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Cited by 52Temporomandibular Joint DisordersOrthodontics and Dentofacial OrthopedicsDental Trauma and Treatments

Metrical analysis of disc-condyle relation with different splint treatment positions in patients with TMJ disc displacement

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Liu, Mu-Qing, Lei, Jie, Han, Jian-Hui, Yap, Adrian U-Jin, Fu, Kai-Yuan·2017·Journal of Applied Oral Science
DOI 10.1590/1678-7757-2016-0471PMC PMC5804384
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Abstract

OBJECTIVE: To evaluate the effect of bite positions characterizing different splint treatments (anterior repositioning and stabilization splints) on the disc-condyle relation in patients with TMJ disc displacement with reduction (DDwR), using magnetic resonance imaging (MRI). MATERIAL AND METHODS: 37 patients, with a mean age of 18.8±4.3 years (7 male and 30 females) and diagnosed with DDwR based on the RDC/TMD, were recruited. MRI metrical analysis of the spatial changes of the disc/condyle, as well as their relationships, was done in three positions: maximum intercuspation (Position 1), anterior repositioning splint position (Position 2), and stabilization splint position (Position 3). Disc/condyle coordinate measurements and disc condyle angles were determined and compared. RESULTS: In Position 1, the average disc-condyle angle was 53.4° in the 60 joints with DDwR, while it was -13.3° with Position 2 and 30.1° with Position 3. The frequency of successful "disc recapture" with Position 2 was significantly higher (58/60, 96.7%) than Position 3 (20/60, 33.3%). In Positions 2 and 3, the condyle moved forward and downward while the disc moved backward. The movements were, however, more remarkable with Position 2. CONCLUSIONS: Anterior repositioning of the mandible improves the spatial relationship between the disc and condyle in patients with DDwR. In addition to anterior and inferior movement of the condyle, transitory posterior movement of the disc also occurred.

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  • Anterior repositioning splint treatment achieves better backward movements for the discs of the joints with anterior disc displacement with reduction.

    “In contrast, the anterior repositioning splint treatment achieves better backward movements for the discs of the joints with anterior disc displacement with reduction [43].”

    From The Effect of Osteopathic Manipulative Treatment Adjunct on Stabilization Splint Treatment in Temporomandibular Joint Anterior Disc Displacement with Reduction Disorder: A Quantitative Analysis, Pilot Study (2025) · cites this paper as [43]

    The Discussion reports greater posterior disc movement in joints with disc displacement with reduction at the anterior repositioning splint position (2.23 mm) than at the stabilization splint position (0.75 mm). However, the Discussion also states that actual oral splints were not fabricated, so these findings support an immediate positional effect rather than an effect demonstrated from splint treatment. (LLM, conf=0.86)

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Research works printed but not linked: 29

  1. [1]Ahmad M Hollender L Anderson Q Kartha K Ohrbach R Truelove EL 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 107 844 860 19464658 PMC3139469
  2. [2]Al-Ani Z Gray RJ Davies SJ Sloan P Glenny AM Stabilization splint therapy for the treatment of temporomandibular myofascial pain: a systematic review J Dent Educ. 2005 69 1242 1250 16275687
  3. [3]Badel T Marotti M Kern J Laskarin M A quantitative analysis of splint therapy of displaced temporomandibular joint disc Ann Anat. 2009 191 280 287 19282162
  4. [4]Boero RP The physiology of splint therapy: a literature review Angle Orthod. 1989 59 165 180 2672904
  5. [5]Conti PC Miranda JE Conti AC Pegoraro LF Araújo CR Partial time use of anterior repositioning splints in the management of TMJ pain and dysfunction: a one-year controlled study J Appl Oral Sci. 2005 13 4 345 350 20865217
  6. [6]Dao TT Lavigne GJ Oral splints: the crutches for temporomandibular disorders and bruxism? Crit Rev Oral Biol Med. 1998 9 345 361 9715371
  7. [7]Demling A Fauska K Ismail F Stiesch M A comparison of change in condylar position in asymptomatic volunteers utilizing a stabilization and a pivot appliance Cranio. 2009 27 54 61 19241800
  8. [8]Drace JE Enzmann DR Defining the normal temporomandibular joint: closed-, partially open-, and open-mouth MR imaging of asymptomatic subjects Radiology 1990 177 67 71 2399340
  9. [9]Dworkin SF LeResche L Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique J Craniomandib Disord. 1992 6 301 355 1298767
  10. [10]Dylina TJ A common-sense approach to splint therapy J Prosthet Dent. 2001 86 539 545 11725283
  11. [11]Ekberg EC Sabet ME Petersson A Nilner M Occlusal appliance therapy in a short-term perspective in patients with temporomandibular disorders correlated to condyle position Int J Prosthodont. 1998 11 263 268 9728121
  12. [12]Ettlin DA Mang H Colombo V Palla S Gallo LM Stereometric assessment of TMJ space variation by occlusal splints J Dent Res. 2008 87 877 881 18719217
  13. [13]Gateno J Anderson PB Xia JJ Horng JC Teichgraeber JF Liebschner MA A comparative assessment of mandibular condylar position in patients with anterior disc displacement of the temporomandibular joint J Oral Maxillofac Surg. 2004 62 39 43 14699547
  14. [14]Gökalp H Turkkahraman H Changes in position of the temporomandibular joint disc and condyle after disc repositioning appliance therapy: a functional examination and magnetic resonance imaging study Angle Orthod. 2000 70 400 408 11037001
  15. [15]Hall HD Intra-articular disc displacement Part II: Its significant role in temporomandibular joint pathology J Oral Maxillofac Surg. 1995 53 1073 1079 7643278
  16. [16]Hasegawa Y Kakimoto N Tomita S Honda K Tanaka Y Yagi K Movement of the mandibular condyle and articular disc on placement of an occlusal splint Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011 112 640 647 21925908
  17. [17]Jokstad A Mo A Krogstad BS Clinical comparison between two different splint designs for temporomandibular disorder therapy Acta Odontol Scand. 2005 63 218 226 16040444
  18. [18]Kurita H Kurashina K Baba H Ohtsuka A Kotani A Kopp S Evaluation of disk capture with a splint repositioning appliance: clinical and critical assessment with MR imaging Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 85 377 380 9574944
  19. [19]Kurita H Kurashina K Ohtsuka A Kotani A Change of position of the temporomandibular joint disk with insertion of a disk-repositioning appliance Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 85 142 145 9503446
  20. [20]Kurita H Ohtsuka A Kobayashi H Kurashina K A study of the relationship between the position of the condylar head and displacement of the temporomandibular joint disk Dentomaxillofac Radiol. 2001 30 162 165 11420629
  21. [21]Kurita H Uehara S Yokochi M Nakatsuka A Kobayashi H Kurashina K A long-term follow-up study of radiographically evident degenerative changes in the temporomandibular joint with different conditions of disk displacement Int J Oral Maxillofac Surg. 2006 35 1 49 54 15961278
  22. [22]Liu MQ Chen HM Yap AU Fu KY Condylar remodeling accompanying splint therapy: a cone-beam computerized tomography study of patients with temporomandibular joint disk displacement Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 114 259 265 22769412
  23. [23]Moloney F Howard JA Internal derangements of the temporomandibular joint. III. Anterior repositioning splint therapy Aust Dent J. 1986 31 30 39 3459420
  24. [24]Okeson JP Management of temporomandibular disorders and occlusion 7th ed. Saint Louis Mosby 2012
  25. [25]Santacatterina A Paoli M Peretta R Bambace A Beltrame A A comparison between horizontal splint and repositioning splint in the treatment of "disc dislocation with reduction". Literature meta-analysis J Oral Rehabil. 1998 25 2 81 88 9576589
  26. [26]Simmons HC 3rd Board of Directors, American Academy of Craniofacial Pain Guidelines for anterior repositioning appliance therapy for the management of craniofacial pain and TMD Cranio 2005 23 300 305 16353472
  27. [27]Tecco S Festa F Salini V Epifania E D'Attilio M Treatment of joint pain and joint noises associated with a recent TMJ internal derangement: a comparison of an anterior repositioning splint, a full-arch maxillary stabilization splint, and an untreated control group Cranio 2004 22 209 219 15293777
  28. [28]Wassell RW Adams N Kelly PJ The treatment of temporomandibular disorders with stabilizing splints in general dental practice: one-year follow-up J Am Dent Assoc. 2006 137 1089 1098 16873324
  29. [29]Whyte AM McNamara D Rosenberg I Whyte AW Magnetic resonance imaging in the evaluation of temporomandibular joint disc displacement - a review of 144 cases Int J Oral Maxillofac Surg. 2006 35 696 703 16766160

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Authors
Liu, M.-Q., Lei, J., Han, J.-H., Yap, A. U.-J., & Fu, K.-Y.
Affiliations
  • Peking University (CN)
  • Peking University School & Hospital of Stomatology, China; National Engineering Laboratory for Digital and Material Technology of Stomatology, China; Beijing Key Laboratory of Digital Stomatology, China
  • National University of Singapore (SG)
ORCID
Venue
Journal of Applied Oral Science
Publisher
FapUNIFESP (SciELO)
Published
2017-10
Volume
25
Issue
5
Pages
483-489
ISSN
1678-7757 (ISSN-L)
DOI
10.1590/1678-7757-2016-0471
PMC
PMC5804384
OpenAlex
W2765164250
Cited by
52
References
0
Citations by year
2026: 3 · 2025: 9 · 2024: 8 · 2023: 8 · 2022: 5 · 2021: 7 · 2020: 5 · 2019: 3 · 2018: 3 · 2017: 1
FWCI
6.15
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Journal of Applied Oral Science (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
  • Americanae (AECID Library) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
  • Health Sciences › Dentistry › Orthodontics › Orthodontics and Dentofacial Orthopedics
  • Health Sciences › Health Professions › Emergency Medical Services › Dental Trauma and Treatments
Keywords
temporomandibular joint, disc displacement with reduction, anterior repositioning splint, stabilization splint, disc-condyle relationship, maximum intercuspation, magnetic resonance imaging
MeSH terms
Adolescent, Adult, Analysis of Variance, Child, Joint Dislocations, Equipment Design, Female, Humans, Incisor, Magnetic Resonance Imaging, Male, Mandibular Condyle, Reference Values, Reproducibility of Results, Observer Variation, Treatment Outcome, Occlusal Splints, Temporomandibular Joint Disc, Young Adult

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