Publications

The temporomandibular joint (TMJ) is essential for chewing and speaking functions, as well as for making facial expressions. However, this joint can be affected by disorders, known as temporomandibular disorders (TMDs), induced by complex causes that lead to limitations in daily activities.

Building on the methodology and findings from our previous study on TMJ function, our research aims to apply the established criteria and norms to patients with TMDs. The primary goal is to evaluate the applicability and clinical relevance of these reference norms in predicting the severity and progression of TMJ disorders within a clinical population.

Using non-invasive myotonic measurements, we evaluated 157 subjects, including both non-TMD-affected and TMD-affected individuals. To achieve optimal results, five primary parameters (frequency, stiffness, decrement, relaxation time, and creep) were analyzed using statistical-physical tools, providing quantitative functionality degrees across different previously examined clinical groups.

The obtained results identified significant quantitative markers for early diagnosis and personalized treatment of TMJ disorders.

This interdisciplinary approach leads to a deeper understanding of TMJ dysfunctions and makes a meaningful contribution to clinical practice, providing more precise tools for managing and treating this complex condition.

Keywords: temporomandibular joint, temporomandibular joint disorder, masticatory system, myotonic measurements, viscoelastic profile, anatomical network, osteo-myofascial network, physical statistics

The integration of biomechanical measurements from the MyotonPRO device into the clinical evaluation of TMDs represents a significant advancement in both diagnostic accuracy and therapeutic planning. Traditional diagnostic methods, which often rely on subjective assessments, may not fully capture the extent of muscle dysfunction, especially in its early stages. The MyotonPRO device provides objective, quantifiable data on key parameters such as muscle stiffness, relaxation time, decrement, and creep, offering a clearer and more comprehensive understanding of masticatory muscle health.

This objective data not only enhance diagnostic precision but also enable the development of personalized, multidimensional treatment plans. By identifying specific biomechanical abnormalities, clinicians can tailor therapeutic interventions more effectively, addressing both the muscular and skeletal components of TMD. A multidisciplinary approach that combines dental, physiotherapeutic, and osteopathic treatments ensures that the root causes of dysfunction are addressed, leading to more sustainable clinical outcomes.

Additionally, the capability to track changes in biomechanical properties over time allows for continuous monitoring of treatment efficacy. This enables clinicians to adjust strategies based on real-time data, helping to prevent the progression of dysfunction and ensuring that patients receive optimal care.

In conclusion, utilizing MyotonPRO alongside traditional diagnostic tools provides a powerful and comprehensive framework for managing TMD. By facilitating earlier detection, more precise treatment, and ongoing monitoring, this integrated approach holds great potential for improving patient outcomes and enhancing the overall management of masticatory muscle dysfunction. The study conducted so far demonstrates that biomechanical and viscoelastic parameters provide valuable insights into understanding TMD. However, we acknowledge that further studies with larger sample sizes are necessary to confirm these findings and improve the clinical applicability of our approach. Furthermore, additional studies are planned to incorporate further evaluation methods and clinical data collection techniques, aiming to enrich our understanding and refine the clinical application of these technologies in diagnosing and treating TMD.