Bone geometry in cercopithecoid mandibles

Is the distribution of cortical bone in the mandibular corpus and symphysis linked to loading environment in modern humans? A systematic review

OBJECTIVE

The human mandible is a unique bone with specific external and internal morphological characteristics, influenced by a complex and challenging loading environment. Mandibular cortical thickness distribution in cross-sections is reported to be related to facial divergence patterns, cultural and dietary habits and more generally, specific loading environment. This review hypothesises that a process of environmental mechanical sensitivity is involved in the distribution of cortical bone in the mandibular corpus and symphysis in modern humans, and that loading regimes can influence this distribution pattern. Based on a review of the recent literature, this study aims to answer the following question: "Is the distribution of cortical bone in the mandibular corpus and symphysis linked to the loading environment in modern humans?"

DESIGN

A systematic review was undertaken using the PubMed/Medline, Scopus and Cochrane Library databases for publications from 1984 to 2022 investigating the relationship between cortical bone distribution in the mandibular corpus and the loading environment. A subgroup meta-analysis was performed to determine the overall effect of facial divergence on cortical thickness.

RESULTS

From a total of 2791 studies, 20 fulfilled the inclusion criteria. The meta-analyses were performed in eight studies using a randomised model, finding a significant overall effect of facial divergence on cortical thickness in posterior areas of the mandible (p < 0.01).

CONCLUSIONS

Within the limitations of this review, specific loading regimes and their consequent variables (diet, culture, facial divergence) were linked to cortical thickness distribution. Sex was found to be unrelated to cortical thickness pattern.

Macaca mulatta is a good model for human mandibular fixation research

Biomechanical and clinical studies have yet to converge on the optimal fixation technique for angle fractures, one of the most common and controversial fractures in terms of fixation approach. Prior pre-clinical studies have used a variety of animal models and shown abnormal strain environments exacerbated by less rigid (single-plate) Champy fixation and chewing on the side opposite the fracture (contralateral chewing). However, morphological differences between species warrant further investigation to ensure that these findings are translational. Here we present the first study to use realistically loaded finite-element models to compare the biomechanical behaviour of human and macaque mandibles pre- and post-fracture and fixation. Our results reveal only small differences in deformation and strain regimes between human and macaque mandibles. In the human model, more rigid biplanar fixation better approximated physiologically healthy global bone strains and moments around the mandible, and also resulted in less interfragmentary strain than less rigid Champy fixation. Contralateral chewing exacerbated deviations in strain, moments and interfragmentary strain, especially under Champy fixation. Our pre- and post-fracture fixation findings are congruent with those from macaques, confirming that rhesus macaques are excellent animal models for biomedical research into mandibular fixation. Furthermore, these findings strengthen the case for rigid biplanar fixation over less rigid one-plate fixation in the treatment of isolated mandibular angle fractures.

The cranial biomechanics and feeding performance of Homo floresiensis

Homo floresiensis is a small-bodied hominin from Flores, Indonesia, that exhibits plesiomorphic dentognathic features, including large premolars and a robust mandible, aspects of which have been considered australopith-like. However, relative to australopith species, H. floresiensis exhibits reduced molar size and a cranium with diminutive midfacial dimensions similar to those of later Homo, suggesting a reduction in the frequency of forceful biting behaviours. Our study uses finite-element analysis to examine the feeding biomechanics of the H. floresiensis cranium. We simulate premolar (P³) and molar (M²) biting in a finite-element model (FEM) of the H. floresiensis holotype cranium (LB1) and compare the mechanical results with FEMs of chimpanzees, modern humans and a sample of australopiths (MH1, Sts 5, OH5). With few exceptions, strain magnitudes in LB1 resemble elevated levels observed in modern Homo. Our analysis of LB1 suggests that H. floresiensis could produce bite forces with high mechanical efficiency, but was subject to tensile jaw joint reaction forces during molar biting, which perhaps constrained maximum postcanine bite force production. The inferred feeding biomechanics of H. floresiensis closely resemble modern humans, suggesting that this pattern may have been present in the last common ancestor of Homo sapiens and H. floresiensis.

Comparative biomechanics of the Pan and Macaca mandibles during mastication: finite element modelling of loading, deformation and strain regimes

The mechanical behaviour of the mandibles of Pan and Macaca during mastication was compared using finite element modelling. Muscle forces were calculated using species-specific measures of physiological cross-sectional area and scaled using electromyographic estimates of muscle recruitment in Macaca. Loading regimes were compared using moments acting on the mandible and strain regimes were qualitatively compared using maps of principal, shear and axial strains. The enlarged and more vertically oriented temporalis and superficial masseter muscles of Pan result in larger sagittal and transverse bending moments on both working and balancing sides, and larger anteroposterior twisting moments on the working side. The mandible of Pan experiences higher principal strain magnitudes in the ramus and mandibular prominence, higher transverse shear strains in the top of the symphyseal region and working-side corpus, and a predominance of sagittal bending-related strains in the balancing-side mandible. This study lays the foundation for a broader comparative study of Hominidae mandibular mechanics in extant and fossil hominids using finite element modelling. Pan's larger and more vertical masseter and temporalis may make it a more suitable model for hominid mandibular biomechanics than Macaca.

Biomechanics of the mandible of Macaca mulatta during the power stroke of mastication: Loading, deformation, and strain regimes and the impact of food type

Mandible morphology has yet to yield definitive information on primate diet, probably because of poor understanding of mandibular loading and strain regimes, and overreliance on simple beam models of mandibular mechanics. We used a finite element model of a macaque mandible to test hypotheses about mandibular loading and strain regimes and relate variation in muscle activity during chewing on different foods to variation in strain regimes. The balancing-side corpus is loaded primarily by sagittal shear forces and sagittal bending moments. On the working side, sagittal bending moments, anteroposterior twisting moments, and lateral transverse bending moments all reach similar maxima below the bite point; sagittal shear is the dominant loading regime behind the bite point; and the corpus is twisted such that the mandibular base is inverted. In the symphyseal region, the predominant loading regimes are lateral transverse bending and negative twisting about a mediolateral axis. Compared with grape and dried fruit chewing, nut chewing is associated with larger sagittal and transverse bending moments acting on balancing- and working-side mandibles, larger sagittal shear on the working side, and larger twisting moments about vertical and transverse axes in the symphyseal region. Nut chewing is also associated with higher minimum principal strain magnitudes in the balancing-side posterior ramus; higher sagittal shear strain magnitudes in the working-side buccal alveolar process and the balancing-side oblique line, recessus mandibulae, and endocondylar ridge; and higher transverse shear strains in the symphyseal region, the balancing-side medial prominence, and the balancing-side endocondylar ridge. The largest food-related differences in maximum principal and transverse shear strain magnitudes are in the transverse tori and in the balancing-side medial prominence, extramolar sulcus, oblique line, and endocondylar ridge. Food effects on the strain regime are most salient in areas not traditionally investigated, suggesting that studies seeking dietary effects on mandible morphology might be looking in the wrong places.

Mechanical adaptation of trabecular bone morphology in the mammalian mandible

Alveolar bone, together with the underlying trabecular bone, fulfils an important role in providing structural support against masticatory forces. Diseases such as osteoporosis or periodontitis cause alveolar bone resorption which weakens this structural support and is a major cause of tooth loss. However, the functional relationship between alveolar bone remodelling within the molar region and masticatory forces is not well understood. This study investigated this relationship by comparing mammalian species with different diets and functional loading (Felis catus, Cercocebus atys, Homo sapiens, Sus scrofa, Oryctolagus cuniculus, Ovis aries). We performed histomorphometric analyses of trabecular bone morphology (bone volume fraction, trabecular thickness and trabecular spacing) and quantified the variation of bone and tooth root volumes along the tooth row. A principal component analysis and non-parametric MANOVA showed statistically significant differences in trabecular bone morphology between species with contrasting functional loading, but these differences were not seen in sub-adult specimens. Our results support a strong, but complex link between masticatory function and trabecular bone morphology. Further understanding of a potential functional relationship could aid the diagnosis and treatment of mandibular diseases causing alveolar bone resorption, and guide the design and evaluation of dental implants.

Protuberance or fossa on the lateral surface of the mandible in primates

In order to clarify the morphological characteristics and function of the protuberance and/or fossa on the lateral surface of the mandible, we examined 778 mandibles of 9 genera, 19 species of non-human primates. Both protuberance and fossa were found in Macaca, Chlorocebus, and Cercocebus at frequencies ranging from 0% to 60%. The protuberance was composed of compact bone and was similar to the mandibular torus in humans. A well-developed protuberance extended from the fourth premolar to third molar region, and was situated at the central part of the mandibular body, or continued on the oblique line. Sometimes the protuberance localized on the mandibular base. A deep and large fossa was found in all individuals of Papio, Theropithecus, and Mandrillus, and the bone width was thin in the center of the fossa. The fossa extended from the third premolar to the second molar region, and the deepest area was the first molar region. In Macaca, Chlorocebus, and Cercocebus, the curvature of the external table of the mandible created a fossa. In Colobus, and Hylobates, the external surface of the mandible looked concave because of the thickened mandibular base. These concavo-convex structures have some biological functions and represent an adaptive change for mastication.

What does feeding system morphology tell us about feeding?

Feeding is the set of behaviors whereby organisms acquire and process the energy required for survival and reproduction. Thus, feeding system morphology is presumably subject to selection to maintain or improve feeding performance. Relationships among feeding system morphology, feeding behavior, and diet not only explain the morphological diversity of extant primates, but can also be used to reconstruct feeding behavior and diet in fossil taxa. Dental morphology has long been known to reflect aspects of feeding behavior and diet but strong relationships of craniomandibular morphology to feeding behavior and diet have yet to be defined.

Ontogeny of material stiffness heterogeneity in the macaque mandibular corpus

Evidence is accumulating that bone material stiffness increases during ontogeny, and the role of elastic modulus in conditioning attributes of strength and toughness is therefore a focus of ongoing investigation. Developmental changes in structural properties of the primate mandible have been documented, but comparatively little is known about changes in material heterogeneity and their impact on biomechanical behavior. We examine a cross-sectional sample of Macaca fascicularis (N = 14) to investigate a series of hypotheses that collectively evaluate whether the patterning of material stiffness (elastic modulus) heterogeneity in the mandible differs among juvenile, subadult and adult individuals. Because differences in age-related activity patterns are known to influence bone stiffness and strength, these data are potentially useful for understanding the relationship between feeding behavior on the one hand and material and structural properties of the mandible on the other. Elastic modulus is shown to be spatially dependent regardless of age, with this dependence being explicable primarily by differences in alveolar versus basal cortical bone. Elastic modulus does not differ consistently between buccal and lingual cortical plates, despite likely differences in the biomechanical milieu of these regions. Since we found only weak support for the hypothesis that the spatial patterning of heterogeneity becomes more predictable with age, accumulated load history may not account for regional differences in bone material properties in mature individuals with respect to the mandibular corpus.

Cortical bone thickness at common miniscrew implant placement sites

INTRODUCTION

The purpose of this study was to assess age, sex, and regional differences in the cortical bone thickness of commonly used maxillary and mandibular miniscrew implant placement sites.

METHODS

Cone-beam computed tomography images, taken at 0.39-mm voxel size, of 52 patients, including 26 adolescents (13 girls, ages 11-13; 13 boys, ages 14-16) and 26 adults (13 men and 13 women, ages 20-45), were evaluated. The cone-beam computed tomography data were imported into 3-dimensional software (version 10.5, Dolphin Imaging Systems, Chatsworth, Calif); standardized orientations were used to measure cortical bone thickness at 16 sites representing the following regions: 3 paramedian palate sites, 1 infrazygomatic crest site, 4 buccal interradicular sites of the mandible, and 4 buccal and 4 lingual interradicular sites in the maxilla.

RESULTS

Multivariate analysis of variance (MANOVA) showed no significant differences in cortical bone thickness between the sexes. There were significant (P <0.05) differences between adolescents and adults, with adult cortices significantly thicker in all areas except the infrazygomatic crest, the mandibular buccal first molar-second molar site, and the posterior palate site. Cortical bone was thicker in the posterior than in the anterior mandibular sites. In the adults, interradicular bone in the maxillary first premolar-second premolar, and second premolar-first molar sites was thicker than bone at the lateral incisor-canine and first molar-second molar sites. Anterior paramedian palatal bone was significantly thicker than bone located more posteriorly. The mandibular buccal and infrazygomatic crest regions had the thickest cortical bone; differences between the maxillary buccal, the maxillary lingual, and the palatal regions were small.

CONCLUSIONS

Maxillary and mandibular cortical bones at commonly used miniscrew implant placement sites are thicker in adults than in adolescents. There are also differences in cortical bone thickness between and within regions of the jaws that must be considered when placing miniscrew implants.

Mandibular corpus bone strain in goats and alpacas: implications for understanding the biomechanics of mandibular form in selenodont artiodactyls

The goal of this study is to clarify the functional and biomechanical relationship between jaw morphology and in vivo masticatory loading in selenodont artiodactyls. We compare in vivo strains from the mandibular corpus of goats and alpacas to predicted strain patterns derived from biomechanical models for mandibular corpus loading during mastication. Peak shear strains in both species average 600-700 microepsilon on the working side and approximately 450 microepsilon on the balancing side. Maximum principal tension in goats and alpacas is directed at approximately 30 degrees dorsocaudally relative to the long axis of the corpus on the working side and approximately perpendicular to the long axis on the balancing side. Strain patterns in both species indicate primarily torsion of the working-side corpus about the long axis and parasagittal bending and/or lateral transverse bending of the balancing-side corpus. Interpretation of the strain patterns is consistent with comparative biomechanical analyses of jaw morphology suggesting that in goats, the balancing-side mandibular corpus is parasagittally bent whereas in alpacas it experiences lateral transverse bending. However, in light of higher working-side corpus strains, biomechanical explanations of mandibular form also need to consider that torsion influences relative corpus size and shape. Furthermore, the complex combination of loads that occur along the selenodont artiodactyl mandibular corpus during the power stroke has two implications. First, added clarification of these loading patterns requires in vivo approaches for elucidating biomechanical links between mandibular corpus morphology and masticatory loading. Second, morphometric approaches may be limited in their ability to accurately infer masticatory loading regimes of selenodont artiodactyl jaws.

Growth-related changes in prehistoric Jomon and modern Japanese mandibles with emphasis on cortical bone distribution

Cortical bone distribution of the anthropoid mandibular symphysis has been addressed in relation to mechanical stress generated by mastication. To examine whether or not bone mass and distribution patterns of the human mandibular symphysis could be interpreted as an example of functional adaptation, we compared the skeletal growth series of two populations, prehistoric Jomon, considered to represent a "robust" mandibular morphology associated with a presumed heavier masticatory load, and modern Japanese. Results showed that the adult Jomon symphysis possessed significantly greater bone mass and thicker cortical bone compared to the modern Japanese condition. However, the second moments of area did not differ significantly between the two, indicating comparable rigidity against bending. Furthermore, the Jomon mandibles of the infant to juvenile stages exhibited most of the adult characteristics, in both bone mass/distribution of the symphysis and in mandibular corpus/ramus morphologies. The present study also demonstrated the presence of a growth pattern of symphyseal cortical thickness, common to both the Jomon and the modern Japanese series. In both populations, subsequent to deciduous molar occlusion, cortical bone tends to be thickest at the inferolingual symphysis, at the location where the highest tensile stresses presumably occur during mastication. These findings suggest that the "robust" characteristics of the Jomon mandible are initially manifested early in development, and that the effect of mechanical stimulus to bone mass formation in the human symphysis is largely confined to a regulatory role during growth modeling.

Functional morphology of the mangabey mandibular corpus: Relationship to dental specializations and feeding behavior

Recent molecular and morphological surveys suggest that mangabeys do not represent a monophyletic group. Specifically, Cercocebus is the sister taxon of Mandrillus, whereas Lophocebus forms an unresolved trichotomy with Papio and Theropithecus. The Cercocebus-Mandrillus clade is characterized by skeletal and dental adaptations related to acquisition and processing of hard-object foods that resist decomposition for months on the forest floor. Although species of both mangabey genera can be described as frugivorous seed predators with a strong reliance on hard-object foods, a growing body of evidence indicates that Cercocebus (terrestrial) and Lophocebus (arboreal) mangabeys differ in the hardness of the seeds they consume and the manner in which seeds are processed. The taxa are also distinguished on the basis of dental morphology. Given the purported differences in feeding behaviors of the two mangabey genera, we consider whether there are predictable biomechanical consequences of these behaviors that are reflected in mandibular corpus dimensions. In addition, we present metric data summarizing functional aspects of mangabey mandibular corpus morphology. Mangabey genera are generally not distinguished by differences in relative corpus size, either in postcanine or symphyseal regions. Distinct symphyseal scaling patterns characterize the Papio-Lophocebus clade and the Mandrillus-Cercocebus clade, while the postcanine corpus scales similarly between them. The hypothesis that preferential use of the incisors vs. premolars to initially process these foods results in distinct stress environments is weakly supported, given circumstantial evidence that the relative importance of bending vs. torsion may differ between Cercocebus and Lophocebus.

Morphometric estimation of torsional stiffness and strength in primate mandibles

In comparative studies of masticatory function and mandibular biomechanics, the mediolateral dimension of the postcanine corpus (corpus breadth) is commonly utilized as a measure of torsional stiffness from which relative torsional strength is inferred. The use of this dimension entails certain assumptions about corpus shape and cortical bone distribution that are invalid. When corpus breadth is related to an appropriate, empirically supported measure of torsional strength, it is revealed that this dimension has limited utility for inference of biomechanical competence under torsion. The use of linear dimensions to infer structural adaptations to specific loading regimes is problematic given that bone tissue is not optimally deployed to minimize strain levels arising from isolated loads. For the inference of the masticatory biomechanical environment, the more reasonable approach is to consider overall size of the corpus (i.e., cross-sectional area) for inference of intra- and inter-specific differences in masticatory forces.

Three-dimensional analysis of mandibular morphology inOtolemur

Euclidean distance matrix analysis (EDMA) of three-dimensional data is used here to examine mandibular morphology between two species of galagos. Otolemur crassicaudatus consumes primarily exudates, while O. garnettii is more frugivorous. Acquisition of exudates involves either gouging or scraping tree bark, and may involve different forces at the mandible than incising fruits. Previous studies of mandibular morphology in exudate-feeding primates produced mixed results, some suggesting that morphological specializations reflect adaptations for greater force at the anterior dentition, while others suggest specializations for producing a large gape. This study addresses these controversies by testing predictions associated with O. crassicaudatus generating greater force at the anterior dentition or producing a larger gape relative to O. garnettii. In addition, this study tests predictions associated with specializations of the anterior dentition in O. crassicaudatus as related to exudate-feeding. Crania and mandibles from 28 O. crassicaudatus and 17 O. garnettii were digitized in three dimensions, using 18 landmarks that summarize the shape of the jaw. Two-dimensional measurements were taken to assess incisor robusticity. All three-dimensional data were analyzed using EDMA, and bootstrap tests were executed to identify specific interlandmark differences that were driving any significant (P < 0.05) overall shape differences. Two-dimensional data were analyzed using Student's t-test for independent measures. Results revealed that there was a significant shape difference in mandibles between species, and that mandibles of O. crassicaudatus showed higher condyles, longer mandibles, decreased incisor procumbency, and greater incisor robusticity relative to O. garnettii. It is suggested that the results of the present study reflect adaptations for scraping in O. crassicaudatus rather than gouging.

A comparative analysis of temporomandibular joint morphology in the African apes

A number of researchers have suggested a functional relationship between dietary variation and temporomandibular joint (TMJ) morphology, yet few studies have evaluated TMJ form in the African apes. In this study, I compare TMJ morphology in adults and during ontogeny in Gorilla (G.g. beringei, G.g. graueri, and G.g. gorilla) and Pan (P. paniscus, P. troglodytes troglodytes, P.t. schweinfurthii, and P.t. verus). I test two hypotheses: first, compared to all other African apes, G.g. beringei exhibits TMJ morphologies that would be predicted for a primate that consumes a diet comprised primarily of moderately to very tough, leafy vegetation; and second, all gorillas exhibit the same predicted morphologies compared to Pan. Compared to all adult African apes, G.g. beringei has higher rami and condyles positioned further above the occlusal plane of the mandible, relative to jaw length. Thus, mountain gorillas have the potential to generate relatively more muscle force, more evenly distribute occlusal forces along the postcanine teeth, and generate relatively greater jaw adductor moment. G.g. beringei also exhibits relatively wider mandibular condyles, suggesting these folivorous apes are able to resist relatively greater compressive loads along the lateral and/or medial aspect of the condyle. All gorillas likewise exhibit these same shape differences compared to Pan. These morphological responses are the predicted consequences of intensification of folivory and, as such, provide support for functional hypotheses linking these TMJ morphologies to degree of folivory. The African apes to not, however, demonstrate a systematic pattern of divergence in relative condylar area as a function of intensification of folivory. The ontogenetic trajectories for gorillas are significantly elevated above those of Pan, and to a lesser but still significant degree, mountain gorillas similarly deviate from lowland gorillas (G.g. gorilla and G.g. graueri). Thus, adult shape differences in ramal and condylar heights do not result from the simple extrapolation of common growth allometries relative to jaw length. As such, they are suggestive of an adaptive shift towards a tougher, more folivorous diet. However, the allometric patterning for condylar area and condylar width does not systematically conform to predictions based on dietary specialization. Thus, while differences in condylar shapes may confer functional advantages both during growth and as adults, there is no evidence to suggest selection for altered condylar proportions, independent of the effects of changes in jaw size.

Bone strain gradients and optimization in vertebrate skulls

It is often stated that the skull is optimally designed for resisting feeding forces, where optimality is defined as maximum strength with minimum material. Running counter to this hypothesis are bone strain gradients--variation in bone strain magnitudes across the skull--which in the primate skull have been hypothesized to suggest that different parts of the skull are optimized for different functions. In this paper strain gradients in the skulls of four genera of primates, Sus, and Alligator were documented and compared. Strain gradients were pervasive in all taxa sampled. Patterns of strain gradients showed inter-taxon differences, but strains in the mandible and zygomatic arch were always higher than those in the circumorbital and neurocranial regions. Strain magnitudes in Alligator were twice as high as those in mammals. Strain gradients were also positively allometric; i. e., larger primates show steeper gradients (larger differences) between the mandible and circumorbital region than smaller primates. Different strain magnitudes in different areas of the same animal are hypothesized to reflect optimization to different criteria. It is therefore hardly surprising that the skull, in which numerous functional systems are found, exhibits very steep gradients. Inter-specific differences in strain magnitudes at similar sites also suggest inter-specific differences in optimality criteria. The higher strain magnitudes in the Alligator skull suggest that the Alligator skull may be designed to experience extremely high strains less frequently whereas the primate skull may be designed to resist lower strains more frequently.

Relationship of strain magnitude to morphological variation in the primate skull

In a comparative study of variation in primate skulls, Wood and Lieberman ([2001] Am. J. Phys. Anthropol. 116:13-25) proposed that a predictable relationship exists between in vivo bone-strain magnitudes and the extent of morphological variation in skeletal structures. They hypothesized that regions subject to high strains are prone to enhanced levels of variation. Three questions are posed with respect to the plausibility of this hypothesis. First, does the proposed relationship hold at different levels of analysis (e.g., for more restricted anatomical regions in which large strain gradients are present)? Second, is the biomechanical rationale for the hypothesis sound, given the current understanding of bone biology? Third, is the hypothesis obviated by consideration of the functional matrix concept of skull development, in which osseous growth is posited to be governed by surrounding soft tissues (e.g., muscle and tendon) and developing spaces (e.g., the nasal capsule)? The different perspectives explored by these questions suggest that the validity of the hypothesis, despite having a defensible theoretical rationale, is likely to be context-specific. A direct role for strain magnitude in conditioning morphological variation is difficult to demonstrate either comparatively or theoretically, and it is unlikely that a single strain threshold or interval can be directly associated with elevated variation in the skeleton. The conceptual framework of the functional matrix (which allows for independent growth among different regions of the skull) conceivably contravenes the premise of a uniform relationship of strain magnitude to morphological variability.

Functional significance of cortical bone distribution in anthropoid mandibles: an in vitro assessment of bone strain under combined loads

Local variation in cortical bone thickness in the postcanine mandibular corpus appears to be stereotypical among anthropoids. Specifically, at sections under the molars, lingually situated cortical bone is typically thinner than that along the lateral aspect. This pattern applies despite phylogenetic, dietary, and allometric differences among the anthropoids sampled to date. Demes et al. (Food Acquisition and Processing in Primates [1984] New York: Plenum Press, p. 369-390) employed a theoretical analysis of mastication in Gorilla and Homo to argue that this pattern could be explained with reference to biomechanical stresses. Specifically, they proposed that the combined effects of torsion and direct shear on the working-side corpus create a condition in which net stresses and strains are reduced along the lingual cortical plate. Demonstration of this effect would suggest a functional linkage between localized differences in bone mass and strain gradients in the facial skeleton. We conducted an empirical evaluation of the effects of the combined loads of torsion and direct shear in vitro on a sample of formalin-fixed human mandibles. Rosette strain gages were affixed to the lateral and medial aspects of the corpus in each specimen, and surface strains were recorded separately under controlled torsional and occlusal loads, and under simultaneous application of these loads. The hypothesis that lingual strains are reduced under combined twisting and occlusal loads was generally supported; however, we observed reduction in surface strains at some sites along the lateral aspect of the corpus under these combined loads as well. These unexpected findings are attributable to unanticipated loading conditions imposed by occlusal forces, which result from sources of stress in addition to direct shear. These experiments provide provisional support for the hypothesis that superposed sources of bone strain produce large strain gradients between buccal and lingual aspects of the mandibular corpus, and that local variation in bone mass may be associated with these gradients.