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Jaw Functional Limitation Scale - 8

For each of the items below, please indicate the level of limitation during the last month. If the activity has been completely avoided because it is too difficult, then circle ‘10.’ If you avoid any activity for the reasons, any other than pain or activity leave the item blank.

No limitation 0 1 2 3 4 5 6 7 8 9 10 Severe limitation

  1. Chew tough food

  2. Chew chicken (e.g. prepared an oven)

  3. Eat soft food requiring no chewing (e.g. mashed potatoes, applesauce, pudding, puréed food.)

  4. Open wide enough to drink from a cup.

  5. Swallow

  6. Yawn

  7. Talk

  8. Smile

Copyright Orbach R. Available at http://www.rdc-tmdinternational.org

Version 12May2013. No permission required to reproduce, translate, display, or distribute.