Diagnosis and Treatment of TMJ Disc Displacement

턱관절 관절원판 변위의 진단 및 치료

  • Kwon, Jeong-Seung (Department of Orofacial Pain and Oral Medicine, Yonsei Dental Hospital, Yonsei University College of Dentistry)
  • Published : 2020.05.31

Abstract

Internal derangement of the temporomandibular joint (TMJ) is condition in which articular disc has become displaced from its normal functional relationship with the mandibular condyle and the articular portion of the temporal bone. Common types of internal derangement include disc displacement with reduction (with or without intermittent locking), and disc displacement without reduction (with or without limited opening) classified according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Treatment varies depending on diagnosis. Therefore, differential diagnosis should be made for appropriate treatment.

Keywords

References

  1. Naeije M, Te Veldhuis AH, Te Veldhuis EC, et al. Disc displacement within the human temporomandibular joint: a systematic review of a 'noisy annoyance'. Journal of Oral Rehabilitation 2013;40(2):139-158 https://doi.org/10.1111/joor.12016
  2. Schiffman E, Ohrbach R, Truelove E, et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. Journal of Oral & Facial Pain and Headache 2014;28(1):6-27 https://doi.org/10.11607/jop.1151
  3. Nam HS, Y.J.; Kang, J.K. Acute Malocclusion Caused by Articular Disc Perforation: A Case Report. Journal of Oral Medicine and Pain 2018;43(4):142-146 https://doi.org/10.14476/jomp.2018.43.4.142
  4. Stegenga B. Osteoarthritis of the temporomandibular joint organ and its relationship to disc displacement. Journal of orofacial pain 2001;15(3):193-205
  5. Larheim TA, Westesson P, Sano T. Temporomandibular joint disk displacement: comparison in asymptomatic volunteers and patients. Radiology 2001;218(2):428-432 https://doi.org/10.1148/radiology.218.2.r01fe11428
  6. Okeson JP. Management of Temporomandibular Disorders and Occlusion. 8th ed: Elsevier, 2020
  7. Wright EF, Klasser GD. Manual of temporomandibular disorders. 4th ed: Wiley-Blackwell, 2019
  8. 대한안면통증구강내과학회. 구강안면통증과 측두하악장애: Dental Wisdom, 2012
  9. de Leeuw R, Klasser GD. Orofacial pain : guidelines for assessment, diagnosis, and management. 6th ed: Quintessence Publishing Co., 2018
  10. Kim HK, Kim KS, Kim ME. A Case Report : Limitation of Mouth Opening in Dermatomyositis. Journal of Oral Medicine and Pain 2010;35(2):155-163
  11. Lim HD, Lee YM. Case Report; Tetanus, Differential Diagnosis with Trismus. Journal of Oral Medicine and Pain 2011;36(2):117-121 https://doi.org/10.14476/JOMP.2011.36.2.117
  12. Chae HS, Byun JS, Jung JK et al. Trismus as an Orofacial Manifestation of Acute Lymphoblastic Leukemia. Journal of Oral Medicine and Pain 2017;42(2):49-52 https://doi.org/10.14476/jomp.2017.42.2.49
  13. Byun YS, Kim KS, Ahn HJ, et al. Temporomandibular Disorder Caused by Nasopharyngeal Cancer. Journal of Oral Medicine and Pain 2008;33(4):395-399
  14. Kononen M, Waltimo A, Nystrom M. Does clicking in adolescence lead to painful temporomandibular joint locking? Lancet (British edition) 1996;347(9008):1080-1081 https://doi.org/10.1016/S0140-6736(96)90280-9
  15. Greene CS, Laskin DM. Long-term status of TMJ clicking in patients with myofascial pain and dysfunction. Journal of the American Dental Association 1988;117(3):461-465 https://doi.org/10.1016/s0002-8177(88)73018-4
  16. Cooper BC, Kleinberg I. Establishment of a temporomandibular physiological state with neuromuscular orthosis treatment affects reduction of TMD symptoms in 313 patients. Cranio: the Journal of Craniomandibular and Sleep Practice 2008;26(2):104-117
  17. Rowland M, Hewitt S, Durrani N, et al. Sustainability of pyrethroidimpregnated bednets for malaria control in Afghan communities. World Health Organization. Bulletin of the World Health Organization 1997;75(1):23-29
  18. Butterworth JC, Deardorff WW. Passive eruption in the treatment of craniomandibular dysfunction: a posttreatment study of 151 patients. The Journal of Prosthetic Dentistry 1992;67(4):525-534 https://doi.org/10.1016/0022-3913(92)90085-O
  19. Montgomery MT, Gordon SM, Van Sickels JE, et al. Changes in signs and symptoms following temporomandibular joint disc repositioning surgery. Journal of Oral and Maxillofacial Surgery 1992;50(4):320-328 https://doi.org/10.1016/0278-2391(92)90389-H
  20. Brooke RI, Grainger RM. Long-term prognosis for the clicking jaw. Hawaii Dental Journal 1988;19(9):38-38