Effect of different head positions on the jaw closing point during tapping movements

Abstract

This study aimed to investigate the effects of different head positions on jaw closing points during tapping movements. The jaw movements of 20 adult volunteers were assessed using a new jaw-tracking device. All subjects had stable maximal intercuspation with their natural dentitions. The subjects were asked to seat on a dental chair with their head upright, and tapping movements were recorded for 5 s without any further instructions. After the chair was reclined to the horizontal position, tapping movements were also recorded with the head in the supine position. The location of the tapping point was defined as the jaw position which was the most closed to the maximum intercuspal position during each tapping stroke. Fifteen tapping points were obtained from the upright and supine head positions of each subject. Six-hundred tapping points were compared to evaluate the effects of different head positions. With the head upright, tapping points were relatively stable and close to the jaw position at the maximum intercuspation. However, in the supine position, tapping points varied widely and shifted forward. The average distance between the positions of the incisal point at the maximum intercuspation and at the tapping points was 0.11 mm (SD, 0.10) in the upright position and 0.30 mm (SD, 0.08) in the supine position. A Wilcoxon signed rank test showed a significant difference (P < 0.01) between these distances. We conclude that tapping points shift anteriorly in the supine position.