An index for the evaluation of 3D masticatory cycles stability

Objectives To introduce an index (Masticatory Stability Index, MSI) to analyze the stability of chewing cycles in standardized conditions and test it in a group of patients with subclinical mild temporomandibular disorder (TMD). Design 23 subjects with mild subacute TMD and 21 healthy subjects were involved; they all responded to a questionnaire about signs and symptoms of TMD (ProTMDmulti) and underwent a myofunctional orofacial evaluation with scores, using the protocol of orofacial myofunctional evaluation with scores (OMES). Their mandibular kinematics was assessed with a 3D motion capture system during deliberate unilateral gum chewing. The MSI was computed synthesizing the information contained in nine kinematics parameters into a single global figure. Patientsâ and controlsâ MSI were compared considering the preferred and non-preferred chewing side using a 2-way ANOVA (factors: group, side). Results Together with a lower total score of myofunctional orofacial status, the TMD group showed a reduced stability based on MSI (pÂ