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Anatomic disorders of the temporomandibular joint disc in asymptomatic subjects
R W Katzberg1, P L Westesson, R H Tallents
1Department of Radiology, University of California Davis Medical Center, Sacramento 95817, USA.
Purpose:
This study determined the prevalence and specific anatomic types of disc displacement in asymptomatic versus symptomatic subjects using magnetic resonance imaging (MRI).
Patients And Methods:
A detailed MRI assessment was performed on both temporomandibular joints (TMJ) in 76 volunteers and 102 successive patients. Attention was placed on the functional aspects of disc displacement with and without reduction and on the anatomic aspects of disc displacement in the anterior, lateral, medial, anterolateral, and anteromedial directions. These assessments were made by radiologists blinded to the clinical information.
Results:
Disc displacement was found in at least one joint in 25 of 76 (33%) of asymptomatic subjects and 79 of 102 (77%) of symptomatic subjects. The anatomic types of disc displacement between groups was not statistically significant (P = .55). However, there was a significant difference between asymptomatic and symptomatic subjects, with an odds ratio of 3.91 for disc displacement with reduction and 42.71 for disc displacement without reduction (P < .001).
Conclusion:
Although there was a 33% prevalence of disc displacement in asymptomatic volunteers, there was a highly significant difference in the prevalence of internal derangement in symptomatic subjects. Bruxing was statistically linked to TMJ disc displacement and could explain the anatomic variation in abnormal disc position.