Prevalence of temporomandibular joint disc displacement in patients malocclusion

doi:10.19439/j.sjos.2024.06.016

Abstract

Abstract: PURPOSE: To investigate the prevalence characteristics of temporomandibular joint disc displacement in patients with malocclusion and influencing factors of disc displacement, and to provide reference for orthodontic treatment. METHODS: A total of 1 157 consecutive orthodontic cases admitted to the Department of Orthodontics at Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine from January 2012 to December 2021 were selected retrospectively. Based on temporomandibular joint MRI, the prevalence of disc displacement in orthodontic cases was investigated. The influencical factors of gender, age and skeletal classification on disc displacement was analyzed. SPSS 25.0 software package was used for data analysis. RESULTS: Among 1 157 orthodontic cases, there were 672 cases(58.08%) of disc displacement, and 334 cases(28.87%) had anterior disc displacement. The prevalence of disc displacement in female was significantly higher than that in male. The prevalence of disc displacement in skeletal Class Ⅱ malocclusion was significantly higher than that in skeletal Class Ⅲ malocclusion. In orthodontic cases aged between 10 and 18, the prevalence of disc displacement increased with age. CONCLUSIONS: There is a high proportion of abnormal articular disc position in patients with malocclusion. Age, gender(female) and skeletal Class Ⅱ malocclusion have higher correlation with temporomandibular joint disc displacement.

Key words: Malocclusion, Temporomandibular joint disc displacement, Magnetic resonance imaging, Prevalence rate

CLC Number:

R782.6

ZHOU Guo-li, YUAN Ling-jun, LI Hai-rui, SHI Wen-tao, FANG Bing. Prevalence of temporomandibular joint disc displacement in patients malocclusion[J]. Shanghai Journal of Stomatology, 2024, 33(6): 656-660.

References

[1] Ahn SJ, Baek SH, Kim TW, et al.Discrimination of internal derangement of temporomandibular joint by lateral cephalometric analysis[J]. Am J Orthod Dentofacial Orthop, 2006, 130(3): 331-339.
[2] Xie Q, Yang C, He D, et al.Will unilateral temporomandibular joint anterior disc displacement in teenagers lead to asymmetry of condyle and mandible? a longitudinal study[J]. J Craniomaxillofac Surg, 2016, 44(5): 590-596.
[3] Xie Q, Yang C, He D, et al.Is mandibular asymmetry more frequent and severe with unilateral disc displacement[J]. J Craniomaxillofac Surg, 2015, 43(1): 81-86.
[4] Kwon HB, Kim H, Jung WS, et al.Gender differences in dentofacial characteristics of adult patients with temporomandibular disc displacement[J]. J Oral Maxillofac Surg, 2013, 71(7): 1178-1186.
[5] Sato M, Tsutsui T, Moroi A, et al.Adaptive change in temporomandibular joint tissue and mandibular morphology following surgically induced anterior disc displacement by bFGF injection in a rabbit model[J]. J Craniomaxillofac Surg, 2019, 47(2): 320-327.
[6] Katzberg RW, Westesson PL, Tallents RH, et al.Anatomic disorders of the temporomandibular joint disc in asymptomatic subjects[J]. J Oral Maxillofac Surg, 1996, 54(2): 147-153.
[7] dos Anjos Pontual ML, Freire JS, Barbosa JM, et al. Evaluation of bone changes in the temporomandibular joint using cone beam CT[J]. Dentomaxillofac Radiol, 2012, 41(1): 24-29.
[8] 刘加强, 吴勇, 孙良严, 等. 正畸就诊患者中颞下颌关节结构异常的类型分析[J].中国口腔颌面外科杂志, 2014, 12(4): 337-343.
[9] Graue AM, Jokstad A, Assmus J, et al.Prevalence among adolescents in Bergen, Western Norway, of temporomandibular disorders according to the DC/TMD criteria and examination protocol[J]. Acta Odontol Scand, 2016, 74(6): 449-455.
[10] Al-Khotani A, Naimi-Akbar A, Albadawi E, et al.Prevalence of diagnosed temporomandibular disorders among Saudi Arabian children and adolescents[J]. J Headache Pain, 2016, 17: 41-51.
[11] Wu N, Hirsch C.Temporomandibular disorders in German and Chinese adolescents[J]. J Orofac Orthop, 2010, 71(3): 187-198.
[12] Franco-Micheloni AL, Fernandes G, de Godoi Goncalves DA, et al. Temporomandibular disorders in a young adolescent brazilian population: epidemiologic characterization and associated factors[J]. J Oral Facial Pain Headache, 2015, 29(3): 242-249.
[13] Valesan LF, Da-Cas CD, Réus JC, et al.Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis[J]. Clin Oral Investig, 2021, 25(2): 441-453.
[14] Christidis N, Lindström Ndanshau E, Sandberg A, et al.Prevalence and treatment strategies regarding temporomandibular disorders in children and adolescents-a systematic review[J]. J Oral Rehabil, 2019, 46(3): 291-301.
[15] Whyte AM, McNamara D, Rosenberg I, et al. Magnetic resonance imaging in the evaluation of temporomandibular joint disc displacement-a review of 144 cases[J]. Int J Oral Maxillofac Surg, 2006, 35(8): 696-703.
[16] 傅开元, 胡敏, 余强, 等. 颞下颌关节常规MRI检查规范及关节盘移位诊断标准的专家共识[J].中华口腔医学杂志, 2020, 55(9): 608-612.
[17] Shen S, Ye M, Wu M, et al.MRI and DC/TMD methods analyze the diagnostic accuracy of the change in articular disc of temporomandibular joint[J]. Comput Math Methods Med, 2022: 1770810.
[18] Naeije M, Te Veldhuis AH, Te Veldhuis EC, et al.Disc displacement within the human temporomandibular joint: a systematic review of a 'noisy annoyance'[J]. J Oral Rehabil, 2013, 40(2): 139-158.
[19] Poveda Roda R, Bagan JV, Díaz Fernández JM, et al.Review of temporomandibular joint pathology. part I: classification, epidemiology and risk factors[J]. Med Oral Patol Oral Cir Bucal, 2007, 12(4): E292-298.
[20] Mazzetto MO, Rodrigues CA, Magri LV, et al.Severity of TMD related to age, sex and electromyographic analysis[J]. Braz Dent J, 2014, 25(1): 54-58.
[21] Nilsson IM, Drangsholt M, List T.Impact of temporomandibular disorder pain in adolescents: differences by age and gender[J]. J Orofac Pain, 2009, 23(2): 115-122.
[22] Hirsch C.No increased risk of temporomandibular disorders and bruxism in children and adolescents during orthodontic therapy[J]. J Orofac Orthop, 2009, 70(1): 39-50.
[23] Macfarlane TV, Kenealy P, Kingdon HA, et al. Twenty-year cohort study of health gain from orthodontic treatment: temporomandibular disorders[J]. Am J Orthod Dentofacial Orthop, 2009, 135(6): 692.e1-e8.
[24] Cordray FE.Three-dimensional analysis of models articulated in the seated condylar position from a deprogrammed asymptomatic population: a prospective study. part 1[J]. Am J Orthod Dentofacial Orthop, 2006, 129(5): 619-630.
[25] Kandasamy S, Boeddinghaus R, Kruger E.Condylar position assessed by magnetic resonance imaging after various bite position registrations[J]. Am J Orthod Dentofacial Orthop, 2013, 144(4): 512-517.
[26] Shen P, Zhang D, Abdelrehem A, et al.Association between sexual maturation and anterior disc displacement of temporomandibular joint in adolescents aged 13-14 years[J]. Clin Oral Investig, 2022, 26(12): 7071-7081.
[27] 杜凌晨, 赵强, 田美玉, 等. 不同矢状骨面型髁突位置的锥形束CT对比研究[J]. 华西口腔医学杂志, 2014, 32(4): 382-385.
[28] Gökalp H.Disc position in clinically asymptomatic, pretreatment adolescents with Class I, II, or III malocclusion: a retrospective magnetic resonance imaging study[J]. J Orofac Orthop, 2016, 77(3): 194-202.
[29] 刘木清, 傅开元. 髁突在关节窝中的位置及其在临床诊断治疗中的意义[J]. 中国实用口腔科杂志, 2015, 8(1): 8-12.