Validation of a recording protocol for assessing temporomandibular sounds and a method for assessing jaw position. 1998

J F Prinz
Department of Anatomy, University of Hong Kong, Hong Kong.

Sounds are often produced by the temporomandibular joint (TMJ) during movement in both symptomatic and asymptomatic subjects. However, subjective methods of describing these sounds have been shown to have poor inter- and intra-observer reliability. In this study, a low cost system in which TMJ sounds were detected using the loudspeakers of lightweight in-ear headphones as microphones is evaluated. The sounds were recorded on tape and then analysed using a computer. Sounds were elicited by asking subjects to bring their teeth together with sufficient force to produce a tooth contact sound, then open their mouths as far as possible and then close again. Placing the microphones in the ears attenuated ambient sounds by 58%, thus providing a degree of immunity from ambient noise. Sampling was performed on the left microphone only at 3.4 kHz and from the left and right microphones together at 1.7 kHz for 60 TMJ sounds and 60 tooth contact sounds. Spectral analysis of sounds recorded at the two sample rates revealed no significant differences. Therefore, a sample rate of 1.7 kHz is adequate to resolve the frequency components present in the TMJ sounds. Although simply recording TMJ sounds does not give a direct measurement of the position of the mandible, using this protocol allows the length of the open close cycle to be determined. If the envelope of movement is assumed to approximate a sinusoid, then the direction of mandibular movement can be assumed to reverse at the half way point in the cycle. The accuracy of this assumption was calculated by comparing the mid-point of the cycle to the point of maximum gape in 129 cycles from nine subjects. The mean difference expressed as percentage of cycle length was 1.3 +/- 0.9%.

UI MeSH Term Description Entries
D007574 Jaw Relation Record A registration of any positional relationship of the mandible in reference to the maxillae. These records may be any of the many vertical, horizontal, or orientation relations. (Jablonski, Illustrated Dictionary of Dentistry) Axiography,Bite Registration,Sirognathography,Record, Jaw Relation,Records, Jaw Relation,Bite Registrations,Jaw Relation Records,Registration, Bite,Registrations, Bite
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010363 Pattern Recognition, Automated In INFORMATION RETRIEVAL, machine-sensing or identification of visible patterns (shapes, forms, and configurations). (Harrod's Librarians' Glossary, 7th ed) Automated Pattern Recognition,Pattern Recognition System,Pattern Recognition Systems
D012016 Reference Values The range or frequency distribution of a measurement in a population (of organisms, organs or things) that has not been selected for the presence of disease or abnormality. Normal Range,Normal Values,Reference Ranges,Normal Ranges,Normal Value,Range, Normal,Range, Reference,Ranges, Normal,Ranges, Reference,Reference Range,Reference Value,Value, Normal,Value, Reference,Values, Normal,Values, Reference
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000703 Analog-Digital Conversion The process of converting analog data to discrete, digital form. Analogue-Digital Conversion,Analog Digital Conversion,Analog-Digital Conversions,Analogue Digital Conversion,Analogue-Digital Conversions,Conversion, Analog-Digital,Conversion, Analogue-Digital,Conversions, Analog-Digital,Conversions, Analogue-Digital
D012815 Signal Processing, Computer-Assisted Computer-assisted processing of electric, ultrasonic, or electronic signals to interpret function and activity. Digital Signal Processing,Signal Interpretation, Computer-Assisted,Signal Processing, Digital,Computer-Assisted Signal Interpretation,Computer-Assisted Signal Interpretations,Computer-Assisted Signal Processing,Interpretation, Computer-Assisted Signal,Interpretations, Computer-Assisted Signal,Signal Interpretation, Computer Assisted,Signal Interpretations, Computer-Assisted,Signal Processing, Computer Assisted
D013016 Sound A type of non-ionizing radiation in which energy is transmitted through solid, liquid, or gas as compression waves. Sound (acoustic or sonic) radiation with frequencies above the audible range is classified as ultrasonic. Sound radiation below the audible range is classified as infrasonic. Acoustic Waves,Elastic Waves,Sonic Radiation,Sound Waves,Acoustic Wave,Elastic Wave,Radiation, Sonic,Radiations, Sonic,Sonic Radiations,Sound Wave,Sounds,Wave, Acoustic,Wave, Elastic,Wave, Sound,Waves, Acoustic,Waves, Elastic,Waves, Sound

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