Summary
Generalized joint hypermobility and Temporomandibular joints disorders are more common in women. Computerized electronic 3D axiography has been used to determine whether age and gender are factors in condylar movement in an asymptomatic adolescent sample. PURPOSE: The present study assesses the influence of age and gender on temporomandibular joint movement. PATIENTS AND METHODS: A total of 63 subjects had their right and left temporomandibular joint movements recorded by 3D electronic axiography. The sample was comprised of two groups: group 11.5–13.5 (23F, 7M) and group 13.5–15.5 (17F, 12M). All subjects were asymptomatic for temporomandibular joint disorders. RESULTS: In the determination of whether there was a gender-related difference between the key variables, one variable (Quantity – right mediotrusion) was significantly different (p>0.001). Whether there was an age difference relationship between placement in the 11.5–13.5 or the 13.5–15.5 group, the 11.5–13.5 group had variables with significant differences (p>0.001). These were: left start/end on open/close, ΔY on protrusion/retrusion, left mediotrusion – left incursive pathway, right quantity – mediotrusion-left, right start/end difference – mediotrusion-left, and left quantity – mediotrusion right. When it was determined whether males have different measurements depending whether they were in the 11.5–13.5 group. There were significant (p>0.001) differences for right incursive coefficient – open/close, ΔY – open/close, and ΔY protrusion–retrusion (13.5–15.5 group had greater variation), while for right start/end difference protrusion–retrusion, and right quantity – mediotrusion-left (11.5–13.5 group had greater variation). For the between group comparison for females, only left quantity – mediotrusion right differed significantly, with the 11.5–13.5 group demonstrating greater variation. CONCLUSIONS: Other than for one measurement (Quantity – right – mediotrusion right) there was no difference in TMJ movement based on gender. There were significant age-related differences with both younger males and to a lesser degree females demonstrating greater variation in TMJ movements than their older cohort.
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Buckingham RB, Braun T, Harinstein DA, Oral K, Bauman D, Bartynski W, Killian PJ, Bidula LP. Temporomandibular joint dysfunction: a close association with systemic joint laxity (the hypermobile joint syndrome). Oral Surg Oral Med Oral Pathol 1992;74
Cheng P, Xuchen MA, Xue Y, Shenglin LI, Zhang Z. Effects of estradiol on proliferation and metabolism of rabbit mandibular cartilage cells in vitro. Chin Med J 2003;116:1413–7
Currie P, Lobo-Lobo S, Stark P, Mehta N. Effect of maxillary molar distalization on mandibular condylar pathways. Int J Stomatol Occl Med 2008;1:65–9
Deodato F, Trusendi R, Giorgetti R, Scalese MU. Predisposition for temporomandibular joint disorders: loose ligaments. Cranio 2006;24:179–83
Dijkstra P, Kropmans TJB, Stegenga B. The Association between generalized joint hypermobility and temporomandibular joint disorders: a systematic review. J Dent Res 2002;81:158–63
Dolwick M, Katzberg RW, Heelms CA. Internal derangements of the temporomandibular joint: fact or fiction? J Prosthet Dent 1983;49:415–8
Grahame R. The need to take a fresh look at criteria for hypermobility. J Rheumatol 2007;34:664–5
Harkins S, Cueva LA, Antoniotti T, Rocadado M. Systemic ligament hypermobility and parafunction in temporomandibular disorders. In: Fricton J, Dubnar R (eds) Orofacial pain and temporomandibular disorders. New York: Raven Press; 1995. pp. 363–74
Harper R. Analysis of temporomandibular joint function after orthognathic surgery using condylar path tracings. Am J Orthod Dentofacial Orthop 1990;97:480–8
Huang G, LeResche L, Critchlow CW, Martin MD, Drangsholt MT. Risk factors for diagnostic subgroups of painfull temporomandibular disorders (TMD). J Dent Res 2002;81:284–8
Kapila S. Does the relaxin, estrogen, and matrix metalloproteinase axis contribute to degradation of TMJ fibrocartilage. J Musculoskelet Neuronal Interact 2003;3:401–5
Kapila S. Modulation of TMJ degradation by relaxin and estrogen. National Institute of Dental and Craniofacial Research. San Francisco: University of California; 2004
Kobs G. Differential diagnostic aspects in the evaluation of functiona disorders of the stomatognathic system by means of electronic axiography and magnet resonance tomography. Greifswald: Eenst-Moritz-Arndt University; 2003
Kobs G, Bernhardt O, Kocher T, Meyer G. Accuracy of traditional clinical examination in combinationn with 3-D computerized axiography for diagnosing anterior disk displacement with reduction. Stomatologija Baltic Dental Maxillofacial J 2004;6:91–3
LeResche L. Epidemiology of temporomandibular disorders: implications for the investigation of etiologic factors. Crit Rev Oral Biol Med 1997;8:291–305
LeResche L. The role of reproductive hormones in orofacial pain. In: Turp J, Sommer C, Hugger A (eds) The puzzle of orofacial pain; integrating research into clinical management, vol. 15. Basel: S. Karger AG; 2007. pp. 44–55
LeResche L, Mand L, Sherman JJ, Gandara B, Dworkin SF. Changes in temporomandibular pain and other symptoms across the menstrual cycle. Pain 2003;106:253–61
LeResche L, Sherman JJ, Huggins K, Saunders K, Mancl LA, Lentz G, Dworkin SF. Musculoskeletal orofacial pain and other signs and symptoms of temporomandibular disorders during pregnancy: a prospective study. J Orofacial Pain 2005;19:193–201
Lipton JA, Ship JA, Larach-Robinson D. Estimated prevalence and distribution of reported orofacial pain in the United States. J Am Dent Assoc 1993;124:115–21
Okerson J. Management of temporomandibular disorders and occlusion, 5th edn. St. Louis: Mosby; 2003
Remvig L, Jennsen DV, Ward RC. Are diagnostic criteria for general joint hypermobility and benign joint hypermobility syndrome based on reproducible and valid tests? A review of the literature. J Rheumatol 2007;34:798–803
Scrivani S, Keith DA, Kaban LB. Temporomandibular Disorders. N Engl J Med 2008;359:2693–705
Solber W. Temporomandibular disorders: clinical significance of TMJ changes. Br Dent J 1986;160:231–6
Speck J, Zarb GA. Temporomandibular pain-dysfunction: a suggested classification and treatment. J Can Den Assoc 1976;42:305–10
Steenks M, de Wijer A. Validity of the research diagnostic criteria for temporomandibular disorders Axis I in clinical and research settings. J Orofacial Pain 2009;23:9–16
Tanaka T. Arational approach to the differentialdiagnosis of arthritic disorders. J Prosthet Dent 1986;56:727–31
Tymofiyeva O, Proff P, Richter E-J, Jakob P, Fanghanel J, Gedrange T, Rotner K. Correlation of MRT imaging with real-time axiography of TMJ clicks. Anat Anz 2007;189:356–61
Westling L. Temporomandibular joint dysfunction and systemic joint laxity. Swed Dent J Suppl 1992;81:1–79
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Currie, P. Age and gender as factors in temporomandibular joint movement in adolescents, as determined by computerized 3D electronic condylography. J. Stomat. Occ. Med. 3, 76–82 (2010). https://doi.org/10.1007/s12548-010-0048-2
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DOI: https://doi.org/10.1007/s12548-010-0048-2