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Mandibular Movement Characteristics of an Anterior Disc Displacement with Reduction
1Department of Oral Function, Section Craniomandibular Disorders, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands
*Corresponding Author(s): Machiel Naeije E-mail: m.naeije@acta.nl
Aims: According to the Research Diagnostic Criteria (J Craniomandib Disord 1992;6(4):301–355), an anterior disc displacement with reduction (ADD) is characterized by reciprocal clicking with the opening click occurring at a mouth opening at least 5 mm greater than that of the closing click. The aim of this study was to test whether the 5-mm criterion of the RDC is characteristic for a click due to an ADD. Methods: From 30 participants with a unilateral ADD, recordings of mandibular movements with 6 degrees of freedom as well as joint sound recordings were made. The participants performed free open movements and loaded closing movements. Results: In 8 joints (27%), the 5-mm criterion was not fulfilled. For 2 participants, the click while closing occurred with an even larger mouth opening than that while opening. Recordings of the condylar movements showed that the opening clicks occurred over a broad range of the opening movement, whereas all the closing clicks occurred just before the condyle reached its terminal position in the fossa. Conclusion: The 5-mm criterion of the RDC is not characteristic of all anterior disc displacements with reduction.
temporomandibular joint; anterior disc displacement; clicking; condylar movements; recognition
James J.R. Huddleston Slater,Frank Lobbezoo,Machiel Naeije. Mandibular Movement Characteristics of an Anterior Disc Displacement with Reduction. Journal of Oral & Facial Pain and Headache. 2002. 16(2);135-142.
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