Preclinics of Dental Prosthetics · MU Sofia

21. Masticatory (occlusal and periodontal) pressure. Physiology of transferring masticatory pressure.

Explains masticatory pressure as the combined crushing effect of chewing, split into occlusal pressure between opposing teeth and the periodontal pressure the supporting tissues bear. It gives the pressure formulas for each, with a figure comparing molar, premolar and incisor, and then traces how the load travels from crown through the ligament to the bone. It ends by relating root area to periodontal pressure.

Inside: 5 sections · 2 labelled pictures · 3 formulas · 12 flashcards · 3 min

Topic 21 of 75 in the MU Sofia syllabus for Preclinics of Dental Prosthetics (Dental Medicine, Year 2). The free AceMed note covers it in 5 sections, about 391 words (3 min of reading), with 12 flashcards.

In this note

  1. Introduction
  2. Masticatory pressure
  3. Occlusal pressure
  4. Periodontal pressure
  5. How the load passes to the bone

Introduction

Force alone doesn't tell you what a tooth or the bone feels. What matters is pressure: force spread over an area. The same force concentrated on a small cusp tip crushes food; spread over a large root surface it barely stresses the bone.

σ is pressure (Pa or kg/cm²), P the force and F the area it acts on.

Masticatory pressure

Masticatory pressure is the overall name for the crushing effect of mastication. It has two sides: the occlusal pressure that processes food, and the opposite periodontal pressure that the supporting tissues must bear.

Occlusal pressure

The pressure between the occlusal surfaces of opposing teeth, the main physical factor in breaking up food.

Pₛ is the specific masticatory force on the tooth and Fₒ the area of its occlusal surface.

Molars get the biggest force but also have the widest occlusal surfaces; premolars are narrower, and incisors and canines have only small edges. Force and area fall together from back to front, so occlusal pressure is roughly the same in every part of the arch. This is form adapted to function, an outcome of evolution.

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