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Scolaro A, Khijmatgar S, Rai PM, Falsarone F, Alicchio F, Mosca A, Greco C, Del Fabbro M, Tartaglia GM. Efficacy of Kinematic Parameters for Assessment of Temporomandibular Joint Function and Disfunction: A Systematic Review and Meta-Analysis. Bioengineering (Basel) 2022; 9:bioengineering9070269. [PMID: 35877320 PMCID: PMC9311583 DOI: 10.3390/bioengineering9070269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Revised: 05/18/2022] [Accepted: 05/24/2022] [Indexed: 11/16/2022] Open
Abstract
The aim of this review was to answer the following PICO question: “Do TMJ kinematic parameters (intervention and comparison) show efficacy for assessment of mandibular function (Outcome) both in asymptomatic and TMD subjects? (Population)”. PubMed, Scopus, Web of Science, Embase, Central databases were searched. The inclusion criteria were (1) performed on human, (2) English only, (3) on healthy, symptomatic or surgically altered TMJ, (4) measured dynamic kinematics of mandible or TMJ (5) with six degrees of freedom. To assess the Risk of Bias, the Joanna Briggs Institute tool for non-randomised clinical studies was employed. A pairwise meta-analysis was carried out using STATA v.17.0 (Stata). The heterogeneity was estimated using the Q value and the inconsistency index. Ninety-two articles were included in qualitative synthesis, nine studies in quantitative synthesis. The condylar inclination was significantly increased in female (effect size 0.03°, 95% CI: −0.06, 0.12, p = 0.00). Maximum mouth opening (MMO) was increased significantly in female population in comparison with males (effect size 0.65 millimetres (0.36, 1.66). Incisor displacement at MMO showed higher values for control groups compared with TMD subjects (overall effect size 0.16 millimetres (−0.37, 0.69). Evidence is still needed, considering the great variety of devices and parameters used for arthrokinematics. The present study suggests standardising outcomes, design, and population of the future studies in order to obtain more reliable and repeatable values.
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Affiliation(s)
- Alessandra Scolaro
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy; (A.S.); (S.K.); (P.M.R.); (M.D.F.)
- Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy; (F.F.); (F.A.); (A.M.)
| | - Shahnawaz Khijmatgar
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy; (A.S.); (S.K.); (P.M.R.); (M.D.F.)
- Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy; (F.F.); (F.A.); (A.M.)
| | - Pooja Mali Rai
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy; (A.S.); (S.K.); (P.M.R.); (M.D.F.)
- Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy; (F.F.); (F.A.); (A.M.)
| | - Francesca Falsarone
- Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy; (F.F.); (F.A.); (A.M.)
| | - Francesca Alicchio
- Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy; (F.F.); (F.A.); (A.M.)
| | - Arianna Mosca
- Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy; (F.F.); (F.A.); (A.M.)
| | - Christian Greco
- Azienda Sanitaria dell’Alto Adige, Merano Hospital, 39100 Bolzano, Italy;
| | - Massimo Del Fabbro
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy; (A.S.); (S.K.); (P.M.R.); (M.D.F.)
- IRCC Orthopaedic Institute Galeazzi, 20161 Milan, Italy
| | - Gianluca Martino Tartaglia
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy; (A.S.); (S.K.); (P.M.R.); (M.D.F.)
- Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy; (F.F.); (F.A.); (A.M.)
- Correspondence:
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Dudnik OV, Mamedov AA, Dybov AM, Kharke VV, Timoshenko TV, Skakodub AA, Maclennan AB, Bille DS. Application of additional anthropometric and functional methods in children undergoing orthodontic treatment using braces. Saudi Dent J 2021; 33:222-228. [PMID: 34025085 PMCID: PMC8117364 DOI: 10.1016/j.sdentj.2020.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Revised: 10/15/2020] [Accepted: 11/01/2020] [Indexed: 11/30/2022] Open
Abstract
Background Occlusal interference causes instability in temporomandibular joint and hyperactivity of mastication muscles which eventually leads to temporomandibular joint dysfunction. Therefore, achieving stable occlusion is important in young patients. It is key factor in optimizing functional occlusion in adulthood. Aim Application of «The ABO Model Grading System» and Mandibular Position Indicator as an additional diagnostic method in children undergoing orthodontic treatment using braces. Methods Thirty-two patients aged 14 to 18 diagnosed with teeth crowding on the upper and lower jaws were examined, then separated in two groups of 16 people each. All patients underwent orthodontic treatment using braces. Results In group 2, due to application the anthropometrical system of quantitative evaluation ABO with re-fixing the incorrectly arranged braces by indirect bonding method, occlusal interferences were eliminated. MPI analysis showed discrepancy between the central occlusion and the central relation which was not as relevant as in the group 1 (p > 0.05). Conclusion Using the anthropometric system of quantitative assessment of ABO with subsequent re-fixation of incorrectly placed braces by indirect bonding, effectively improves the MPI. This determines the unity of position between articular condyles on the lower jaw in the centric occlusion and in the centric relation, which allows to get a stable result of orthodontic treatment.
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Affiliation(s)
- Olesya Viktorovna Dudnik
- Department of Pediatric Dentistry and Orthodontics I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation
- Institute of Dentistry I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation
- Corresponding author at: Institute of Dentistry I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation; FSAEI of HE I.M. Sechenov Moscow Medical State University (Sechenov University), St. Trubetskaya, 8\2, Moscow 119991, Russian Federation.
| | - Adil Askerovich Mamedov
- Department of Pediatric Dentistry and Orthodontics I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation
- Institute of Dentistry I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation
| | - Andrew Mikhailovich Dybov
- Department of Pediatric Dentistry and Orthodontics I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation
- Institute of Dentistry I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation
| | - Viktoriya Valentinovna Kharke
- Department of Pediatric Dentistry and Orthodontics I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation
- Institute of Dentistry I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation
| | - Tatiana Valerievna Timoshenko
- Department of Pediatric Dentistry and Orthodontics I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation
- Institute of Dentistry I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation
| | - Alla Anatolevna Skakodub
- Department of Pediatric Dentistry and Orthodontics I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation
- Institute of Dentistry I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation
| | - Anastasya Benediktovna Maclennan
- Department of Pediatric Dentistry and Orthodontics I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation
- Institute of Dentistry I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation
| | - Diana Sergeevna Bille
- Department of Pediatric Dentistry and Orthodontics I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation
- Institute of Dentistry I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation
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Woodford SC, Robinson DL, Mehl A, Lee PVS, Ackland DC. Measurement of normal and pathological mandibular and temporomandibular joint kinematics: A systematic review. J Biomech 2020; 111:109994. [PMID: 32971491 DOI: 10.1016/j.jbiomech.2020.109994] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Revised: 07/27/2020] [Accepted: 08/08/2020] [Indexed: 01/08/2023]
Abstract
Motion of the mandible and temporomandibular joint (TMJ) plays a pivotal role in the function of the dentition and associated hard and soft tissue structures, and facilitates mastication, oral communication and access to respiratory and digestive systems. Quantification of TMJ kinematics is clinically relevant in cases of prosthetic rehabilitations, TMJ disorders, osteoarthritis, trauma, tumour resection and congenital abnormalities, which are known to directly influence mandibular motion and loading. The objective of this systematic review was to critically investigate published literature on historic and contemporary measurement modalities used to quantify in vivo mandibular and TMJ kinematics in six degrees of freedom. The electronic databases of Scopus, Web of Science, Medline, Embase and Central were searched and 109 relevant articles identified. Publication quality was documented using a modified Downs and Black checklist. Axiography and ultrasonic tracking are commonly employed in the clinical setting due to their simplicity and capacity to rapidly acquire low-fidelity mandibular motion data. Magnetic and optoelectronic tracking have been used in combination with dental splints to produce higher accuracy measurements while minimising skin motion artefact, but at the expense of setup time and cost. Four-dimensional computed tomography provides direct 3D measurement of mandibular and TMJ motion while circumventing skin motion artefact entirely, but employs ionising radiation, is restricted to low sampling frequencies, and requires time-consuming image processing. Recent advances in magnetic tracking using miniature sensors adhered to the teeth in combination with intraoral scanning may facilitate rapid and high precision mandibular kinematics measurement in the clinical setting. The findings of this review will guide selection and application of mandibular and TMJ kinematic measurement for both clinical and research applications.
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Affiliation(s)
- Sarah C Woodford
- Department of Biomedical Engineering, University of Melbourne, Parkville, Victoria 3010, Australia
| | - Dale L Robinson
- Department of Biomedical Engineering, University of Melbourne, Parkville, Victoria 3010, Australia
| | - Albert Mehl
- Centre of Dental Medicine, University of Zürich, Zürich, Switzerland
| | - Peter V S Lee
- Department of Biomedical Engineering, University of Melbourne, Parkville, Victoria 3010, Australia
| | - David C Ackland
- Department of Biomedical Engineering, University of Melbourne, Parkville, Victoria 3010, Australia.
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Synergy Extraction of Jaw Muscles During Mastication Based on Principal Components Analysis of Electromyogram Signal. TOPICS IN GERIATRIC REHABILITATION 2018. [DOI: 10.1097/tgr.0000000000000178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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An index for the evaluation of 3D masticatory cycles stability. Arch Oral Biol 2017; 83:124-129. [DOI: 10.1016/j.archoralbio.2017.07.016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2017] [Revised: 07/21/2017] [Accepted: 07/23/2017] [Indexed: 11/18/2022]
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Nakamura Y, Iriarte-Diaz J, Arce-McShane F, Orsbon CP, Brown KA, Eastment M, Avivi-Arber L, Sessle BJ, Inoue M, Hatsopoulos NG, Ross CF, Takahashi K. Sagittal Plane Kinematics of the Jaw and Hyolingual Apparatus During Swallowing in Macaca mulatta. Dysphagia 2017; 32:663-677. [PMID: 28528492 PMCID: PMC5767546 DOI: 10.1007/s00455-017-9812-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2016] [Accepted: 05/11/2017] [Indexed: 11/28/2022]
Abstract
Studies of mechanisms of feeding behavior are important in a society where aging- and disease-related feeding disorders are increasingly prevalent. It is important to evaluate the clinical relevance of animal models of the disease and the control. Our present study quantifies macaque hyolingual and jaw kinematics around swallowing cycles to determine the extent to which macaque swallowing resembles that of humans. One female and one male adult Macaca mulatta were trained to feed in a primate chair. Videofluoroscopy was used to record kinematics in a sagittal view during natural feeding on solid food, and the kinematics of the hyoid bone, thyroid cartilage, mandibular jaw, and anterior-, middle-, and posterior-tongue. Jaw gape cycles were defined by consecutive maximum gapes, and the kinematics of the swallow cycles were compared with those of the two consecutive non-swallow cycles preceding and succeeding the swallow cycles. Although there are size differences between macaques and humans, and macaques have shorter durations of jaw gape cycles and hyoid and thyroid upward movements, there are several important similarities between our macaque data and human data reported in the literature: (1) The durations of jaw gape cycles during swallow cycles are longer than those of non-swallow cycles as a result of an increased duration of the jaw-opening phase; (2) Hyoid and thyroid upward movement is linked with a posterior tongue movement and is faster during swallow than non-swallow cycles; (3) Tongue elevation propagates from anterior to posterior during swallow and non-swallow cycles. These findings suggest that macaques can be a useful experimental model for human swallowing studies.
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Affiliation(s)
- Yuki Nakamura
- Department of Organismal Biology and Anatomy, University of Chicago, 1025 E 57th St. Culver Rm 206, Chicago, IL, 60637, USA.
- Division of Dysphagia Rehabilitation, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
| | - Jose Iriarte-Diaz
- Department of Oral Biology, University of Illinois at Chicago College of Dentistry, Chicago, IL, USA
| | - Fritzie Arce-McShane
- Department of Organismal Biology and Anatomy, University of Chicago, 1025 E 57th St. Culver Rm 206, Chicago, IL, 60637, USA
| | - Courtney P Orsbon
- Department of Organismal Biology and Anatomy, University of Chicago, 1025 E 57th St. Culver Rm 206, Chicago, IL, 60637, USA
| | - Kevin A Brown
- Center for Neural Science, New York University, New York, NY, USA
| | - McKenna Eastment
- Division of Allergy and Infectious Diseases, University of Washington, Seattle, WA, USA
| | | | - Barry J Sessle
- Department of Dentistry, University of Toronto, Toronto, ON, Canada
| | - Makoto Inoue
- Division of Dysphagia Rehabilitation, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
| | - Nicholas G Hatsopoulos
- Department of Organismal Biology and Anatomy, University of Chicago, 1025 E 57th St. Culver Rm 206, Chicago, IL, 60637, USA
- Committee on Computational Neuroscience, University of Chicago, Chicago, IL, USA
| | - Callum F Ross
- Department of Organismal Biology and Anatomy, University of Chicago, 1025 E 57th St. Culver Rm 206, Chicago, IL, 60637, USA
| | - Kazutaka Takahashi
- Department of Organismal Biology and Anatomy, University of Chicago, 1025 E 57th St. Culver Rm 206, Chicago, IL, 60637, USA.
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Pasinato F, Oliveira AGD, Santos-Couto-Paz CC, Zeredo JLL, Bolzan GDP, Macedo SB, Corrêa ECR. Estudo das variáveis cinemáticas da mastigação unilateral e habitual de indivíduos saudáveis. Codas 2017; 29:e20160074. [DOI: 10.1590/2317-1782/20172016074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2016] [Accepted: 09/30/2016] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivo Descrever e comparar as variáveis cinemáticas temporoespaciais do movimento mandibular durante a mastigação unilateral deliberada e habitual de indivíduos saudáveis. Método Participaram do estudo 8 voluntários saudáveis, do gênero masculino, com faixa etária entre 19 e 24 anos. Os dados cinemáticos foram obtidos através do sistema de análise de movimento Qualysis (QTM - Qualisys Track Manager). Foram realizados registros de mastigação unilateral direita (MU) e habitual (MH) de bala de goma de gelatina de consistência firme. Foram analisadas variáveis relacionadas à (1) sequência mastigatória (duração, número de ciclos e frequência mastigatória); (2) ciclo mastigatório: duração do ciclo mastigatório, amplitude de movimento mandibular vertical e médio-lateral durante o ciclo mastigatório, velocidade máxima durante as fases de abertura e fechamento. A comparação das variáveis durante a MU e MH foi realizada por meio do teste t pareado (p<0,05) e os tamanhos de efeito (‘d’ de Cohen) foram calculados. Resultados Em relação à sequência mastigatória, observou-se menor frequência mastigatória durante MU comparada à MH (1,19±0,21 e 1,29±0,16Hz, respectivamente, p=0,004, d=0,53) e menores velocidades máximas de abertura (MU=67,4 mm/s e MH=80,02; p=0,053; d=0,80) e fechamento (MU=71,77±9,35mm/s e MH=83,51±17 mm/s, p=0,014, d=0,79) do ciclo mastigatório. Conclusão As variáveis cinemáticas relacionadas à sequência e ao ciclo mastigatório foram influenciadas pelo padrão mastigatório adotado – unilateral ou habitual.
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Kijak E, Margielewicz J, Lietz-Kijak D, Wilemska-Kucharzewska K, Kucharzewski M, Śliwiński Z. Model identification of stomatognathic muscle system activity during mastication. Exp Ther Med 2017; 13:135-145. [PMID: 28123482 PMCID: PMC5245084 DOI: 10.3892/etm.2016.3921] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2015] [Accepted: 02/11/2016] [Indexed: 01/24/2023] Open
Abstract
The present study aimed to determine the numeric projection of the function of the mandible and muscle system during mastication. An experimental study was conducted on a healthy 47 year-old subject. On clinical examination no functional disorders were observed. To evaluate the activity of mastication during muscle functioning, bread cubes and hazelnuts were selected (2 cm2 and 1.2/1.3 cm in diameter, respectively) for condyloid processing. An assessment of the activity of mastication during muscle functioning was determined on the basis of numeric calculations conducted with a novel software programme, Kinematics 3D, designed specifically for this study. The efficacy of the model was verified by ensuring the experimentally recorded trajectories were concordant with those calculated numerically. Experimental measurements of the characteristic points of the mandible trajectory were recorded six times. Using the configuration coordinates that were calculated, the dominant componential harmonics of the amplitude-frequency spectrum were identified. The average value of the dominant frequency during mastication of the bread cubes was ~1.16±0.06 Hz, whereas in the case of the hazelnut, this value was nearly two-fold higher at 1.84±0.07 Hz. The most asymmetrical action during mastication was demonstrated to be carried out by the lateral pterygoid muscles, provided that their functioning was not influenced by food consistency. The consistency of the food products had a decisive impact on the frequency of mastication and the number of cycles necessary to grind the food. Model tests on the function of the masticatory organ serve as effective tools since they provide qualitative and quantitative novel information on the functioning of the human masticatory organ.
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Affiliation(s)
- Edward Kijak
- Department of Prosthetic Dentistry, Faculty of Medicine and Dentistry, Pomeranian Medical University, 70-204 Szczecin, Poland
| | - Jerzy Margielewicz
- Department of Logistics and Transport, Silesian University of Technology, 44-019 Katowice, Poland
| | - Danuta Lietz-Kijak
- Department of Propedeutics and Dental Physiodiagnostics, Pomeranian Medical University, 70-204 Szczecin, Poland
| | | | - Marek Kucharzewski
- Institute of Physiotherapy, The Jan Kochanowski University of Humanities and Sciences, 25-317 Kielce, Poland
| | - Zbigniew Śliwiński
- School of Medicine with the Division of Dentistry in Zabrze, Department of Descriptive and Topographic Anatomy, Medical University of Silesia, 41-808 Zabrze, Poland
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