Changes in Temporomandibular Joint Spaces After Arthroscopic Disc Repositioning: a Self-control Study

Overview

Journal Sci Rep

Specialty Science

Date 2017 Apr 1

PMID 28361905

Citations 7

Authors

Ying Kai Hu

Ahmed Abdelrehem

Chi Yang

Xie Yi Cai

Qian Yang Xie

Manoj Kumar Sah

Affiliations

Soon will be listed here.

Abstract

Disc repositioning is a common procedure for patients with anterior disc displacement (ADD). The purpose of this retrospective record-based study was to evaluate changes in the widths of joint spaces and condylar position changes in patients with unilateral ADD following arthroscopic disc repositioning, with the healthy sides as self-control, using magnetic resonance images (MRI).Widths of anterior, superior, and posterior joint spaces (AS, SS, and PS) were measured. The condylar position was described as anterior, centric or posterior, expressed as . Paired-t test and Chi-square test were used to analyze the data. Fifty-four records conformed to the inclusion criteria (mean age of 21.02 years). Widths of SS and PS increased significantly after surgery (P < 0.001) on the operative sides, while joint spaces of healthy sides and AS of operative sides had no significant changes. Dominant location of condyles of operative sides changed from a posterior position to an anterior position, while healthy sides were mostly centric condylar position no matter preoperatively or postoperatively. Therefore, the results of this study indicate that unilateral arthroscopic disc repositioning significantly increases the posterior and superior spaces of the affected joints, without affecting spaces of the healthy sides.

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References

Hu Y, Yang C, Xie Q . Changes in disc status in the reducing and nonreducing anterior disc displacement of temporomandibular joint: a longitudinal retrospective study. Sci Rep. 2016; 6:34253. PMC: 5037465. DOI: 10.1038/srep34253. View

Kinniburgh R, Major P, Nebbe B, West K, Glover K . Osseous morphology and spatial relationships of the temporomandibular joint: comparisons of normal and anterior disc positions. Angle Orthod. 2000; 70(1):70-80. DOI: 10.1043/0003-3219(2000)070<0070:OMASRO>2.0.CO;2. View

Ohnishi M . Clinical application of arthroscopy in the temporomandibular joint diseases. Bull Tokyo Med Dent Univ. 1980; 27(3):141-50. View

McCain J, Podrasky A, Zabiegalski N . Arthroscopic disc repositioning and suturing: a preliminary report. J Oral Maxillofac Surg. 1992; 50(6):568-79; discussion 579-80. DOI: 10.1016/0278-2391(92)90435-3. View

Gateno J, Anderson P, Xia J, Horng J, Teichgraeber J, Liebschner M . A comparative assessment of mandibular condylar position in patients with anterior disc displacement of the temporomandibular joint. J Oral Maxillofac Surg. 2003; 62(1):39-43. DOI: 10.1016/j.joms.2003.05.006. View

Vitral R, Telles C, Fraga M, de Oliveira R, Tanaka O . Computed tomography evaluation of temporomandibular joint alterations in patients with class II division 1 subdivision malocclusions: condyle-fossa relationship. Am J Orthod Dentofacial Orthop. 2004; 126(1):48-52. DOI: 10.1016/j.ajodo.2003.06.012. View

Honda K, Natsumi Y, Urade M . Correlation between MRI evidence of degenerative condylar surface changes, induction of articular disc displacement and pathological joint sounds in the temporomandibular joint. Gerodontology. 2008; 25(4):251-7. DOI: 10.1111/j.1741-2358.2008.00219.x. View

Barghan S, Tetradis S, Mallya S . Application of cone beam computed tomography for assessment of the temporomandibular joints. Aust Dent J. 2012; 57 Suppl 1:109-18. DOI: 10.1111/j.1834-7819.2011.01663.x. View

Kamelchuk L, Nebbe B, Baker C, Major P . Adolescent TMJ tomography and magnetic resonance imaging: a comparative analysis. J Orofac Pain. 1998; 11(4):321-7. View

10.

Ren Y, Isberg A, Westesson P . Condyle position in the temporomandibular joint. Comparison between asymptomatic volunteers with normal disk position and patients with disk displacement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995; 80(1):101-7. DOI: 10.1016/s1079-2104(95)80025-5. View

11.

Wang B, Yang C, Cai X, Chen M, Zhang S, Fang B . Malocclusion as a common occurrence in temporomandibular joint arthroscopic disc repositioning: outcomes at 49 days after surgery. J Oral Maxillofac Surg. 2011; 69(6):1587-93. DOI: 10.1016/j.joms.2010.10.019. View

12.

Ozawa S, BOERING G, Kawata T, Tanimoto K, Tanne K . Reconsideration of the TMJ condylar position during internal derangement: comparison between condylar position on tomogram and degree of disk displacement on MRI. Cranio. 1999; 17(2):93-100. DOI: 10.1080/08869634.1999.11746083. View

13.

Kim Y, Im J, Chung H, Yun P . Clinical application of ultrathin arthroscopy in the temporomandibular joint for treatment of closed lock patients. J Oral Maxillofac Surg. 2009; 67(5):1039-45. DOI: 10.1016/j.joms.2008.12.040. View

14.

Westesson P, Eriksson L, Kurita K . Reliability of a negative clinical temporomandibular joint examination: prevalence of disk displacement in asymptomatic temporomandibular joints. Oral Surg Oral Med Oral Pathol. 1989; 68(5):551-4. DOI: 10.1016/0030-4220(89)90236-3. View

15.

Ueki K, Moroi A, Sotobori M, Ishihara Y, Marukawa K, Yoshizawa K . Changes in temporomandibular joint and ramus after sagittal split ramus osteotomy in mandibular prognathism patients with and without asymmetry. J Craniomaxillofac Surg. 2012; 40(8):821-7. DOI: 10.1016/j.jcms.2012.03.003. View

16.

Gonzalez-Garcia R, Rodriguez-Campo F, Monje F, Sastre-Perez J, Gil-Diez Usandizaga J . Operative versus simple arthroscopic surgery for chronic closed lock of the temporomandibular joint: a clinical study of 344 arthroscopic procedures. Int J Oral Maxillofac Surg. 2008; 37(9):790-6. DOI: 10.1016/j.ijom.2008.04.022. View

17.

Zhang S, Liu X, Yang C, Cai X, Chen M, Haddad M . New arthroscopic disc repositioning and suturing technique for treating internal derangement of the temporomandibular joint: part II--magnetic resonance imaging evaluation. J Oral Maxillofac Surg. 2010; 68(8):1813-7. DOI: 10.1016/j.joms.2009.08.012. View

18.

Rodrigues A, Fraga M, Vitral R . Computed tomography evaluation of the temporomandibular joint in Class I malocclusion patients: condylar symmetry and condyle-fossa relationship. Am J Orthod Dentofacial Orthop. 2009; 136(2):192-8. DOI: 10.1016/j.ajodo.2007.07.032. View

19.

Ikeda K, Kawamura A . Assessment of optimal condylar position with limited cone-beam computed tomography. Am J Orthod Dentofacial Orthop. 2009; 135(4):495-501. DOI: 10.1016/j.ajodo.2007.05.021. View

20.

Okeson J . Joint intracapsular disorders: diagnostic and nonsurgical management considerations. Dent Clin North Am. 2006; 51(1):85-103, vi. DOI: 10.1016/j.cden.2006.09.009. View