The Reliability of a New Device for Measuring the Maximum Bite Force

Abstract

Objective. To test the inter- and intraexaminer reliability of a recently developed instrument for measuring the maximum bite force (MBF). Material and Methods. Sixty patients who were clinically confirmed as having Oral Submucous Fibrosis (OSMF) and 60 healthy controls were included in this study. For each subject, age, gender, weight, height, and body mass index (BMI) were recorded. The maximum bite force was recorded in alternate order with a bite force sensor (D1) and an occlusal force meter (D2). Bite force was measured in the first molar region. Pearson’s correlation coefficient and kappa statistic were applied to assess the reliability between D1 and D2 in the assessment of maximum bite force. The independent $t$ -test was performed to find the statistical significance between the two study groups. The paired $t$ -test was applied to find out the difference between the right and left disease in groups of two devices separately. The one-way analysis of covariance (ANOVA) was performed to find the significant difference between grades of OSMF. Results. The results of the kappa values were $0.8531\pm 0.0724$ and $0.7336\pm 0.0737$ for interdevice reliability in OSMF patients in right and left sides. Similar findings were obtained in right and left sides of healthy individuals ( $0.7549\pm 0.0816$ and $0.9440\pm 0.0806$ ) and in the total sample ( $0.8132\pm 0.0544$ and $0.8303\pm 0.0538$ ). Pearson’s correlation coefficient between two devices revealed a high and significant positive correlation between D1 and D2 separately and in the whole sample. Conclusion. The observations of the present study suggest that the bite force sensor can be used as a reliable device for measuring bite force.