Occlusal wear pattern during sleep in adolescents aged 12 to 17 years according to Angle’s classification


  • Nicolás Esteban Noy-Baquero Universidad El Bosque
  • Michel Andrés Puentes-Riveros Universidad El Bosque
  • Eliana Midori Tanaka-Lozano Universidad El Bosque




dental occlusion, malocclusion, tooth wear, sleep bruxism


Introduction: the goal of this study was to describe the sleep bruxism-related occlusal wear pattern in adolescents aged 12 to 17 years with full permanent dentition, according to Angle’s molar classification (AMC). Methods: Descriptive cross-sectional study. Prior informed consent, 45 adolescents grouped into Angle I, II, and III molar classification were evaluated. The clinical form was filled out and an alginate impression of the upper arch was obtained and poured with type III plaster, (Orthoprofessional Dental, Colombia), then thermomoulding two Bruxchecker® mouthguards which were provided to the patients with instructions for use  (Biostar, Scheu Dental Technology, Germany) . Through visual examination, a practitioner determined the occlusal pattern according to the dental wear produced during mandibular dynamics in sleep, taking into account the location and extension of the markings by reduced red ink in the Bruxchecker®. Results: the total distribution of the sample (n = 45) yielded a higher frequency of two occlusal patterns: group function with balanced contact points (GF + BCP: 35.6%) and group function with balanced contact areas (GF + BCA: 24.4%). Conclusions: the distribution of occlusal wear patterns for AMC I showed predominance of canine guidance with balanced contact areas (CG + BCA) and canine guide with balanced contact points (CG + BCP) in 53.3%. In AMC II, the predominant patterns (with 80%) were group function with balanced contact areas (GF + BCA) and group function with balanced contact points (GF + BCP). In AMC III, the predominant patterns (with 60%) were group function with balanced contact areas (GF + BCA) and group function with balanced contact points (GF + BCP).

= 828 veces | PDF
= 382 veces|


Download data is not yet available.

Author Biographies

Nicolás Esteban Noy-Baquero, Universidad El Bosque

Dental student, 10th semester, Universidad El Bosque, Bogotá, Colombia. 

Michel Andrés Puentes-Riveros, Universidad El Bosque

Dental student, 10th semester, Universidad El Bosque, Bogotá, Colombia. 

Eliana Midori Tanaka-Lozano, Universidad El Bosque

DDS, School of Dentistry, Pontificia Universidad Javeriana. Specialist in Orthodontics, Universidad Militar Nueva
Granada–Fundación CIEO, Bogotá, Colombia. PhD, Kanagawa Dental College, Yokosuka, Japan. Associate Professor and Head of the Specialization in Orthodontics, Universidad El Bosque, Bogotá, Colombia.


Okeson JP. Tratamiento de oclusión y afecciones temporomandibulares. 5 ed. Madrid: Mosby; 2003.

American Academy of Sleep Medicine. International classification of sleep disorders. 3 ed. Darien, IL:

AASM; 2014.

Angle EH. Classification of malocclusion. The Dental Cosmos [online]. 1899; 41(3): 248-64. Available in:

http://quod.lib.umich.edu/d/dencos/acf8385.0041.001/272:56?page=root;size=100; view=image

Ommerborn MA, Giraki M, Schneider C, Fuck LM, Handschel J, Franz M, et al. Effects of sleep bruxism on

functional and occlusal parameters: a prospective controlled investigation. Int J Oral Sci. 2012; 4(3): 141-5.

DOI: https://doi.org/10.1038/ijos.2012.48

D’Amico A. The canine teeth: normal functional relation of the natural teeth of man. J South Calif Dent

Assoc 1958; 26(1): 6-23. DOI: https://doi.org/10.1016/0022-3913(61)90148-2

Beyron H. Occlusal relations and mastication in Australian aborigines. Acta Odontol Scand. 1964; 22:


Bonwill WGA. Geometric and mechanical laws of articulation: anatomical articulation. Philadelphia:

Transactions of the Odontological Society of Pennsylvania; 1885.

Asawaworarit N, Mitrirattanakul S. Occlusal scheme in a group of Thais. J Adv Prosthodont. 2011; 3(3):

-5. DOI: https://doi.org/10.4047/jap.2011.3.3.132

Park B, Tokiwa O, Takezawa Y, Takahashi Y, Sasaguri K, Sato S. Relationship of tooth grinding pattern

during sleep bruxism and temporomandibular joint status. Cranio. 2008; 26(1): 8-15. DOI: https://doi.


Sato S, Slavicek R. Bruxism as stress management function. Bull Kanagawa Dent Coll. 2001; 29(2): 101-10.

Kawagoe T, Onodera K, Tokiwa O, Sasaguri K, Akimoto S, Sato S. Relationship between sleeping occlusal

contact patterns and temporomandibular disorders in the adult Japanese population. Int J Stomatol

Occlusion Med. 2009; 2(1): 11-5. DOI: https://doi.org/10.1007/s12548-009-0002-3

Manfredini D, Peretta R, Guarda-Nardini L, Ferronato G. Predictive value of combined clinically diagnosed

bruxism and occusal features for TMJ pain. Cranio. 2010; 28(2): 105-13. DOI: https://doi.org/10.1179/


Takahara M, Suwa S. Sleep and brain function in children. Bull Kanagawa Dent Coll. 2009; 37(1): 83-7.

Tanaka E, González MC, Díez I, López JP. Aplicación clínica del bruxchecker® en odontología para la

evaluación en sueño del patrón de desgaste oclusal. Univ Odontol. 2015; 34(72): 19-29.

Barbour ME, Rees GD. The role of erosion, abrasion and attrition in tooth wear. J Clin Dent. 2006; 17(4):


Onodera K, Kawagoe T, Sasaguri K, Protacio-Quismundo C, Sato S. The use of a bruxchecker in the

evaluation of different grinding patterns during sleep bruxism. Cranio. 2006; 24(4): 292-9. DOI: https://


Cabrera CL, Celis S, Valencia G, Sáenz A, Moreno S, Ruíz A. Validación de la placa bruxchecker como

medio diagnóstico de bruxismo comparada con modelos de estudio en la clínica de la Universidad

Cooperativa de Colombia, sede Bogotá, durante el periodo comprendido entre febrero y mayo del 2011.

Acta Odontol Colomb. 2012; 2(2): 23-32.

Panek H, Matthews-Brzozowska T, Nowakowska D, Panek B, Bielicki G et al. Dynamic occlusions in

natural permanent dentition. Quintessence Int. 2008; 39(4): 337-42.

Tecco S, Crincoli V, Di-Bisceglie B, Saccucci M, Macrí M, Polimeni A et al. Signs and symptoms of

temporomandibular joint disorders in Caucasian children and adolescents. Cranio. 2011; 29(1): 71-9.

DOI: https://doi.org/10.1179/crn.2011.010

Belser UC, Hannam AG. The influence of altered working-side occlusal guidance on masticatory muscles

and related jaw movement. J Prosthet Dent. 1985; 53(3): 406-13.

Rinchuse DJ, Kandasamy S, Sciote J. A contemporary and evidence-based view of canine protected

occlusion. Am J Orthod Dentofacial Orthop. 2007; 132(1): 90-102. DOI: https://doi.org/10.1016/j.


Soto L, de-la-Torre JD, Aguirre I, de-la-Torre E. Trastornos temporomandibulares en pacientes con

maloclusiones. Rev Cubana Estomatol. 2013; 50(4): 374-87.

Henrikson T, Ekberg EC, Nilner M. Symptoms and signs of temporomandibular disorders in girls with

normal occlusion and class II malocclusion. Acta Odontol Scand. 1997; 55(4): 229-35.

Tecco S, Festa F. Prevalence of signs and symptoms of temporomandibular disorders in children and

adolescents with and without crossbites. World J Orthod. 2010; 11(1): 37-42.

Popovic N, Drinkuth N, Toll DE. Prevalence of class III malocclusion and crossbite among children and

adolescents with craniomandibular dysfunction. J Orofac Orthop. 2014; 75(1): 36-41. DOI: https://doi.


Gadotti IC, Bérzin F, Biasotto-Gonzalez D. Preliminary rapport on head posture and muscle activity in


with class I and II. J Oral Rehabil. 2005; 32(11): 794-9. DOI: https://doi.org/10.1111/j.1365-


Goldstein DF, Kraus SL, Willams WB, Glasheen-Wray M. Influence of cervical posture on mandibular

movement. J Prosthet Dent. 1984; 52(3): 421-6.

Colombia. Ministerio de Salud. IV Estudio Nacional de Salud Bucal ENSAB IV: situación en salud: para

saber cómo estamos y saber qué hacemos. Bogotá: Minsalud; 2014.

Baba K, Yugami K, Yaka T, Ai M. Impact of balancing side tooth contact on clenching induced mandibular

displacements in humans. J Oral Rehabil. 2001; 28(8): 721-7.

Rinchuse DJ, Kandasamy S. Myths of orthodontic gnathology. Am J Orthod Dentofacial Orthop. 2009;

(3): 322-30. DOI: https://doi.org/10.1016/j.ajodo.2008.04.021

Minagi S, Ohtsuki H, Sato T, Ishii A. Effect of balancing-side occlusion on the ipsilateral TMJ dynamics

under clenching. J Oral Rehabil. 1997; 24(1): 57-62.

Ohta M, Minagi S, Sato T, Okamoto M, Shimamura M. Magnetic resonance imaging analysis on the

relationship between anterior disc displacement and balancing-side occlusal contact. J Oral Rehabil. 2003;

(1): 30-3.

Okano N, Baba K, Igarashi Y. Influence of altered occlusal guidance on masticatory muscle activity during

clenching. J Oral Rehabil. 2007; 34(9): 679-84. DOI: https://doi.org/10.1111/j.1365-2842.2007.01762.x

Seedorf H, Weitendorf H, Scholz A, Kirsch I, Heydecke G. Effect of non-working occlusal contacts on

vertical condyle position. J Oral Rehabil. 2009; 36(6): 435-41. DOI: https://doi.org/10.1111/j.1365-


Seedorf H, Seetzen F, Scholz A, Sadat-Khonsari MR, Kirsch I, Jüde HD. Impact of posterior occlusal

support on the condylar position. J Oral Rehabil. 2004; 31(8): 759-63. DOI: https://doi.org/10.1111/


Ahlgren J. The silent period in the EMG of the jaw muscles during mastication and its relationship to tooth

contacts. Acta Odontol Scand. 1969; 27: 219-34.

Williamson EH, Lundquist DO. Anterior guidance: its effect on electromyographic activity of the temporal

and masseter muscles. J Prosthet Dent. 1983; 49: 816-23.

Acosta R, Roura N. A review of the literature on the causal relationship between occlusal factors (OF) and

temporomandibular disorders (TMD) III: experimental studies with artificial occlusal interferences (OI).

Rev Fac Odontol Univ Antioq. 2008; 20(1): 87-96.




How to Cite

Noy-Baquero, N. E., Puentes-Riveros, M. A., & Tanaka-Lozano, E. M. (2018). Occlusal wear pattern during sleep in adolescents aged 12 to 17 years according to Angle’s classification. Revista Facultad De Odontología Universidad De Antioquia, 30(1), 67–79. https://doi.org/10.17533/udea.rfo.v30n1a7

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

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