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TMJ symptoms reduce chewing amplitude and velocity, and increase variability
John C Radke1, Greg J Kamyszek1, Robert S Kull2
1a BioResearch Associates, Inc. , Milwaukee , WI , USA.
Cranio : the Journal of Craniomandibular Practice
|September 5, 2017
Summary
Subjects with temporomandibular joint (TMJ) internal derangements (ID) exhibit altered chewing patterns. Gum chewing analysis revealed reduced amplitude and velocity, with increased variability in the TMJ internal derangement group.
Area of Science:
- Biomechanical analysis of mastication
- Temporomandibular joint disorders
Background:
- Temporomandibular joint (TMJ) internal derangements (ID) can affect masticatory function.
- Understanding jaw movement alterations is crucial for diagnosing and managing TMJ disorders.
Purpose of the Study:
- To investigate if mandibular amplitude, velocity, and variability during gum chewing differ in individuals with TMJ internal derangements (ID) compared to healthy controls.
- To test the null hypothesis that chewing parameters are unchanged in TMJ ID.
Main Methods:
- Thirty symptomatic subjects with confirmed TMJ internal derangements (ID) and a gender/age-matched control group participated.
- Masticatory jaw movements during gum chewing were recorded using an incisor-point jaw tracker.
- Student's t-test was employed to compare mean chewing parameters between the ID and control groups.
Main Results:
- The control group demonstrated significantly greater mandibular amplitude (wider opening) and velocity (faster chewing) compared to the ID group (p < 0.05).
- The mean chewing cycle time was longer (0.929 s vs. 0.751 s) and more variable in the ID group than in the control group (p < 0.05).
Conclusions:
- The study rejected the null hypothesis, finding that TMJ internal derangements significantly alter chewing biomechanics.
- Individuals with TMJ ID exhibit reduced mandibular amplitude and velocity, alongside increased chewing variability.
- Further research into patient adaptation mechanisms for TMJ internal derangements is warranted.
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