Clinical Oral Investigations

, Volume 23, Issue 5, pp 2475–2488 | Cite as

Prevalence of degenerative joint disease of the temporomandibular joint: a systematic review

  • Leticia Lopes Quirino PantojaEmail author
  • Isabela Porto de Toledo
  • Yasmine Mendes Pupo
  • André Luís Porporatti
  • Graziela De Luca Canto
  • Liete Figueiredo Zwir
  • Eliete Neves Silva Guerra
Original Article



The purpose of this systematic review was to evaluate evidence about the prevalence of degenerative joint disease (DJD) of the temporomandibular joints (TMJ).

Materials and methods

We performed search on electronic databases and gray literature from their inception to January 2018. Studies reporting prevalence data of DJD on TMJ were included. DJD was assessed through clinical and imaging diagnosis. Studies risk of bias was evaluated using the Critical Appraisal Checklist for Studies Reporting Prevalence Data.


From 1082 studies, 32 were identified, and the sample size included 3435 subjects. They were clustered into two groups: the first comprised studies that reported prevalence of DJD in TMJ secondary to rheumatic systemic diseases like juvenile idiopathic arthritis (JIA) and rheumatoid arthritis (RA) and the second group comprised studies that reported prevalence of DJD on temporomandibular disorder patients. The prevalence of DJD on JIA patients ranged from 40.42% (n = 47) to 93.33% (n = 15) and on RA patients from 45.00% (n = 20) to 92.85% (n = 56). Among TMD patients, the prevalence of DJD reported according to patients ranged from 18.01% (n = 1038) to 84.74% (n = 118) and reported according to joints ranged from 17.97% (n = 178) to 77.23% (n = 224).


This review attempts to high prevalence of DJD in patients with systemic rheumatic disease and a less prevalent, but still high, occurrence in patients with TMD without systemic involvement.

Clinical relevance

Specialist doctors and dentists should be alert to not underestimate and to correctly diagnose DJD of the TMJ early in patients with rheumatic disease and TMD.


Degenerative joint diseases Temporomandibular joint Juvenile idiopathic arthritis Rheumatoid arthritis Prevalence Systematic review 


Funding information

This work was not supported by any sources of consultants’ fees or other financial arrangements paid directly to investigators.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

For this type of study, formal consent is not required.

Supplementary material

784_2018_2664_MOESM1_ESM.docx (21 kb)
ESM 1 (DOCX 21 kb)
784_2018_2664_MOESM2_ESM.docx (138 kb)
ESM 2 (DOCX 138 kb)
784_2018_2664_MOESM3_ESM.docx (24 kb)
ESM 3 (DOCX 24 kb)


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Leticia Lopes Quirino Pantoja
    • 1
    Email author
  • Isabela Porto de Toledo
    • 1
    • 2
  • Yasmine Mendes Pupo
    • 3
  • André Luís Porporatti
    • 2
    • 4
  • Graziela De Luca Canto
    • 2
    • 4
    • 5
  • Liete Figueiredo Zwir
    • 6
  • Eliete Neves Silva Guerra
    • 7
  1. 1.Laboratory of Oral Histopathology, Health Sciences FacultyUniversity of BrasíliaBrasíliaBrazil
  2. 2.Brazilian Centre for Evidence Based Research, Department of DentistryFederal University of Santa CatarinaFlorianopolisBrazil
  3. 3.Department of Restorative DentistryFederal University of ParanaCuritibaBrazil
  4. 4.Department of DentistryFederal University of Santa CatarinaFlorianopolisBrazil
  5. 5.School of Dentistry, Faculty of Medicine and DentistryUniversity of AlbertaEdmontonCanada
  6. 6.Department of DentistryFederal University of Sao PauloSão PauloBrazil
  7. 7.Laboratory of Oral Histopathology, Health Sciences FacultyUniversity of BrasíliaBrasíliaBrazil

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