The role of systemic hypermobility and condylar hypermobility in temporomandibular joint dysfunction syndrome
Open accessAbstract
Objective To evaluate the risk of temporomandibular joint dysfunction (TMD), when both systemic joint hypermobility (SJH) and localized condylar hypermobility (LCH) exist.Materials and methods Sixty-four consecutive outpatients with temporomandibular joint clicking or pain, and 77 sex- and age-matched control subjects, were recruited in the study. LCH was diagnosed when condylar subluxation was present, and SJL was diagnosed by using Beighton's method. The frequency of symptoms, mean mouth opening, and the frequency of subjects with SJL and LCH were the main outcome measures.Results Out of the 64 patients, 16 patients were suffering from pain, 20 patients from joint-clicking and 28 patients from both. Both SJH and LCH were more frequently observed in those patients with TMD than in control subjects. The risk of TMD was higher if LCH and SJH existed jointly.Conclusion Both systemic and localized hypermobility may have a role in the etiology of TMD.
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Other studies suggest joint hypermobility probably precedes and predisposes to both temporomandibular disorders and POTS.
“Other studies, however, suggest that joint hypermobility likely precedes and predisposes to both TMD (De Coster et al., 2005; Kavuncu et al., 2005; Deodato et al., 2006; Pasinato et al., 2011) and POTS (Rowe et al., 1999).”
From Postural tachycardia syndrome and other forms of orthostatic intolerance in Ehlers-Danlos syndrome (2018) · cites this paper as Kavuncu et al., 2005
The odds ratios for hypermobility syndromes in temporomandibular disorders were 11.2 for systemic joint hypermobility, 7.5 for localized condylar hypermobility and 15.3 for both, and the risk was significantly higher when both were present (P < 0.001).
“The odds ratio for hypermobility syndromes in TMD were 11.2 for SJH, 7.5 for LCH and 15.3 for both.”
From Postural tachycardia syndrome and other forms of orthostatic intolerance in Ehlers-Danlos syndrome (2018) · cites this paper as Kavuncu et al., 2005
87% of patients with systemic joint hypermobility and localized condylar hypermobility also had temporomandibular disorders, versus 30% of controls.
“Kavuncu and colleagues found that 87% of patients with systemic joint hypermobility (SJH) and localized condylar hypermobility (LCH) also su ff er from TMD, compared to only 30% of controls (Kavuncu et al., 2005).”
From Postural tachycardia syndrome and other forms of orthostatic intolerance in Ehlers-Danlos syndrome (2018) · cites this paper as Kavuncu et al., 2005
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- Authors
- Kavuncu, V., Sahin, S., Kamanli, A., Karan, A., & Aksoy, C.
- Affiliations
- Afyon Kocatepe University (TR)
- Istanbul University (TR)
- Corresponding author
- Kavuncu, Vural
- Venue
- Rheumatology International
- Published
- 2005-06-30
- Volume
- 26
- Issue
- 3
- Pages
- 257-260
- ISSN
- 0172-8172 (ISSN-L)
- 1437-160X
- OpenAlex
- W2056289297
- Cited by
- 60
- References
- 14
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 5 · 2021: 8 · 2020: 2 · 2019: 2 · 2018: 4 · 2017: 2 · 2015: 6 · 2014: 4 · 2013: 1 · 2012: 5
- FWCI
- 2.12
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- cc-by-nc-nd
- www.springer.com/tdm (tdm)
- Locations
- Rheumatology International (publishedVersion)
- PubMed (publishedVersion)
- DSpace - FIRAT (Fırat University) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
- Health Sciences › Health Professions › Pharmacy › Oral and gingival health research
- Keywords
- temporomandibular disorders, Beighton score, joint clicking, temporomandibular joint pain, mouth opening, TMD etiology
- MeSH terms
- Adult, Female, Humans, Joint Instability, Male, Masticatory Muscles, Temporomandibular Joint Disorders, Case-Control Studies
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