Evaluation of swallowing pattern sound in patients with temporomandibular disorder

Authors

DOI:

https://doi.org/10.33448/rsd-v10i14.21835

Keywords:

Deglutition; Temporomandibular joint dysfunction syndrome; Deglutition disorders.

Abstract

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.

Author Biographies

Bianca Cavalcante-Leão , Tuiuti University of Paraná

Doctor's student and Professor, Tuiuti University of Paraná, Curitiba, PR, Brazil.

Ana Clara Gonçalves de Figueiredo, Tuiuti University of Paraná

Bachelor of Speech Therapy at Tuiuti University of Paraná, Curitiba, PR, Brazil.

Gloria Maria Cortz Ravazzi , Tuiuti University of Paraná

Dentstry; Master’s student Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, PR, Brazil.

Bianca Simone Zeigelboim , Tuiuti University of Paraná

Master's and Doctoral Program in Communication Disorders - Tuiuti University of Paraná, Curitiba, PR, Brazil.

Wagner Hummig , Neurology Institute of Curitiba

Neurology Institute of Curitiba, PR, Brazil.

Rosane Sampaio Santos , Tuiuti University of Paraná

Master's and Doctoral Program in Communication Disorders - Tuiuti University of Paraná, Curitiba, PR, Brazil.

Jose Stechman-Neto , Tuiuti University of Paraná

Master's and Doctoral Program in Communication Disorders - Tuiuti University of Paraná, Curitiba, PR, Brazil.

References

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.

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Published

07/11/2021

How to Cite

CASTILHO , K. R. S. .; CAVALCANTE-LEÃO , B. .; FIGUEIREDO, A. C. G. de .; RAVAZZI , G. M. C. .; ZEIGELBOIM , B. S. .; HUMMIG , W. .; SANTOS , R. S. .; STECHMAN-NETO , J. . Evaluation of swallowing pattern sound in patients with temporomandibular disorder. Research, Society and Development, [S. l.], v. 10, n. 14, p. e403101421835, 2021. DOI: 10.33448/rsd-v10i14.21835. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/21835. Acesso em: 4 dec. 2024.

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Health Sciences