Evaluation of Temporomandibular Joint Anterior Disc Displacement with Reduction: Clinical versus Magnetic Resonance Imaging Findings

Mohammed, Mohammed Nahed Attia; Abdelfattah, Mohamed; Abdelaziz, Ahmed A; Mohamed, Mostafa Mahmoud Youssef

doi:10.21608/edj.2023.205531.2518

	Evaluation of Temporomandibular Joint Anterior Disc Displacement with Reduction: Clinical versus Magnetic Resonance Imaging Findings
Egyptian Dental Journal
Volume 69, Issue 3 - Serial Number 2, July 2023, Page 1819-1827 PDF (773.65 K)
Document Type: Original Article
DOI: 10.21608/edj.2023.205531.2518
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Authors
Mohammed Nahed Attia Mohammed ¹; Mohamed Abdelfattah ²; Ahmed A Abdelaziz ³; Mostafa Mahmoud Youssef Mohamed ⁴
¹Lecturer, Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Assuit University
²Lecturer, Oral Biology Department, Faculty of Dentistry, Beni-Suef University, Beni-Suef, Egypt and Oral Biology Division, School of Dentistry, Newgiza University, Giza, Egypt
³Lecturer, Orthodontic Department, Faculty of Dentistry, Assuit University
⁴Lecturer, Department of Oral & Maxillofacial Radiology, Faculty of Dentistry, Assuit University
Abstract
Our study aimed to assess whether magnetic resonance imaging (MRI) results of different degrees of severity of disc displacement were correlated to the pain and joint sounds in patients with TMJ anterior disc displacement with reduction (ADDwR). Materials and Methods: A prospective study in which sixty patients of both genders with age ranges from 16 to 55 years old were selected from the TMJ outpatient clinic of the Oral and Maxillofacial Surgery Department. Clinical and magnetic resonance imaging examinations were performed for the TMJ to assess its condition by recording the joint sounds, visual analogue scale and the anteroposterior disc position. Results: There was a statistically significant relation between the degree of internal derangement and joint sounds. All patients with either mild or severe degrees of internal derangement suffered from pain but there was no statistically significant relation between the degree of internal derangement and the severity of pain. Conclusion: Evaluation of Temporomandibular Joint ADDwR showed a significant correlation between the clinical parameters and MRI findings.
Keywords
TMJ; Pain; Clicking; Anterior disc displacement; MRI


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