Skip to main content
Log in

Pressure from the lips and the tongue in children with class III malocclusion

  • Published:
Journal of Zhejiang University SCIENCE B Aims and scope Submit manuscript

Abstract

Objective

To discuss possible relationships between class III malocclusion and perioral forces by measuring the pressure from the lips and the tongue of children with class III malocclusion.

Methods

Thirty-one children with class III malocclusion were investigated and their perioral forces were measured at rest and during swallowing under natural head position by a custom-made miniperioral force computer measuring system.

Results

The resting pressures exerted on the labial side and palatine side of the upper left incisor, as well as the labial side and lingual side of the lower left incisor, were 0 g/cm2, 0 g/cm2, 0.57 g/cm2 and 0.23 g/cm2, respectively. Correspondingly, the swallowing forces were 2.87 g/cm2, 5.97 g/cm2, 4.09 g/cm2 and 7.89 g/cm2, respectively. No statistical difference between muscular pressure and gender existed. During swallowing, the lingual forces were significantly higher than the labial forces (P<0.01), however, at rest there was no significantly different force between these two sides. Compared to the normal occlusion patients, children with class III malocclusion had lower perioral forces. The upper labial resting forces (P<0.01), the lower labial resting forces (P<0.05) and all the swallowing pressures from the lips and the tongue (P<0.01) showed statistical differences between the two different occlusion conditions. Meanwhile, no significant difference was found for the resting pressure from the tongue between class III malocclusion and normal occlusion.

Conclusion

Patients with class III malocclusion have lower perioral forces and this muscle hypofunction may be secondary to the spatial relations of the jaws. The findings support the spatial matrix hypothesis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Aguirre, J.I., Plotkin, L.I., Stewart, S.A., Weinstein, R.S., Parfitt, A.M., Manolagas, S.C., Bellido, T., 2006. Osteocyte apoptosis is induced by weightlessness in mice and precedes osteoclast recruitment and bone loss. J. Bone Miner. Res., 21(4):605–615. [doi:10.1359/jbmr.060107]

    Article  PubMed  Google Scholar 

  • Frost, H.M., 1987. The mechanostat: a proposed pathogenic mechanism of osteoporoses and the bone mass effects of mechanical and nonmechanical agents. Bone Miner., 2(1):73–86.

    PubMed  CAS  Google Scholar 

  • Jung, M.H., Yang, W.S., Nahm, D.S., 2003. Effects of upper lip closing force on craniofacial structures. Am. J. Orthod. Dentofac. Orthop., 123(1):58–63. [doi:10.1067/mod.2003.54]

    Article  Google Scholar 

  • Leitao, P., Nanda, R.S., 2000. Relationship of natural head position to craniofacial morphology. Am. J. Orthod. Dentofac. Orthop., 117(4):406–417. [doi:10.1016/S0889-5406(00)70160-0]

    Article  CAS  Google Scholar 

  • Li, K.F., Lin, Z., 1993. Measurement of perioral forces exerted normal occlusion of adolescence. J. Pract. Stomatol., 9(4):190–192 (in Chinese).

    Google Scholar 

  • Li, Y., Shi, B., Song, Q.G., Zuo, H., Zheng, Q., 2006. Effects of lip repair on maxillary growth and facial soft tissue development in patients with a complete unilateral cleft of lip, alveolus and palate. J. Craniomaxillofac. Surg., 34(6):355–361. [doi:10.1016/j.jcms.2006.03.005]

    PubMed  Google Scholar 

  • Radlanski, R.J., Renz, H., 2006. Genes, forces, and forms: mechanical aspects of prenatal craniofacial development. Dev. Dyn., 235(5):1219–1229. [doi:10.1002/dvdy.20704]

    Article  PubMed  Google Scholar 

  • Roberts, W.E., 2000. Bone Physiology, Metabolism, and Biomechanics in Orthodontic Practice. In: Graber, T.M., Vanarsdall, R.L.Jr (Eds.), Orthodontics: Current Principles and Techniques, 3rd Ed. Mosby, Inc., St. Louse, USA, p.225–227.

    Google Scholar 

  • Ruan, W.H., Huang, M.L., 1999. Relationship between feeding methods and deciduous teeth decay and anterior teeth crossbite. J. Zhejiang Med. Univ., 28(1):27–28, 30 (in Chinese).

    Google Scholar 

  • Ruan, W.H., Guo, Q., Gu, Z.Y., Lu, Y., 2002. The development and application of PC measuring system for the muscular pressure exerting on the deciduous dental arch. Chin. J. Dent. Mater. Devices, 11(4):192–194, 203 (in Chinese).

    Google Scholar 

  • Ruan, W.H., Chen, M.D., Gu, Z.Y., Lu, Y., Su, J.M., Guo, Q., 2005. Muscular forces exerted on the normal deciduous dentition. Angle Orthod., 75(5):785–790.

    PubMed  Google Scholar 

  • Singh, G.D., 1999. Morphologic determinants in the etiology of class III malocclusions: a review. Clin. Anat., 12(5):382–405. [doi:10.1002/(SICI)1098-2353(1999)12:5〈382::AID-CA9〉3.3.CO;2-S]

    Article  PubMed  CAS  Google Scholar 

  • Singh, G.D., 2004. On Growth and Treatment: the Spatial Matrix Hypothesis. In: McNamara, J.A.Jr (Ed.), Growth and Treatment: A Meeting of the Minds. Monograph 41, Craniofacial Growth Series, Ann Arbor, USA, p.197–239.

    Google Scholar 

  • Singh, G.D., McNamara, J.A.Jr, Lozanoff, S., 1998. Craniofacial heterogeneity of prepubertal Korean and European-American subjects with class III malocclusions: procrustes, EDMA and cephalometric analyses. Int. J. Adult Orthod. Orthog. Surg., 13(3):227–240.

    CAS  Google Scholar 

  • Singh, G.D., McNamara, J.A.Jr, Lozanoff, S., 1999. Allometry of the cranial base in prepubertal Korean subjects with class III malocclusions. Finite-element morphometry. Angle Orthod., 69(5):507–514.

    PubMed  CAS  Google Scholar 

  • Singh, G.D., Rivera-Robles, J., de Jesus-Vinas, J., 2004. Longitudinal craniofacial growth patterns in patients with orofacial clefts: geometric morphometrics. The Cleft Palate-Craniofacial Journal, 41(2):136–143. [doi:10.1597/02-166]

    Article  PubMed  CAS  Google Scholar 

  • Sinsel, N.K., Opdebeeck, H., Guelinckx, P.J., 1998. The effect of unilateral partial facial paralysis and muscle ablation on craniofacial growth and development: an experimental study in the rabbit. Plast. Reconstr. Surg., 102(6):1894–1912. [doi:10.1097/00006534-199811000-00014]

    Article  PubMed  CAS  Google Scholar 

  • Sinsel, N.K., Guelinckx, P.J., Opdebeeck, H., 1999. The effect of unilateral partial facial paralysis on nasofrontal suture growth: an experimental study in the rabbit. Plast. Reconstr. Surg., 103(7):1887–1892. [doi:10.1097/00006534-199906000-00013]

    Article  PubMed  CAS  Google Scholar 

  • Takahashi, S., Ono, T., Ishiwata, Y., Kuroda, T., 1999. Effect of changes in the breathing mode and body position on tongue pressure with respiratory-related oscillations. Am. J. Orthod. Dentofac. Orthop., 115(3):239–246. [doi:10.1016/S0889-5406(99)70324-0]

    Article  CAS  Google Scholar 

  • Thüer, U., Ingervall, B., 1986. Pressure from the lips on the teeth and malocclusion. Am. J. Orthod. Dentofac. Orthop., 90(3):234–242. [doi:10.1016/0889-5406(86)90070-3]

    Article  Google Scholar 

  • Thüer, U., Sieber, R., Ingervall, B., 1999. Cheek and tongue pressures in the molar areas and the atmospheric pressure in the palatal vault in young adults. Eur. J. Orthod., 21(3):299–309. [doi:10.1093/ejo/21.3.299]

    Article  PubMed  Google Scholar 

  • van Vuuren, C., 1991. A review of the literature on the prevalence of class III malocclusion and mandibular prognathic growth hypotheses. Aust. Orthod. J., 12(1):23–28.

    PubMed  Google Scholar 

  • Yuan, H., Fu, M.K., 1998. Normal occlusion’s perioral forces. Chin. J. Stomatol., 33(1):30–32 (in Chinese).

    CAS  Google Scholar 

  • Zhou, Y.H., Fu, M.K., 1995. Swallowing pattern in skeletal class III malocclusion. Chin. J. Stomatol., 30(6):355–358, 384 (in Chinese).

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Project (No. 2002ZX040) supported by the Health Bureau of Zhejiang Province, China

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ruan, Wh., Su, Jm. & Ye, Xw. Pressure from the lips and the tongue in children with class III malocclusion. J. Zhejiang Univ. - Sci. B 8, 296–301 (2007). https://doi.org/10.1631/jzus.2007.B0296

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1631/jzus.2007.B0296

Key words

CLC number

Navigation