Skip to main content

Advertisement

SpringerLink
Log in

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

  • Original Article
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

Objectives

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.

Results

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).

Conclusion

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.

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

Access this article

Log in via an institution

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

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Poole AR (2012) Osteoarthritis as a whole joint disease. HSS J 8(1):4–6. https://doi.org/10.1007/s11420-011-9248-6

    Article  PubMed  PubMed Central  Google Scholar 

  2. Tanaka E, Detamore MS, Mercuri LG (2008) Degenerative disorders of the temporomandibular joint: etiology, diagnosis, and treatment. J Dent Res 87(4):296–307. https://doi.org/10.1177/154405910808700406

    Article  PubMed  Google Scholar 

  3. Leeuw RdK, Gary D. (2013) Orofacial pain: guidelines for assessment, Diagnosis and management, 5th edn

  4. Kalladka M, Quek S, Heir G, Eliav E, Mupparapu M, Viswanath A (2014) Temporomandibular joint osteoarthritis: diagnosis and long-term conservative management: a topic review. J Indian Prosthodont Soc 14(1):6–15. https://doi.org/10.1007/s13191-013-0321-3

    Article  PubMed  Google Scholar 

  5. Helenius LM, Hallikainen D, Helenius I, Meurman JH, Kononen M, Leirisalo-Repo M, Lindqvist C (2005) Clinical and radiographic findings of the temporomandibular joint in patients with various rheumatic diseases. A case-control study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 99(4):455–463. https://doi.org/10.1016/j.tripleo.2004.06.079

    Article  PubMed  Google Scholar 

  6. Manfredini D, Guarda-Nardini L, Winocur E, Piccotti F, Ahlberg J, Lobbezoo F (2011) Research diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologic findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 112(4):453–462. https://doi.org/10.1016/j.tripleo.2011.04.021

    Article  PubMed  Google Scholar 

  7. Bracco P, Debernardi C, Piancino MG, Cirigliano MF, Salvetti G, Bazzichi L, De Feo F, Bosco M (2010) Evaluation of the stomatognathic system in patients with rheumatoid arthritis according to the research diagnostic criteria for temporomandibular disorders. Cranio 28(3):181–186. https://doi.org/10.1179/crn.2010.025

    Article  PubMed  Google Scholar 

  8. Bayar N, Kara SA, Keles I, Koç MC, Altinok D, Orkun S (2002) Temporomandibular joint involvement in rheumatoid arthritis: a radiological and clinical study. Cranio 20(2):105–110

    Article  PubMed  Google Scholar 

  9. Brooks SL, Westesson PL, Eriksson L, Hansson LG, Barsotti JB (1992) Prevalence of osseous changes in the temporomandibular joint of asymptomatic persons without internal derangement. Oral Surg Oral Med Oral Pathol 73(1):118–122

    Article  PubMed  Google Scholar 

  10. Lin YC, Hsu ML, Yang JS, Liang TH, Chou SL, Lin HY (2007) Temporomandibular joint disorders in patients with rheumatoid arthritis. J Chin Med Assoc 70(12):527–534

    Article  PubMed  Google Scholar 

  11. Arvidsson LZ, Smith HJ, Flato B, Larheim TA (2010) Temporomandibular joint findings in adults with long-standing juvenile idiopathic arthritis: CT and MR imaging assessment. Radiology 256(1):191–200

    Article  PubMed  Google Scholar 

  12. Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, List T, Svensson P, Gonzalez Y, Lobbezoo F, Michelotti A, Brooks SL, Ceusters W, Drangsholt M, Ettlin D, Gaul C, Goldberg LJ, Haythornthwaite JA, Hollender L, Jensen R, John MT, De Laat A, de Leeuw R, Maixner W, van der Meulen M, Murray GM, Nixdorf DR, Palla S, Petersson A, Pionchon P, Smith B, Visscher CM, Zakrzewska J, Dworkin SF, International Rdc/Tmd Consortium Network IafDR, Orofacial Pain Special Interest Group IAftSoP (2014) 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 Groupdagger. J Oral Facial Pain Headache 28(1):6–27. https://doi.org/10.11607/jop.1151

    Article  PubMed  PubMed Central  Google Scholar 

  13. Ahmad M, Hollender L, Anderson Q, Kartha K, Ohrbach R, Truelove EL, John MT, Schiffman EL (2009) Research diagnostic criteria for temporomandibular disorders (RDC/TMD): development of image analysis criteria and examiner reliability for image analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107(6):844–860. https://doi.org/10.1016/j.tripleo.2009.02.023

    Article  PubMed  PubMed Central  Google Scholar 

  14. Peck CC, Goulet JP, Lobbezoo F, Schiffman EL, Alstergren P, Anderson GC, de Leeuw R, Jensen R, Michelotti A, Ohrbach R, Petersson A, List T (2014) Expanding the taxonomy of the diagnostic criteria for temporomandibular disorders. J Oral Rehabil 41(1):2–23. https://doi.org/10.1111/joor.12132

    Article  PubMed  PubMed Central  Google Scholar 

  15. Michelotti A, Alstergren P, Goulet JP, Lobbezoo F, Ohrbach R, Peck C, Schiffman E, List T (2016) Next steps in development of the diagnostic criteria for temporomandibular disorders (DC/TMD): recommendations from the international RDC/TMD consortium network workshop. J Oral Rehabil 43(6):453–467. https://doi.org/10.1111/joor.12378

    Article  PubMed  Google Scholar 

  16. Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, Shekelle P, Stewart LA, Group P-P (2015) Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ 349:g7647. https://doi.org/10.1136/bmj.g7647

    Article  Google Scholar 

  17. Pantoja L L Q TIP, Pupo YM, Porporatti AL, Canto De GL , Zwir LF, Guerra ENS (2017) Prevalence of degenerative disease in temporomandibular joint: a systematic review. PROSPERO 2017:CRD42017060281. Available from http://www.crd.york.ac.uk/PROSPERO/display_recordasp?ID=CRD42017060281

  18. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A (2016) Rayyan-a web and mobile app for systematic reviews. Syst Rev 5(1):210. https://doi.org/10.1186/s13643-016-0384-4

    Article  PubMed  PubMed Central  Google Scholar 

  19. O'Connor D GS, Higgins JPT (2011) Cochrane handbook for systematic reviews of interventions. The Cochrane Collaboration

  20. Munn Z, Moola S, Riitano D, Lisy K (2014) The development of a critical appraisal tool for use in systematic reviews addressing questions of prevalence. Int J Health Policy Manag 3(3):123–128. https://doi.org/10.15171/ijhpm.2014.71

    Article  PubMed  PubMed Central  Google Scholar 

  21. Abramowicz S, Kim S, Susarla HK, Kaban LB (2013) Differentiating arthritic from myofascial pain in children with juvenile idiopathic arthritis: preliminary report. J Oral Maxillofac Surg 71(3):493–496

    Article  PubMed  Google Scholar 

  22. Bakke M, Petersson A, Wiese M, Svanholt P, Sonnesen L (2014) Bony deviations revealed by cone beam computed tomography of the temporomandibular joint in subjects without ongoing pain. J Oral Facial Pain Headache 28(4):331–337

    Article  PubMed  Google Scholar 

  23. Bauss O, Sadat-Khonsari R, Fenske C, Engelke W, Schwestka-Polly R (2004) Temporomandibular joint dysfunction in Marfan syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97(5):592–598

    Article  PubMed  Google Scholar 

  24. Bernhardt O, Biffar R, Kocher T, Meyer G (2007) Prevalence and clinical signs of degenerative temporomandibular joint changes validated by magnetic resonance imaging in a non-patient group. Ann Anat 189(4):342–346

    Article  PubMed  Google Scholar 

  25. Bertram S, Rudisch A, Innerhofer K, PÜMpel E, Grub-Wieser G, Emshoff R (2001) Diagnosing TMJ internal derangement and osteoarthritis with magnetic resonance imaging. J Am Dent Assoc 132(6):753–761. https://doi.org/10.14219/jada.archive.2001.0272

    Article  PubMed  Google Scholar 

  26. Celiker R, Gokce-Kutsal Y, Eryilmaz M (1995) Temporomandibular joint involvement in rheumatoid arthritis. Relationship with disease activity. Scand J Rheumatol 24(1):22–25

    Article  PubMed  Google Scholar 

  27. Cordeiro PCFGJ, Souza VA, Dias IM, Silva JNN, Devito KL, Bonato LL (2016) Temporomandibular joitn involvement in rheumatoid arthritis patients: association between clinical and tomographic data. Acta Odontol Latinoam 29(3):219–224

    Google Scholar 

  28. Dias GM, Bonato LL, Guimarães JP, Nogueira Silva JN, Ferreira LA, Grossmann E, Pires Carvalho AC (2015) A study of the association between sleep bruxism, low quality of sleep, and degenerative changes of the temporomandibular joint. J Craniofac Surg 26(8):2347–2350

    Article  PubMed  Google Scholar 

  29. Eberhard L, Giannakopoulos NN, Rohde S, Schmitter M (2013) Temporomandibular joint (TMJ) disc position in patients with TMJ pain assessed by coronal MRI. Dentomaxillofac Radiol 42(6):20120199

    Article  PubMed  PubMed Central  Google Scholar 

  30. Emshoff R, Brandimaier I, Bertram S, Rudisch A (2002) Magnetic resonance imaging findings of osteoarthrosis and effusion in patients with unilateral temporomandibular joint pain. Int J Oral Maxillofac Surg 31(6):598–602

    Article  PubMed  Google Scholar 

  31. Emshoff R, Brandlmaier I, Gerhard S, Strobl H, Bertram S, Rudisch A (2003) Magnetic resonance imaging predictors of temporomandibular joint pain. J Am Dent Assoc 134(6):705–714

    Article  PubMed  Google Scholar 

  32. Emshoff R, Innerhofer K, Rudisch A, Bertram S (2002) The biological concept of "internal derangement and osteoarthrosis": a diagnostic approach in patients with temporomandibular joint pain? Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93(1):39–44

    Article  PubMed  Google Scholar 

  33. Emshoff R, Rudisch A, Bosch R, Strobl H (2003) Prognostic indicators of the outcome of arthrocentesis: a short-term follow-up study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 96(1):12–18

    Article  PubMed  Google Scholar 

  34. Emshoff R, Rudisch A, Innerhofer K, Bösch R, Bertram S (2001) Temporomandibular joint internal derangement type III: relationship to magnetic resonance imaging findings of internal derangement and osteoarthrosis. Int J Oral Maxillofac Surg 30(5):390–396

    Article  PubMed  Google Scholar 

  35. Ferraz Júnior AML, Devito KL, Guimarães JP (2012) Temporomandibular disorder in patients with juvenile idiopathic arthritis: clinical evaluation and correlation with the findings of cone beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol 114(3):e51–e57

    Article  Google Scholar 

  36. Helenius LM, Tervahartiala P, Helenius I, Al-Sukhun J, Kivisaari L, Suuronen R, Kautiainen H, Hallikainen D, Lindqvist C, Leirisalo-Repo M (2006) Clinical, radiographic and MRI findings of the temporomandibular joint in patients with different rheumatic diseases. Int J Oral Maxillofac Surg 35(11):983–989. https://doi.org/10.1016/j.ijom.2006.08.001

    Article  PubMed  Google Scholar 

  37. Holmlund A, Axelsson S (1994) Temporomandibular joint osteoarthrosis; correlation of clinical and arthroscopic findings with degree of molar support. Acta Odontol Scand 52(4):214–218

    Article  PubMed  Google Scholar 

  38. Keller H, Muller LM, Markic G, Schraner T, Kellenberger CJ, Saurenmann RK (2015) Is early TMJ involvement in children with juvenile idiopathic arthritis clinically detectable? Clinical examination of the TMJ in comparison with contrast enhanced MRI in patients with juvenile idiopathic arthritis. Pediatr Rheumatol 13:56

    Article  Google Scholar 

  39. Kim K, Wojczynska A, Lee JY (2016) The incidence of osteoarthritic change on computed tomography of Korean temporomandibular disorder patients diagnosed by RDC/TMD; a retrospective study. Acta Odontol Scand 74(5):337–342. https://doi.org/10.3109/00016357.2015.1136678

    Article  PubMed  Google Scholar 

  40. Kurita H, Kojima Y, Nakatsuka A, Koike T, Kobayashi H, Kurashina K (2004) Relationship between temporomandibular joint (TMJ)-related pain and morphological changes of the TMJ condyle in patients with temporomandibular disorders. Dentomaxillofac Radiol 33(5):329–333

    Article  PubMed  Google Scholar 

  41. Lamot U, Strojan P, Popovič KŠ (2013) Magnetic resonance imaging of temporomandibular joint dysfunction-correlation with clinical symptoms, age, and gender. Oral Surg Oral Med Oral Pathol Oral Radiol 116(2):258–263

    Article  PubMed  Google Scholar 

  42. Massilla Mani F, Sivasubramanian SS (2016) A study of temporomandibular joint osteoarthritis using computed tomographic imaging. Biom J 39(3):201–206. https://doi.org/10.1016/j.bj.2016.06.003

    Article  Google Scholar 

  43. Mohammed Y, Saeed O, Zaghloul N, Samer S, Mahmud S, Abdulah A (2012) Juvenile idiopathic arthritis and the temporomandibular joint. Alex J Med 48(2):123–129. https://doi.org/10.1016/j.ajme.2011.11.004

    Article  Google Scholar 

  44. Resnick CM, Dang R, Henderson LA, Zander DA, Daniels KM, Nigrovic PA, Kaban LB (2017) Frequency and morbidity of temporomandibular joint involvement in adult patients with a history of juvenile idiopathic arthritis. J Oral Maxillofac Surg 75(6):1191–1200. https://doi.org/10.1016/j.joms.2016.11.013

    Article  PubMed  Google Scholar 

  45. Schmitter M, Essig M, Seneadza V, Balke Z, Schroder J, Rammelsberg P (2010) Prevalence of clinical and radiographic signs of osteoarthrosis of the temporomandibular joint in an older persons community. Dentomaxillofac Radiol 39(4):231–234. https://doi.org/10.1259/dmfr/16270943

    Article  PubMed  PubMed Central  Google Scholar 

  46. Svechtarov V, Nencheva-Svechtarova S, Uzunov T (2015) Analysis of chronic temporomandibular disorders based on the latest diagnostic criteria. Acta Med Bulg 42(1):49–55

    Article  Google Scholar 

  47. Takahara N, Nakagawa S, Sumikura K, Kabasawa Y, Sakamoto I, Harada H (2017) Association of Temporomandibular Joint Pain According to magnetic resonance imaging findings in temporomandibular disorder patients. J Oral Maxillofac Surg 75:1848–1855. https://doi.org/10.1016/j.joms.2017.03.026

    Article  PubMed  Google Scholar 

  48. Weiss PF, Arabshahi B, Johnson A, Bilaniuk LT, Zarnow D, Cahill AM, Feudtner C, Cron RQ (2008) High prevalence of temporomandibular joint arthritis at disease onset in children with juvenile idiopathic arthritis, as detected by magnetic resonance imaging but not by ultrasound. Arthritis Rheum 58(4):1189–1196

    Article  PubMed  Google Scholar 

  49. Wiberg B, Wanman A (1998) Signs of osteoarthrosis of the temporomandibular joints in young patients - A clinical and radiographic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 86(2):158–164

    Article  PubMed  Google Scholar 

  50. Dworkin SF, LeResche L (eds) (1992) Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord Facial Oral Pain 6(4):301–355

  51. Al-Shwaikh H, Urtane I, Pirttiniemi P, Pesonen P, Krisjane Z, Jankovska I, Davidsone Z, Stanevica V (2016) Radiologic features of temporomandibular joint osseous structures in children with juvenile idiopathic arthritis. Cone beam computed tomography study. Stomatologija 18(2):51–60

    PubMed  Google Scholar 

  52. Sokolove J, Brennan MJ, Sharpe O, Lahey LJ, Kao AH, Krishnan E, Edmundowicz D, Lepus CM, Wasko MC, Robinson WH (2013) Brief report: citrullination within the atherosclerotic plaque: a potential target for the anti-citrullinated protein antibody response in rheumatoid arthritis. Arthritis Rheum 65(7):1719–1724. https://doi.org/10.1002/art.37961

    Article  PubMed  PubMed Central  Google Scholar 

  53. Krishnamoorthy B, Mamatha N, Kumar VA (2013) TMJ imaging by CBCT: current scenario. Ann Maxillofac Surg 3(1):80–83. https://doi.org/10.4103/2231-0746.110069

    Article  PubMed  PubMed Central  Google Scholar 

  54. Alexiou K, Stamatakis H, Tsiklakis K (2009) Evaluation of the severity of temporomandibular joint osteoarthritic changes related to age using cone beam computed tomography. Dentomaxillofac Radiol 38(3):141–147. https://doi.org/10.1259/dmfr/59263880

    Article  PubMed  Google Scholar 

  55. Navallas M, Inarejos EJ, Iglesias E, Cho Lee GY, Rodriguez N, Anton J (2017) MR imaging of the temporomandibular joint in juvenile idiopathic arthritis: technique and findings. Radiographics 37(2):595–612. https://doi.org/10.1148/rg.2017160078

    Article  PubMed  Google Scholar 

  56. McInnes IBSG (2011) The pathogenesis of rheumatoid arthritis. N Engl J Med 365(23):2205–2219

    Article  Google Scholar 

  57. Al-Ekrish AA, Al-Juhani HO, Alhaidari RI, Alfaleh WM (2015) Comparative study of the prevalence of temporomandibular joint osteoarthritic changes in cone beam computed tomograms of patients with or without temporomandibular disorder. Oral Surg Oral Med Oral Pathol Oral Radiol 120(1):78–85. https://doi.org/10.1016/j.oooo.2015.04.008

    Article  PubMed  Google Scholar 

  58. Comert Kilic S, Kilic N, Sumbullu MA (2015) Temporomandibular joint osteoarthritis: cone beam computed tomography findings, clinical features, and correlations. Int J Oral Maxillofac Surg 44(10):1268–1274. https://doi.org/10.1016/j.ijom.2015.06.023

    Article  PubMed  Google Scholar 

  59. Silman AJ, Pearson JE (2002) Epidemiology and genetics of rheumatoid arthritis. Arthritis Res 4(Suppl 3):S265–S272. https://doi.org/10.1186/ar578

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Funding

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

Author information

Authors and Affiliations

  1. Laboratory of Oral Histopathology, Health Sciences Faculty, University of Brasília, SHIS QL 18 conjunto 07 casa 01, Brasília, DF, Brazil

    Leticia Lopes Quirino Pantoja & Isabela Porto de Toledo

  2. Brazilian Centre for Evidence Based Research, Department of Dentistry, Federal University of Santa Catarina, Florianopolis, SC, Brazil

    Isabela Porto de Toledo, André Luís Porporatti & Graziela De Luca Canto

  3. Department of Restorative Dentistry, Federal University of Parana, Curitiba, PR, Brazil

    Yasmine Mendes Pupo

  4. Department of Dentistry, Federal University of Santa Catarina, Florianopolis, SC, Brazil

    André Luís Porporatti & Graziela De Luca Canto

  5. School of Dentistry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada

    Graziela De Luca Canto

  6. Department of Dentistry, Federal University of Sao Paulo, São Paulo, SP, Brazil

    Liete Figueiredo Zwir

  7. Laboratory of Oral Histopathology, Health Sciences Faculty, University of Brasília, Brasília, Brazil

    Eliete Neves Silva Guerra

Authors
  1. Leticia Lopes Quirino Pantoja
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Isabela Porto de Toledo
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yasmine Mendes Pupo
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. André Luís Porporatti
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Graziela De Luca Canto
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Liete Figueiredo Zwir
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Eliete Neves Silva Guerra
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Leticia Lopes Quirino Pantoja.

Ethics declarations

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.

Electronic supplementary material

ESM 1

(DOCX 21 kb)

ESM 2

(DOCX 138 kb)

ESM 3

(DOCX 24 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Pantoja, L.L.Q., de Toledo, I.P., Pupo, Y.M. et al. Prevalence of degenerative joint disease of the temporomandibular joint: a systematic review. Clin Oral Invest 23, 2475–2488 (2019). https://doi.org/10.1007/s00784-018-2664-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-018-2664-y

Keywords

Search

Navigation