Does clicking in adolescence lead to painful temporomandibular joint locking?

Könönen, Mauno; Waltimo, Antti; Nyström, Marjatta

doi:10.1016/s0140-6736(96)90280-9

Cited by 85 publications

(58 citation statements)

References 7 publications

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“…This may partly explain why there was no incidence of disc displacement in the intercuspal position, contrary to what would have been expected. 11,15,19,22 There is evidence in the literature to suggest that disc displacement and/or intracapsular pathology can occur in the absence of symptoms and signs of TMPD. 15,19 The TMJ appears to display an adaptive capacity to remodel and continue to function without ideal disc position.…”

Section: Discussionmentioning

confidence: 99%

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The effect of interocclusal appliances on temporomandibular joints as assessed by 3D reconstruction of MRI scans

Chu

Suvinen

Clement

et al. 2001

Australian Dental Journal

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Magnetic resonance imaging (MRI) enables simultaneous visualization of hard and soft tissues. The aims of the present study were to computer generate three-dimensional (3D) images, reconstructed from MRI scans of normal temporomandibular joints (TMJ), to assess the relative positions of the disc, condyle and articular surface of the temporal bone and to study the effect of two mandibular group function interocclusal appliances (IOAs). Bilateral MRI scans of 2mm slice thickness were generated for the TMJs of 12 asymptomatic subjects with the image acquisition coils orientated in a corrected oblique sagittal plane. MRI scans were generated for all subjects with 3mm interincisal distance IOAs, while a subgroup (n=4) was also scanned with a 5mm interincisal IOA in situ. An average of 10 slices through each TMJ were generated for the closed mouth and IOA positions. Three-dimensional reconstruction was performed on a 486 IBM compatible computer using a suite of nine programs not commercially available. Threedimensional images allowed visualization of composite images of joint relationships. Subjective assessment indicated that joint relations in 3D were more informative than multiple separate 2D MRI scans. With the 3mm IOA in situ, the disc was positioned posteriorly and superiorly to the condyle in three of 12 cases. In four of 12 cases the condyle, and in two of 12 cases both the disc and condyle, were positioned anteriorly and inferiorly. With the 5mm IOA changes in condyle/disc and condyle/fossa relationships were more variable. It was concluded that 3D images of TMJs enabled the assessment of the positional changes of the condyle/disc and condyle/fossa relationships as altered by IOAs. However, the role of IOAs on the internal arrangements within the TMJ remains variable and is deserving of further study.

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Section: Discussionmentioning

confidence: 99%

“…15,19 The TMJ appears to display an adaptive capacity to remodel and continue to function without ideal disc position. 11,22 Controversy exists regarding the relationship between signs and symptoms of TMPD and occlusal and psychological factors. 23,24 The belief of a multifactorial aetiology is currently held by the majority of researchers.…”

Section: Discussionmentioning

confidence: 99%

The effect of interocclusal appliances on temporomandibular joints as assessed by 3D reconstruction of MRI scans

Chu

Suvinen

Clement

et al. 2001

Australian Dental Journal

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“…Auch Hugger [11] stellte fest, dass zwischen bildgebenden Befunden wie einer Diskusverlagerung und Schmerzangaben aus dem Bereich der Kiefergelenke keine gesicherten Zusammenhänge herzustellen sind. Bei einer weiteren Studie wurde die Fluktuation von Kiefergelenkknacken über 10 Jahre aufgezeigt [16]. Ein Zusammenhang mit arthrogen Schmerzen trat nicht auf.…”

Section: Literaturvergleichunclassified

“…der Diskusverlagerung nach anterior mit Reposition, und arthrogenen Schmerzen untersucht. Manche fanden positive Ergebnisse [3,5,18,32], andere Untersuchungen berichteten, dass kein Zusammenhang beobachtet werden konnte [8,16,23].…”

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Ist Kiefergelenkknacken ein Risikofaktor für Schmerzen im Kiefergelenk?

Reißmann

John

2007

Schmerz

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“…Generally this noise resulted from anterior disc displacement with reduction [3] which produced ''a sound as a result of the impact of the condyle against the central portion of the meniscus'' during mandibular movements [4]. Although TMJ clicking did not predispose severe temporomandibular disorders (TMD) [5], such a manifestation could be a precursory sign of closed lock [6], a presenting symptom of condylar hyperplasia [7], or an indication of destructive changes in chronic polyarthritis [8]. Therefore, clicking of the TMJ is a noticeable medical condition.…”

Section: Introductionmentioning

confidence: 99%

ANKH Polymorphisms and Clicking of the Temporomandibular Joint in Dental Residents

Huang

Takahashi

Goto

et al. 2014

J. Maxillofac. Oral Surg.

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Aim This study aimed to carry out a case-control research study to assess occurrence of clicking of the temporomandibular joint (TMJ) in order to establish the relationship between TMJ clicking and the genotype of ''ANKH inorganic pyrophosphate transport regulator'' (ANKH) polymorphisms. Materials and Method A sample of 41 first-year dental residents was selected. Each was examined using standard clinical procedures and genotyping techniques. Results The participation rate was 91.8 %. The prevalence of TMJ clicking was 51.2 % (95 % CI: 35.7-66.7 %). Occurrence of TMJ clicking was not related to age, gender and genotypes of ANKH-OR as well as ANKH-TR polymorphisms (p C 0.165). Conclusion A similar distribution of ANKH genotypes in TMJ clicking and asymptomatic individuals has been demonstrated by this study. A high percentage of TMJ clicking has been confirmed. Future investigations are indicated.

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Does clicking in adolescence lead to painful temporomandibular joint locking?

Cited by 85 publications

References 7 publications

The effect of interocclusal appliances on temporomandibular joints as assessed by 3D reconstruction of MRI scans

The effect of interocclusal appliances on temporomandibular joints as assessed by 3D reconstruction of MRI scans

Ist Kiefergelenkknacken ein Risikofaktor für Schmerzen im Kiefergelenk?

ANKH Polymorphisms and Clicking of the Temporomandibular Joint in Dental Residents

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