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Evaluation of the temporomandibular joint morphology and condylar position with cone-beam computerized tomography in patients with internal derangement

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A Correction to this article was published on 04 May 2023

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Abstract

Objectives

To evaluate the relationship between internal derangement and morphological features of the temporomandibular joint by comparing joint morphology between patients with ID and control patients.

Methods

The current study prospectively is evaluated the cone-beam computed images of 106 ID patients and 122 patients with asymptomatic joints; recorded angular and linear measurements. The relationships between these measurements and ID are investigated; the differences between the two groups using paired t tests.

Results

There were significant differences in the values of articular slope and the condyle height/glenoid fossa depth (CH/GFD) ratio between patients in the ID and control groups (p < 0.05). There was also a relationship between these parameters and the gender of patients with ID. The condylar position was posterior in the ID group.

Conclusion

Posteriorly and superiorly located condyles with an increased CH/GFD ratio, condyles located eccentrically, and a steeper posterior slope may be risk factors for ID.

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References

  1. Schiffman E, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the international RDC/TMD consortium network and orofacial pain special interest group. J Oral Facial Pain Headache. 2014;28(1):6.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Salo L, et al. Internal derangement of the temporomandibular joint: a histochemical study. J Oral Maxillofac Surg. 1991;49(2):171–6.

    Article  PubMed  Google Scholar 

  3. Tuz H, et al. Comparison of local and general anaesthesia for arthrocentesis of the temporomandibular joint. Br J Oral Maxillofac Surg. 2016;54(8):946–9.

    Article  PubMed  Google Scholar 

  4. de Senna BR, et al. Condyle-disk-fossa position and relationship to clinical signs and symptoms of temporomandibular disorders in women. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 2009;108(3):e117–24.

    Article  Google Scholar 

  5. Arnett G, Milam S, Gottesman L. Morphologic changes of the temporomandibular joint associated with orthognathic surgery. Philadelphia: WB Saunders; 2000.

    Google Scholar 

  6. Pullinger AG, et al. Multifactorial comparison of disk displacement with and without reduction to normals according to temporomandibular joint hard tissue anatomic relationships. J Prosthet Dent. 2002;87(3):298–310.

    Article  PubMed  Google Scholar 

  7. Imanimoghaddam M, et al. Evaluation of condylar positions in patients with temporomandibular disorders: a cone-beam computed tomographic study. Imaging Sci Dent. 2016;46(2):127–31.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Bonilla-Aragon H, et al. Condyle position as a predictor of temporomandibular joint internal derangement. J Prosthet Dent. 1999;82(2):205–8.

    Article  PubMed  Google Scholar 

  9. Sato S, et al. Morphology of the mandibular fossa and the articular eminence in temporomandibular joints with anterior disk displacement. Int J Oral Maxillofac Surg. 1996;25(3):236–8.

    Article  PubMed  Google Scholar 

  10. Fraga MR, et al. Anteroposterior condylar position: a comparative study between subjects with normal occlusion and patients with Class I, Class II Division 1, and Class III malocclusions. Med Sci Monit Int Med J Exp Clin Res. 2013;19:903.

    Google Scholar 

  11. Kikuchi K, et al. Association between condylar position, joint morphology and craniofacial morphology in orthodontic patients without temporomandibular joint disorders. J Oral Rehabil. 2003;30(11):1070–5.

    Article  PubMed  Google Scholar 

  12. Crusoé-Rebello IMR, et al. Evaluation of the relation between the horizontal condylar angle and the internal derangement of the TMJ-a magnetic resonance imaging study. Pesqui Odontol Bras. 2003;17:176–82.

    Article  PubMed  Google Scholar 

  13. Jasinevicius T, et al. Relationship of degenerative changes of the temporomandibular joint (TMJ) with the angle of eminentia. J Oral Rehabil. 2006;33(9):638–45.

    Article  PubMed  Google Scholar 

  14. Pullinger AG, et al. A tomographic study of mandibular condyle position in an asymptomatic population. J Prosthet Dent. 1985;53(5):706–13.

    Article  PubMed  Google Scholar 

  15. Sümbüllü M, et al. Radiological examination of the articular eminence morphology using cone beam CT. Dentomaxillofacial Radiol. 2012;41(3):234–40.

    Article  Google Scholar 

  16. Yasa Y, Akgül HM. Comparative cone-beam computed tomography evaluation of the osseous morphology of the temporomandibular joint in temporomandibular dysfunction patients and asymptomatic individuals. Oral Radiol. 2018;34(1):31–9.

    Article  PubMed  Google Scholar 

  17. Park J, et al. Correlation between clinical diagnosis based on RDC/TMD and MRI findings of TMJ internal derangement. Int J Oral Maxillofac Surg. 2012;41(1):103–8.

    Article  PubMed  Google Scholar 

  18. Amorim MY, et al. Inclination of the condylar long axis is not related to temporomandibular disc displacement. J Investig Clin Dent. 2019;10(1): e12375.

    Article  PubMed  Google Scholar 

  19. Al-Rawi NH, Uthman AT, Sodeify SM. Spatial analysis of mandibular condyles in patients with temporomandibular disorders and normal controls using cone beam computed tomography. Eur J Dent. 2017;11(01):099–105.

    Article  Google Scholar 

  20. Honda K, et al. Thickening of the glenoid fossa in osteoarthritis of the temporomandibular joint. Dentomaxillofacial Radiol. 2001;30(1):10–3.

    Article  Google Scholar 

  21. İlgüy D, et al. Articular eminence inclination, height, and condyle morphology on cone beam computed tomography. Sci World J. 2014;2014:1.

    Article  Google Scholar 

  22. Major PW, et al. Tomographic assessment of temporomandibular joint osseous articular surface contour and spatial relationships associated with disc displacement and disc length. Am J Orthod Dentofac Orthop. 2002;121(2):152–61.

    Article  Google Scholar 

  23. Markovic MA, Rosenberg HM. Tomographic evaluation of 100 patients with temporomandibular joint symptoms. Oral Surg Oral Med Oral Pathol. 1976;42(6):838–46.

    Article  PubMed  Google Scholar 

  24. Paknahad M, et al. Cone-beam computed tomographic assessment of mandibular condylar position in patients with temporomandibular joint dysfunction and in healthy subjects. Int J Dent. 2015;2015:1.

    Article  Google Scholar 

  25. Sülün T, et al. Morphology of the mandibular fossa and inclination of the articular eminence in patients with internal derangement and in symptom-free volunteers. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 2001;92(1):98–107.

    Article  Google Scholar 

  26. Weinberg LA. An evaluation of occlusal factors in TMJ dysfunction-pain syndrome. J Prosthet Dent. 1979;41(2):198–208.

    Article  PubMed  Google Scholar 

  27. Fonseca RJ. Oral and maxillofacial surgery-E-book, vol. 3, 2nd ed. Elsevier Health Sciences; 2009. p. 789–1004.

  28. Ren Y-F, Isberg A, Westesson P-L. Steepness of the articular eminence in the temporomandibular joint: tomographic comparison between asymptomatic volunteers with normal disk position and patients with disk displacement. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 1995;80(3):258–66.

    Article  Google Scholar 

  29. Paknahad M, et al. Is mandibular fossa morphology and articular eminence inclination associated with temporomandibular dysfunction? J Dent. 2016;17(2):134.

    Google Scholar 

  30. Wadhwa S, Kapila S. TMJ disorders: future innovations in diagnostics and therapeutics. J Dent Educ. 2008;72(8):930–47.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Razi T, Razi S. Association between the morphology and thickness of bony components of the temporomandibular joint and gender, age and remaining teeth on cone-beam CT images. Dental Med Probl. 2018;55(3):299–304.

    Article  Google Scholar 

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Acknowledgements

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Additional informed consent was obtained from all patients for which identifying information included in this article.

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Correspondence to Salih Eren Meral.

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The original online version of this article was revised due to the table 2 was published incorrectly and the table has been corrected.

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Meral, S.E., Karaaslan, S., Tüz, H.H. et al. Evaluation of the temporomandibular joint morphology and condylar position with cone-beam computerized tomography in patients with internal derangement. Oral Radiol 39, 173–179 (2023). https://doi.org/10.1007/s11282-022-00618-x

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