Quantification of tooth-tapping forcesManal Maslamani*, Sreeja Saji and Peter Lucas
Department of Restorative Sciences, Faculty of Dentistry, Kuwait University, Kuwait
- *Corresponding Author:
- Manal Maslamani
Department of Restorative Sciences
Faculty of Dentistry, Kuwait University, Kuwait
Tel: +965 94469394
Fax: +965 24986741
E-mail: [email protected]
Received Date: June 06, 2017; Accepted Date: June 21, 2017; Published Date: June 30, 2017
Citation: Maslamani M, Saji S, Lucas P (2017) Quantification of Tooth-Tapping Forces. J Res Development 5: 155. doi: 10.4172/2311-3278.1000155
Copyright: © 2017 Maslamani M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objective: Percussion of teeth with a handle of a mouth mirror is a common method of diagnosis in dentistry. Pain or discomfort in response to the percussive force can indicate a variety of problems including diseased periodontium or pulp via eliciting pain. The main objective was to instrument a mouth mirror to assess the forces that dentists routinely use in such percussion, as compared to maximum bite forces. Methods: The instrumented handle of a mouth mirror was used by one clinician to tap healthy teeth in 15 subjects. These percussive forces were compared to maximum voluntary forces produced by the subjects. A pilot study of 15 dentists was then run, who percussed the teeth of two healthy subjects. Results: In the preliminary study, biting forces were variably two orders of magnitude higher than for tapping, being higher on posterior teeth (p < 0.001). In the multi-dentist dataset, tapping forces remained consistently in the low-Newton range, being significantly higher on posterior than anterior teeth and when male dentists were performing the percussion (p < 0.001). Conclusions: Knowledge of the physiological sensitivity is important in formulating guidelines for training dentists in these techniques such that forces are kept appropriate for diagnosis.