Evaluation of swallowing pattern sound in patients with temporomandibular disorder
Keywords:Deglutition; Temporomandibular joint dysfunction syndrome; Deglutition disorders.
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.
Barbosa, J. S.; Alcantara, A. M.; Pereira, C. A.; Consoni, F. M. C. & Conti, P. C. R. (2012). A deglutição inadequada está associada à presença de dor miofascial mastigatória? Rev Dor. abr-jun; 13(2): 132-6
Bianchini, E. M. G. (1999). Disfunção da articulação temporomandibular: relações com a deglutição e a fala. Rev Dent Press Ortodon Ortoped Facial. 4(5): 55-60.
Marim, G. C.; Machado, B. C. Z.; Trawitzki, L. V. L. & Felício, C. M. (2019). Tongue strength, masticatory and swallowing dysfunction in patients with chronic temporomandibular disorder. Physiology & Behavior. 112616. 10.1016/j.physbeh.2019.112616.
Ciavarella, Domenico & Tepedino, Michele & Laurenziello, Michele & Guida, Laura & Troiano, Giuseppe & Montaruli, Graziano & Illuzzi, Gaetano & Chimenti, Claudio & Lo Muzio, Lorenzo. (2018). Swallowing and Temporomandibular Disorders in Adults. Journal of Craniofacial Surgery. 29. 1. 10.1097/SCS.0000000000004376.
De Felicio, C. M.; Melchior, M. O. & Da Silva, M. A. (2010). Effects of orofacial myofunctional therapy on temporomandibular disorders. J Craniomandib Pract. 28(4): 249-259.
Dworkin, S. F. & Leresche, L. (1992). Research diagnostic criteria for temporomandibular disorders review, examinations and specifications, critique. J Craniomandib Disord: 6(4): 301-55.
Enz, V. C. Q.; Vaz, A. R. C.; Nunes, M. C. A.; Rosa, M. O.; Nunes, J. A.; Marques, J. M. & Santos, R. S. Accuracy of Acoustic Evaluation of Swallowing as a Diagnostic Method of Dysphagia in Individuals Affected by Stroke: Preliminary Analysis. Dysphagia (2021). https://doi.org/10.1007/s00455-021-10358-5
Fassicollo, C. E.; Machado, B. C. Z.; Garcia, D. M. & Felício, C. M. (2019). Swallowing changes related to chronic temporomandibular disorders. Clin Oral Invest 23: 3287. https://doi.org/10.1007/s00784-018-2760-z
Ferreira, C. L.; Da Silva, M. A. & De Felício, C. M. (2009). Orofacial myofunctional disorders in subjects with temporomandibular disorders. J Craniomandib Pract. 27(4): 268-74.
Ferreira, C. L. P.; Sforza, C.; Rusconi, F. M. E.; Castelo, P. M. & Bommarito, S. (2019). Masticatory behavior and chewing difficulties in young adults with temporomandibular disorders. Journal of Oral Rehabilitation. 46. 10.1111/joor.12779.
Fleiss J.L. (1981). Statistical Methods for Rates and Proportions. John Wiley & Sons.
Freire, M. C. M. & Pattusi, M. P. Tipos de estudo, p. 113-117. In: Medodologia científica:ciência, ensino e pesquisa/Organizaor. Carlos Estrela 3 edição – Porto Alegre: Artes Médicas, 2018.
Gilheaney, O.; Béchet, S.; Kerr, P.; Kenny, C.; Smith, S.; Kouider, R.; Kidd, R. & Walshe, M. (2018). The prevalence of oral stage dysphagia in adults presenting with temporomandibular disorders: a systematic review and meta-analysis. Acta Odontol Scand. 76(4); 1-11.
Gilheaney, Orla & FA. Stassen, Leo & Walshe, Margaret. (2018). The prevalence, nature, and management of oral stage dysphagia in adults with temporomandibular joint disorders: Findings from an Irish cohort. Journal of Oral and Maxillofacial Surgery. 76. 10.1016/j.joms.2018.01.036.
Gilheaney, O.; Zgaga, L.; Harpur, I.; Sheaf, G.; Kiefer, L.; Béchet, S. & Walshe, M. (2017). The Prevalence of Oropharyngeal Dysphagia in Adults Presenting with Temporomandibular Disorders Associated with Rheumatoid Arthritis: A Systematic Review and Meta-analysis. Dysphagia. 32. 10.1007/s00455-017-9808-0.
Goldstein, L. B.; Last, F. C. & Salerno, V. M. (1997). Prevalence of hyperactive digastric muscles during swallowing as measured by electromyography in patients with myofascial dysfunction syndrome. Funct Orthod; 14(3): 18-22.
Greene, C. S.; Klasser, G. D. & Epstein, J. B. (2010). Revision of the American Association of Dental Research’s Science Information Statement about Temporomandibular Disorders. J Can Dent Assoc.76:a115.
Kuhl, V.; Eicke, B. M.; Dieterich, M. & Urban, P. P. (2003). Sonographic analysis of laryngeal elevation during swallowing. J Neurol. 250(3):333-7. http://dx.doi.org/10.1007/s00415-003-1007-2
Maffei, C.; Mello, M. M.; Biase, N. G.; Pasetti, L.; Camargo, P. A. M.; Silverio, K. C. A. & Gonçalves, M. I. R. (2012). Avaliação Videofluoroscópica Da Mastigação E Deglutição Em Indivíduos Com Disfunção Temporomandibular. Braz J Otorhinolaryngol. 78 (4): 24-28.
Radke, J., C.; Kull, R. S. & Sethi M. S. (2014). Chewing movements altered in the presence of temporomandibular joint internal derangements, CRANIO®, 32:3, 187-192, DOI: 10.1179/0886963413Z.00000000028
Rosa, R. R.; Bueno, M. d. R. S.; Migliorucci, R. R.; Brasolotto, A. G.; Genaro, K. F., & Berretin-Felix, G. (2020). Tongue function and swallowing in individuals with temporomandibular disorders. Journal of Applied Oral Science, 28. https://doi.org/10.1590/1678-7757-2019-0355
Söder, N. & Miller, N. (2002). Using ultrasound to investigate intrapersonal variability in durational aspects of tongue movement during swallowing. Dysphagia. 17(4):288-97. http://dx.doi.org/10.1007/s00455-002- 0071-6.
Souza, D. M. F.; Correia, F. A. Z.; Stefani, F. M. & Oliveira, M. F. R. (2004). Prevalência das principais alterações nas funções estomatognáticas de respiração, mastigação e deglutição em pacientes portadores de disfunção temporomandibular. J Bras Fonoaudiol; 5(19): 84-87.
Takahashi, K.; Groher, M. E. & Michi, K. (1994). Methodology for detecting swallowing sounds. Dysphagia; 9: 54-96.
Weber, P.; Correa, E. C. R.; Bolzan, G. P.; Ferreira, F. S.; Soares, J. C. & Silva, A. M. T. (2013). Mastigação e deglutição em mulheres jovens com desordem temporomandibular. In CoDAS. 375-80.
Williamsom, E. H.; Hall, J. T. & Zwemer, J. D. (1990). Swallowing patterns in human subjects with and without temporomandibular dysfunction. Am J Orthod Dentofacial Orthop; 98 (6):507-11.
How to Cite
Copyright (c) 2021 Katiane Regina Staszak Castilho ; Bianca Cavalcante-Leão ; Ana Clara Gonçalves de Figueiredo; Gloria Maria Cortz Ravazzi ; Bianca Simone Zeigelboim ; Wagner Hummig ; Rosane Sampaio Santos ; Jose Stechman-Neto
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.