The relationship between temporomandibular joint effusion and pain in patients with internal derangement

Aim The aim of the present study was to assess the correlation of temporomandibular joint internal derangement (TMJ ID) in patients with the presence of headache, bruxism, and joint pain using magnetic resonance imaging (MRI). Methods and Materials This study evaluated 42 joints in 42 patients; 21 patients diagnosed with unilateral TMJ ID and a history of headaches and 21 patients diagnosed with unilateral TMD ID without a history of headaches. Signs of headache, bruxism, and joint pain were diagnosed clinically and were also obtained from the patient's history. Sixteen joints in 16 patients without signs or symptoms of TMD or headache were included as a control group. All patients underwent bilateral MRI of the TMJ to evaluate the disc position and the presence of joint effusion. Data were analyzed using Chi-square and Fischer's exact tests. Results Bruxing behavior was most frequently reported by patients with headaches (p<0.0125). Eightyfive percent of subjects with headaches also reported joint pain. A significant association was found between headache and TMJ effusion (p<0.0125). Patients with more severe disc displacement also had a higher frequency of effusion (p=0.001). Conclusion The results suggest joint effusion may have a role in the pathogenesis of headache in TMJ ID. Clinical Significance Temporomandibular joint effusion on MRI may serve as a biological marker of headache associated with TMD and could be helpful for diagnostic classification and treatment follow up. Citation Costa ALF, D'Abreu A, Cendes F. Temporomandibular Joint Internal Derangement: Association with Headache, Joint Effusion, Bruxism, and Joint Pain. J Contemp Dent Pract 2008 September; (9)6:009-016.

Download Full-text

A cross-sectional study of the relationship between serum sexual hormone levels and internal derangement of temporomandibular joint

Journal of Oral Rehabilitation ◽

10.1111/joor.12074 ◽

2013 ◽

Vol 40 (8) ◽

pp. 569-573 ◽

Cited By ~ 7

Author(s):

A. S. Madani ◽

A. A. Shamsian ◽

M. R. Hedayati-Moghaddam ◽

F. Fathi-Moghadam ◽

M. R. Sabooni ◽

...

Keyword(s):

Temporomandibular Joint ◽

Cross Sectional Study ◽

Internal Derangement ◽

Sectional Study ◽

Cross Sectional ◽

Hormone Levels ◽

Sexual Hormone ◽

The Relationship

Download Full-text

The Relationship Between Level of Mandibular Pain and Dysfunction and Stage of Temporomandibular Joint Internal Derangement

Journal of Dental Research ◽

10.1177/00220345920710110901 ◽

1992 ◽

Vol 71 (11) ◽

pp. 1812-1815 ◽

Cited By ~ 19

Author(s):

E.L. Schiffman ◽

G.C. Anderson ◽

J.R. Fricton ◽

B.R. Lindgren

Keyword(s):

Statistical Analysis ◽

Temporomandibular Joint ◽

Internal Derangement ◽

Direct Information ◽

Temporomandibular Joint Internal Derangement ◽

The Relationship

Temporomandibular joint internal derangement (TMJ ID) is the most common intra-articular TM disorder and can progress from TMJ ID with reduction to TMJ ID without reduction. It is not known whether this anatomical progression is associated with increasing levels of mandibular dysfunction. The objective of this study was to determine whether the level of clinically detectable mandibular dysfunction was related to the stage of TMJ ID. Two clinicians examined 42 subjects prior to bilateral TMJ arthrographic evaluation. The level of mandibular dysfunction was calculated by Helkimo's Clinical Dysfunction Index (Di) and the Craniomandibular Index (CMI). Statistical analysis revealed that the level of mandibular dysfunction as determined by the Di and CMI was not related to the arthrographic presence or absence of TMJ ID. Therefore, the clinician cannot assume that the level of mandibular dysfunction is directly related to the absence or presence of TMJ ID. Epidemiologically, the CMI and Di can be used only for estimation of the degree of mandibular dysfunction, since they do not provide direct information on a specific TM disorder.

Download Full-text