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. 2021 Feb 27;11(3):409. doi: 10.3390/diagnostics11030409

Table 2.

Helkimo clinical dysfunction index (Di). The maximum score recorded from each domain is added to determine the total clinical dysfunction index score. Abbreviations: MIO—maximum incisal opening; mm—millimeter.

Domain Criteria Score
Mandibular Mobility
  • MIO > 40 mm, excursions > 7 mm

  • MIO > 30 mm, excursions > 3 mm

  • MIO ≤ 30 mm, excursions ≤ 3 mm

0
1
5
TMJ Dysfunction
  • No sounds/deviation on opening

  • Sounds and/or deviation > 2 mm

  • Locking and/or luxation

0
1
5
Muscle Pain
  • No muscle pain

  • Pain on palpation at 1–3 sites

  • Pain on palpation at 4+ sites

0
1
5
TMJ Pain
  • No tenderness to palpation

  • Lateral (superficial) TMJ pain

  • Posterior (deep) TMJ pain

0
1
5
Mandibular Movement Pain
  • No pain

  • Pain with 1 movement

  • Pain with 2+ movements

0
1
5
Di 0: 0 points—absence of dysfunction
Di I: 1–4 points—mild dysfunction
Di II: 5–9 points—moderate dysfunction
Di III: 10–25 points—severe dysfunction