Assessment of Mandibular Kinematics Values and Its Relevance for the Diagnosis of Temporomandibular Joint Disorders

Overview

Journal J Dent Sci

Specialty Dentistry

Date 2021 Jan 1

PMID 33384804

Citations 5

Authors

Oliver Leissner

Miguel Maulen-Yanez

Walther Meeder-Bella

Camilo Leon-Morales

Eduardo Vergara-Bruna

Wilfredo Alejandro Gonzalez-Arriagada

Affiliations

Soon will be listed here.

Abstract

Background/purpose: Temporomandibular disorders (TMD) are common conditions that involve the temporomandibular joints (TMJs), jaw muscles, or both, and can cause alteration in the mandibular kinematics. The aim of this study was to assess the relationship between mandibular kinematics and temporomandibular joint disorders (TMJD) as a clinical tool for evaluation and diagnosis of these patients.

Materials And Methods: A retrospective study based on the analysis of the clinical findings from patients' charts was carried out, with a sample size of 476 patients. Statistical analysis was made with chi-square test for qualitative variables and student t-test for quantitative variables. Then, odds ratio with its confidence interval were calculated. A p value < 0.05 was considered statistically significant.

Results: Most patients were female (80.7%) and between 16 and 25 years old. Disc displacement with reduction (DDwR) and subluxation were associated with increased kinematic parameters, while disc displacement without reduction (DDwoR) and retrodiscitis were associated with decreased kinematic values. A soft end feel was related to osteoarthritis (OA). Structural incompatibility was most prevalent in older patients.

Conclusion: Mandibular kinematic values are associated with specific temporomandibular joint disorders and could be considered as a useful clinical tool to perform the right diagnosis of TMJD.

Citing Articles

Assessment of Mandibular Kinematic Variables using a Motion Analysis System and a Regular Mobile Phone.

Ziaiee M, Sadeghi H, Karimi M, Rafiaei M J Biomed Phys Eng. 2025; 15(1):67-76.

PMID: 39975527 PMC: 11833152. DOI: 10.31661/jbpe.v0i0.2210-1555.

Comparative analysis of myoelectric activity and mandibular movement in healthy and nonpainful articular temporomandibular disorder subjects.

Xiaojie X, Yiling C, Honglei L, Jiamei P, Xiaoyong W, Hao Y Clin Oral Investig. 2024; 28(11):605.

PMID: 39428401 DOI: 10.1007/s00784-024-05957-z.

Evaluation of Mandibular Movements in Patients with Bell's Palsy Using Kinematic Variables.

Ziaiee M, Sadeghi H, Karimi M Med J Islam Repub Iran. 2023; 37:19.

PMID: 37123332 PMC: 10134089. DOI: 10.47176/mjiri.37.19.

Methods improvement for diagnostics and treatment of inflammatory diseases in the temporomandibular joint.

Temurov F, Kozhambekova E, Syzdykov M, Ashirbekov G, Safarbaev S Saudi Dent J. 2022; 34(6):445-448.

PMID: 36092523 PMC: 9453521. DOI: 10.1016/j.sdentj.2022.06.007.

Clinical Manifestations, Imaging Features, and Pathogenic/Prognostic Risk Factors for Temporomandibular Disorders (TMD): A Case-Control Study Based on Psychogenic Factors of Patients.

Hu S, Shao Z, Deng L Comput Math Methods Med. 2022; 2022:8279357.

PMID: 35924116 PMC: 9343186. DOI: 10.1155/2022/8279357.

References

Maulen-Yanez M, Meeder-Bella W, Videla-Jimenez P, Gonzalez-Arriagada W . Assessment of association between muscular diagnosis in temporomandibular disorders with mandibular kinematics. Cranio. 2018; 37(6):365-373. DOI: 10.1080/08869634.2018.1465513. View

Giozet A, Vessoni Iwaki L, Grossmann E, Previdelli I, de Souza Pinto G, Iwaki Filho L . Correlation between clinical variables and magnetic resonance imaging findings in symptomatic patients with chronic temporomandibular articular disc displacement with reduction: A retrospective analytical study. Cranio. 2018; 37(6):374-382. DOI: 10.1080/08869634.2018.1449360. View

Santos K, Dutra M, Warmling L, Oliveira J . Correlation among the changes observed in temporomandibular joint internal derangements assessed by magnetic resonance in symptomatic patients. J Oral Maxillofac Surg. 2013; 71(9):1504-12. DOI: 10.1016/j.joms.2013.04.033. View

Mapelli A, Machado B, Garcia D, Rodrigues Da Silva M, Sforza C, de Felicio C . Three-dimensional analysis of jaw kinematic alterations in patients with chronic TMD - disc displacement with reduction. J Oral Rehabil. 2016; 43(11):824-832. DOI: 10.1111/joor.12424. View

Gundlach K . Ankylosis of the temporomandibular joint. J Craniomaxillofac Surg. 2009; 38(2):122-30. DOI: 10.1016/j.jcms.2009.04.006. View

Dias I, Cordeiro P, Devito K, Tavares M, Leite I, Tesch R . Evaluation of temporomandibular joint disc displacement as a risk factor for osteoarthrosis. Int J Oral Maxillofac Surg. 2015; 45(3):313-7. DOI: 10.1016/j.ijom.2015.09.016. View

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

Lei J, Han J, Liu M, Zhang Y, Yap A, Fu K . Degenerative temporomandibular joint changes associated with recent-onset disc displacement without reduction in adolescents and young adults. J Craniomaxillofac Surg. 2017; 45(3):408-413. DOI: 10.1016/j.jcms.2016.12.017. View

Naeije M . Measurement of condylar motion: a plea for the use of the condylar kinematic centre. J Oral Rehabil. 2003; 30(3):225-30. DOI: 10.1046/j.1365-2842.2003.01066.x. View

10.

Kang Q, Updike D, Salathe E . Kinematic analysis of the human temporomandibular joint. Ann Biomed Eng. 1993; 21(6):699-707. DOI: 10.1007/BF02368648. View

11.

Cevidanes L, Hajati A, Paniagua B, Lim P, Walker D, Palconet G . Quantification of condylar resorption in temporomandibular joint osteoarthritis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010; 110(1):110-7. PMC: 2900430. DOI: 10.1016/j.tripleo.2010.01.008. View

12.

Amaral R, Damasceno N, de Souza L, Devito K . Magnetic resonance images of patients with temporomandibular disorders: prevalence and correlation between disk morphology and displacement. Eur J Radiol. 2013; 82(6):990-4. DOI: 10.1016/j.ejrad.2013.01.002. View

13.

Romero-Reyes M, Uyanik J . Orofacial pain management: current perspectives. J Pain Res. 2014; 7:99-115. PMC: 3937250. DOI: 10.2147/JPR.S37593. View

14.

Blanco-Hungria A, Rodriguez-Torronteras A, Blanco-Aguilera A, Biedma-Velazquez L, Serrano-Del-Rosal R, Segura-Saint-Gerons R . Influence of sociodemographic factors upon pain intensity in patients with temporomandibular joint disorders seen in the primary care setting. Med Oral Patol Oral Cir Bucal. 2012; 17(6):e1034-41. PMC: 3505699. DOI: 10.4317/medoral.17576. View

15.

Okeson J, de Leeuw R . Differential diagnosis of temporomandibular disorders and other orofacial pain disorders. Dent Clin North Am. 2010; 55(1):105-20. DOI: 10.1016/j.cden.2010.08.007. View

16.

Comert Kilic S, Kilic N, Sumbullu M . Temporomandibular joint osteoarthritis: cone beam computed tomography findings, clinical features, and correlations. Int J Oral Maxillofac Surg. 2015; 44(10):1268-74. DOI: 10.1016/j.ijom.2015.06.023. View

17.

Zhao Y, Zhang Z, Wu Y, Zhang W, Ma X . Investigation of the clinical and radiographic features of osteoarthrosis of the temporomandibular joints in adolescents and young adults. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011; 111(2):e27-34. DOI: 10.1016/j.tripleo.2010.09.076. View

18.

Koolstra J . Dynamics of the human masticatory system. Crit Rev Oral Biol Med. 2002; 13(4):366-76. DOI: 10.1177/154411130201300406. View

19.

Lei J, Fu J, Yap A, Fu K . Temporomandibular disorders symptoms in Asian adolescents and their association with sleep quality and psychological distress. Cranio. 2016; 34(4):242-9. DOI: 10.1179/2151090315Y.0000000021. View

20.

Martins W, de Oliveira Ribas M, Bisinelli J, Franca B, Martins G . Recurrent dislocation of the temporomandibular joint: a literature review and two case reports treated with eminectomy. Cranio. 2014; 32(2):110-7. DOI: 10.1179/0886963413Z.00000000017. View