Maximum mouth opening of ethnic Chinese in Taiwan
Article Outline
Background/purpose
Maximum mouth opening (MMO) is a significant diagnostic reference for many clinical conditions. However, the number of relevant studies is limited, and the relationship between age and MMO has not yet been established. The purpose of this study was to measure and analyze the MMO of ethnic Chinese adults in Taiwan and to examine the possible relationship between age and MMO.
Materials and methods
A total of 1442 adult ethnic Chinese (Taiwanese) subjects aged 20–80 years (705 males, 737 females) were randomly selected. Subjects were divided into three age groups: 20–39 years (young), 40–59 years (middle), and ≥ 60 years (senior), and their maximum voluntary mouth opening was measured. Independent sample t test and one-way ANOVA followed by the post hoc Scheffé test were used to examine differences in MMO relative to sex and age groups. A simple linear regression model was used to estimate the relationship between MMO and age.
Results
The average MMO for sample subjects was 49.10 ± 6.30 mm, and the MMO of males (49.92 ± 6.55 mm) was significantly larger than that of females (48.32 ± 5.95 mm; P < 0.001). MMO significantly decreased with increasing age, regardless of sex. The average MMO values were 51.11 ± 6.47 mm, 48.45 ± 5.76 mm, and 46.62 ± 5.71 mm for the young, middle and senior age groups, respectively (P < 0.001). In the regression model, it was estimated that for every 10 years, MMO decreased by about 1.4 mm in males and 0.9 mm in females. For the age range of 20–80 years, the regression equation is: MMO (mm) = 56.60−0.14×age, for males; and MMO (mm) = 52.33−0.09×age, for females.
Conclusion
Within the limits of this study, we concluded that both sex and age have significant influences on the MMO value of ethnic Chinese in Taiwan, and age is a significant predictor of MMO measurements.
Key Words: Chinese , maximum mouth opening , Taiwan
No full text is available. To read the body of this article, please view the PDF online.
References
- . Assessing clinical signs of temporomandibular disorders: reliability of clinical examiners . J Prosthet Dent . 1990;63:574–579
- . A mouth opening index for patients with temporomandibular disorders . J Oral Rehabil . 1999;26:534–537
- . The normal range of mouth opening . J Oral Maxillofac Surg . 1989;47:1028–1029
- . Maximal mandibular movements in young men and women . Sven Tandlak Tidskr . 1974;67:81–100
- . Clinical utility of mandibular movement ranges . J Orofac Pain . 1993;7:163–168
- . Maximal incisal opening: a diagnostic index? . J Dent Med . 1965;20:13–15
- . Review of 54 complete denture wearers: patients' opinions 1 year after treatment . Acta Odontol Scand . 1972;30:399–414
- . Prevalence of mandibu-lar dysfunction in young adults . J Am Dent Assoc . 1979;98:25–34
- . Evaluation of the normal range of vertical mandibular opening in children and adolescents with special reference to age and stature . J Maxillofac Surg . 1978;6:157–162
- Normal mouth opening in the adult French population . Rev Stomatol Chir Maxillofac . 2005;106:267–271 [In French, English abstract]
- . The normal range of mouth opening in an Irish population . J Oral Rehabil . 2004;31:110–116
- . Range of movement of mandible in children . Scand J Dent Res . 1970;78:311–322
- . Variation of the range of movement of the mandible in relation to facial morphology in young adults . Scand J Dent Res . 1971;79:133–140
- . Maximum jaw opening capacity in adolescents in relation to general joint mobility . J Oral Rehabil . 1992;19:485–494
- . Angle of mouth opening measurement: reliability of a technique for temporomandibular joint mobility assessment . J Oral Rehabil . 1995;22:263–268
- . Effect of head position on vertical mandibular opening . J Orthop Sports Phys Ther . 1999;29:127–130
- . Coordinated mandibular and head-neck movements during rhythmic jaw activities in man . J Dent Res . 2000;79:1378–1384
- . Kinematics of the human mandible for different head postures . J Oral Rehabil . 2000;27:299–305
- . Establishing a normal range for mouth opening: its use in screening for oral submucous fibrosis . Br J Oral Maxillofac Surg . 1997;35:40–42
- . A comparison of three methods of measuring maximal opening of the mouth . J Oral Surg . 1979;37:175–177
- . Maximal mandibular movements in children . Acta Odontol Scand . 1974;32:147–159
- . Differences between sexes in maximum jaw opening when corrected to body size . J Oral Rehabil . 1987;14:291–299
PII: S1991-7902(09)60007-6
doi:10.1016/S1991-7902(09)60007-6
© 2009 Association for Dental Sciences of The Republic of China. Published by Elsevier Inc. All rights reserved.
