The increasing risk of temporomandibular disorder and articular eminence inclination due to tooth loss

Ricca Chairunnisa; Rahmadhani Harahap

doi:10.24198/pjd.vol34no2.33067

The increasing risk of temporomandibular disorder and articular eminence inclination due to tooth loss

Ricca Chairunnisa, Rahmadhani Harahap

Abstract

ABSTRACT

Introduction: Tooth loss leads to increased biomechanical pressure in the temporomandibular joint due to changes in the functional movement pattern of the jaw, resulting in joint structure damage specifically change of the articular eminence inclination (AEI) angle, which is one of the increased risks of the temporomandibular disorder (TMD). This study aimed to analyze the relationship between the number and quadrants of tooth loss on TMD and the AEI. Methods: It was descriptive-analytic study using a cross sectional design. The study was done in Universitas Sumatera Utara (USU) Dental hospital, conducted questionnaires and panoramic radiographic on 42 subjects aged over 18-64 years with tooth loss. Data analyzed used Chi-square analysis. Results: The prevalence of TMD on the ≥3 tooth loss group by 82.6% and the four-quadrant group by 93.8%. The prevalence of change in the AEI on the ≥3 tooth loss group was 34.8% on the flat right side, while on the left side of 26.1% was flat, and 13% was steep. Based on the number of quadrants tooth loss, the highest was on the four-quadrant group by 50% on flat right side, and on the three-quadrant group was 25% flat, 25% steep on the left side. There was a significant relationship between the number of tooth loss (p=0.023), the number of tooth loss quadrants, and TMD (p=0.016). There was no relationship between the number of tooth loss and the AEI, except for the number of tooth loss quadrants and the AEI on the right side with a significant result (p=0.017). Conclusion: There was relationship between the number of tooth loss, the number of tooth loss quadrants, and TMD and there was no relationship between the number of tooth loss and the AEI, except for the number of tooth loss quadrants and the AEI on the right side.

Keywords: Edentulous; tooth loss; temporomandibular disorder; inclination of articular eminence.

Keywords

Edentulous; tooth loss; temporomandibular disorder; inclination of articular eminence.

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References

REFERENCES

Okeson J. Management of temporomandibular Disorders and Occlusion. 8th ed. Missouri: Elsevier Mosby. 2020: 3-63.

Bordin TB, Conci RA, Pezzini MMG, Pezzini RP, Mendonca MJ. Prevalence of sign and symtoms of temporomandibular disorders (TMD) in patient wearing bimaxillary complete denture, removable partial dentures and in students with natural dentition. Acta Odontol Latinoam. 2013; 26(3): 173-80

Alzarea BK. Temporomandibular disorders (tmd) in edentulous patients: a review and proposed classification (dr. Bader’s classification). J Clin Diagn Res. 2015; 9(4): ZE06-9. DOI: 10.7860/JCDR/2015/13535.5826.

Shet RG, Rao S, Patel R, Suvvati P, Sadar LR, Yadav RD. Prevalence of temporomandibular joint dysfunction and its signs among the partially edentulous patients in a village of North Gujarat. J Contemp Dent Pract. 2013; 14(6): 1151-5. DOI: 10.5005/jp-journals-10024-1466.

Ferreira LA, Grossmann E, Januzzi E, de Paula MV, Carvalho AC. Diagnosis of temporomandibular joint disorders: indication of imaging exams. Braz J Otorhinolaryngol. 2016; 82(3): 341-52. DOI: 10.1016/j.bjorl.2015.06.010.

Im YG, Lee JS, Park JI, Lim HS, Kim BG, Kim JH. Diagnostic accuracy and reliability of panoramic temporomandibular joint (TMJ) radiography to detect bony lesions in patients with TMJ osteoarthritis. J Dent Sci. 2018; 13(4): 396-404. DOI: 10.1016/j.jds.2018.08.006.

Prasad KD, Shah N, Hegde C. A clinico-radiographic analysis of sagittal condylar guidance determined by protrusive interocclusal registration and panoramic radiographic images in humans. Contemp Clin Dent. 2012; 3(4): 383-7. DOI: 10.4103/0976-237X.107419.

Manja CD, Rajaduray D. Analysis of height and width of mandibular condyle and shape of the articular eminence with and without clicking using tmj radiography. Int J Dent Res. 2019; 4(3): 99-103.

Rabelo KA, Sousa Melo SL, Torres MGG, Campos PSF, Bento PM, Melo DP. Condyle excursion angle, articular eminence inclination, and temporomandibular joint morphologic relations with disc displacement. J Oral Maxillofac Surg. 2017; 75(5): 938. e1-938.e10. DOI: 10.1016/j.joms.2017.01.019.

Sa SC, Melo SL, Melo DP, Freitas DQ, Campos PS. Relationship between articular eminence inclination and alterations of the mandibular condyle: a CBCT study. Braz Oral Res. 2017 Mar 30;31:e25. DOI: 10.1590/1807-3107BOR-2017.vol31.0025.

Chiang MT, Li TI, Yeh HW, Su CC, Chiu KC, Chung MP, Shieh YS. Evaluation of missing-tooth effect on articular eminence inclination of temporomandibular joint. J Dent Sci. 2015; 10(4): 383–7. DOI: 10.1016/j.jds.2015.02.001

Chairunnisa R, Sihombing RJ. The association between of tooth loss, tooth loss quadrants, and occlusal support with temporomandibular disorders in partially edentuluous patients. Adv in Heal Sci Res. 2018; 8: 255-7. DOI: 10.2991/idcsu-17.2018.65

Fallahi HR. Evaluation of the Relationship Between Partial Edentulism and TMJ Disorders. Biosci Biotech Res Asia. 2016; 13(3): 1726-9. DOI: 10.13005/bbra/2323

Al-Shumailan Y. The prevalence and association of sign and symptoms of temporomandibular disorder with missing posterior tooth in adult jordania subject. JRMS. 2015; 22(2): 23-4. DOI: 10.12816/0011360

Malheiros AS, Carvalhal ST, Pereira TL, Filho EM, Tonetto MR, Gonçalves LM, Bandeca MC, De Jesus Tavarez RR. Association between tooth loss and degree of temporomandibular disorders: a comparative study. J Contemp Dent Pract. 2016; 17(3): 235-9. DOI: 10.5005/jp-journals-10024-1833.

Gupta S, Gupta R, Garg R. Partial Edentulous and Temporomandibular Disorder. J Dent And Med Sciences. 2014; 13(12): 60-3. DOI: 10.9790/0853-131246063

DOI: https://doi.org/10.24198/pjd.vol34no2.33067