Reliability and sensitivity of jerk-cost measurement for evaluating irregularity of chewing jaw movements.

Rate of change in movement acceleration (jerk) is a universally accepted quantity to evaluate irregularities of human limb and eye movements. This study was aimed to attest reliability of the jerk measurement of masticatory jaw movements and to identify its sensitivity to discriminate between movements performed with the presence of varied occlusal interference. Jaw movements during gum chewing were recorded with a 3D tracking device. Twelve adult subjects participated in the experiments. For five subjects, normalized jerk-costs (NJC) during jaw closing were compared between those measured on two separate occasions. For seven subjects, the NJCs during closing were compared with those measured with/without introduction of four different types of occlusal interference. The NJCs did not differ significantly between the two recording occasions. The interference at the canine tooth induced greater increase in the NJCs than that at the molar tooth. The comparison between repeated measures revealed reproducibility of the NJCs. In addition, the NJC was shown to be capable of discriminating between irregularities of the movements induced by occlusal interference at the canine and molar tooth sites. These findings suggest that the NJC is a valid indicator of masticatory jaw movement irregularity induced by disturbances of full intercuspation between upper and lower teeth.