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THE EFFECT OF MANDIBULAR CONDYLE SIZE ON DISC DISPLACEMENT AND GENDER RELATIONSHIP

Year 2022, Volume: 24 Issue: 1, 41 - 46, 30.04.2022
https://doi.org/10.24938/kutfd.1076736

Abstract

Objective: Our aim in this study is to analyze the association between anterior disc displacement and mandibular condyle size. It was also aimed to examine the influence of gender factor on condyle size.
Material and Methods: Images of patients who underwent magnetic resonance imaging of the temporomandibular joint in the radiology department between January 2018 and November 2021 were analyzed retrospectively. The articular disc was evaluated in terms of displacement on sagittal oblique images in closed and open mouth positions. Following, anteroposterior and mediolateral dimensions were measured at the head of the mandibular condyle.
Results: Among the 200 individuals in the study, 44 were male and 156 were female. A total of 400 temporomandibular joints of 200 patients were analyzed. In 279 joints, the disc was in its normal position, and there was no disc displacement. There was disc displacement with reduction in 54 joints and disc displacement without reduction in 67 joints. The anteroposterior and mediolateral sizes of the mandibular condyle were higher in the group with normal disc position compared to the groups with disc displacement. In the disc displacement without reduction group, the mean values of anteroposterior and mediolateral dimensions were the lowest (p=0.001). Male individuals had a mandibular condyle anteroposterior size of 6.706±2.588 cm while female subjects had a size of 5.786±1.288 cm, which was significantly lower in females (p=0.001). Mandibular condyle mediolateral size was 18.779±2.848 cm in male subjects, 17.016±2.290 cm in female subjects, and was significantly lower in females (p=0.001).
Conclusion: We determined that the mandibular condyle size was smaller in joints with anterior disc displacement than in joints with normal disc position. In addition, we observed that the condyle size was significantly lower in females than in males. Low mandibular condyle size may be a risk factor for anterior disc displacement.

References

  • 1. Bag AK, Gaddikeri S, Singhal A, Hardin S, Tran BD, Medina JA et al. Imaging of the temporomandibular joint: An update. World J Radiol. 2014;6(8):567-82.
  • 2. Çabuk DS, Coşgunarslan A. Temporomandibular eklem disk deplasmanı ile efüzyon ilişkisinin manyetik rezonans görüntüleme ile değerlendirilmesi. Selcuk Dent J. 2020;7(1):90-4.
  • 3. Emshoff R, Brandlmaier I, Schmid C, Bertram S, Rudisch A. Bone marrow edema of the mandibular condyle related to internal derangement, osteoarthrosis, and joint effusion. J Oral Maxillofac Surg. 2003;61(1):35-40.
  • 4. Bonilla-Aragon H, Tallents RH, Katzberg RW, Kyrkanides S, Moss ME. Condyle position as a predictor of temporomandibular joint internal derangement. J Prosthet Dent. 1999;82(2):205-8.
  • 5. Xie Q, Yang C, He D, Cai X, Ma Z. Is mandibular asymmetry more frequent and severe with unilateral disc displacement? J Craniomaxillofac Surg. 2015;43(1):81-6.
  • 6. Ahmad M, Hollender L, Anderson Q, Kartha K, Ohrbach R, Truelove EL et al. Research diagnostic criteria for temporomandibular disorders (RDC/TMD): development of image analysis criteria and examiner reliability for image analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107(6):844-60.
  • 7. Cai XY, Jin JM, Yang C. Changes in disc position, disc length, and condylar height in the temporomandibular joint with anterior disc displacement: a longitudinal retrospective magnetic resonance imaging study. J Oral Maxillofac Surg. 2011;69(11):e340-6.
  • 8. Silva MAG, Pantoja LLQ, Dutra-Horstmann KL, Valladares-Neto J, Wolff FL, Porporatti AL et al. Prevalence of degenerative disease in temporomandibular disorder patients with disc displacement: A systematic review and meta-analysis. J Craniomaxillofac Surg. 2020;48(10):942-55.
  • 9. Amin MF, Ibrahim K, Hassan AM. The accuracy of dynamic magnetic resonance imaging in evaluation of internal derangement of the temporomandibular joint; comparison with arthroscopic findings. Egypt J Radiol Nucl Med. 2012;43(3):429-36.
  • 10. Tanaka E, Detamore MS, Mercuri LG. Degenerative disorders of the temporomandibular joint: etiology, diagnosis, and treatment. J Dent Res. 2008;87(4):296-307.

Mandibular Kondil Boyutunun Disk Deplasmanına Etkisi ve Cinsiyet İlişkisi

Year 2022, Volume: 24 Issue: 1, 41 - 46, 30.04.2022
https://doi.org/10.24938/kutfd.1076736

Abstract

Amaç: Bu çalışmadaki amacımız, anterior disk deplasmanı ile mandibular kondil boyutu arasındaki ilişkiyi ve kondil boyutuna cinsiyet faktörünün etkisini incelemektir.
Gereç ve Yöntemler: Ocak 2018 ve Kasım 2021 tarihleri arasında radyoloji ünitesinde temporomandibular eklem manyetik rezonans görüntülemesi çekilen hastalara ait görüntüler retrospektif olarak incelendi. Kapalı ve açık ağız pozisyonda sagital kesitlerde eklem diski deplasman açısından değerlendirildi. Daha sonra mandibular kondil baş kısmında ön-arka ve mediolateral boyutlar ölçüldü.
Bulgular: Çalışmaya alınan 200 hastanın 44'ü erkek, 156'sı kadındı. Toplamda 200 hastaya ait 400 temporomandibular eklem değerlendirildi. İncelenen 279 eklemde disk normal pozisyonda olup, disk deplasmanı yoktu. Elli dört eklemde redüksiyonlu disk deplasmanı ve 67 eklemde ise redüksiyonsuz disk deplasmanı vardı. Disk pozisyonu normal olan grupta mandibular kondil ön-arka ve mediolateral boyutları disk deplasmanı olan gruplara göre yüksekti. Ön-arka ve mediolateral boyutları ortalama değerleri redüksiyonsuz disk deplasmanında en düşüktü (p=0.001). Erkek deneklerde mandibular kondil ön-arka boyutu 6.706±2.588 cm, kadın deneklerde 5.786±1.288 cm olup, kadınlarda belirgin düşüktü (p=0.001). Erkek deneklerde mandibular kondil mediolateral boyutu 18.779±2.848 cm, kadın deneklerde 17.016±2.290 cm olup ve kadınlarda belirgin düşüktü (p=0.001).
Sonuç: Anterior disk deplasmanı olan eklemlerde mandibular kondil boyutunun disk pozisyonu normal olan eklemlere göre daha küçük olduğunu saptadık. Ayrıca kadın bireylerde, erkeklere göre kondil boyutunun belirgin düşük olduğunu gözlemledik. Düşük mandibular kondil boyutu anterior disk deplasmanı için bir risk faktörü olabilir.

References

  • 1. Bag AK, Gaddikeri S, Singhal A, Hardin S, Tran BD, Medina JA et al. Imaging of the temporomandibular joint: An update. World J Radiol. 2014;6(8):567-82.
  • 2. Çabuk DS, Coşgunarslan A. Temporomandibular eklem disk deplasmanı ile efüzyon ilişkisinin manyetik rezonans görüntüleme ile değerlendirilmesi. Selcuk Dent J. 2020;7(1):90-4.
  • 3. Emshoff R, Brandlmaier I, Schmid C, Bertram S, Rudisch A. Bone marrow edema of the mandibular condyle related to internal derangement, osteoarthrosis, and joint effusion. J Oral Maxillofac Surg. 2003;61(1):35-40.
  • 4. Bonilla-Aragon H, Tallents RH, Katzberg RW, Kyrkanides S, Moss ME. Condyle position as a predictor of temporomandibular joint internal derangement. J Prosthet Dent. 1999;82(2):205-8.
  • 5. Xie Q, Yang C, He D, Cai X, Ma Z. Is mandibular asymmetry more frequent and severe with unilateral disc displacement? J Craniomaxillofac Surg. 2015;43(1):81-6.
  • 6. Ahmad M, Hollender L, Anderson Q, Kartha K, Ohrbach R, Truelove EL et al. Research diagnostic criteria for temporomandibular disorders (RDC/TMD): development of image analysis criteria and examiner reliability for image analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107(6):844-60.
  • 7. Cai XY, Jin JM, Yang C. Changes in disc position, disc length, and condylar height in the temporomandibular joint with anterior disc displacement: a longitudinal retrospective magnetic resonance imaging study. J Oral Maxillofac Surg. 2011;69(11):e340-6.
  • 8. Silva MAG, Pantoja LLQ, Dutra-Horstmann KL, Valladares-Neto J, Wolff FL, Porporatti AL et al. Prevalence of degenerative disease in temporomandibular disorder patients with disc displacement: A systematic review and meta-analysis. J Craniomaxillofac Surg. 2020;48(10):942-55.
  • 9. Amin MF, Ibrahim K, Hassan AM. The accuracy of dynamic magnetic resonance imaging in evaluation of internal derangement of the temporomandibular joint; comparison with arthroscopic findings. Egypt J Radiol Nucl Med. 2012;43(3):429-36.
  • 10. Tanaka E, Detamore MS, Mercuri LG. Degenerative disorders of the temporomandibular joint: etiology, diagnosis, and treatment. J Dent Res. 2008;87(4):296-307.
There are 10 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Adem Yokuş 0000-0002-3415-3377

Publication Date April 30, 2022
Submission Date March 14, 2022
Published in Issue Year 2022 Volume: 24 Issue: 1

Cite

APA Yokuş, A. (2022). THE EFFECT OF MANDIBULAR CONDYLE SIZE ON DISC DISPLACEMENT AND GENDER RELATIONSHIP. The Journal of Kırıkkale University Faculty of Medicine, 24(1), 41-46. https://doi.org/10.24938/kutfd.1076736
AMA Yokuş A. THE EFFECT OF MANDIBULAR CONDYLE SIZE ON DISC DISPLACEMENT AND GENDER RELATIONSHIP. Kırıkkale Uni Med J. April 2022;24(1):41-46. doi:10.24938/kutfd.1076736
Chicago Yokuş, Adem. “THE EFFECT OF MANDIBULAR CONDYLE SIZE ON DISC DISPLACEMENT AND GENDER RELATIONSHIP”. The Journal of Kırıkkale University Faculty of Medicine 24, no. 1 (April 2022): 41-46. https://doi.org/10.24938/kutfd.1076736.
EndNote Yokuş A (April 1, 2022) THE EFFECT OF MANDIBULAR CONDYLE SIZE ON DISC DISPLACEMENT AND GENDER RELATIONSHIP. The Journal of Kırıkkale University Faculty of Medicine 24 1 41–46.
IEEE A. Yokuş, “THE EFFECT OF MANDIBULAR CONDYLE SIZE ON DISC DISPLACEMENT AND GENDER RELATIONSHIP”, Kırıkkale Uni Med J, vol. 24, no. 1, pp. 41–46, 2022, doi: 10.24938/kutfd.1076736.
ISNAD Yokuş, Adem. “THE EFFECT OF MANDIBULAR CONDYLE SIZE ON DISC DISPLACEMENT AND GENDER RELATIONSHIP”. The Journal of Kırıkkale University Faculty of Medicine 24/1 (April 2022), 41-46. https://doi.org/10.24938/kutfd.1076736.
JAMA Yokuş A. THE EFFECT OF MANDIBULAR CONDYLE SIZE ON DISC DISPLACEMENT AND GENDER RELATIONSHIP. Kırıkkale Uni Med J. 2022;24:41–46.
MLA Yokuş, Adem. “THE EFFECT OF MANDIBULAR CONDYLE SIZE ON DISC DISPLACEMENT AND GENDER RELATIONSHIP”. The Journal of Kırıkkale University Faculty of Medicine, vol. 24, no. 1, 2022, pp. 41-46, doi:10.24938/kutfd.1076736.
Vancouver Yokuş A. THE EFFECT OF MANDIBULAR CONDYLE SIZE ON DISC DISPLACEMENT AND GENDER RELATIONSHIP. Kırıkkale Uni Med J. 2022;24(1):41-6.

This Journal is a Publication of Kırıkkale University Faculty of Medicine.