Effect of disc morphological features and disc-condyle angles on conservative treatment for anterior disc displacement with reduction.
10.7518/hxkq.2025.2024313
- Author:
Jialu SONG
1
;
Qiqin XIAO
1
;
Xiao CEN
1
Author Information
1. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Temporomandibular Joint, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
- Publication Type:Journal Article
- Keywords:
anterior disc displacement with reduction;
anterior repositioning splint;
disc;
magnetic resonance imaging;
therapeutic effect
- MeSH:
Humans;
Magnetic Resonance Imaging;
Conservative Treatment;
Temporomandibular Joint Disc/diagnostic imaging*;
Male;
Adult;
Female;
Intervertebral Disc Displacement/pathology*;
Middle Aged
- From:
West China Journal of Stomatology
2025;43(3):406-415
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVES:This study aimed to evaluate the effect of disc morphology and disc-condyle angle on the treatment of anterior repositioning splint (ARS) for anterior disc displacement with reduction (ADDwR).
METHODS:On the basis of the inclusion and exclusion criteria, a total of 11 patients diagnosed with ADDwR were included. The effects of changes in disc length, thickness, and morphology classifications on the clinical symptoms, disc morphology parameters, and disc-condyle angles after ARS treatment were evaluated using magnetic resonance imaging and the Helkimo index.
RESULTS:After ARS treatment, the Ai and Di of all patients with ADDwR decreased, the disc length increased, and the thickness decreased. The Ai of patients with slight ADDwR and those with type 1 joint discs was reduced to 0, with the most significant decrease observed in Di. The disc length of mild ADDwR (increased to 8.65 mm±1.79 mm) and type 5 disc (increased to 10.71 mm±2.62 mm) significantly increased the most. The disc thickness of slight ADDwR decreased to 3.08 mm±0.51 mm significantly.
CONCLUSIONS:The therapeutic effect of ARS is correlated with the displacement degree and morphological features of the disc, providing evidence for clinical treatment decisions.
