Mallampati score in patients with temporomandibular joint disorders: A pilot case-control study

Clin Exp Dent Res. 2024 Apr;10(2):e866. doi: 10.1002/cre2.866.

Abstract

Objectives: Temporomandibular joint disorder (TMD) is defined as any functional abnormalities in different parts of the face and neck. The Mallampati index is an indicator for determining the extent of airway blockage. No study has examined the relationship between TMD and Mallampati score. Most studies have investigated the relationship between temporomandibular joint problems and sleep problems. This pilot study aimed to assess the Mallampati index scores among TMD patients.

Material and methods: Eighty-four people were divided into the case (based on RDC/TMD) and control groups. Demographic information, neck circumference, tongue size, Mallampati score, and other variables were asked of people. STOP-BANG and Pittsburgh Sleep Quality Index (PSQI) were also completed for each patient. Data were analyzed with Chi-square, Fisher's exact, and Mann-Whitney tests.

Results: The Mallampati and PSQI questionnaire scores in the case group were significantly higher than those in the control group (p < 0.001). The results showed that larger tongue and neck circumference patients had a higher Mallampati score. Pearson correlation coefficient showed that the Mallampati score had a direct and significant relationship with body mass index and PSQI (p < 0.001).

Conclusions: The results of this study show that Mallampati scores were significantly higher among patients with TMD than among healthy individuals.

Keywords: Mallampati score; PSQI; STOP-BANG; temporomandibular joint disorders.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Case-Control Studies
  • Health Status
  • Humans
  • Pilot Projects
  • Temporomandibular Joint
  • Temporomandibular Joint Disorders* / diagnosis