Determining the mandibular range of motions in children from Bahia state
Determinação da amplitude dos movimentos mandibulares em crianças do estado da Bahia
Silvia Damasceno Benevides; Roberto Paulo Araujo; Camila de Oliveira Ribeiro; Sandra Maria Ferraz Mello
Abstract
Purpose: to determine the range of mandibular movements according to age, gender and height in Brazilian children, from Bahia State.
Methods: the research was conducted on 181 children, aged 8 to 12 years. All asymptomatic for Temporomandibular Disorders, according to the Research Diagnostic Criteria/ Temporomandibular Disorders RDC/TMD, RDC /TMD. We carried out the measurement of the amplitude of the maximum mouth opening, right laterality, left laterality and protrusion, being measured with millimeter measurements Digital Caliper Starret Serie 799. To statistical analysis was used the SPSS (Statistical Package for the Social Sciences) on version 17 and the STAT on version 11.
Results: 1. Male / height (≥ 131.45 to 146.05cm); maximum mouth opening from 48.07 to 50.29 mm; right laterality from 8.19 to 8.55mm; left laterality from 7.88 to 8.51 mm; and protrusion from 6.72 to 8.30mm. 2. Female / height (≥ 129.68 to 142.64 cm): maximum mouth opening from 47.15 to 50.71mm; right laterality from 7.27 to 8.58mm; left laterality from 7.66 to 8.21mm; and protrusion from 6.51 to 7.22mm. 3. Male / age: maximum mouth opening from 47.52 to 50.84mm; right laterality from 7.76 to 8.85 mm; left laterality from 7.93 to 9.36 mm; protrusion from 6.60 to 8.50 mm. 4.Female / age: maximum mouth opening from 47.16 to 50.7 mm; right laterality from 7.53 to 8.60 mm; left laterality from 7.42 to 8.30mm; protrusion from 6.41 to 7.48mm.
Conclusion: values of the range of mandibular movements according to age, gender and height, for the studied population, were described and can aid in the functional evaluation of the masticatory system.
Keywords
Resumo
Objetivo: determinar a amplitude dos movimentos mandibulares de crianças brasileiras, do Estado da Bahia, de acordo com a idade, gênero e altura.
Métodos: participaram do estudo 181 escolares de 8 a 12 anos, todos assintomáticos para Disfunção Temporomandibular, segundo o Research Diagnostic Criteria/ Temporomandibular Disorders, RDC/TMD. Realizaram-se as medidas da amplitude da abertura bucal máxima, lateralidade direita, lateralidade esquerda e protrusão. As medidas foram feitas com o paquímetro digital Starret Serie 799. A análise estatística foi STAT versão 11. Aplicou-se a regressão multivariada das medidas obtidas destacando-se gênero, idade e altura como interferentes para amplitude dos movimentos mandibulares (P˂0,05).
Resultados: 1. masculino/altura (131,45 ≥ 146,05cm); abertura bucal máxima 48,07 a 50,29mm; lateralidade direita 8,19 a 8,55mm; lateralidade esquerda 7,88 a 8,51mm e protrusão 6,72 a 8,30mm. 2. feminino/altura (129,68 ≥ 142,64cm): abertura bucal máxima 47,15 a 50,71mm; lateralidade direita 7,27 a 8,58mm; lateralidade esquerda 7,66 a 8,21mm e protrusão 6,51 a 7,22mm. 3. masculino /idade: abertura bucal máxima 47,52 a 50,84mm; lateralidade direita 7,76 a 8,85mm; lateralidade esquerda 7,93 a 9,36mm; protrusão 6,60 a 8,50mm. 4. feminino/idade: abertura bucal máxima 47,16 a 50,7mm; lateralidade direita 7,53 a 8,60mm; lateralidade esquerda 7,42 a 8,30mm; protrusão 6,41 a 7,48mm.
Conclusão: os valores da amplitude dos movimentos mandibulares de acordo com idade, gênero e altura, para a população estudada, foram descritos e podem contribuir como um referencial que pode auxiliar na avaliação funcional do sistema mastigatório.
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Referências
1. Stiesch-Scholz M, Demling A, Rossbach A. Reproducibility of jaw movements in patients with craniomandibular disorders. J Oral Rehabil. 2006;33(11):807-12.
2. Gonçalves DA, Dal Fabbro AL, Campos JA, Bigal ME, Speciali JG. Symptoms of temporomandibular disorders in the population: an epidemiological study. J Orofac Pain. 2010;24(3):270-8.
3. Bertoli FMP, Losso EM, Moresca RC. Evaluation of temporomandibular disordes in children. RSBO. 2009;6(1):77-84.
4. Machado BCZ, Medeiros AM, Felicio CM. Mandibular movement range in children. Pró-Fono R Atual Cient. 2009: 21:189-94.
5. Santos ECA, Bertoz FA, Pignatta LMB, Arantes F de M. Clinical evaluation of signs and symptoms of children's temporomandibular dysfunction. Dental Press J Orthod. 2006;11(2):29-34.
6. Cortese SG, Oliver LM, Biondi AM. Determination of range of mandibular movements in children without temporomandibular disorders. J Craniomandib Pract. 2007;25(3):200-5.
7. Sawair FA, Hassoneh YM, Al-Zawawi BM, Bagain ZH. Maximum mouth opening. Associated factors and dental significance. Saudi Med J. 2010;31(4):369-73.
8. Abou-Atme YS, Chedid N, Melis M, Zawawi KH. Clinical measurement of normal maximum mouth opening em children. J CraniomandibPract. 2008;26(3):191-6.
9. Hamazaki CM, Kawaura R, Bianchini EMG, Assencio-Ferreira VJ. Range of motion analises in children. Rev Cefac. 2002;4(1):35-40.
10. Sousa LM, Nagamine HM, Chaves TC, Grossi DB, Regalo SCH, Oliveira AS. Evaluation of mandibular range of motion in Brazilian children and its correlation to age, height, weight, and gender. Braz Oral Res. 2008;22(1):61-6.
11. Maydana AV, Tesch RS, Denardin OVP, Ursi WJS, Dworkin SF. Possible etiological factors in temporomandibular disorders of articular origin with implications for diagnosis and treatment. Dental Press J Orthod. 2010;15(3):78-86.
12. Dworkin SF, Leresche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992;6(4):301-55.
13. Ribeiro BG, Costa JM, Gomes CAFP, El Hage Y, Arruda EEC, Gonzalez TO et al. Evaluation of temporomandibular disordes in children. Cons Saude. 2011;10(4):729-34.
14. Hirsch C, John MT, Lautenschlager C, List T. Mandibular jaw movement capacity in 10–17-yr-old children and adolescents: normative values and the influence of gender, age, and temporomandibular disorders. Eur J Oral Sci. 2006;14(6):465-70.
15. Hilgenberg PB, Saldanha ADD, Cunha CO, Rubo JH, Conti PCR. Temporomandibular disorders, otologic symptoms and depression levels in tinnitus patients. J Oral Rehab. 2012;39:239-44.
16. Reicheneder CA, Peter P, Baumert U, Gedrange T. Growth-Related Differences in maximum laterotrusion and retrusion between children and adults. Angle Orthodontist. 2009;79(2):265-70.
17. Cattoni DM, Fernandes FDM. Maximum interincisal distance in children in mixed dentition period. Rev Dental Press Ortodon Ortop Facial. 2005;10(1):117-21.
18. Leles RC, Neto JJSM, Giro EMA, Compagnoni MA. Normal mandibular range of movement in children. Rev Fac Odontol São José dos Campos. 2000;3(2):121-6.
19. Cunto DCL, Moroldo MB, Liberatore DI, Imach E. 105 Hiperlaxitud articular: estimación de suprevalencia en niños en edad escolar. Arch argent pediatr 2001;99(2):105-10.
20. Landtwing K. Evaluation of the normal range of vertical mandibular opening in children and adolescent with special reference to age and stature. J MaxFac Surg. 1978;6(3):157-62.
21. Turp JC, Alpaslan C, Gerds T. Is there a greater mandibular movement capacity towards the left? Verification of an observation from 1921. J Oral Rehabil. 2005;32:242-7.
22. Gavião MBD, Chelotti A, Silva FA. Functional analysis of occlusion in deciduous dentition: an evaluation of mandibular movements. Rev Odontol Univ São Paulo. 1997;11(suppl.1):61-9.
Submetido em:
11/07/2015
Aceito em:
26/11/2015
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