Morphological changes of TMJ disc in surgically treated ADDwoR patients: a retrospective study

Abstract Background This study aimed to quantify the morphological changes of temporomandibular joint (TMJ) discs after disc repositioning surgery using the three-dimensional (3D) modeling. Methods Thirty patients who diagnosed with unilateral ADDwoR were included to compare the morphological differ...

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Main Authors: Ruiyu Wang, Ruiye Bi, Yao Liu, Pinyin Cao, Bassam Abotaleb, Songsong Zhu
Format: Article
Language:English
Published: BMC 2022-10-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-022-02469-8
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author Ruiyu Wang
Ruiye Bi
Yao Liu
Pinyin Cao
Bassam Abotaleb
Songsong Zhu
author_facet Ruiyu Wang
Ruiye Bi
Yao Liu
Pinyin Cao
Bassam Abotaleb
Songsong Zhu
author_sort Ruiyu Wang
collection DOAJ
description Abstract Background This study aimed to quantify the morphological changes of temporomandibular joint (TMJ) discs after disc repositioning surgery using the three-dimensional (3D) modeling. Methods Thirty patients who diagnosed with unilateral ADDwoR were included to compare the morphological differences between ADDWoR discs and normal discs, and fifteen patients who experienced unilateral or bilateral disc repositioning surgery were included to analyze the morphological changes before and after disc repositioning surgery. Disc 3D reconstruction and analyses were performed using magnetic resonance imaging (MRI) data. Results In the unilateral ADDwoR patients, volume, superficial area, length, and maximum longitudinal-sectional area of the ADDwoR disc were significantly smaller compared with the non-affected discs. However, there was no significant difference in width and cross-sectional areas between ADDwoR discs and non-affected discs. In patients who subjected to disc repositioning surgery, disc volume, superficial area, length, width and maximum longitudinal-sectional area of TMJ discs were markedly increased 6 months after surgery. Conclusions This study demonstrated that the TMJ discs tended to be morphologically smaller in volume and shorter in length under ADDwoR status. Importantly, the ADDwoR discs tended to morphologically recover toward non-affected discs after 6 months follow-up following TMJ disc repositioning surgery.
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spelling doaj.art-e56e335be20444909be09c78e173e6932022-12-22T03:51:13ZengBMCBMC Oral Health1472-68312022-10-012211710.1186/s12903-022-02469-8Morphological changes of TMJ disc in surgically treated ADDwoR patients: a retrospective studyRuiyu Wang0Ruiye Bi1Yao Liu2Pinyin Cao3Bassam Abotaleb4Songsong Zhu5State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan UniversityAbstract Background This study aimed to quantify the morphological changes of temporomandibular joint (TMJ) discs after disc repositioning surgery using the three-dimensional (3D) modeling. Methods Thirty patients who diagnosed with unilateral ADDwoR were included to compare the morphological differences between ADDWoR discs and normal discs, and fifteen patients who experienced unilateral or bilateral disc repositioning surgery were included to analyze the morphological changes before and after disc repositioning surgery. Disc 3D reconstruction and analyses were performed using magnetic resonance imaging (MRI) data. Results In the unilateral ADDwoR patients, volume, superficial area, length, and maximum longitudinal-sectional area of the ADDwoR disc were significantly smaller compared with the non-affected discs. However, there was no significant difference in width and cross-sectional areas between ADDwoR discs and non-affected discs. In patients who subjected to disc repositioning surgery, disc volume, superficial area, length, width and maximum longitudinal-sectional area of TMJ discs were markedly increased 6 months after surgery. Conclusions This study demonstrated that the TMJ discs tended to be morphologically smaller in volume and shorter in length under ADDwoR status. Importantly, the ADDwoR discs tended to morphologically recover toward non-affected discs after 6 months follow-up following TMJ disc repositioning surgery.https://doi.org/10.1186/s12903-022-02469-8Temporomandibular joint discMagnetic resonance imagingDisc repositioning surgeryThree-dimensional model
spellingShingle Ruiyu Wang
Ruiye Bi
Yao Liu
Pinyin Cao
Bassam Abotaleb
Songsong Zhu
Morphological changes of TMJ disc in surgically treated ADDwoR patients: a retrospective study
BMC Oral Health
Temporomandibular joint disc
Magnetic resonance imaging
Disc repositioning surgery
Three-dimensional model
title Morphological changes of TMJ disc in surgically treated ADDwoR patients: a retrospective study
title_full Morphological changes of TMJ disc in surgically treated ADDwoR patients: a retrospective study
title_fullStr Morphological changes of TMJ disc in surgically treated ADDwoR patients: a retrospective study
title_full_unstemmed Morphological changes of TMJ disc in surgically treated ADDwoR patients: a retrospective study
title_short Morphological changes of TMJ disc in surgically treated ADDwoR patients: a retrospective study
title_sort morphological changes of tmj disc in surgically treated addwor patients a retrospective study
topic Temporomandibular joint disc
Magnetic resonance imaging
Disc repositioning surgery
Three-dimensional model
url https://doi.org/10.1186/s12903-022-02469-8
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