Relation between Condyle Horizontal Angle and Intercondylar Angle with Disc Displacement in Patients with Temporomandibular Joint Disorders: An MRI Evaluation

Background. Internal derangement (ID) is the most common cause of temporomandibular disorders (TMDs) and extensively affects the articular disc function. The anterior disc displacement is among the most important findings in ID. Knowledge about the etiology of this condition is imperative, and the r...

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Main Authors: Shahriar Shahab, Zahra Amoozad Khalili, Elham Emami Meybodi, Morteza Banakar
Format: Article
Language:English
Published: Hindawi Limited 2023-01-01
Series:Radiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2023/3846525
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author Shahriar Shahab
Zahra Amoozad Khalili
Elham Emami Meybodi
Morteza Banakar
author_facet Shahriar Shahab
Zahra Amoozad Khalili
Elham Emami Meybodi
Morteza Banakar
author_sort Shahriar Shahab
collection DOAJ
description Background. Internal derangement (ID) is the most common cause of temporomandibular disorders (TMDs) and extensively affects the articular disc function. The anterior disc displacement is among the most important findings in ID. Knowledge about the etiology of this condition is imperative, and the role of structural parameters in the development of TMDs has not been well evaluated. Objectives. This study aimed to assess the relationship between condylar angulation and intercondylar angle with anterior disc displacement in patients with TMD using magnetic resonance imaging (MRI). Materials and Methods. This case-control study evaluated 31 temporomandibular joints with internal derangement and 57 normal joints. The data retrieved from MRI included disc position in the open mouth (normal, anterior disc displacement with a reduction (DDWR) and without reduction (DDWOR), and posterior displacement (PD)), horizontal condylar angle categorized as normal (10 to 30° angle) and abnormal (<10° and >30°), and intercondylar angle. Chi-square test, T-test, and Fisher’s exact were done to assess the relationship between horizontal condylar angle and intercondylar angle in patients with TMDs with DDWR and DDWOR compared with the control group. Results. Patients with DDWR and DDWOR had higher odds of abnormal horizontal condylar angle, particularly >30° angle, which was a significant correlation (odds ratio of 0.19 and 8.3, respectively). The intercondylar angle in the patients with disc displacement was significantly smaller compared to the control group. Conclusion. Disc displacement was correlated with abnormal horizontal angle (particularly < 30) and smaller intercondylar angle compared with the control group.
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spelling doaj.art-6902f566695a4927a362bf55132a9fbf2023-09-16T00:00:00ZengHindawi LimitedRadiology Research and Practice2090-195X2023-01-01202310.1155/2023/3846525Relation between Condyle Horizontal Angle and Intercondylar Angle with Disc Displacement in Patients with Temporomandibular Joint Disorders: An MRI EvaluationShahriar Shahab0Zahra Amoozad Khalili1Elham Emami Meybodi2Morteza Banakar3Department of Oral and Maxillofacial RadiologyDepartment of Oral and Maxillofacial MedicineDepartment of Oral and Maxillofacial RadiologyDental Research CenterBackground. Internal derangement (ID) is the most common cause of temporomandibular disorders (TMDs) and extensively affects the articular disc function. The anterior disc displacement is among the most important findings in ID. Knowledge about the etiology of this condition is imperative, and the role of structural parameters in the development of TMDs has not been well evaluated. Objectives. This study aimed to assess the relationship between condylar angulation and intercondylar angle with anterior disc displacement in patients with TMD using magnetic resonance imaging (MRI). Materials and Methods. This case-control study evaluated 31 temporomandibular joints with internal derangement and 57 normal joints. The data retrieved from MRI included disc position in the open mouth (normal, anterior disc displacement with a reduction (DDWR) and without reduction (DDWOR), and posterior displacement (PD)), horizontal condylar angle categorized as normal (10 to 30° angle) and abnormal (<10° and >30°), and intercondylar angle. Chi-square test, T-test, and Fisher’s exact were done to assess the relationship between horizontal condylar angle and intercondylar angle in patients with TMDs with DDWR and DDWOR compared with the control group. Results. Patients with DDWR and DDWOR had higher odds of abnormal horizontal condylar angle, particularly >30° angle, which was a significant correlation (odds ratio of 0.19 and 8.3, respectively). The intercondylar angle in the patients with disc displacement was significantly smaller compared to the control group. Conclusion. Disc displacement was correlated with abnormal horizontal angle (particularly < 30) and smaller intercondylar angle compared with the control group.http://dx.doi.org/10.1155/2023/3846525
spellingShingle Shahriar Shahab
Zahra Amoozad Khalili
Elham Emami Meybodi
Morteza Banakar
Relation between Condyle Horizontal Angle and Intercondylar Angle with Disc Displacement in Patients with Temporomandibular Joint Disorders: An MRI Evaluation
Radiology Research and Practice
title Relation between Condyle Horizontal Angle and Intercondylar Angle with Disc Displacement in Patients with Temporomandibular Joint Disorders: An MRI Evaluation
title_full Relation between Condyle Horizontal Angle and Intercondylar Angle with Disc Displacement in Patients with Temporomandibular Joint Disorders: An MRI Evaluation
title_fullStr Relation between Condyle Horizontal Angle and Intercondylar Angle with Disc Displacement in Patients with Temporomandibular Joint Disorders: An MRI Evaluation
title_full_unstemmed Relation between Condyle Horizontal Angle and Intercondylar Angle with Disc Displacement in Patients with Temporomandibular Joint Disorders: An MRI Evaluation
title_short Relation between Condyle Horizontal Angle and Intercondylar Angle with Disc Displacement in Patients with Temporomandibular Joint Disorders: An MRI Evaluation
title_sort relation between condyle horizontal angle and intercondylar angle with disc displacement in patients with temporomandibular joint disorders an mri evaluation
url http://dx.doi.org/10.1155/2023/3846525
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