also cycles min)1, both faster than habitual chewing rates.
decreased as chewing speed increased. However, Plesh Morimoto et al. (1984) used chewing rates ranging from
et al. (1993) reported that the decrease in lateral 2 to 7 Hz, all considerably faster than normal. Plesh et al.
excursion was most pronounced during the opening (1987) examined chewing rates of 46 cycles min)1 but
phase and that the entire cycle shifted towards the did not include habitual-rate chewing cycles for com-
working side. Our results indicate that the reduction in parison. In addition, their method of analysis did not
lateral excursion occurs only late in the opening phase allow quantitative comparison of the slow cycles with
and through much of the closing phase. fast cycles (100 and 160 cycles min)1). Other than the
Plesh et al. (1987, 1993) based their pattern on all longer duration of slower cycles, they did not describe
cycles in the chewing sequences. Their cycles showed a characteristics of slower than normal cycles and did not
high degree of variability both within and between compare them with cycles at the subjects habitual rate.
subjects. They were unable to quantify the changes in Our results indicate that when subjects chew more
lateral excursions for statistical analysis. In this study, slowly than normal they follow their habitual 3-D
selection of the 10 most representative cycles for each pathway of mandibular movement. Throughout this
chewing sequence greatly reduced within subject vari- pathway they use a lower mandibular velocity in order to
ability and the multilevel modelling allowed a more meet the cycle duration requirements set by the metro-
precise comparison of cycle patterns both within and nome. However, controlling this slower chewing cycle
between subjects. These techniques make it possible to appears to be more difcult, as demonstrated by higher
better quantify differences among the three chewing levels of between-cycle variability. These results suggest
rates and to locate where these differences occur in the that slower chewing is controlled by voluntary slowing
cycle. of the central pattern generator. There appear to be no
The excursive ranges we reported for habitual chews physiological or neurological limits to slow chewing.
differ from jaw movements previously reported. Our In contrast, when subjects chew faster than normal
vertical range was 37 mm less, our posterior range was they not only increased their mandibular velocity but
1520 mm more, and our lateral range was 05 also decrease the distance the mandible travels. The
35 mm more than the maximum movements previ- combination of a shorter pathway and higher velocity
4 ously reported for gum chews (Neill & Howell, 1988; results in the observed shorter cycle duration. The
Karlsson & Carlsson, 1989; Youssef et al., 1997; Snipes reason why a shorter pathway is needed for faster
5 et al., 1998). The differences are most likely methodo- cycles is not known. Subjects have been able to chew
logical because our 3-D cycle distances compare well up to 7 cycles s)1 (Morimoto et al., 1984), more than
with those reported by Karlsson and Carlsson (1989) for four times faster than the fast cycles in this study. If the
gum and Kiliaridis et al. (1991) for peanuts. The vertical, jaw muscles can be activated and contracted at these
inferior and lateral components probably differed high frequencies, then they should be able to contract
because (i) we evaluated ranges of movements rather fast enough to generate chewing cycles at 100 Hz with
than maximum movements, (ii) different starting points a more normal pathway.
for measuring excursions were used, (iii) we used the 10 One possible explanation might be that the inertia of
most representative cycles, effectively eliminating the mandible, tongue and hyoid apparatus have a
extreme cycles and (iv) differences in bolus size might resonant frequency that tends to establish a subject's
be expected to affect inferior and posterior movements. habitual chewing frequency. Elasticity of perioral soft
No previous studies have examined cycle shape and tissues also contribute to this resonant frequency.
dynamic velocities when subjects were asked to chew Different inertial masses and quality of perioral soft

2001 Blackwell Science Ltd, Journal of Oral Rehabilitation 28; 328334


334 G . S . T H R O C K M O R T O N et al.

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