This study was designed to evaluate a new method for assessing masticatory disturbances in patients with occupational maxillofacial injuries From November 1993 through March 1998, 70 patients (60 men and 10 women, mean age, 43.8 years, range 21 to 69) were examined on the basis of (1) dental findings, (2) number of maxillofacial injures, (3) maximum rate of jaw tapping in a 10-second period, and (4) occlusional findings by DENTAL PRESCALE (Fuji Photo Film Co.). In addition, the masticatory efficiency rate was calculated from the results of a questionnaire assessing the ability to chew 50 different foods. Multiple regression analysis was used to examine the relationship between masticatory efficiency rate and variables (1) to (4).
The following results were obtained:
The correlation coefficient was 0.725 between masticatory efficiency rate and the maximum rate of jaw tapping in a 10-second period. At a 90% masticatory efficiency rate, the jaw tapping rate was about 46/10-second period, (70%, about 31, 50%, about 17). On multiple regression analysis, the multiple correlation coefficient was 0.799, and the coefficient of determination was 0.615. A new test to evaluate masticatory disturbances duc to occupational maxillofacial injuries was designed on the basis of the masticatory efficiency rate, assessing the ability to chew 50 different foods.
The grade of masticatory disturbance was classified from 1 to 6 (grade 1, eating soup only; grade 2, chewing four kinds of soft foods, including soup; grade 3, 10% to less than 50%; grade 4, 50% to less than 70%; grade 5, 70% to less than 90% grade 6, 90% to 100%) on the basis of the masticatory efficiency rate.
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