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Factors related to the incidence of anterior disc displacement without reduction and bony changes of the temporomandibular joint in patients with anterior open bite

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Abstract

Purpose

We aimed to investigate factors related to the prevalence of anterior disc displacement without reduction (ADDwoR) and bony changes of the condylar head (bony changes) in the temporomandibular joints (TMJs) of patients with anterior open bite.

Methods

Subjects are comprised of 36 preoperative patients (72 joints) with skeletal anterior open bite without facial asymmetry who had undergone orthognathic surgery at the Hokkaido University Hospital; magnetic resonance imaging of the TMJ and cephalometric analysis were performed before treatment. Logistic regression analysis was performed to clarify relationships among age, overbite, overjet, ANB angle, sella to nasion (SN) to mandibular plane angle (SN–MP angle), SN to ramus plane angle (GZN angle), gonial angle, and incidence of ADDwoR or bony changes in patients with anterior open bite.

Results

Fifteen patients had bilateral ADDwoR, and five patients had unilateral ADDwoR; 17 patients had bilateral bony changes, and five patients had unilateral bony changes. SN–MP angle was greater in 20 patients with ADDwoR than that in 16 patients without ADDwoR (p < 0.05). GZN angle was greater in the 20 patients showing bony changes than that in the 16 patients without bony changes (p < 0.05).

Conclusion

In terms of dentofacial morphology, SN–MP angle appears to be associated with the incidence of ADDwoR, and GZN angle appears to be associated with bony changes in the TMJ.

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References

  1. Emshoff R, Moriggl A, Rudisch A, Brunold S, Neunteufel N, Crismani A (2011) Cephalometric variables discriminate among magnetic resonance imaging-based structural characteristic groups of the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 112:118–125

    Article  PubMed  Google Scholar 

  2. Moon BS, Yang IH, Ahn SJ (2011) Dentofacial characteristics of women with oversized mandible and temporomandibular joint internal derangement. Angle Orthod 81:469–477

    Article  PubMed  Google Scholar 

  3. Ahn SJ, Kim TW, Nahm DS (2004) Cephalometric keys to internal derangement of temporomandibular joint in women with Class II malocclusions. Am J Orthod Dentofacial Orthop 126:486–494

    PubMed  Google Scholar 

  4. Fernández SJ, Gómez GJM, Hoyo JA (1998) Relationship between condylar position, dentofacial deformity and temporomandibular joint dysfunction: an MRI and CT prospective study. J Craniomaxillofac Surg 26:35–42

    Article  Google Scholar 

  5. Egermark-Eriksson I, Carlsson GE, Magnusson T, Thilander B (1990) A longitudinal study on malocclusion in relation to signs and symptoms of craniomandibular disorders in children and adolescents. Eur J Orthod 12:399–407

    Article  CAS  PubMed  Google Scholar 

  6. Tallents RH, Catania J, Sommers E (1991) Temporomandibular joint findings in pediatric populations and young adults: a critical review. Angle Orthod 61:7–16

    CAS  PubMed  Google Scholar 

  7. Dibbets JM, van der Weele LT (1996) Signs and symptoms of temporomandibular disorders (TMD) and craniofacial form. Am J Orthod Dentofacial Orthop 110:73–78

    Article  CAS  PubMed  Google Scholar 

  8. Schellhas KP, Pollei SR, Wilkes CH (1993) Pediatric internal derangements of the temporomandibular joint: effect on facial development. Am J Orthod Dentofacial Orthop 104:51–59

    Article  CAS  PubMed  Google Scholar 

  9. Schellhas KP, Piper MA, Omile MR (1990) Facial skeleton remodeling due to temporomandibular joint degeneration: an imaging study of 100 patients. Am J Neuroradiol 11:541–551

    CAS  PubMed  Google Scholar 

  10. Brand JW, Nielson KJ, Tallents RH, Nanda RS, Currier GF, Owen WL (1995) Lateral cephalometric analysis of skeletal patterns in patients with and without internal derangement of the temporomandibular joint. Am J Orthod Dentofacial Orthop 107:121–128

    Article  CAS  PubMed  Google Scholar 

  11. Gidarakou IK, Tallents RH, Kyrkanides S, Stein S, Moss ME (2003) Comparison of skeletal and dental morphology in asymptomatic volunteers and symptomatic patients with bilateral degenerative joint disease. Angle Orthod 73:71–78

    PubMed  Google Scholar 

  12. Byun ES, Ahn SJ, Kim TW (2005) Relationship between internal derangement of the temporomandibular joint and dentofacial morphology in women with anterior open bite. Am J Orthod Dentofacial Orthop 128:87–95

    Article  PubMed  Google Scholar 

  13. Chen YJ, Shih TT, Wang JS, Wang HY, Shiau YY (2005) Magnetic resonance images of the temporomandibular joints of patients with acquired open bite. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 99:734–742

    Article  PubMed  Google Scholar 

  14. Gidarakou IK, Tallents RH, Kyrkanides S, Stein S, Moss ME (2004) Comparison of skeletal and dental morphology in asymptomatic volunteers and symptomatic patients with unilateral disk displacement with reduction. Angle Orthod 74:684–689

    PubMed  Google Scholar 

  15. McNamara JA Jr, Seligman DA, Okeson JP (1995) Occlusion, orthodontic treatment, and temporomandibular disorders: a review. J Orofac Pain 9:73–90

    PubMed  Google Scholar 

  16. Gokalp H (2003) Magnetic resonance imaging assessment of positional relationship between the disk and condyle in asymptomatic young adult mandibular prognathism. Angle Orthod 73:550–555

    PubMed  Google Scholar 

  17. Yura S, Ooi K, Kadowaki S, Totsuka IN (2010) Magnetic resonance imaging of the temporomandibular joint in patients with skeletal open bite and subjects with no dentofacial abnormalities. Br J Oral Maxillofac Surg 48:459–461

    Article  PubMed  Google Scholar 

  18. Westesson PL, Eriksson L, Kurita K (1989) Reliability of a negative clinical temporomandibular joint examination: prevalence of disk displacement in asymptomatic temporomandibular joints. Oral Surg Oral Med Oral Pathol 68:551–554

    Article  CAS  PubMed  Google Scholar 

  19. Sharawy M, Ali AM, Choi WS (2003) Experimental induction of anterior disk displacement of the rabbit craniomandibular joint: an immuno-electron microscopic study of collagen and proteoglycan occurrence in the condylar cartilage. J Oral Pathol Med 32:176–184

    Article  PubMed  Google Scholar 

  20. Campos MI, Campos PS, Cangussu MC, Guimaraes RC, Line SR (2008) Analysis of magnetic resonance imaging characteristics and pain in temporomandibular joints with and without degenerative changes of the condyle. Int J Oral Maxillofac Surg 37:529–535

    Article  CAS  PubMed  Google Scholar 

  21. Wilkes CH (1989) Internal derangements of the temporomandibular joint. Pathological variations. Arch Otolaryngol Head Neck Surg 115:469–477

    Article  CAS  PubMed  Google Scholar 

  22. Katzberg RW, Tallents RH, Hayakawa K, Miller TL, Goske MJ, Wood BP (1985) Internal derangements of the temporomandiblar joint: findings in the pediatric age group. Radiology 154:125–128

    Article  CAS  PubMed  Google Scholar 

  23. Link JJ, Nickerson JW Jr (1992) Temporomandibular joint internal derangements in an orthognathic surgery population. The International Journal of Adult Orthodontics and Orthognathic Surgery 7:161–169

    CAS  PubMed  Google Scholar 

  24. Ahn SJ, Kim TW, Nahn DS (2004) Cephalometric keys to internal derangement of temporomandibular joint in women with Class II malocclusions. Am J Orthod Dentofacial Orthop 126:486–495

    PubMed  Google Scholar 

  25. Moldez MA, Sato K, Sugawara J, Mitani H (2006) Linear and angular filipino cephalometric norms according to age and sex. Angle Orthod 76:800–805

    PubMed  Google Scholar 

  26. Bryndahl F, Warfvinge L, Eriksson L, Isberg A (2011) Cartilage changes link retrognathic mandibular growth to TMJ disc displacement in a rabbit model. Int J Oral Maxillofac Surg 40:621–627

    Article  CAS  PubMed  Google Scholar 

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Division of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University, Kita 13 Nishi 7, Kita-ku, Sapporo, 060-8586, Japan

    Kazuhiro Ooi & Yasunori Totsuka

  2. Department of Oral and Maxillofacial Surgery, Tonami General Hospital, Tonami, Toyama, 939-1395, Japan

    Shinya Yura

  3. Department of Gerodontology, Division of Oral Health Science, Graduate School of Dental Medicine, Hokkaido University, Kita-ku, Sapporo, 060-8586, Japan

    Nobuo Inoue

Authors
  1. Kazuhiro Ooi
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  2. Shinya Yura
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  3. Nobuo Inoue
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  4. Yasunori Totsuka
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Correspondence to Kazuhiro Ooi.

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Ooi, K., Yura, S., Inoue, N. et al. Factors related to the incidence of anterior disc displacement without reduction and bony changes of the temporomandibular joint in patients with anterior open bite. Oral Maxillofac Surg 18, 397–401 (2014). https://doi.org/10.1007/s10006-013-0424-3

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  • DOI: https://doi.org/10.1007/s10006-013-0424-3

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