Masticatory behaviour and chewing difficulties in young adults with temporomandibular disorders

Ferreira, Cláudia Lúcia Pimenta; Sforza, Chiarella; Rusconi, Francesca M. E.; Castelo, Paula Midori; Bommarito, Silvana

doi:10.1111/joor.12779

Cited by 15 publications

(18 citation statements)

References 37 publications

(60 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Typically observed phenomena also include disturbances of rhythm, strength and pattern of the chewing cycle as well as discoordination and limitation of mandibular mobility (28). During mastication, inappropriate recruitment of the temporal and masseter muscles appears on both working and balancing sides (28)(29)(30). The severity of functional orofacial problems might depend on the choice of food, consumption habits and pleasure of eating.…”

Section: Discussionmentioning

confidence: 99%

Smiling, Yawning, Jaw Functional Limitations and Oral Behaviors With Respect to General Health Status in Patients With Temporomandibular Disorder—Myofascial Pain With Referral

2021

View full text Add to dashboard Cite

Background: The temporomandibular joint is the one of the most important joints in the human body. It enables numerous orofacial functions such as mastication, swallowing, breathing, speech, emotional communication, and facial expressions. The aim of the study was to evaluate the prevalence of jaw functional limitations and oral behaviors with respect to general health status in patients with temporomandibular joint disorders—myofascial pain with referral.Materials and methods: The study group consisted of 50 individuals (37 females and 13 males) with complete natural dentition. The average age was 23.36 years with ± 0.30 as a standard error. All subjects underwent clinical examination and were diagnosed with myofascial pain with referral according to the Diagnostic Criteria for Temporomandibular Disorders. The survey was conducted in connection with the Jaw Functional Limitation Scale-8 (JFLS-8), Jaw Functional Limitation Scale-20 (JFLS-20), Patient Health Questionnaire-4 (PHQ-4), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-15 (PHQ-15), and Oral Behaviors Checklist (OBC).Results: The most common functional problems in the entire study group were chewing tough food and yawning. In terms of gender, statistically significant differences were noted for chewing tough food and smiling (p = 0.015451; p = 0.035978, respectively). With respect to Bonferroni correction and Benjamini-Hochberg procedure, the observed differences were not statistically significant. There were no statistically considerable differences in mastication, mandibular mobility, verbal and emotional communication, or global limitations (p > 0.05). Over half (56%) of the respondents had depression of varying severity. Somatic symptoms of different severity were found in 78% of the patients, and 44% of the respondents declared anxiety disorders. The score of the Oral Behavior Checklist (OBC = 27.18) highlighted a high tendency for developing craniomandibular disorders.Conclusion: Patients with myofascial pain with referral, demonstrated a disturbed biopsychosocial profile. The restrictions in yawning and smiling as well as limitations in mastication, mobility, verbal and emotional communication, and global limitations appear to be significant predictors of craniomandibular dysfunction. Depression, stress, and somatic disorders are important factors predisposing patients to the occurrence of myofascial pain with referral. The progression of oral behaviors may indicate the role of somatosensory amplification.

show abstract

Section: Discussionmentioning

confidence: 99%

Smiling, Yawning, Jaw Functional Limitations and Oral Behaviors With Respect to General Health Status in Patients With Temporomandibular Disorder—Myofascial Pain With Referral

2021

View full text Add to dashboard Cite

show abstract

“…Regarding the content evaluation, the MBGR Protocol includes the analysis of the orofacial structures and habitual posture of lips and tongue that may be altered in cases of TMD (16,19,24) ; mobility of the lips and mandible that may be impaired in this population (14)(15)(16)19) ; masticatory function, for which there is consensus among studies of the presence of disorder in this function (5,(14)(15)(16)(17)(18)(19)(20)(21)26) ; deglutition, referred to as atypical or adapted in cases of TMD (14,16,(19)(20)(21)(22)25) ; speech, allowing identification of cases with phonetic and TMJ disorders (14) . Thus, the MBGR Protocol encompasses the Orofacial Myofunctional Disorders (OMD) described in the literature for individuals with TMD.…”

Section: Discussionmentioning

confidence: 99%

“…Fourteen studies were selected after a literature review on functional changes presented by patients with TMD (5,(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26) according to the inclusion and exclusion criteria adopted (Chart 1).…”

Section: Mbgr Protocol -Content Validationmentioning

confidence: 99%

“…Different clinical instruments organized in the form of questionnaires, anamnesis indices, and diagnostic criteria are used in the diagnosis of TMD (4) . Also, the functional assessment has been listed as an essential step in the diagnostic process, with a view to planning and establishing the appropriate treatment for these individuals (5) .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Validação do protocolo de avaliação miofuncional orofacial MBGR para adultos com disfunção temporomandibular com deslocamento de disco com redução

Bueno

Rosa

Genaro

et al. 2020

CoDAS

View full text Add to dashboard Cite

RESUMO Objetivo Este estudo visou validar o Protocolo de Avaliação Miofuncional Orofacial MBGR para adultos com DTM. Método Participaram 30 adultos, sendo 15 com DTM (deslocamento de disco com redução segundo o Research Diagnostic Criteria for Temporomandibular Disorders) e 15 Controles. O processo de validação envolveu a validade de conteúdo, de critério e de construto, além da concordância inter e intra-avaliador, sensibilidade e especificidade. Considerou-se nível de significância de 5%. Resultados Foram confirmadas as validades de conteúdo, visto que o Protocolo MBGR abarca todas as questões funcionais presentes em indivíduos com DTM; de critério, com correlações significantes entre o MBGR e AMIOFE; e de construto, diferenciando indivíduos com e sem DMO quanto à dor à palpação e mobilidade mandibular, com correlação significante entre a avaliação clínica do MBGR e o uso do algômetro digital, bem como confirmação do exame instrumental para a classificação do modo respiratório. A força de concordância variou de pobre a muito boa para a análise interavaliador e de razoável a muito boa para intra-avaliador. Os valores de sensibilidade e especificidade foram elevados. Conclusão O Protocolo MBGR mostrou-se válido para aplicação em adultos com DTM com deslocamento de disco com redução e controles, contemplando todos os aspectos que possibilitam a análise das condições oromiofuncionais nesses indivíduos.

show abstract

“…In the diction, there are changes in the mechanism of articulation of sounds and, therefore, of expressive language. The mastication is incomplete, sometimes painful or done with great effort, sometimes even avoided 7 to the limit of anorexia; feeding becomes selective, food requiring reduced masticatory Méthodes. 46 patients partagés en trois groupes : le premier groupe : a reçu de la thérapie manuelle, le deuxième groupe a bénéficié d'une thérapie myo-fonctionnelle bucco-faciale et le troisième groupe a reçu une thérapie manuelle, en même temps qu'une thérapie myo-fonctionnelle bucco-faciale. Résultats.…”

Section: Introductionunclassified

Altered mandibular dynamics between bruxism and temporomandibular joint dysfunction

Debucean¹,

Clinic²,

Mihancea³

et al. 2019

Arch Balk Med Union

View full text Add to dashboard Cite

Dynamique mandibulaire modifiée entre bruxisme et dysfonction de l'articulation temporo-mandibulaire Introduction. Le visage et ses structures associées (crâniennes, orales, dentaires) représentent l'une des régions les plus complexes du corps humain, complexité qui détermine la diversité des pathologies à ce niveau. Parfois, l'approche du point de vue d'une spécialisation médicale peut améliorer la symptomatologie, où même engendrer la rémission, mais il y a aussi de nombreuses situations où, après une période de temps variable, une rechute se produit, précisément parce que c'est l'effet qui a été traité, pas la cause dans sa totalité. Un diagnostic correct, la sélection et la mise en oeuvre de l'approche thérapeutique la plus appropriée nécessitent l'implication et la collaboration d'une équipe multidisciplinaire. Objectifs. Démontrer que la combinaison de la thérapie manuelle avec la thérapie myo-fonctionnelle bucco-faciale, associées aussi à la relaxation générale, est la meilleure méthode par laquelle le patient atteint de limitation d'ouverture mandibulaire parvient à retrouver l'harmonie du contrôle neuromusculaire et de l'arthrocinétique temporo-mandibulaire.

show abstract

Masticatory behaviour and chewing difficulties in young adults with temporomandibular disorders

Cited by 15 publications

References 37 publications

Smiling, Yawning, Jaw Functional Limitations and Oral Behaviors With Respect to General Health Status in Patients With Temporomandibular Disorder—Myofascial Pain With Referral

Smiling, Yawning, Jaw Functional Limitations and Oral Behaviors With Respect to General Health Status in Patients With Temporomandibular Disorder—Myofascial Pain With Referral

Validação do protocolo de avaliação miofuncional orofacial MBGR para adultos com disfunção temporomandibular com deslocamento de disco com redução

Altered mandibular dynamics between bruxism and temporomandibular joint dysfunction

Contact Info

Product

Resources

About