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Clinical Oral Investigations

Erschienen in:

01.03.2024 | Research

Relationships between functional temporomandibular joint space and disc morphology, position, and condylar osseous condition in patients with temporomandibular disorder

verfasst von: Jinyi Zhu, Yanji Gong, Fangjie Zheng, Deqiang Yin, Yang Liu

Erschienen in: Clinical Oral Investigations | Ausgabe 3/2024

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Abstract

Objective

To investigate the correlations between joint space and temporomandibular joint (TMJ) components and the compressive states of the disc and condyle subsequent to joint space changes.

Materials and methods

A total of 240 TMJs were categorized according to disc morphology, disc position, and condylar osseous condition. The two-dimensional (2D) and three-dimensional (3D) measurements were compared. The functional joint space (FJS) and disc areas on closed- and open-mouth images (DA-C and DA-O) were also calculated, and the joint space was measured in five directions. Different groups of TMJ components were compared. A spring model was used to simulate the effect of condylar displacement on the disc and condyle.

Results

Disc morphology was strongly correlated with its position. The measurements were equivalent between 2D and 3D methods. DA-C and FJS differed significantly between groups. The DA-C to FJS ratio differed between the Class 2 and Class 3 groups and between disc displacement groups with and without reduction. Altered disc morphology and position were correlated with significant changes in joint space in the 60°, 90°, and 120° directions. Despite minor discrepancies among condylar osseous conditions, reduced joint space was correlated with bone destruction at the corresponding site. The spring model stimulation revealed that condylar displacement caused elevated stresses on the disc and condyle.

Conclusions

Condylar displacement causes joint space alterations while exerting compressive pressure on both the disc and condyle.

Clinical relevance

Proper condylar positioning within the fossa is recommended to ensure sufficient articular disc accommodation.

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Titel: Relationships between functional temporomandibular joint space and disc morphology, position, and condylar osseous condition in patients with temporomandibular disorder
verfasst von: Jinyi Zhu
Yanji Gong
Fangjie Zheng
Deqiang Yin
Yang Liu
Publikationsdatum: 01.03.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 3/2024
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-024-05579-5

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Relationships between functional temporomandibular joint space and disc morphology, position, and condylar osseous condition in patients with temporomandibular disorder

Abstract

Objective

Materials and methods

Results

Conclusions

Clinical relevance

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Abstract

Objective

Materials and methods

Results

Conclusions

Clinical relevance

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