{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T21:20:28Z","timestamp":1769635228363,"version":"3.49.0"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T00:00:00Z","timestamp":1756857600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T00:00:00Z","timestamp":1756857600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001171","name":"Cancer Institute NSW","doi-asserted-by":"publisher","award":["2020\/2081"],"award-info":[{"award-number":["2020\/2081"]}],"id":[{"id":"10.13039\/501100001171","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100024053","name":"Sydney Local Health District","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100024053","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100022937","name":"Australian and New Zealand Head and Neck Cancer Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100022937","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011371","name":"Royal Australasian College of Surgeons","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011371","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["2024602"],"award-info":[{"award-number":["2024602"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Bite forces required to masticate different food consistencies remain unknown, complicating dietary guidelines following mandibular reconstruction. This study quantifies the forces required for solid foods and estimates safe bite limits postreconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty food items were prepared according to IDDSI Levels 5 through 7b. Incisor and molar bite forces were measured using a custom\u2010built force meter. Finite element (FE) analysis simulated safe force thresholds for single\u2010, double\u2010, and triple\u2010segment mandibular reconstructions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Bite force increased with food consistency, ranging from 4.6\u2009N (IDDSI 5, incisors) to 45.4\u2009N (IDDSI 7b, molars). Molars required higher forces than incisors (mean difference 9.0\u2009N,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). FE analysis indicated safe bite forces of30\u2013115\u2009N depending on reconstruction complexity and bone union. IDDSI 5 foods were safe in all cases, while higher levels often exceeded thresholds.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings support evidence\u2010based dietary recommendations after mandibular reconstruction using the IDDSI framework.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70031","type":"journal-article","created":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T09:42:26Z","timestamp":1756892546000},"page":"346-356","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Quantifying Bite Forces for Solid Foods: Implications for Patients Postmandibular Reconstruction"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4485-3817","authenticated-orcid":false,"given":"Jacob J.","family":"Clark","sequence":"first","affiliation":[{"name":"School of Biomedical Engineering, Faculty of Engineering, The University of Sydney  Darlington Australia"},{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Camperdown Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8246-210X","authenticated-orcid":false,"given":"Emma K.","family":"Charters","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Camperdown Australia"},{"name":"Royal Prince Alfred Institute of Academic Surgery, Sydney Local Health District  Camperdown Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Camperdown Australia"},{"name":"Royal Prince Alfred Institute of Academic Surgery, Sydney Local Health District  Camperdown Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Boyang","family":"Wan","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Camperdown Australia"},{"name":"School of Aerospace, Mechanical and Mechatronic Engineering, Faculty of Engineering, The University of Sydney  Camperdown Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masako","family":"Dunn","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Camperdown Australia"},{"name":"NHMRC Centre of Research Excellence for Applied Innovations in Oral Cancer, The University of Sydney  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim G. H.","family":"Manzie","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Camperdown Australia"},{"name":"NHMRC Centre of Research Excellence for Applied Innovations in Oral Cancer, The University of Sydney  Sydney Australia"},{"name":"Central Clinical School, Faculty of Medicine and Health, The University of Sydney  Camperdown Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dale G.","family":"Howes","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Camperdown Australia"},{"name":"School of Dentistry, Faculty of Medicine and Health, The University of Sydney  Camperdown Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth C.","family":"Ward","sequence":"additional","affiliation":[{"name":"Centre for Functioning and Health Research, Metro South Health, Queensland Health  Brisbane Australia"},{"name":"School of Health and Rehabilitation Sciences, Faculty of Health, Medicine and Behavioral Sciences, The University of Queensland  St Lucia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qing","family":"Li","sequence":"additional","affiliation":[{"name":"School of Aerospace, Mechanical and Mechatronic Engineering, Faculty of Engineering, The University of Sydney  Camperdown Australia"},{"name":"NHMRC Centre of Research Excellence for Applied Innovations in Oral Cancer, The University of Sydney  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan R.","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Camperdown Australia"},{"name":"Royal Prince Alfred Institute of Academic Surgery, Sydney Local Health District  Camperdown Australia"},{"name":"NHMRC Centre of Research Excellence for Applied Innovations in Oral Cancer, The University of Sydney  Sydney Australia"},{"name":"Central Clinical School, Faculty of Medicine and Health, The University of Sydney  Camperdown Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.16441"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.18307"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmbbm.2020.104157"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0278\u20102391(92)90228\u2010R"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.18044\/MedInform.201412.70"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/20417314231172573"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010024\u201003857\u2010y"},{"key":"e_1_2_9_9_1","volume-title":"A Global Initiative to Improve the Lives of Over 590 Million People Worldwide Living With Dysphagia","author":"IDDSI\u2014International Dysphagia Diet Standardisation Initiative","year":"2024"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010016\u20109758\u2010y"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2023.09.007"},{"key":"e_1_2_9_12_1","unstructured":"\u201cIDDSI Framework Testing Methods 2.0 \u201dIDDSI accessed February 2 2025 https:\/\/www.iddsi.org\/images\/Publications\u2010Resources\/DetailedDefnTestMethods\/English\/V2TestingMethodsEnglish31july2019.pdf."},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijfatigue.2021.106160"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2017.07.010"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.2478\/V10133\u2010010\u20100048\u20109"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.26599\/FRICT.2025.9441013"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2018.01.016"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/10255842.2016.1240788"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmbbm.2022.105483"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.engfracmech.2024.110158"},{"key":"e_1_2_9_21_1","unstructured":"R Core Team \u201cR: The R Project for Statistical Computing \u201d2024. accessed September 2 2025 https:\/\/www.r\u2010project.org\/."},{"key":"e_1_2_9_22_1","unstructured":"H.Wickham D.Vaughan M.Girlich K.Ushey P.Software andPBC \u201ctidyr: Tidy Messy Data \u201dPublished online January 24 2024. accessed September 2 2025 https:\/\/cran.r\u2010project.org\/web\/packages\/tidyr\/index.html."},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"}],"container-title":["Head &amp; 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