A normal opening for an adult is 53 mm to 57 mm.
Limited or restricted range of motion (less than 40 mm) is a reduction in an individual’s ability for normal range of movement. Along with opening movement, an individual should be able to slide their jaw to the left and to the right at least 25 percent of their total mouth opening in a symmetrical fashion.
When restricted movement exists, an imbalance in the system is present, and breakdown of that system is likely to occur. In the case of the mouth range of opening, when an individual cannot open their mouth very far, the muscles supporting the TMJ are restricted due to pain, strain, inflammation, swelling, injury, disease, or another cause.
The range of motion measurement also includes a review of the joint noises and vibrations.
This is because any noise in the TMJs is intimately related to restriction in the mandibular range of motion. Normal TMJs do not make sounds or have vibrations. If the joints are not smooth and/or quiet, this indicates dysfunction.
Lack of range of motion can be the first sign before symptoms of headaches and face pain appear.
- Abnormal range of motion is measured in red.
- Warning range of motion is measured in yellow.
- Normal range of motion is measured in green.
ROM impairment is another “red flag” which assists doctors in accurately diagnosing symptoms that are often dental force related.
The objective examination and assessment results are combined with the doctor’s TruDenta-specific exam, producing consistent diagnosis leading to predictable outcomes. This data enhances medical insurance collections and the collaboration with referring MDs.