Chewing side preference in children with cleft palate: concordance of three methods


  • Olga Patricia López-Soto Universidad Autónoma de Manizales
  • Lina María López-Soto Universidad Autónoma de Manizales
  • Alejandro Osorio-Forero Universidad Autónoma de Manizales
  • Francia Restrepo-de Mejía Universidad Autónoma de Manizales



Cleft palate, Mastication, Surface electromyography


Introduction: the objective was to measure the concordance of three methods to determine chewing side preference in children with cleft palate. Materials and methods: The sample included 47 children with cleft palate and similar age and socioeconomic level. Methods: the test of Christensen & Radue (1985), the test of Paphangkorakit et al (2006) and surface electromyography (sEMG) were used. Comparisons among groups were made by non-parametric methods. Results: the method of Paphangkorakit et al (2006) did not show concordance with the preference measured by the Christensen & Radue method (1985) (Pearson’s χ2 = 0.96, p = 0,619; Kappa = ‒0.08, p = 0,475). The results showed that cleft type is not associated to chewing side preference measured by the method of Paphangkorakit et al (2006) (Pearson’s χ2 = 5.07; p = 0,281; Kappa = 0.07, p = 0,274) but by the method of Christensen & Radue (1985) (Pearson’s χ2 = 7.09; p = 0.029; weak Cramer’s V association = 0.39, p = 0.029; Kappa = 0.19, p = 0.009). Patients with right cleft palate differ from patients with bilateral cleft in terms of sEMG amplitude asymmetry while chewing (right: 7.3 ± 12.8; bilateral: ‒2.67 ± 6.61; U = 104; p = 0,038). Conclusion: no concordance was found between the two studied clinical methods to identify masticatory preference, nor between these and sEMG.

= 191 veces | PDF (ESPAÑOL (ESPAÑA))
= 48 veces|


Download data is not yet available.

Author Biographies

Olga Patricia López-Soto, Universidad Autónoma de Manizales

DMD, Specialist in Research and Higher Education. Oral Health Research Group (INSAO). Universidad Autónoma de Manizales, Colombia.

Lina María López-Soto, Universidad Autónoma de Manizales

Speech therapist, Myofunctional therapist. Oral Health Research Group (INSAO). Universidad Autónoma de Manizales, Colombia

Alejandro Osorio-Forero, Universidad Autónoma de Manizales

Biomedical Engineer. Neurolearning Research Group. Universidad Autónoma de Manizales, Colombia

Francia Restrepo-de Mejía, Universidad Autónoma de Manizales

Medical Physiatrist, Ph.D in Social Sciences, Childhood and Youth Studies. Neurolearning Research Group. Universidad Autónoma de Manizales, Colombia


Alexander RM. News of chews: the optimization of mastication. Nature 1998; 391(6665): 329.

Wilding RJ, Lewin A. A model for optimum functional human jaw movements based on values associated with preferred chewing patterns. Arch Oral Biol 1991; 36(7): 519-523.

Christensen LV, Radue JT. Lateral preference in mastication: a feasibility study. J Oral Rehabil 1985; 12(5): 421-427.

Hoogmartens MJ, Stuyck J, Bockx E, Cheng N, Jacobs G, Nijs J et al. Stretch sensitivity of primary spindle endings in masseter and temporalis muscles: lateralization and association with unilateral preference pattern of mastication. Electromyogr Clin Neurophysiol 1980; 20(4-5): 369-381.

Wilding RJ, Adams LP, Lewin A. Absence of association between a preferred chewing side and its area of functional occlusal contact in the human dentition. Arch Oral Biol 1992; 37(5): 423-428.

Wilding RJ. The association between chewing efficiency and occlusal contact area in man. Arch Oral Biol 1993; 38(7): 589-596.

Hannam AG, De Cou RE, Scott JD, Wood WW. The relationship between dental occlusion, muscle activity and associated jaw movement in man. Arch Oral Biol 1977; 22(1): 25-32.

Okeson J. Tratamiento de los trastornos funcionales del sistema masticatorio. En: Tratamiento de Oclusión y afecciones temporomandibulares. Madrid: Mosby; 2003. p. 39-43.

Simões WA. Visão do crescimento mandibular e maxilar; Insights on maxillary and mandibular growth for better practice. J Bras Ortodon Ortop Facial 1998; 3(15): 9-18.

Pignataro Neto G, Bérzin F, Rontani RMP. Identificação do lado de preferência mastigatória através de exame eletromiográfico comparado ao visual. Dental Press J Orthod 2004; 9: 77-85.

Gibbs CH, Wickwire NA, Jacobson AP, Lundeen HC, Mahan PE, Lupkiewicz SM. Comparison of typical chewing patterns in normal children and adults. J Am Dent Assoc 1939; 1982; 105(1): 33-42.

Mc Donnell ST, Hector MP, Hannigan A. Chewing side preferences in children. J Oral Rehabil 2004; 31(9): 855-860.

Varela J, Castro N, Biedma B, da Silva Domínguez J, Quintanilla J, Muñoz F et al. A comparison of the methods used to determine chewing preference. J Oral Rehabil 2003; 30(10): 990-994.

Paphangkorakit J, Thothongkam N, Supanont N. Chewing‐side determination of three food textures. J Oral Rehabil 2006; 33(1): 2-7.

Moller E. Action of the muscles of mastication. Front Oral Biol 1974; 1: 121-158.

Mohamed SE, Christensen LV, Harrison JD. Tooth contact patterns and contractile activity of the elevator jaw muscles during mastication of two different types of food. J Oral Rehabil 1983; 10(1): 87-95.

Sheikholeslam A, Riise C. Influence of experimental interfering occlusal contacts on the activity of the anterior temporal and masseter muscles during submaximal and maximal bite in the intercuspal position. J Oral Rehabil 1983; 10(3): 207-214.

Poikela A, Kantomaa T, Tuominen M, Pirttiniemi P. Effect of unilateral masticatory function on craniofacial growth in the rabbit. Eur J Oral Sci 1995; 103(2): 106-111.

Poikela A, Kantomaa T, Pirttiniemi P. Craniofacial growth after a period of unilateral masticatory function in young rabbits. Eur J Oral Sci 1997; 105(4): 331-337.

Hideshima M. Masticatory movements in cleft lip and palate patients with unilateral buccal cross-bite. The effect of different buccal overlap on pattern of chewing. Nihon Hotetsu Shika Gakkai Zasshi 1989; 33(5): 1168-1182.

Ravera MJ, Miralles R, Santander H, Valenzuela S, Villaneuva P, Zúñiga C. Comparative study between children with and without cleft lip and cleft palate, Part 2: Electromyographic analysis. Cleft Palate Craniofac J 2000; 37(3): 286-291.

Gabriel DA. Effects of monopolar and bipolar electrode configurations on surface EMG spike analysis. Med Eng Phys 2011; 33(9): 1079-1085.

Gisel EG. Development of oral side preference during chewing and its relation to hand preference in normal 2-to 8-year-old children. Am J Occup Ther 1988; 42(6): 378-383.

Delport H, De Laat A, Nijs J, Hoogmartens M. Preference pattern of mastication during the first chewing cycle. Electromyogr Clin Neurophysiol 1983; 23(6): 491-500.

Kazazoglu E, Heath M, Müller F. A simple test for determination of the preferred chewing side. J Oral Rehabil 1994; 21(6): 723-724.

Yamashita S, Hatch JP, Rugh JD. Does chewing performance depend upon a specific masticatory pattern? J Oral Rehabil 1999; 26(7): 547-553.

Foster KD, Woda A, Peyron MA. Effect of texture of plastic and elastic model foods on the parameters of mastication. J Neurophysiol 2006; 95(6): 3469-3479.

Christensen LV, Radue JT. Lateral preference in mastication: an electromyographic study. J Oral Rehabil 1985; 12(5): 429-434.

Saifuddin M, Miyamoto K, Ueda HM, Shikata N, Tanne K. A quantitative electromyographic analysis of masticatory muscle activity in usual daily life. Oral Dis 2001; 7(2): 94-100.

Hoogmartens M, Cauberg M. Cheuring side preference during the first cheuring cycle as a new type of lateral preference in man. Electromyogr Clin Neurophysiol 1987; 27(1): 3-6.

Mioche L, Hiiemae KM, Palmer JB. A postero-anterior videofluorographic study of the intra-oral management of food in man. Arch Oral Biol 2002; 47(4): 267-280.

Farias Gomes SG, Custodio W, Moura Jufer JS, Del Bel Cury AA, Rodrigues Garcia RCM. Correlation of mastication and masticatory movements and effect of chewing side preference. Braz Dent J 2010; 21(4): 351-355.

Wilding RJ, Lewin A. The determination of optimal human jaw movements based on their association with chewing performance. Arch Oral Biol 1994;39(4): 333-343.

Minato A, Ono T, Miyamoto JJ, Honda E-i, Kurabayashi T, Moriyama K. Preferred chewing side-dependent two-point discrimination and cortical activation pattern of tactile tongue sensation. Behav Brain Res 2009; 203(1): 118-126.

Pond LH, Barghi N, Barnwell GM. Occlusion and chewing side preference. J Prosthet Dent 1986; 55(4): 498-500.

McDonnell ST, Hector MP. The distribution of stimulated saliva in children. Int J Paediatr Dent 2001; 11(6): 417-423.

Riise C. Clinical and electromyographic studies on occlusion. Estocolmo: Department of Stomatognathic Physiology, Karolinska Institutet; 1983.

Bakke M, Michler L, Moller E. Feedback of bolus on elevator activity during mastication. J Dent Res 1983; 62:653.

Stålberg E, Eriksson PO, Antoni L, Thornell LE. Electrophysiological study of size and fibre distribution of motor units in the human masseter and temporal muscles. Arch Oral Biol 1986; 31(8): 521-527.

Andrade Ad S, Gavião MB, Gameiro GH, De Rossi M. Characteristics of masticatory muscles in children with unilateral posterior crossbite. Braz Oral Res 2010; 24(2): 204-210.

Nissan J, Gross MD, Shifman A, Tzadok L, Assif D. Chewing side preference as a type of hemispheric laterality. J Oral Rehabil 2004; 31(5): 412-416.



How to Cite

López-Soto, O. P., López-Soto, L. M., Osorio-Forero, A., & Restrepo-de Mejía, F. (2014). Chewing side preference in children with cleft palate: concordance of three methods. Revista Facultad De Odontología Universidad De Antioquia, 26(1), 89–105.

Similar Articles

1 2 3 4 5 6 > >> 

You may also start an advanced similarity search for this article.