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Relationship between rotational disc displacement of the temporomandibular joint and the dentoskeletal morphology

So-Hyun Park|Sug-Joon Ahn|Won-Jeong Han|Dong-Hwa Chung|Jung-Sub An
대한치과교정학회 (The Korean Association Of Orthodontists)|2021.03|대한치과교정학회지 (The Korean Journal of Orthodontics)|제51권 제2호|pp. 105-114|DOI 10.4041/kjod.2021.51.2.105

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참고문헌

키워드

ClassificationCephalometricsTemporomandibular jointDisk displacement
주제분류치의학

초록

Objective: The purpose of this study was to evaluate the relationship between rotational disk displacement (DD) of the temporomandibular joint (TMJ) and the dentoskeletal morphology. Methods: Women aged > 17 years were included in this study. Each subject had a primary complaint of malocclusion and underwent routine cephalometric examinations. They were divided into five groups according to the findings on sagittal and coronal magnetic resonance images of their TMJs: bilateral normal disk position, bilateral anterior DD with reduction (ADDR), bilateral rotational DD with reduction (RDDR), bilateral anterior DD without reduction (ADDNR), and bilateral rotational DD without reduction (RDDNR). Twenty-three cephalometric variables were analyzed, and the Kruskal–Wallis test was used to evaluate differences in the dentoskeletal morphology among the five groups. Results: Patients with TMJ DD exhibited a hyperdivergent pattern with a retrognathic mandible, unlike those with a normal disk position. These specific skeletal characteristics were more severe in patients exhibiting DD without reduction than in those with reduction, regardless of the presence of rotational DD. Rotational DD significantly influenced horizontal and vertical skeletal patterns only in the stage of DD with reduction, and the mandible exhibited a more backward position and rotation in patients with RDDR than in those with ADDR. However, there were no significant dentoskeletal differences between ADDNR and RDDNR. Conclusions: The results of this study suggest that rotational DD of TMJ plays an important role in the dentoskeletal morphology, particularly in patients showing DD with reduction.

Abstract

Objective: The purpose of this study was to evaluate the relationship between rotational disk displacement (DD) of the temporomandibular joint (TMJ) and the dentoskeletal morphology. Methods: Women aged > 17 years were included in this study. Each subject had a primary complaint of malocclusion and underwent routine cephalometric examinations. They were divided into five groups according to the findings on sagittal and coronal magnetic resonance images of their TMJs: bilateral normal disk position, bilateral anterior DD with reduction (ADDR), bilateral rotational DD with reduction (RDDR), bilateral anterior DD without reduction (ADDNR), and bilateral rotational DD without reduction (RDDNR). Twenty-three cephalometric variables were analyzed, and the Kruskal–Wallis test was used to evaluate differences in the dentoskeletal morphology among the five groups. Results: Patients with TMJ DD exhibited a hyperdivergent pattern with a retrognathic mandible, unlike those with a normal disk position. These specific skeletal characteristics were more severe in patients exhibiting DD without reduction than in those with reduction, regardless of the presence of rotational DD. Rotational DD significantly influenced horizontal and vertical skeletal patterns only in the stage of DD with reduction, and the mandible exhibited a more backward position and rotation in patients with RDDR than in those with ADDR. However, there were no significant dentoskeletal differences between ADDNR and RDDNR. Conclusions: The results of this study suggest that rotational DD of TMJ plays an important role in the dentoskeletal morphology, particularly in patients showing DD with reduction.

참고문헌 (30)

  1. Ernberg M, "The role of molecular pain biomarkers in temporomandibular joint internal derangement", J Oral Rehabil, 44, pp.481~491 (2017)
  2. Larheim TA, "Role of magnetic resonance imaging in the clinical diagnosis of the temporomandibular joint", Cells Tissues Organs, 180, pp.6~21 (2005)
  3. Tasaki MM, "Classification and prevalence of temporomandibular joint disk displacement in patients and symptom-free volunteers", Am J Orthod Dentofacial Orthop, 109, pp.249~262 (1996)
  4. Talaat WM, "Prevalence of temporomandibular disorders discovered incidentally during routine dental examination using the Research Diagnostic Criteria for Temporomandibular Disorders", Oral Surg Oral Med Oral Pathol Oral Radiol, 125, pp.250~259 (2018)
  5. Tamimi D, "Temporomandibular joint imaging", Radiol Clin North Am, 56, pp.157~175 (2018)
  6. Ahn SJ, "Cephalometric keys to internal derangement of temporomandibular joint in women with Class II malocclusions", Am J Orthod Dentofacial Orthop, 126, pp.485~494 (2004)
  7. Nebbe B, "Female adolescent facial pattern associated with TMJ disk displacement and reduction in disk length : part I", Am J Orthod Dentofacial Orthop, 116, pp.168~176 (1999)
  8. Khoury MB, "Sideways dislocation of the temporomandibular joint meniscus : the edge sign", AJNR Am J Neuroradiol, 7, pp.869~872 (1986)
  9. Tasaki MM, "Temporomandibular joint : diagnostic accuracy with sagittal and coronal MR imaging", Radiology, 186, pp.723~729 (1993)
  10. Liedberg J, "Sideways and rotational displacement of the temporomandibular joint disk : diagnosis by arthrography and correlation to cryosectional morphology", Oral Surg Oral Med Oral Pathol, 69, pp.757~763 (1990)
  11. Aoyama S, "Clinical and magnetic resonance imaging study of unilateral sideways disc displacements of the temporomandibular joint", J Med Dent Sci, 49, pp.89~94 (2002)
  12. Jeon DM, "The effects of TMJ symptoms on skeletal morphology in orthodontic patients with TMJ disc displacement", Acta Odontol Scand, 72, pp.776~782 (2014)
  13. Ahn SJ, "Relationship between temporomandibular joint internal derangement and facial asymmetry in women", Am J Orthod Dentofacial Orthop, 128, pp.583~591 (2005)
  14. Ahn SJ, "Discrimination of internal derangement of temporomandibular joint by lateral cephalometric analysis", Am J Orthod Dentofacial Orthop, 130, pp.331~339 (2006)
  15. Dahlberg G, "Statistical methods for medical and biological students", pp.232~ (1940), G. Allen & Unwin Ltd
  16. Katzberg RW, "Temporomandibular joint : MR assessment of rotational and sideways disk displacements", Radiology, 169, pp.741~748 (1988)
  17. Foucart JM, "MR of 732 TMJs : anterior, rotational, partial and sideways disc displacements", Eur J Radiol, 28, pp.86~94 (1998)
  18. Brand JW, "Lateral cephalometric analysis of skeletal patterns in patients with and without internal derangement of the temporomandibular joint", Am J Orthod Dentofacial Orthop, 107, pp.121~128 (1995)
  19. Schellhas KP, "Pediatric internal derangements of the temporomandibular joint : effect on facial development", Am J Orthod Dentofacial Orthop, 104, pp.51~59 (1993)
  20. Chang MS, "Relationships between temporomandibular joint disk displacements and condylar volume", Oral Surg Oral Med Oral Pathol Oral Radiol, 125, pp.192~198 (2018)
  21. Schellhas KP, "Facial skeleton remodeling due to temporomandibular joint degeneration : an imaging study of 100 patients", AJNR Am J Neuroradiol, 11, pp.541~551 (1990)
  22. Milam SB, "Pathogenesis of degenerative temporomandibular joint arthritides", Odontology, 93, pp.7~15 (2005)
  23. Legrell PE, "Temporomandibular joint condyle changes after surgically induced non-reducing disk displacement in rabbits : a macroscopic and microscopic study", Acta Odontol Scand, 57, pp.290~300 (1999)
  24. Legrell PE, "Mandibular length and midline asymmetry after experimentally induced temporomandibular joint disk displacement in rabbits", Am J Orthod Dentofacial Orthop, 115, pp.247~253 (1999)
  25. Osborn JW, "The disc of the human temporomandibular joint : design, function and failure", J Oral Rehabil, 12, pp.279~293 (1985)
  26. Takahara N, "Association of temporomandibular joint pain according to magnetic resonance imaging findings in temporomandibular disorder patients", J Oral Maxillofac Surg, 75, pp.1848~1855 (2017)
  27. Torres MG, "Morphometric features of the mandibular condyle and association with disk abnormalities", Oral Surg Oral Med Oral Pathol Oral Radiol, 121, pp.566~572 (2016)
  28. Nebbe B, "Prevalence of TMJ disc displacement in a pre-orthodontic adolescent sample", Angle Orthod, 70, pp.454~463 (2000)
  29. Kwon HB, "Gender differences in dentofacial characteristics of adult patients with temporomandibular disc displacement", J Oral Maxillofac Surg, 71, pp.1178~1186 (2013)
  30. Ikeda R, "Directional characteristics of incipient temporomandibular joint disc displacements : a magnetic resonance imaging study", Am J Orthod Dentofacial Orthop, 149, pp.39~45 (2016)

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