Mandibular function in patients with temporomandibular joint pain: a 3-year follow-up.
OBJECTIVE
The present follow-up study in 20 women with TMJ pain and reduced mandibular function associated with disc derangement, osteoarthritis, or inflammatory disorders aimed at investigating whether pain reduction was reflected in function.


METHODS
After 3 years and conventional therapy, 19 of the patients and 15 of the original 20 matched controls completed a questionnaire, including RDC/TMD Jaw Disability Scale and TMJ chewing pain (VAS). Fourteen patients also accepted reexamination comprising TMJ pressure-pain thresholds (PPT), jaw opening, bite force, and jaw kinematics during chewing.


RESULTS
VAS was significantly reduced in patients at the follow-up, but PPT was unchanged, and Jaw Disability ratings were significantly higher than in controls. However, the patients' jaw opening, chewing speed, and bite force had increased significantly.


CONCLUSIONS
With reduction of TMJ pain, function improved in patients to a level that approached reference levels, indicating a marked ability of the nervous system in restoring motor activity.
Department of Odontology, Section of Oral Medicine, Clinical Oral Physiology, Oral Pathology and Anatomy, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark. mb@odont.ku.dk
Merete
M
Bakke
Ragnheidur
R
Hansdottir
D000328:Adult; D001168:Arthritis / Q000503:physiopathology / Q000628:therapy; D001294:Attitude to Health; D001732:Bite Force; D016022:Case-Control Studies; D005157:Facial Pain / Q000503:physiopathology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000503:physiopathology / Q000628:therapy; D008334:Mandible / Q000503:physiopathology*; D008409:Mastication / Q000502:physiology; D008875:Middle Aged; D009068:Movement; D010003:Osteoarthritis / Q000503:physiopathology / Q000628:therapy; D017288:Pain Threshold / Q000502:physiology; D010808:Physical Examination; D016059:Range of Motion, Articular / Q000502:physiology; D019224:Temporomandibular Joint Disc / Q000503:physiopathology; D013705:Temporomandibular Joint Disorders / Q000503:physiopathology* / Q000628:therapy