Functioning of the Masticatory System in Patients with an Alloplastic Total Temporomandibular Joint Prostheses Compared with Healthy Individuals: A Pilot Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Measurements
2.2. Masticatory Performance
2.3. Maximum Voluntary Bite Force
2.4. Maximum Mouth Opening
2.5. Masticatory Ability
2.6. Pain
2.7. Patient Satisfaction
2.8. Statistical Analysis
3. Results
4. Discussion
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Inclusion Criteria | Exclusion Criteria |
---|---|
Unilateral or bilateral stock total TMJ reconstruction | Edentulous and had no denture prosthesis |
Minimal 3 months postsurgery | TJR TMJ surgery-related complication |
Not able to speak or understand Dutch or English |
Patient Number | Sex | Age at Measurement Moment (Years) | Time after Surgery (Years) | Dental State | Diagnoses | TJR Side | Prior TMJ Surgery at TJR Side | Healthy Individual Number | Sex | Age at Measurement Moment (Years) | Dental State |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | Female | 59.79 | 2.30 | Natural dentition | Arthrosis | Left | 0 | 1 | Female | 58.35 | Natural dentition |
2 | Male | 70.34 | 2.66 | Implant-retained overdenture in upper and lower jaw | Arthrosis | Right | 1 | 2 | Male | 68.98 | Implant-retained overdenture in lower jaw and natural dentition in upper jaw |
3 | Female | 71.90 | 2.12 | Complete denture | Arthrosis | Left | 0 | 3 | Female | 61.74 | Complete denture |
4 | Female | 59.76 | 2.43 | Natural dentition | Condylar resorption | Right | 1 | 4 | Female | 55.96 | Natural dentition |
5 | Female | 60.58 | 2.84 | Implant-retained overdenture in upper and lower jaw | Ankyloses | Right | 0 | 5 | Female | 60.03 | Implant-retained overdenture in lower jaw and natural dentition in upper jaw |
6 | Female | 56.96 | 0.52 | Complete denture | Osteoarthritis | Left | 0 | 6 | Female | 56.62 | Complete denture |
7 | Female | 50.68 | 3.63 | Natural dentition | Arthrosis | Right | 1 | 7 | Female | 50.56 | Natural dentition |
8 | Female | 51.12 | 3.82 | Natural dentition | Arthrosis | Right | 1 | 8 | Female | 50.89 | Natural dentition |
9 | Female | 67.18 | 0.39 | Natural dentition | Osteoarthritis | Right | 1 | 9 | Female | 64.66 | Natural dentition |
10 | Male | 66.55 | 4.27 | Complete denture | Osteoarthritis | Left | 0 | 10 | Male | 69.05 | Complete denture |
11 | Female | 64.37 | 1.68 | Complete denture | Osteoarthritis | Left | 1 | 11 | Female | 61.48 | Complete denture |
12 | Female | 61.01 | 3.86 | Natural dentition | Ankyloses | Right | 0 | 12 | Female | 61.83 | Natural dentition |
Patients with TMJ TJR N = 12) | Healthy Individuals (N = 12) | p-Value | |
---|---|---|---|
Sex (N (%)) | 1.000 ‡ | ||
Female | 10 (83%) | 10 (83%) | |
Male | 2 (17%) | 2 (17%) | |
Age (years) (mean (SD)) | 61.69 (6.77) | 60.01 (6.00) | 0.528 † |
Time after surgery (mean (SD)) | 2.54 (1.26) | - | - |
Prior TMJ surgery at TJR side | - | ||
Yes | 6 (50%) | - | |
No | 6 (50%) | - | |
Dental state (N (%)) | 0.456 ‡ | ||
Natural dentition | 6 (50%) | 6 (50%) | |
Implant-retained overdenture in lower jaw and natural dentition in upper jaw | 0 (0%) | 2 (17%) | |
Implant-retained overdenture in lower and upper jaw | 2 (17%) | 0 (0%) | |
Complete denture | 4 (33%) | 4 (33%) | |
Mixing ability index (mean (SD)) | 19.56 (2.45) | 18.21 (1.89) | 0.145 † |
Maximum voluntary bite force (mean (SD)) | 201.04 (159.7) | 463.88 (301.16) | 0.014 *† |
Active maximum mouth opening (mean (SD)) | 42.50 (7.93) | 51.79 (6.96) | 0.006 **† |
Passive maximum mouth opening (mean (SD)) | 44.50 (6.72) | - | - |
Pain during last week (median (IQR)) | 0.00 (0.00–0.23) | - | - |
Pain during mastication of Mixing Ability Test (median (IQR)) | 0.00 (0.00–0.30) | - | - |
Pain during maximum bite force at the non-operative site (median (IQR)) | 0.00 (0.00–0.00) | - | - |
Pain during maximum bite force at the operative site (median (IQR)) | 0.00 (0.00–2.85) | - | - |
Pain during active maximum mouth opening (median (IQR)) | 0.00 (0.00–3.53) | - | - |
Pain during passive maximum mouth opening (median (IQR)) | 1.75 (0.00–3.53) | - | - |
Satisfaction (median (IQR)) | 10.00 (9.80–10.00) | - | - |
Mandibular Functional Index Questionnaire; total (mean (SD)) | 33.42 (15.72) | - | - |
| 0.00 (0.00–1.00) | - | - |
| 0.00 (0.00–1.00) | - | - |
| 1.00 (0.00–3.75) | - | - |
| 1.00 (0.00–2.00) | - | - |
| 0.00 (0.00–0.00) | - | - |
| 0.00 (0.00–0.75) | - | - |
| 0.00 (0.00–0.00) | - | - |
| 0.00 (0.00–0.00) | - | - |
| 1.50 (0.00–3.75) | - | - |
| 1.00 (0.00–1.75) | - | - |
| 0.00 (0.00–0.00) | - | - |
| 0.50 (0.00–1.00) | - | - |
| 0.50 (0.00–1.00) | - | - |
| 1.50 (0.00–4.00) | - | - |
| 0.50 (0.00–2.75) | - | - |
| 0.50 (0.00–3.75) | - | - |
| 1.50 (0.00–4.00) | - | - |
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Speksnijder, C.M.; Mutsaers, N.E.A.; Walji, S. Functioning of the Masticatory System in Patients with an Alloplastic Total Temporomandibular Joint Prostheses Compared with Healthy Individuals: A Pilot Study. Life 2022, 12, 2073. https://doi.org/10.3390/life12122073
Speksnijder CM, Mutsaers NEA, Walji S. Functioning of the Masticatory System in Patients with an Alloplastic Total Temporomandibular Joint Prostheses Compared with Healthy Individuals: A Pilot Study. Life. 2022; 12(12):2073. https://doi.org/10.3390/life12122073
Chicago/Turabian StyleSpeksnijder, Caroline M., Nadiya E. A. Mutsaers, and Sajjad Walji. 2022. "Functioning of the Masticatory System in Patients with an Alloplastic Total Temporomandibular Joint Prostheses Compared with Healthy Individuals: A Pilot Study" Life 12, no. 12: 2073. https://doi.org/10.3390/life12122073