Silent Disc Displacements vs. Noisy Normal Joints: Reassessing Clicking as a Marker of ADDwR

İsmet Ersalıcı; Elif Meltem Aslan; Gürkan Ünsal

doi:10.62243/edr.1831766

Silent Disc Displacements vs. Noisy Normal Joints: Reassessing Clicking as a Marker of ADDwR

Abstract

Aim To evaluate the diagnostic value of temporomandibular joint (TMJ) clicking as a clinical marker of anterior disc displacement with reduction (ADDwR) by comparing clinical findings with magnetic resonance imaging (MRI). Material and method This retrospective study included 128 TMJ sides from adult patients referred for TMJ symptoms between January 2021 and December 2024. All patients underwent standardized clinical TMJ examination documenting the presence or absence of clicking, and bilateral 1.5T MRI with closed- and open-mouth sequences. Results Clinical examinations identified clicking in 114 of 128 joints (89.1%), while 14 joints (10.9%) were clinically silent. MRI demonstrated ADDwR in 112 joints (87.5%) and normal disc position in 16 joints (12.5%). Among ADDwR joints, 98 (87.5%) presented with clicking and 14 (12.5%) represented silent ADDwR. Of the 114 clicking joints, 98 (86.0%) had ADDwR and 16 (14.0%) had normal disc position, constituting clicking without displacement. Clicking showed high sensitivity for ADDwR (87.5%) but occurred in joints with normal disc position as well. Conclusion TMJ clicking is strongly associated with ADDwR but is neither exclusive to displaced discs nor universally present in reducible disc displacements. The coexistence of silent ADDwR and clicking in nondisplaced joints underscores the limitations of relying solely on auscultation or palpation and supports MRI as an important adjunct in diagnostically ambiguous cases.

Keywords

Ethical Statement

The study protocol was approved by the Lokman Hekim University Scientific Research Ethics Committee (No: 2024160)

References

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Details

Primary Language

English

Subjects

Oral and Maxillofacial Radiology

Journal Section

Research Article

Authors

İsmet Ersalıcı
0000-0002-8991-7063
Cyprus

Elif Meltem Aslan
0000-0002-1737-9585
Türkiye

Gürkan Ünsal ^*
0000-0001-7832-4249
Canada

Publication Date

December 31, 2025

Submission Date

December 1, 2025

Acceptance Date

December 8, 2025

Published in Issue

Year 2025 Volume: 3 Number: 3

DOI

https://doi.org/10.62243/edr.1831766

IZ

https://izlik.org/JA29EY53NY

Cite

RIS / Bibtex

APA

Ersalıcı, İ., Aslan, E. M., & Ünsal, G. (2025). Silent Disc Displacements vs. Noisy Normal Joints: Reassessing Clicking as a Marker of ADDwR. Eurasian Dental Research, 3(3), 49-52. https://doi.org/10.62243/edr.1831766

AMA

1.Ersalıcı İ, Aslan EM, Ünsal G. Silent Disc Displacements vs. Noisy Normal Joints: Reassessing Clicking as a Marker of ADDwR. EDR. 2025;3(3):49-52. doi:10.62243/edr.1831766

Chicago

Ersalıcı, İsmet, Elif Meltem Aslan, and Gürkan Ünsal. 2025. “Silent Disc Displacements Vs. Noisy Normal Joints: Reassessing Clicking As a Marker of ADDwR”. Eurasian Dental Research 3 (3): 49-52. https://doi.org/10.62243/edr.1831766.

EndNote

Ersalıcı İ, Aslan EM, Ünsal G (December 1, 2025) Silent Disc Displacements vs. Noisy Normal Joints: Reassessing Clicking as a Marker of ADDwR. Eurasian Dental Research 3 3 49–52.

IEEE

[1]İ. Ersalıcı, E. M. Aslan, and G. Ünsal, “Silent Disc Displacements vs. Noisy Normal Joints: Reassessing Clicking as a Marker of ADDwR”, EDR, vol. 3, no. 3, pp. 49–52, Dec. 2025, doi: 10.62243/edr.1831766.

ISNAD

Ersalıcı, İsmet - Aslan, Elif Meltem - Ünsal, Gürkan. “Silent Disc Displacements Vs. Noisy Normal Joints: Reassessing Clicking As a Marker of ADDwR”. Eurasian Dental Research 3/3 (December 1, 2025): 49-52. https://doi.org/10.62243/edr.1831766.

JAMA

1.Ersalıcı İ, Aslan EM, Ünsal G. Silent Disc Displacements vs. Noisy Normal Joints: Reassessing Clicking as a Marker of ADDwR. EDR. 2025;3:49–52.

MLA

Ersalıcı, İsmet, et al. “Silent Disc Displacements Vs. Noisy Normal Joints: Reassessing Clicking As a Marker of ADDwR”. Eurasian Dental Research, vol. 3, no. 3, Dec. 2025, pp. 49-52, doi:10.62243/edr.1831766.

Vancouver

1.İsmet Ersalıcı, Elif Meltem Aslan, Gürkan Ünsal. Silent Disc Displacements vs. Noisy Normal Joints: Reassessing Clicking as a Marker of ADDwR. EDR. 2025 Dec. 1;3(3):49-52. doi:10.62243/edr.1831766