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Effects of osseous structure based on three-dimensional reconstructive imaging evaluation in the assessment of temporomandibular joint disc position

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Abstract

Objectives

This pilot morphological study aimed to investigate the association between anterior disc displacement (ADD) and the status of the mandibular condyle and articular fossa.

Materials and methods

Thirty-four patients were divided into a normal articular disc position group and an ADD with and without reduction group. Images reconstructed were used to determine multiple group comparisons of these three different types of disc position, and the diagnostic efficacy for the morphological parameters with significant group difference was analyzed to assess.

Results

The condylar volume (CV), condylar superficial area (CSA), superior joint space (SJS), and medial joint space (MJS) all exhibited obvious changes (P < 0.05). Additionally, they all had a reliable diagnostic accuracy in differentiating between normal disc position and ADD with an AUC value from 0.723 to 0.858. Among them, the CV, SJS, and MJS (P < 0.05) had a significantly positive impact on the groups by analysis of multivariate logistic ordinal regression model.

Conclusions

The CV, CSA, SJS, and MJS are significantly associated with different disc displacement types. The condyle in ADD exhibited altered dimensions. These could be promising biometric markers for assessing ADD.

Clinical relevance

The morphological changes of mandibular condyle and glenoid fossa were significantly influenced by the status of disc displacement, and condyles with disc displacement had three-dimensionally altered condylar dimensions, irrespective of age and sex.

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Abbreviations

ADD:

anterior disc displacement

AJS:

anterior joint space

AUC:

area under the curve

CBCT:

cone beam computed tomography

CSA:

condylar superficial area

CSA%:

the proportion of the condylar superficial area in the articular fossa

CV:

condylar volume

CV%:

the proportion of the condylar volume in the articular fossa

FSA:

fossa superficial area

FV:

fossa volume

MJS:

medial joint space

MRI:

magnetic resonance imaging

NADP:

normal articular disc position

OR:

odds ratio

PJS:

posterior joint space

RDC/TMD:

Research Diagnostic Criteria for Temporomandibular Disorders

ROC:

receiver-operating characteristic

SJS:

superior joint space

TMJ:

temporomandibular joint

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Acknowledgements

The deepest appreciation is for Dr. Tao Bu (Parexel International) who provided a professional support for the statistics.

Data availability

The analyzed data sets generated during the study are available from the corresponding author on reasonable request.

Funding

This study was funded by the National Natural Science Foundation of China (grant number: 82160189); Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration, Wuhan 430022, China (grant number: 2022kqhm008); Tianshan Innovation Team of Xinjiang Uygur Autonomous Region (grant number: 2021D14001); and Open Project of Shaanxi Clinical Medical Research Center for Dental and Maxillofacial Diseases—School of Stomatology, Xi’an Jiaotong University (grant number 2020YHJB01).

Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial Oncology Surgery, Xinjiang Medical University Affiliated First Hospital, Urumqi, 830054, China

    Chen-xi Li, Zhong-cheng Gong & Bin Ling

  2. Department of Oral and Maxillofacial Radiology, Xinjiang Medical University Affiliated First Hospital, Urumqi, 830054, China

    Zhong-cheng Gong

  3. School of Stomatology, Xinjiang Medical University, Urumqi, 830011, China

    Chen-xi Li, Zhong-cheng Gong & Bin Ling

  4. Stomatological Research Institute of Xinjiang Uygur Autonomous Region, No. 137 Liyushan South Road, Urumqi, 830054, China

    Chen-xi Li, Zhong-cheng Gong & Bin Ling

  5. Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration, Wuhan, 430022, China

    Chen-xi Li

  6. Department of Oral and Maxillofacial Surgery, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, 200003, China

    Hui Liu

  7. Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, 200433, China

    Hui Liu

  8. Department of Maxillofacial Surgery, Hospital of Stomatology, Faculty of Dentistry, Lanzhou University, 730013, Lanzhou, China

    Xu Liu

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  1. Chen-xi Li
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Contributions

Prof. Gong conceptualized and designed the study and critically revised the manuscript for important intellectual content. Dr. Li conceptualized the study, designed the data collection, trained for measurement, optimized the statistical methods, and drafted the manuscript. Prof. Liu and Li supported MRI information extraction and interpreted the images and coordinated and supervised imaging data acquisition. X. Liu and Prof. Ling collected and integrated the clinical materials, took in charge of follow-up assignment, carried out the statistical analyses, and reviewed the manuscript.

All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work. The requirements for authorship as stated earlier in this document have been met, and each author believes that the manuscript represents honest work.

Corresponding authors

Correspondence to Chen-xi Li or Zhong-cheng Gong.

Ethics declarations

Ethics approval

The present study was approved by the Ethics Committee of the First Affiliated Hospital of Xinjiang Medical University. Procedures operated in this research were completed in keeping with the standards set out in the Announcement of Helsinki and laboratory guidelines of research in China.

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Written consent was obtained by all patients, and they were willing to join our study and publication.

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The authors declare no competing interests.

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Li, Cx., Liu, H., Gong, Zc. et al. Effects of osseous structure based on three-dimensional reconstructive imaging evaluation in the assessment of temporomandibular joint disc position. Clin Oral Invest 27, 1449–1463 (2023). https://doi.org/10.1007/s00784-023-04936-0

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