Reliability of the Beighton Hypermobility Index to Determinate the General Joint Laxity Performed by Dentists

Hirsch, Christian R; Hirsch, Monique; John, Mike T.; Bock, Jens

doi:10.1007/s00056-007-0708-z

Cited by 22 publications

(23 citation statements)

References 25 publications

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“…Compared to other studies, this discrepancy may also be the result of specificities of the population of northern Germany, where joint hypermobility appears to be relatively prevalent 37 . However, the overall sensitivity of the single items was low (between 0.21 and 0.65).…”

Section: Rheumatologycontrasting

confidence: 79%

Reliability of Clinical Symptoms in Diagnosing Temporomandibular Joint Arthritis in Juvenile Idiopathic Arthritis

Koos

Twilt²,

Kyank³

et al. 2014

J Rheumatol

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Section: Rheumatologycontrasting

confidence: 79%

Reliability of Clinical Symptoms in Diagnosing Temporomandibular Joint Arthritis in Juvenile Idiopathic Arthritis

Koos

Twilt²,

Kyank³

et al. 2014

J Rheumatol

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“…This aspect should be carefully observed in patients with generalized joint hypermobility (GJH), considering that reduction in proprioception can cause hyper-translation of the condyles, generating articular noise and, possibly, internal derangements and joint inflammation (9)(10)(11) . This topic has been addressed in previous studies (7)(8)(9)(10) that reported GJH as a risk factor for the development of TMD signs and symptoms.…”

Section: Discussionmentioning

confidence: 97%

“…Considering the characteristics of GJH, it is suggested that such manifestation affect all articulations, including the temporomandibular joint (TMJ). Several studies report GJH as a risk factor for the development of signs and symptoms of temporomandibular joint dysfunction (TMD) (7)(8)(9)(10) . Due to ligament laxity and, consequently, to impaired proprioception, it is believed that the TMJ be overloaded, resulting in degenerative changes that can be observed in internal derangements and articular inflammation (9)(10)(11) .…”

Section: Introductionmentioning

confidence: 99%

Influência da hipermobilidade articular generalizada sobre a articulação temporomandibular e a oclusão dentária: estudo transversal

Chiodelli

Pacheco

Missau

et al. 2016

CoDAS

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RESUMO Objetivo Avaliar a oclusão dentária e a articulação temporomandibular de mulheres com e sem hipermobilidade articular generalizada. Método A hipermobilidade foi avaliada pelo Escore de Beighton, e as voluntárias foram distribuídas, conforme o escore obtido, em dois grupos: com e sem hipermobilidade. A articulação temporomandibular foi avaliada por meio do instrumento Critérios de Diagnóstico para Pesquisa de Desordens Temporomandibulares, e a avaliação oclusal compreendeu a classificação de Angle, presença de sobremordida, sobressaliência e mordida cruzada, padrão de desoclusão e interferências oclusais. Resultados 43 mulheres participaram voluntariamente da pesquisa, 17 no grupo com hipermobilidade e 26 no grupo sem hipermobilidade. A frequência de ruídos articulares e de desvio na abertura da boca foi maior no grupo com hipermobilidade (52,9% versus 38,5% e 76,5% versus 50%, respectivamente), sem diferença significante. Quanto à oclusão, nenhuma voluntária apresentou uma oclusão ideal e não se verificou diferença significativa na Classe de Angle entre os grupos. As alterações na oclusão obtiveram percentual maior no grupo com hipermobilidade (29,4% de sobremordida, 47,1% de sobressaliência e 17,6% de mordida cruzada), sendo que a mordida cruzada apresentou diferença estatística entre os grupos. Conclusão A hipermobilidade não influenciou a oclusão e as amplitudes de movimentos mandibulares nas mulheres avaliadas. Contudo, o maior percentual de ruídos articulares e de desvio não corrigido apresentado pelo grupo com hipermobilidade, mesmo sem diferença entre os grupos, pode constituir um indício de relação entre hipermobilidade e disfunção temporomandibular.

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“…The assessment of TMD was carried out using the German version of the RDC/TMD (14), which has been demonstrated to have sufficiently high reliability for the most common TMD diagnoses (15). Reliability, as well as the internal consistency of the hypermobility measurements taken by dentists functioning as examiners, was assessed in a reliability study (16). According to corresponding recommendations (17), intrarater and inter rater reliabilities were found to be very good to excellent (range of intraclass correlation coefficients: 0.84–0.94); Cronbach’s alpha (range: 0.66–0.79) yielded acceptable internal consistency hypermobility measurements (16).…”

Section: Methodsmentioning

confidence: 99%

Association between generalized joint hypermobility and signs and diagnoses of temporomandibular disorders

Hirsch

John

Stang

2008

European J Oral Sciences

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The aim of this study was to analyze whether generalized joint hypermobility (GJH) is a risk factor for temporomandibular disorders (TMD). We examined 895 subjects (20-60 yr of age) in a population-based cross-sectional sample in Germany for GJH according to the Beighton classification and for TMD according to the Research Diagnostic Criteria for TMD (RDC/TMD). After controlling for the effects of age, gender, and general joint diseases using multiple logistic regression analyses, hypermobile subjects (with four or more hypermobile joints on the 0-9 scale) had a higher risk for reproducible reciprocal clicking as an indicator for disk displacement with reduction (Odds Ratio (OR) = 1.68) compared with those subjects without hypermobile joints. Concurrently, subjects with four or more hypermobile joints had a lower risk for limited mouth opening (< 35 mm; OR = 0.26). The associations between GJH and reproducible reciprocal clicking or limited mouth opening were statistically significant in a trend test. No association was observed between hypermobility and myalgia/arthralgia (RDC/TMD Group I/IIIa). In conclusion, GJH was found to be associated with non-painful subtypes of TMD.

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Reliability of the Beighton Hypermobility Index to Determinate the General Joint Laxity Performed by Dentists

Abstract: The Beighton Index is a reliable instrument for dentists when assessing general joint laxity.

Cited by 22 publications

References 25 publications

Reliability of Clinical Symptoms in Diagnosing Temporomandibular Joint Arthritis in Juvenile Idiopathic Arthritis

Reliability of Clinical Symptoms in Diagnosing Temporomandibular Joint Arthritis in Juvenile Idiopathic Arthritis

Influência da hipermobilidade articular generalizada sobre a articulação temporomandibular e a oclusão dentária: estudo transversal

Association between generalized joint hypermobility and signs and diagnoses of temporomandibular disorders

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