Efficiency as a predictor of human jaw design in the sagittal plane.

The effects of changing the direction of the bite force and of the mandibular joint reaction have been studied with a mathematical model assisted by a computer using the technique of linear programming. We conclude the following: In the sagittal plane the long axes of lower molars are each tilted in the direction that most efficiently converts muscle force into work at the bite point rather than in the direction that would maximize static bite force. These genetically determined angles are referred to as the most 'work efficient' angles. Collectively they lead to the appearance of the curve of Spee associated with the postcanines. Given the most work efficient angle of the first molar, the model indicates for bite forces generated in this direction the joint reaction is least when tilted forward from the vertical at between 20 degrees and 30 degrees. The joint reaction is normal to the articular surface of the condyle which is itself tilted forward 20-30 degrees from the occlusal plane. We conclude the condyle and articular eminence are remodelled to the angle that minimizes the joint reaction. The direction of the bite force may be controlled via neuronal circuitry connecting mechanoreceptors of the periodontal ligament with motor nerves supplying the jaw-closing muscles. The height of the occlusal plane in the molar region has little effect on jaw efficiency.