Prevalence, Nature, and Management of Oral Stage Dysphagia in Adults With Temporomandibular Joint Disorders: Findings From an Irish Cohort

Abstract

OD is prevalent, and difficulties with mastication are common in those with TMDs. The interventions used were diverse, with varying objectives and disparate levels of evidence supporting their efficacy within this cohort. Further research should address the epidemiology of TMD-related OD, evidence-based interventions, and the promotion of collaboration across the disciplines responsible for managing TMD-related OD (eg, speech and language therapy, oral and maxillofacial surgery, dentistry, restorative dentistry, orthodontics, oral medicine).

Temporomandibular Disorders and Oral Features in Idiopathic Inflammatory Myopathies (IIMs) Patients: An Observational Study

“…Dysphagia was reported by 48,1% of IIM patients recruited in this study while was absent in CG ( p <0,0001). This finding can be due to several factors: (i) an impaired oral status, since partial or total edentulism was present in the group of patients with myositis (13 patients, 24.1%), while no patient was edentulous in CG ( p <0,0001); (ii) a statistically significant prevalence of both masticatory muscle pain (14 patients, 25,9%, p <0,022) and fatigue in IIMs group with positive endfeel, (35 patients, 64,81%, p =0,0122), which can lead to an oral stage dysphagia (OD); (iii) a highly significant prevalence of xerostomia complained by IIMs patients (29 patients, 54.7%, p <0,0001), associated to discomfort in eating and swallowing 24 , 25 .…”

“…About dysphagia in DM, the mechanism is not yet entirely clear but it is thought to be associated with an inefficiency of the laryngeal and subhyoid muscles and an altered functionality of the upper esophageal sphincter [22][23][24][25][26][27].…”

Neuro-Muscular Dentistry: the “diamond” concept of electro-stimulation potential for stomato-gnathic and oro-dental conditions

“…The authors concluded that patients with TMD showed a changed chewing pattern (uni-lateral mastication, fatigue), yet without impairment of masticatory function [58], meaning that the masticatory performance was efficient after all. A different position is taken by Gilheaney et al [59] establishing a relation between OPD and TMD through a survey answered by 178 individuals with TMD. It was found that signs and symptoms of OPD are frequently reported by adults with TMDs such as dysphagia for liquids (28%); difficulties chewing hard food (89%); difficulties chewing soft food (58%).…”

Rheumatologist’s Views on Oral Stage Dysphagia in adults with Rheumatoid Arthritis of the Temporomandibular Joint: An Irish Perspective

“…1 Individuals with rheumatoid arthritis (RA) are at risk of developing TMDs, 2 which can impact on eating, drinking, and swallowing, resulting in oral stage dysphagia (OD). 3 These TMJ-related difficulties are in addition to other systemic issues that individuals with RA experience, such as burning mouth, taste alterations, or dental health issues, thus increasing the risk of overall eating, drinking and swallowing issues. Recent research suggests that 30.69% and 24.63% of adults with RA affecting the TMJ experience impaired mastication and swallowing, respectively, while masticatory pain (29.97%) and fatigue (21.26%) also affect a sizeable cohort.…”