TMJ symptoms reduce chewing amplitude and velocity, and increase variability

Cranio. 2019 Jan;37(1):12-19. doi: 10.1080/08869634.2017.1365421. Epub 2017 Sep 4.

Abstract

Objective: The null hypothesis was that mandibular amplitude, velocity, and variability during gum chewing are not altered in subjects with temporomandibular joint (TMJ) internal derangements (ID).

Methods: Thirty symptomatic subjects with confirmed ID consented to chew gum on their left and right sides while being tracked by an incisor-point jaw tracker. A gender and age matched control group (p > 0.67) volunteered to be likewise recorded. Student's t-test compared the ID group's mean values to the control group.

Results: The control group opened wider (p < 0.05) and chewed faster (p < 0.05) than the ID group. The mean cycle time of the ID group (0.929 s) was longer than the control group (0.751 s; p < 0.05) and more variable (p < 0.05).

Discussion: The ID group exhibited reduced amplitude and velocity but increased variability during chewing. The null hypothesis was rejected. Further study of adaptation to ID by patients should be pursued.

Keywords: Average chewing pattern; magnetic incisor-point jaw tracking; temporomandibular joint internal derangement; terminal chewing position; turning point.

MeSH terms

  • Adult
  • Chewing Gum
  • Female
  • Humans
  • Incisor / physiopathology
  • Magnetics
  • Male
  • Mandible
  • Mastication*
  • Middle Aged
  • Movement
  • Temporomandibular Joint / physiopathology*
  • Temporomandibular Joint Disorders / physiopathology*
  • Young Adult

Substances

  • Chewing Gum