Diagnostic value of mouth opening width in patients with temporomandibular disorders
DOI:
https://doi.org/10.56294/saludcyt202253Keywords:
Mouth Opening Amplitude, Functional Limitation, Temporomandibular DisorderAbstract
Introduction: mouth opening amplitude allows the evaluation of joint and muscle function, constituting a valuable tool to diagnose alterations in the stomatognathic system.
Objective: to characterize the buccal opening amplitude of patients who attended the temporomandibular disorders consultation of the Clinical Surgical “Dr. Miguel Enriquez” Teaching Hospital, in the period January 2017-January 2020.
Method: a retrospective observational descriptive study was carried out in the period January 2017-January 2020, forming a database from the information obtained directly from the medical records. Literature review and synthesis was performed and descriptive statistics were used for data analysis by means of absolute frequency distribution expressed in percentages.
Results: normal mouth opening width predominated in 61 % of the cases. Severe mouth opening restrictions below 20 mm affected 7 % of the females and 21 % of the males. Twenty-three percent of the 30-39-year-old group presented severe limitations below 20 mm, while 19 % of the 19-29-year-old group presented hypermobility. 65 % of the patients who attended before 1 month of symptom onset recorded limitation of mouth opening.
Conclusions: in patients diagnosed with temporomandibular disorders, normal mouth opening amplitude predominated, so the ability of the individual to perform this movement within the established range is not necessarily an indicator of absence of joint and/or muscle damage
References
1. Okeson JP. Tratamiento de oclusión y afecciones temporomandibulares. Barcelona: Elsevier España; 2020.
2. Moosa ZH, Slihem AG, Junaidallah AA, Alshathri AA, Al Samh AKA, Kandil MM. Maximum mouth opening and its association with gender, age, height, weight, body mass index, and systemic disease in adult Saudi population: A cross-sectional study. Journal of International Oral Health 2020;12:173. https://doi.org/10.4103/jioh.jioh_254_19
3. López AV. Prevalencia de la apertura bucal en pacientes preortodóncicos. Tesis. Universidad Nacional de La Plata, 2019.
4. Okeson JP. Tratamiento de Oclusión y afecciones temporomandibulares. 7ma ed. España: ELSEVIER; 2013.
5. García Marroquín LA, Lehmann JM, Loeza D. Apertura máxima mandibular asociada a grado de disfunción temporomandibular en pacientes de una clínica de postgrado en ortodoncia. Revista de la Asociación Dental Mexicana 2018;71:26-33.
6. Khare N, Patil SB, Kale SM, Sumeet J, Sonali I, Sumeet B. Normal Mouth Opening in an Adult Indian Population. J Maxillofac Oral Surg 2012;11:309-13. https://doi.org/10.1007/s12663-012-0334-1
7. Portilla FS, Cajamarca CN, Vernimmen FS. Limitación de la apertura bucal por hiperplasia de apófisis coronoides: reporte de un caso. OdontoInvestigación 2018;4:31-8. https://doi.org/10.18272/oi.v4i1.1122.
8. AlHammad ZA, Alomar AF, Alshammeri TA, Qadoumi MA. Maximum mouth opening and its correlation with gender, age, height, weight, body mass index, and temporomandibular joint disorders in a Saudi population. Cranio 2021;39:303-9. https://doi.org/10.1080/08869634.2019.1646983.
9. Casanova Diaz CP, Valdés Massó D, Suárez Toledo C, Álvarez Hernández M. Caracterización de la demanda de tratamiento en pacientes con trastornos temporomandibulares. HDCQ Dr. Miguel Enríquez. 2019-2020. Congreso Virtual de Estomatología 2020, La Habana: s. f.
10. Peñón Vivas PÁ, Grau León I, Sarracent Pérez H. Caracterización clínica del síndrome de disfunción temporomandibular en el Hospital Universitario «Miguel Enríquez». Revista Cubana de Estomatología 2011;48:371-81.
11. Suarez AF, Gamarra MA, Sanchez OL, Morales IF. Prevalencia de los trastornos temporomandibulares y factores asociados más comunes presentados en las clínicas de la Universidad Santo Tomás en el segundo periodo del año 2016. Revista Estomatología 2017;25:10-5. https://doi.org/10.25100/re.v25i1.6414.
12. Távara García AA. Rangos de los movimientos mandibulares en estudiantes de la Universidad Señor de Sipán-2018. Tesis de Grado. Universidad Señor de Sipán, 2019.
13. Gallagher C, Gallagher V, Whelton H, Cronin M. The normal range of mouth opening in an Irish population. J Oral Rehabil 2004;31:110-6. https://doi.org/10.1046/j.0305-182x.2003.01209.x.
14. Morales Chacón DJ. Análisis de la apertura bucal por medio del índice de criterios diagnósticos de investigación para trastornos temporomandibulares (cdi/ttm) en pacientes que acuden a la Facultad de Odontología. Tesis de Grado. Universidad Central de Ecuador, 2019.
15. Li X-Y, Jia C, Zhang Z-C. The normal range of maximum mouth opening and its correlation with height or weight in the young adult Chinese population. J Dent Sci 2017;12:56-9. https://doi.org/10.1016/j.jds.2016.09.002.
16. Keziah VS, Gounder R, Ganapathy DM. Normal mouth opening range in adult males and females. Drug Invention Today 2019;11:223-5.
17. Agrawal J, Shenai PK, Chatra L, Kumar PY. Evaluation of normal range of mouth opening using three finger index: South India perspective study. Indian J Dent Res 2015;26:361-5. https://doi.org/10.4103/0970-9290.167638.
18. Concha S. Imagenes por resonancia mágnetica de la articulación temporomandibular. Rev Hosp Clin Univ Chile 2007;18:121-30.
19. González-Ballester D, González-García R, García-Nogales A, Moreno-García C, Monje Gil F, González-Ballester D, et al. ¿Es el desplazamiento discal sinónimo de patología articular temporomandibular? Correlación clínico-radiológica y prevalencia de trastornos internos en sujetos voluntarios asintomáticos. Revista Española de Cirugía Oral y Maxilofacial 2020;42:97-106. https://doi.org/10.20986/recom.2020.1133/2020.
20. Moen K, Hellem S, Geitung JT, Skartveit L. A practical approach to interpretation of MRI of the temporomandibular joint. Acta Radiol 2010;51:1021-7. https://doi.org/10.3109/02841851.2010.508173.
21. Juca KF, Suazo Galdames IC, Guimarães AS. Mandibular Condyle Position in Maximum Mouth Opening: A Magnetic Resonance Imaging Evaluation. International Journal of Morphology 2009;27:867-71. https://doi.org/10.4067/S0717-95022009000300037.
22. Travers KH, Buschang PH, Hayasaki H, Throckmorton GS. Associations between incisor and mandibular condylar movements during maximum mouth opening in humans. Archives of Oral Biology 2000;45:267-75. https://doi.org/10.1016/S0003-9969(99)00140-5.
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Copyright (c) 2022 Consuelo Casanova Diaz, Diana Valdés Massó, Elena López González, Igmar Limonta Pérez, Lourdes Hernández Cuétara (Author)
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