Swallowing and Temporomandibular Disorders in Adults

Ciavarella, Domenico; Tepedino, Michele; Laurenziello, Michele; Guida, Laura; Troiano, Giuseppe; Montaruli, Graziano; Illuzzi, Gaetano; Chimenti, Claudio; Muzio, Lorenzo Lo

doi:10.1097/scs.0000000000004376

Cited by 10 publications

(8 citation statements)

References 40 publications

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“…Among the individuals with TMD in the present study, 81% presented atypical swallowing biodynamics in the pharyngeal phase. A similar finding (70% of the sample) has been reported in patients with severe TMD (Maffei et al, 2012) and this result is in agreement with observational studies of the oral phase of swallowing (Ciavarella et al, 2018;Ferreira et al, 2009;Ferreira et al, 2019;Marim et al, 2019).…”

Section: Discussionsupporting

confidence: 91%

“…Swallowing is one of the most commonly altered orofacial functions in individuals with TMD (Ciavarella et al, 2018;Fassicollo et al, 2019;Ferreira et al, 2009;Ferreira et al, 2019;Gilheaney et al, 2017;Marim et al, 2019). In an observational study of the oral phase of swallowing, abnormalities were found in 78.75% of individuals with TMD (Ferreira et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

“…The impairment of the temporomandibular joint and masticatory muscles often has a negative impact on functions of the stomatognathic system, such as speaking, breathing, chewing and swallowing, since these structures actively participate in such processes (De Felicio, Melchior & Da Silva, 2010;Ferreira, Da Silva & De Felício, 2009;Ferreira, Sforza, Rusconi, Castelo & Bommarito, 2019;Gilheaney, Zgaga, Harpur, Sheaf, Kiefer, Béchet & Walshe, 2017). As occurs to minimize the sensation of pain, a protective mechanism alters the normal functioning of the stomatognathic system (Maffei, Mello, Biase, Pasetti, Camargo, Silverio & Gonçalves, 2012;Weber, Correa, Bolzan, Ferreira, Soares & Silva, 2013;Williamsom, Hall & Zwemer, 1990), the most affected functions of which are chewing and swallowing (Ciavarella, Tepedino, Laurenziello, Guida, Troiano, Montaruli, Illuzzi, Chimenti & Lo Muzio, 2018;Ferreira et al, 2019;Fassicollo, Machado, Garcia & Felício, 2019;Gilheaney, Stassen & Walshe, 2018;Radke, Kull & Sethi, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of swallowing pattern sound in patients with temporomandibular disorder

Castilho

Cavalcante-Leão

Figueiredo

et al. 2021

RSD

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Objectives: The impairment of the temporomandibular joint and masticatory muscles has a negative impact on functions of the stomatognathic system, such as swallowing. Thus, an atypical swallowing pattern may contribute to the development of temporomandibular disorder (TMD). The aim of the present study was to evaluate acoustic aspects of swallowing and determine the occurrence of atypical swallowing dynamics. Methods: Sixty-two individuals [16 males (25.8%) and 46 females (74.2%); mean age 39.84 (± 9.40); 47 with TMD and 15 without TMD] were evaluated using an ultrasound detector during the swallowing of three consistencies: liquid, pasty and solid. The acoustic signals were recorded and subsequently analyzed using the DeglutiSom® software. Results: The majority of the sample (81%) with TMD presented atypical swallowing biodynamics, with a significantly greater frequency of food residuals for the three consistencies. The signal suggestive of aspiration was more frequent with the liquid consistency (37% of the group). Conclusion: There is a relation between TMD and an atypical swallowing pattern, which underscores the need for the multidisciplinary evaluation of individuals with this disorder.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluation of swallowing pattern sound in patients with temporomandibular disorder

Castilho

Cavalcante-Leão

Figueiredo

et al. 2021

RSD

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“…It is well‐known that teeth contact, jaw control, tongue position, hyoid bone position and temporomandibular joint stability are very important during swallowing, which is one of the most important oral functions. A recent study showed that TMD patients presented higher masseter and temporalis activation and an unbalancing of temporalis and submental muscle activation during saliva swallowing than healthy controls; this may be correlated to a modification of tongue position in the mouth. In clinical practice, a small proportion of TMD patients complain of swallowing dysfunction.…”

Section: Discussionmentioning

confidence: 97%

Validation of a Chinese version of the Jaw Functional Limitation Scale in relation to the diagnostic subgroup of temporomandibular disorders

He²,

Cai

et al. 2019

J of Oral Rehabilitation

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Background Oro‐facial function is usually impaired by temporomandibular disorders (TMDs). Several studies on TMDs have used the Jaw Functional Limitation Scale (JFLS) to assess mandibular dysfunction. However, it was originally created in English and hence needs to be validated for use among Chinese people. Objective To develop a Chinese version of the JFLS for Chinese TMD patients and to investigate the validity and reliability of the scale. Methods Content validity and temporal stability were evaluated at two different occasions. The reliability and validity of the JFLS were tested in 483 TMD patients. Cronbach's alpha coefficient and split‐half reliability were used to assess internal consistency, while the validity was evaluated by factor analysis. Results Three factors were extracted during exploratory factor analysis, accounting for 62.39% of the variance. The three‐factor model was then measured using confirmatory factor analysis (χ2/df = 3.6, root mean square error of approximation = 0.091, comparative fit index = 0.896). Internal (coefficient alpha values of .906 for all items and Guttman split‐half reliability of 0.756) and test‐retest (intra‐class correlation coefficient = .851‐.897, 95% confidence interval = 0.656‐0.950) reliabilities were excellent. Conclusion The Chinese version of the JFLS is reliable and valid for use in Chinese TMD patients.

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“…9 Many authors link the occurrence of parafunctions with the signs and symptoms of TMD. 2,6,11,12 In turn patients who suffer from TMD also have increased levels of cortisol and the coexistence of other negative emotional states such as depression or somatization of symptoms. 13 Considering that stress is a risk factor in para-functional habits and TMD, high levels of cortisol can combine these two disorders.…”

Section: Introductionmentioning

confidence: 99%

The impact of stress on psychological and physiological aspects of health of patients with TMD: A literature review from 2015–2020

et al. 2020

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Introduction: Studies suggest that temporomandibular disorders (TMD) are a complex disorder with many causes consistent with the biopsychosocial disease model. One of the important areas of TMD etiology are psychological factors, including stress, but its role in the mechanism of TMD formation is ambiguous. Aim: The aim of this literature review was to summarize the latest study about the impact of stress in relation to temporomandibular joint disorders. Material and methods: Articles from PubMed and PEDro online databases were identified using the keywords ‘stress,’ ‘distress,’ ‘TMD.’ The review included works published in the period from October 1, 2015 to March 6, 2020. Finally, 10 articles were qualified for the review. Results and discussion: The most frequently used research tool was the questionnaire. Other methods used to evaluate a level of stress in TMD patients were measurement of cortisol level and surface electromyography of masticatory muscles. Conclusions: Stress is one of the psychological factors involved in TMD pathophysiology. Increased levels of stress in patients with TMD are associated with elevated levels of cortisol, hyperactivity of the HPA axis and increased bioelectric activity of the masticatory muscles. There is a need to extend research on the effects of stress on TMD by more objective methods.

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Swallowing and Temporomandibular Disorders in Adults

Abstract: Nonhealthy patients presented a time of swallow higher than HP (P < 0.001). Nonhealthy patients presented a higher muscles activation and time of swallow than HP and a decrease of muscles balancing activation.

Cited by 10 publications

References 40 publications

Evaluation of swallowing pattern sound in patients with temporomandibular disorder

Evaluation of swallowing pattern sound in patients with temporomandibular disorder

Validation of a Chinese version of the Jaw Functional Limitation Scale in relation to the diagnostic subgroup of temporomandibular disorders

The impact of stress on psychological and physiological aspects of health of patients with TMD: A literature review from 2015–2020

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