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Temporomandibular joint loading patterns related to joint morphology: a theoretical study


Colombo, V; Palla, S; Gallo, L M (2008). Temporomandibular joint loading patterns related to joint morphology: a theoretical study. Cells Tissues Organs, 187(4):295-306.

Abstract

It is unclear which aspects of the temporomandibular joint (TMJ) anatomy and/or kinematics determine shape and location of disk-compressive areas (stress field). The aim of this study was a quantitative analysis of TMJ anatomy to predict stress field path direction. Twenty-five asymptomatic TMJs (12 females and 13 males, aged 20-38 years) were tracked during unloaded opening/closing cycles. All TMJs were magnetic resonance (MR) imaged, reconstructed and animated with the recorded kinematics. Quantitative morphological parameters were calculated and entered into cross-validated multivariate discriminant analysis. Stress field paths during jaw opening were classified as mediolateral (ML) in 14 (9 females and 5 males) and lateromedial (LM) in 11 joints (3 females and 8 males). Curvature and incongruence as well as the dorsoventral position of the condyle in the fossa showed statistically significant differences (Mann-Whitney U test, p < 0.05). A combination of the lateral incongruence, the distance from the posterior slope of the eminence as well as the maximum posterior sagittal curvature enabled to correctly predict the direction of stress field paths in 92% of cases. In particular, ML type joints had laterally more congruent condyles/fossae and condyles more distant from the posterior slope of the eminence than LM type joints. Within the limits of this study, TMJ morphology seems to determine stress field path patterns.

It is unclear which aspects of the temporomandibular joint (TMJ) anatomy and/or kinematics determine shape and location of disk-compressive areas (stress field). The aim of this study was a quantitative analysis of TMJ anatomy to predict stress field path direction. Twenty-five asymptomatic TMJs (12 females and 13 males, aged 20-38 years) were tracked during unloaded opening/closing cycles. All TMJs were magnetic resonance (MR) imaged, reconstructed and animated with the recorded kinematics. Quantitative morphological parameters were calculated and entered into cross-validated multivariate discriminant analysis. Stress field paths during jaw opening were classified as mediolateral (ML) in 14 (9 females and 5 males) and lateromedial (LM) in 11 joints (3 females and 8 males). Curvature and incongruence as well as the dorsoventral position of the condyle in the fossa showed statistically significant differences (Mann-Whitney U test, p < 0.05). A combination of the lateral incongruence, the distance from the posterior slope of the eminence as well as the maximum posterior sagittal curvature enabled to correctly predict the direction of stress field paths in 92% of cases. In particular, ML type joints had laterally more congruent condyles/fossae and condyles more distant from the posterior slope of the eminence than LM type joints. Within the limits of this study, TMJ morphology seems to determine stress field path patterns.

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7 citations in Web of Science®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic for Masticatory Disorders and Complete Dentures, Geriatric and Special Care Dentistry
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2008
Deposited On:23 Jan 2009 15:50
Last Modified:07 Jul 2016 08:32
Publisher:Karger
ISSN:1422-6405
Publisher DOI:10.1159/000113408
PubMed ID:18196895
Permanent URL: http://doi.org/10.5167/uzh-11372

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