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Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie
Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 3/2019

01-05-2019 | Osteoarthrosis | Original Article

Anterior joint space narrowing in patients with temporomandibular disorder

Authors: Yeon-Hee Lee, DDS, PhD, Il Ki Hong, MD, PhD, Jung-Sub An, DDS, PhD

Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Issue 3/2019

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Abstract

Purpose

The aim of this work is to investigate changes in the anterior joint space (AJS) and the relationship of such changes to clinical symptoms in chronic temporomandibular joint disorder (TMD) patients, and to compare symptoms between chronic and acute TMD patients.

Methods

Data from 100 TMD patients diagnosed based on the Diagnostic Criteria for Temporomandibular Disorders (55 women; mean age 34.34 ± 14.88 years) including 50 patients with acute TMD (aTMD) and 50 patients with chronic TMD (cTMD) were analyzed. The AJS was calculated based on cone-beam computed tomography images analyzed using AutoCAD software (Autodesk Inc., San Francisco, CA, USA). The presence of osteoarthritis (OA) in the temporomandibular joint (TMJ) was evaluated using bone scintigraphy.

Results

Bilateral OA was significantly more frequent in patients with cTMD than in those with aTMD (50% vs. 30%; p < 0.05). Significant differences in the AJS of the TMJs were found between patients with cTMD and those with aTMD. AJS values of both right and left TMJs were significantly smaller in the patients with cTMD than in those with aTMD (4.18 ± 1.71 mm2 vs. 7.35 ± 1.71 mm2, and 6.20 ± 2.88 mm2 vs. 7.34 ± 2.47 mm2, respectively; p < 0.05). In patients with cTMD, narrowed AJS was correlated with increased dysfunction index (r = −0.373, p < 0.01).

Conclusions

Over time, AJS of the TMJ can be narrowed in TMD patients, causing aggravation of TMJ dysfunction.
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Metadata
Title
Anterior joint space narrowing in patients with temporomandibular disorder
Authors
Yeon-Hee Lee, DDS, PhD
Il Ki Hong, MD, PhD
Jung-Sub An, DDS, PhD
Publication date
01-05-2019
Publisher
Springer Medizin
Published in
Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Issue 3/2019
Print ISSN: 1434-5293
Electronic ISSN: 1615-6714
DOI
https://doi.org/10.1007/s00056-019-00172-y

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