Correlation between temporomandibular joints and craniocervical posture in patients with bilateral anterial disc displacement
Abstract Objective To study the changes of temporomandibular joints and craniocervical posture in adult patients with bilateral anterior disc displacement, and to explore their correlation, which may provide some clinical value for clinical diagnosis and treatment planning. Methods Ninety-eight adul...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-02-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-024-03892-9 |
| _version_ | 1797272949802139648 |
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| author | Wanfang Xiang Min Wang Zhihui Li Mingqin Cai Xiaojing Pan |
| author_facet | Wanfang Xiang Min Wang Zhihui Li Mingqin Cai Xiaojing Pan |
| author_sort | Wanfang Xiang |
| collection | DOAJ |
| description | Abstract Objective To study the changes of temporomandibular joints and craniocervical posture in adult patients with bilateral anterior disc displacement, and to explore their correlation, which may provide some clinical value for clinical diagnosis and treatment planning. Methods Ninety-eight adult patients were divided into 3 groups: 29 patients in bilateral disc normal position group (BN), 33 patients in bilateral Anterior Disc Displacement With Reduction group (ADDWR) and 36 patients in bilateral Anterior Disc Displacement Without Reduction group (ADDWoR). Dolphin and Uceph software were used to measure 14 items of temporomandibular joint and 11 items of craniocervical posture for comparison and correlation analysis between groups. Results There were significant differences in bilateral joint space between three groups. Compared with the BN, the anteroposterior diameter of the condyle was significantly reduced, the condyle was significantly displaced posteriorly and superiorly in the ADDWR and ADDWoR, but the joint fossa width and joint fossa depth did not change significantly. Cervical curvature and inclination were greater in patients with anterior disc displacement than BN, indicating that the craniocervical posture of adult patients with anterior disc displacement was extended and protrusive. Conclusion Anterior disc displacement of the temporomandibular joint can displace the condyle upwards and posteriorly and reduce the anteroposterior diameter of condyle, and then make the condyle closer to the wall of articular fossa to induce joint symptoms. Additionally, craniocervical postural position is significantly affected, which may be related to compensate for the effects of airway space. |
| first_indexed | 2024-03-07T14:37:37Z |
| format | Article |
| id | doaj.art-306cab8f5f244a9fb3e3d5d1fedfc737 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-03-07T14:37:37Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-306cab8f5f244a9fb3e3d5d1fedfc7372024-03-05T20:33:53ZengBMCBMC Oral Health1472-68312024-02-0124111410.1186/s12903-024-03892-9Correlation between temporomandibular joints and craniocervical posture in patients with bilateral anterial disc displacementWanfang Xiang0Min Wang1Zhihui Li2Mingqin Cai3Xiaojing Pan4School/Hospital of Stomatology, Lanzhou UniversitySchool of Basic Medical Sciences, Lanzhou UniversitySchool/Hospital of Stomatology, Lanzhou UniversitySchool/Hospital of Stomatology, Lanzhou UniversitySchool/Hospital of Stomatology, Lanzhou UniversityAbstract Objective To study the changes of temporomandibular joints and craniocervical posture in adult patients with bilateral anterior disc displacement, and to explore their correlation, which may provide some clinical value for clinical diagnosis and treatment planning. Methods Ninety-eight adult patients were divided into 3 groups: 29 patients in bilateral disc normal position group (BN), 33 patients in bilateral Anterior Disc Displacement With Reduction group (ADDWR) and 36 patients in bilateral Anterior Disc Displacement Without Reduction group (ADDWoR). Dolphin and Uceph software were used to measure 14 items of temporomandibular joint and 11 items of craniocervical posture for comparison and correlation analysis between groups. Results There were significant differences in bilateral joint space between three groups. Compared with the BN, the anteroposterior diameter of the condyle was significantly reduced, the condyle was significantly displaced posteriorly and superiorly in the ADDWR and ADDWoR, but the joint fossa width and joint fossa depth did not change significantly. Cervical curvature and inclination were greater in patients with anterior disc displacement than BN, indicating that the craniocervical posture of adult patients with anterior disc displacement was extended and protrusive. Conclusion Anterior disc displacement of the temporomandibular joint can displace the condyle upwards and posteriorly and reduce the anteroposterior diameter of condyle, and then make the condyle closer to the wall of articular fossa to induce joint symptoms. Additionally, craniocervical postural position is significantly affected, which may be related to compensate for the effects of airway space.https://doi.org/10.1186/s12903-024-03892-9Temporomandibular joint (TMJ)Craniocervical postureAnterior disc displacement (ADD)Morphometric measurements |
| spellingShingle | Wanfang Xiang Min Wang Zhihui Li Mingqin Cai Xiaojing Pan Correlation between temporomandibular joints and craniocervical posture in patients with bilateral anterial disc displacement BMC Oral Health Temporomandibular joint (TMJ) Craniocervical posture Anterior disc displacement (ADD) Morphometric measurements |
| title | Correlation between temporomandibular joints and craniocervical posture in patients with bilateral anterial disc displacement |
| title_full | Correlation between temporomandibular joints and craniocervical posture in patients with bilateral anterial disc displacement |
| title_fullStr | Correlation between temporomandibular joints and craniocervical posture in patients with bilateral anterial disc displacement |
| title_full_unstemmed | Correlation between temporomandibular joints and craniocervical posture in patients with bilateral anterial disc displacement |
| title_short | Correlation between temporomandibular joints and craniocervical posture in patients with bilateral anterial disc displacement |
| title_sort | correlation between temporomandibular joints and craniocervical posture in patients with bilateral anterial disc displacement |
| topic | Temporomandibular joint (TMJ) Craniocervical posture Anterior disc displacement (ADD) Morphometric measurements |
| url | https://doi.org/10.1186/s12903-024-03892-9 |
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