Application of Orthopedic Principles in Evaluation of the Temporomandibular Joint

Friedman, Mark H.; Weisberg, Joseph

doi:10.1093/ptj/62.5.597

Cited by 43 publications

(16 citation statements)

References 7 publications

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“…1 During clinical examination, limitation of maximum mouth opening (MMO) is considered an important sign of a possible diagnosis of TMD. [2][3][4][5] Unfortunately, the high variability of normal MMO measurement makes the evaluation more difficult. In fact, values from 32 mm to 77 mm have been reported in the literature for adults.…”

mentioning

confidence: 99%

Clinical Measurement of Normal Maximum Mouth Opening in Children

Abou-Atme¹,

Chedid²,

Melis³

et al. 2008

CRANIO®

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This study was designed to find a method of assessing maximum mouth opening (MMO), using a tool that is proportional to the body size. One hundred two (102) children were selected to participate in the study. MMO, the width of three fingers (index, middle and ring fingers), four fingers (index, middle, ring and little fingers), body height, weight and age of each child were recorded, and the ability of each subject to position the fingers, vertically aligned between the upper and lower central incisors with the mouth maximally open, was documented. All subjects were able to position three fingers between the upper and lower central incisors, while only 37 (36.3%) were able to position four fingers. MMO was significantly different from the width of three and four fingers and was positively correlated with both weight and height and with age. Height, weight, and age showed a moderate to strong correlation with all finger measurements; no gender significant difference was observed for MMO. The findings of this study suggest that the ability to position three fingers between the upper and lower incisors with the mouth wide open can be considered a simple method to quickly evaluate MMO, but that it is not highly reliable.

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mentioning

confidence: 99%

Clinical Measurement of Normal Maximum Mouth Opening in Children

Abou-Atme¹,

Chedid²,

Melis³

et al. 2008

CRANIO®

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“…The dislocation of the temporomandibular joint has been suggested to be the result of imbalance in the jaw-opening muscles, or the spasm of the jaw-opening muscles on the side opposite to the deviation [12]. Dislocations usually treated by open reduction and immobilizing of the joint after the procedure.…”

Section: Discussionmentioning

confidence: 99%

Reduction of Tempero Mandibular Dislocation: A Case Report

Anumula¹,

Beku²,

Raj³

2017

Physiother Rehabil

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Question: Can Temporal-Mandibular Joint (TMJ) dislocation will be reduced with external support (taping technique)?Participant: A healthy adult with grade 1 TMJ anterior dislocation left side.Intervention: Treatment which Taping to the TMJ and followed with jaw strengthening exercises. Outcome:The primary outcome is reduction in pain and secondary is to increase the mobility. Conclusion:The people with TMJ dislocation with various reasons will be benefitted with this approach in which we can aim to treat the cause at local level, anxiety and distress at the psychological level.

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“…However, findings of anamnestic surveys should not be overrated in general because of the lack of accordance with clinical diagnoses [6,26]. Both the metric measurements of jaw movements [8,9,12] and orthopedic examination techniques of the Manual Functional Analysis seem to be reproducible and objective [10,15,18,24,27,40,41].…”

Section: Discussionmentioning

confidence: 99%

“…Jedoch dürfen die Ergebnisse anamnestischer Befragungen grundsätzlich nicht überbewertet werden, da sie häufig nicht mit den klinischen Befunden übereinstim-men [6,26]. Sowohl eine metrische Messung der Unterkieferbewegungen [8,9,12] als auch die orthopädischen Untersuchungstechniken der Manuellen Funktionsanalyse scheinen reproduzierbar und objektiv [10,15,18,24,27,40,41].…”

Section: Discussionunclassified