Temporomandibular joint sounds and disc dislocations incidence after orotracheal intubation

Estela T Rodrigues¹, Iván C Suazo², Antonio S Guimarães³

¹Centro de Pós Graduação em Odontologia São Leopoldo Mandic, Campinas, Brasil; ²Department of Morphology. Universidad de Talca, Talca, Chile; ³Centro de Pós Graduação em Odontologia São Leopoldo Mandic, Campinas, Brasil

Abstract: The aim of this study was to analyze the temporomandibular joint (TMJ) disc displacement and articular sounds incidence after orotracheal intubation. A prospective cohort study was conducted in the Hospital Universitário do Oeste do Paraná (HUOP), in Cascavel, Brazil. 100 patients (aged 14–74 years, mean 44 years), 34 male and 66 female, in need of surgical procedure with orotracheal intubation were evaluated. The anterior disc displacement with reduction incidence and the nonclassifiable sounds incidence by the Research Diagnostic Criteria Axis I was evaluated in all patients after orotracheal intubation. The patients was evaluated one day before and until two days after the procedure. Eight percent present with anterior disc displacement with reduction and 10% presented nonclassifiable sounds after the orotracheal intubation. There was no correlation of any kind regarding gender related influence in the incidence of disc dislocations (P = 0.2591) and TMJ sounds (P = 0.487). Although anterior disc dislocations and TMJ sounds after anesthetic with orotracheal intubation presented a low incidence (8%–10%), it is recommended that the evaluation of TMJ signs and symptoms be done before the anesthetic procedure to take care with susceptible patients manipulation.

Keywords: orotracheal intubation, TMJ sounds, TMJ dislocations, TMJ disorders, disc displacement, surgical procedure