{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T12:27:33Z","timestamp":1791116853213,"version":"4.1.0"},"reference-count":33,"publisher":"FapUNIFESP (SciELO)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Braz. Dent. J."],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:p>Abstract Craniofacial morphology affects masticatory performance in healthy dentate subjects, but little is known about its effects in patients with painful temporomandibular disorders (TMDs). Forty-eight female patients (mean age of 28\u00b15.8 years) with painful TMDs underwent lateral cephalometric radiography. Using Ricketts' cephalometric analysis and the Vert method, subjects were assigned to three groups according to their craniofacial morphology: brachyfacial (n=22), mesofacial (n=13), and dolichofacial (n=13). Research diagnostic criteria for TMD were used to confirm the TMD diagnosis for each patient. Pain intensity was reported by each patient based on a visual analog scale (VAS). Maximum bite force (MBF) was measured with pressure sensors placed on the first molar site. Masticatory performance (MP) was assessed by chewing a silicone-based artificial material and determining the resulting particle size by the sieve method. Chewing ability (CA) was evaluated for seven food types and analyzed by a VAS questionnaire. Data were analyzed by one-way ANOVA followed by a Tukey-Kramer test (p&lt;0.05). MBF differed in each group, with brachyfacial patients having the highest MBF values. There was no difference in MP among the groups. The groups differed only in their ability to chew one of the seven evaluated food types. In summary, craniofacial morphology affects the MBF without impairing MP or CA in patients with painful TMDs.<\/jats:p>","DOI":"10.1590\/0103-6440201600708","type":"journal-article","created":{"date-parts":[[2016,12,7]],"date-time":"2016-12-07T16:48:12Z","timestamp":1481129292000},"page":"619-624","source":"Crossref","is-referenced-by-count":8,"title":["Craniofacial Morphology Affects Bite Force in Patients with Painful Temporomandibular Disorders"],"prefix":"10.1590","volume":"27","author":[{"given":"Paula Furlan","family":"Bavia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Universidade Estadual de Campinas, Brazil","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa Soares Reis","family":"Vilanova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renata Cunha Matheus Rodrigues","family":"Garcia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1093\/ejo\/cju011","article-title":"Masticatory function in patients with dentofacial deformities before and after orthognathic treatment - a prospective, longitudinal, and controlled study","volume":"37","author":"Abrahamsson C","year":"2015","journal-title":"Eur J Orthod"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1016\/j.tripleo.2007.12.034","article-title":"Mandibular function in patients with temporomandibular joint pain: a 3-year follow-up","volume":"106","author":"Bakke M","year":"2008","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"667","DOI":"10.1067\/mpr.2002.123229","article-title":"Influence of impaired mastication on nutrition","volume":"87","author":"N'gom PI","year":"2002","journal-title":"J Prosthet Dent"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"641","DOI":"10.1016\/S0003-9969(01)00023-1","article-title":"Determinants of masticatory performance in dentate adults","volume":"46","author":"Hatch JP","year":"2001","journal-title":"Arch Oral Biol"},{"key":"ref5","first-page":"21","article-title":"Does malocclusion affect masticatory performance?","volume":"72","author":"English JD","year":"2002","journal-title":"Angle Orthod"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1093\/ejo\/23.2.179","article-title":"Temporomandibular disorders in relation to craniofacial dimensions, head posture and bite force in children selected for orthodontic treatment","volume":"23","author":"Sonnesen L","year":"2001","journal-title":"Eur J Orthod"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1590\/S1678-77572011005000008","article-title":"Occlusal force, electromyographic activity of masticatory muscles and mandibular flexure of subjects with different facial types","volume":"19","author":"Custodio W","year":"2011","journal-title":"J Appl Oral Sci"},{"key":"ref8","first-page":"320","article-title":"Female hormonal fluctuation and masticatory function in patients with disc displacement - a case-control study","volume":"24","author":"Gon\u00e7alves TM","year":"2011","journal-title":"Int J Prosthodont"},{"key":"ref9","first-page":"7","article-title":"Human oral function: a review","volume":"1","author":"van der Bilt A","year":"2002","journal-title":"Braz J Oral Sci"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1111\/j.1365-2842.2006.01614.x","article-title":"Measuring chewing ability in randomized controlled trials with edentulous populations wearing implant prostheses","volume":"33","author":"Feine JS","year":"2006","journal-title":"J Oral Rehabil"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1016\/S0022-3913(11)60041-3","article-title":"Impact of facial form on the relationship between conventional or implant-assisted mandibular dentures and masticatory function","volume":"105","author":"Ochiai KT","year":"2011","journal-title":"J Prosthet Dent"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"463","DOI":"10.1046\/j.1365-2842.2001.00688.x","article-title":"Chewing ability as a parameter for evaluating the disability of patients with temporomandibular disorders","volume":"28","author":"Kurita H","year":"2001","journal-title":"J Oral Rehabil"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1111\/j.1834-7819.2008.00050.x","article-title":"How does pain affect jaw muscle activity? 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