Skip to main content

Advertisement

Log in

Biometry of the temporomandibular joint using computerized tomography

  • Anatomic Bases of Medical, Radiological and Surgical Techniques
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

Purpose

In the present study, we performed biometric characterization of the temporomandibular joints (TMJs) of clinically normal subjects.

Methods

Fifty-one healthy volunteers underwent high-resolution computerized tomography examination of the TMJs in the position of maximal intercuspidation according to a standardized protocol. Frontal and sagittal reconstructions were then performed to obtain measurements and indexes in three planes of space.

Results

Correlations are observed with age, gender, amplitude of mouth opening and presence of dental abrasion. The lateral stability index reflects the degree of mobility of the temporo-discal compartment of the joint. The coverage index reflects how much the mandibular condyle is inserted into the articular fossa and may be related to the risk of occurrence and severity of regressive remodeling phenomena.

Conclusions

This study supports the interest in examining morphological aspects of the TMJ and performing intra-articular measurements. The biometric examination of the TMJ has important applications in the domain of TMJ pathology.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Blaschke D, Chase DC (1984) Differences in TMJ condyle-temporal relationships in normal men and women. Dental Res 63:266–272

    Google Scholar 

  2. Blaschke DD, Blaschke TJ (1981) Normal TMJ bony relationships in centric occlusion. J Dent Res 60(2):98–104

    Article  PubMed  CAS  Google Scholar 

  3. Costa AL, Yasuda CL, Appenzeller S et al (2008) Comparison of conventional MRI and 3D reconstruction model for evaluation of temporomandibular joint. Surg Radiol Anat 30(8):663–667

    Article  PubMed  Google Scholar 

  4. Dermirjian A (1967) A study of the morphology of the glenoid fossa. Natl Mus Can Bull 206:1–25

    Google Scholar 

  5. Dorier M, Spirgi M, Nicolas GM (1967) Variations of the inclination of the anterior wall of the glenoid cavity of the temporal bone according to age, sex, dental abrasion, and total loss of teeth. SSO Schweiz Monatsschr Zahnheilkd 77(11):968–985

    PubMed  CAS  Google Scholar 

  6. Dumas AL, Oaddab MB, Homayoun NH, McDonough J (1986) A three-dimensional developmental measurement of the temporomandibular joint. Cranio 4(1):22–35

    PubMed  CAS  Google Scholar 

  7. Fujii N, Yamashiro M (1981) Computed tomography for the diagnosis of facial fractures. J Oral Surg 39(10):735–741

    PubMed  CAS  Google Scholar 

  8. Helms CA, Vogler JB 3rd, Morrish RB Jr, Goldman SM, Capra RE, Proctor E (1984) Temporomandibular joint internal derangements: CT diagnosis. Radiology 152(2):459–462

    Article  PubMed  CAS  Google Scholar 

  9. Hesse JR, Hansson TL (1988) Factors influencing joint mobility in general and in particular respect of the craniomandibular articulation: a literature review. J Craniomandib Disord 2(1):19–28

    PubMed  CAS  Google Scholar 

  10. Hsieh HH, Walker PS (1976) Stabilizing mechanisms of the loaded and unloaded knee joint. J Bone Jt Surg Am 58(1):87–93

    CAS  Google Scholar 

  11. Liedberg J, Westesson PL (1988) Sideways position of the temporomandibular joint disk: coronal cryosectioning of fresh autopsy specimens. Oral Surg Oral Med Oral Pathol 66(6):644–649

    Article  PubMed  CAS  Google Scholar 

  12. Mafee MF, Kumar A, Tahmoressi CN, Levin BC, James CF, Kriz R et al (1988) Direct sagittal CT in the evaluation of temporal bone disease. Am J Roentgenol 150(6):1403–1410

    Article  CAS  Google Scholar 

  13. Oberg T, Carlsson GE, Fajers CM (1971) The temporomandibular joint. A morphologic study on a human autopsy material. Acta Odontol Scand 29(3):349–384

    Article  PubMed  CAS  Google Scholar 

  14. Pullinger A, Hollender L (1985) Assessment of mandibular condyle position: a comparison of transcranial radiographs and linear tomograms. Oral Surg Oral Med Oral Pathol 60(3):329–334

    Article  PubMed  CAS  Google Scholar 

  15. Pullinger AG, Hollender L, Solberg WK, Petersson A (1985) A tomographic study of mandibular condyle position in an asymptomatic population. J Prosthet Dent 53(5):706–713

    Article  PubMed  CAS  Google Scholar 

  16. Pullinger AG, Solberg WK, Hollender L, Guichet D (1986) Tomographic analysis of mandibular condyle position in diagnostic subgroups of temporomandibular disorders. J Prosthet Dent 55(6):723–729

    Article  PubMed  CAS  Google Scholar 

  17. Pullinger AG, Bibb CA, Ding X, Baldioceda F (1993) Contour mapping of the TMJ temporal component and the relationship to articular soft tissue thickness and disk displacement. Oral Surg Oral Med Oral Pathol 76(5):636–646

    Article  PubMed  CAS  Google Scholar 

  18. Rieder CE, Martinoff JT (1984) Comparison of the multiphasic dysfunction profile with lateral transcranial radiographs. J Prosthet Dent 52(4):572–580

    Article  PubMed  CAS  Google Scholar 

  19. Rosenberg HM, Graczyk RJ (1986) Temporomandibular articulation tomography: a corrected anteroposterior and lateral cephalometric technique. Oral Surg Oral Med Oral Pathol 62(2):198–204

    Article  PubMed  CAS  Google Scholar 

  20. Sakuda M, Tanne K, Tanaka E, Takasugi H (1992) An analytic method for evaluating condylar position in the TMJ and its application to orthodontic patients with painful clicking. Am J Orthod Dentofacial Orthop 101(1):88–96

    Article  PubMed  CAS  Google Scholar 

  21. Savoldelli C, Bouchard PO, Loudad R et al (2012) Stress distribution in the temporo-mandibular joint discs during jaw closing: a high-resolution threedimensional finite-element model analysis. Surg Radiol Anat (Germany) 34(5):405–413

    Article  Google Scholar 

  22. Seward FS (1976) Tooth attrition and the temporomandibular joint. Angle Orthod 46(2):162–170

    PubMed  CAS  Google Scholar 

  23. Solberg WK, Hansson TL, Nordstrom B (1985) The temporomandibular joint in young adults at autopsy: a morphologic classification and evaluation. J Oral Rehabil 12(4):303–321

    Article  PubMed  CAS  Google Scholar 

  24. Touré G, Duboucher C, Vacher C (2005) Anatomical modifications of the temporomandibular joint during ageing. Surg Rad Anat 27:51–55

    Article  Google Scholar 

  25. Vitral RW, Da Silva Campos MJ, Rodrigues AF, Fraga MR (2011) Temporomandibular joint and normal occlusion: is there anything singular about it? A computed tomographic evaluation. Am J Orthod Dentofacial Orthop 140(1):18–24

    Article  PubMed  Google Scholar 

  26. Weinberg LA (1978) An evaluation of asymmetry in TMJ radiographs. J Prosthet Dent 40(3):315–323

    Article  PubMed  CAS  Google Scholar 

  27. Weinberg LA (1979) Role of condylar position in TMJ dysfunction-pain syndrome. J Prosthet Dent 41(6):636–643

    Article  PubMed  CAS  Google Scholar 

  28. Wu CK, Hsu JT, Shen YW, Chen JH, Shen WC, Fuh LJ (2012) Assessments of inclinations of the mandibular fossa by computed tomography in an Asian population. Clin Oral Investig 16(2):443–450

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors acknowledge the Delegation for Clinical Research of the Montpellier University Hospital for supporting this work.

Conflict of interest

There is no conflict of interest caused by this or other relationships in connection with this work.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Isabelle Dupuy-Bonafé.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dupuy-Bonafé, I., Otal, P., Montal, S. et al. Biometry of the temporomandibular joint using computerized tomography. Surg Radiol Anat 36, 933–939 (2014). https://doi.org/10.1007/s00276-014-1277-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-014-1277-7

Keywords

Navigation