Clinical and MRI Investigation of Temporomandibular Joint in Major Depressed Patients

Overview

Journal Dentomaxillofac Radiol

Publisher Oxford University Press

Date 2012 Apr 21

PMID 22517997

Citations 6

Authors

S L P C Lopes

A L F Costa

A D Cruz

L M Li

S M De Almeida

Affiliations

Soon will be listed here.

Abstract

Objective: The aim of the present study was to describe the clinical and MRI findings of the temporomandibular joint (TMJ) in patients with major depressive disorders (MDDs) of the non-psychotic type.

Methods: 40 patients (80 TMJs) who were diagnosed as having MDDs were selected for this study. The clinical examination of the TMJs was conducted according to the research diagnostic criteria and temporomandibular disorders (TMDs). The MRIs were obtained bilaterally in each patient with axial, parasagittal and paracoronal sections within a real-time dynamic sequence. Two trained oral radiologists assessed all images. For statistical analyses, Fisher's exact test and χ(2) test were applied (α = 0.05).

Results: Migraine was reported in 52.5% of subjects. Considering disc position, statistically significant differences between opening patterns with and without alteration (p = 0.00) and between present and absent joint noises (p = 0.00) were found. Regarding muscular pain, patients with and without abnormalities in disc function and patients with and without abnormalities in disc position were not statistically significant (p = 0.42 and p = 0.40, respectively). Significant differences between mandibular pathway with and without abnormalities (p = 0.00) and between present and absent joint noises (p = 0.00) were observed.

Conclusion: Based on the preliminary results observed by clinical and MRI examination of the TMJ, no direct relationship could be determined between MDDs and TMDs.

Citing Articles

Automatic classification of temporomandibular joint disorders by magnetic resonance imaging and convolutional neural networks.

Su T, Wu J, Chiu W, Chen T, Lo W, Lu H J Dent Sci. 2025; 20(1):393-401.

PMID: 39873009 PMC: 11762929. DOI: 10.1016/j.jds.2024.06.001.

Effectiveness of ultrasonography in the diagnosis of temporomandibular joint disorders: A systematic review and meta-analysis.

Zaman M, Alam M, Alqhtani N, Alqahtani M, Alsaadi M, Ronsivalle V J Oral Rehabil. 2024; 52(2):243-253.

PMID: 39023186 PMC: 11740269. DOI: 10.1111/joor.13807.

Effects of osseous structure based on three-dimensional reconstructive imaging evaluation in the assessment of temporomandibular joint disc position.

Li C, Liu H, Gong Z, Liu X, Ling B Clin Oral Investig. 2023; 27(4):1449-1463.

PMID: 36877406 DOI: 10.1007/s00784-023-04936-0.

Temporomandibular joint in juvenile idiopathic arthritis: magnetic resonance imaging measurements and their correlation with imaging findings.

Calle A, Ogawa C, Martins J, Santos F, de Castro Lopes S, Nahas-Scocate A Oral Radiol. 2021; 38(4):459-467.

PMID: 34797517 DOI: 10.1007/s11282-021-00576-w.

Relationship between Clinical Symptoms and Magnetic Resonance Imaging in Temporomandibular Disorder (TMD) Patients Utilizing the Piper MRI Diagnostic System.

Tegnander T, Chladek G, Hovland A, Zmudzki J, Wojtek P J Clin Med. 2021; 10(20).

PMID: 34682820 PMC: 8539230. DOI: 10.3390/jcm10204698.

References

Feinmann C . Psychogenic facial pain: presentation and treatment. J Psychosom Res. 1983; 27(5):403-10. DOI: 10.1016/0022-3999(83)90076-4. View

Emshoff R, Brandlmaier I, Bosch R, Gerhard S, Rudisch A, Bertram S . Validation of the clinical diagnostic criteria for temporomandibular disorders for the diagnostic subgroup - disc derangement with reduction. J Oral Rehabil. 2002; 29(12):1139-45. DOI: 10.1046/j.1365-2842.2002.00980.x. View

Gesztelyi G . [Primary headache and depression]. Orv Hetil. 2005; 145(48):2419-24. View

Manfredini D, Landi N, Romagnoli M, Bosco M . Psychic and occlusal factors in bruxers. Aust Dent J. 2004; 49(2):84-9. DOI: 10.1111/j.1834-7819.2004.tb00055.x. View

Limchaichana N, Petersson A, Rohlin M . The efficacy of magnetic resonance imaging in the diagnosis of degenerative and inflammatory temporomandibular joint disorders: a systematic literature review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 102(4):521-36. DOI: 10.1016/j.tripleo.2006.02.001. View

Shimazaki Y, Saito K, Matsukawa S, Onizawa R, Kotake F, Nishio R . Image quality using dynamic MR imaging of the temporomandibular joint with true-FISP sequence. Magn Reson Med Sci. 2007; 6(1):15-20. DOI: 10.2463/mrms.6.15. View

Kessler R, McGonagle K, Zhao S, Nelson C, Hughes M, Eshleman S . Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry. 1994; 51(1):8-19. DOI: 10.1001/archpsyc.1994.03950010008002. View

Yap A, Tan K, Chua E, Tan H . Depression and somatization in patients with temporomandibular disorders. J Prosthet Dent. 2002; 88(5):479-84. DOI: 10.1067/mpr.2002.129375. View

Dworkin S, LeResche L . Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992; 6(4):301-55. View

10.

Celic R, Panduric J, Dulcic N . Psychologic status in patients with temporomandibular disorders. Int J Prosthodont. 2006; 19(1):28-9. View

11.

Chen Y, Gallo L, Meier D, Palla S . Dynamic magnetic resonance imaging technique for the study of the temporomandibular joint. J Orofac Pain. 2001; 14(1):65-73. View

12.

Tasaki M, Westesson P, Isberg A, Ren Y, Tallents R . Classification and prevalence of temporomandibular joint disk displacement in patients and symptom-free volunteers. Am J Orthod Dentofacial Orthop. 1996; 109(3):249-62. DOI: 10.1016/s0889-5406(96)70148-8. View

13.

Hansson L, Hansson T, Petersson A . A comparison between clinical and radiologic findings in 259 temporomandibular joint patients. J Prosthet Dent. 1983; 50(1):89-94. DOI: 10.1016/0022-3913(83)90172-5. View

14.

Guler N, Yatmaz P, Ataoglu H, Emlik D, Uckan S . Temporomandibular internal derangement: correlation of MRI findings with clinical symptoms of pain and joint sounds in patients with bruxing behaviour. Dentomaxillofac Radiol. 2004; 32(5):304-10. DOI: 10.1259/dmfr/24534480. View

15.

Matsuda S, Yoshimura Y, Lin Y . Magnetic resonance imaging assessment of the temporomandibular joint in disk displacement. Int J Oral Maxillofac Surg. 1994; 23(5):266-70. DOI: 10.1016/s0901-5027(05)80105-5. View

16.

. Practice guideline for major depressive disorder in adults. American Psychiatric Association. Am J Psychiatry. 1993; 150(4 Suppl):1-26. DOI: 10.1176/ajp.150.4.1. View

17.

Incesu L, Taskaya-Yilmaz N, Ogutcen-Toller M, Uzun E . Relationship of condylar position to disc position and morphology. Eur J Radiol. 2004; 51(3):269-73. DOI: 10.1016/S0720-048X(03)00218-3. View

18.

Lepine J, Briley M . The epidemiology of pain in depression. Hum Psychopharmacol. 2004; 19 Suppl 1:S3-7. DOI: 10.1002/hup.618. View

19.

Mongini F, Ciccone G, Ceccarelli M, Baldi I, Ferrero L . Muscle tenderness in different types of facial pain and its relation to anxiety and depression: A cross-sectional study on 649 patients. Pain. 2007; 131(1-2):106-11. DOI: 10.1016/j.pain.2006.12.017. View

20.

Manfredini D, Borella L, Favero L, Ferronato G, Guarda-Nardini L . Chronic pain severity and depression/somatization levels in TMD patients. Int J Prosthodont. 2011; 23(6):529-34. View