The evaluation of temporomandibular joint disc position in TMJ disorders using MRI

Öǧütcen-Toller M., Taşkaya-Yi̊lmaz N., Yi̊lmaz F.

International Journal of Oral and Maxillofacial Surgery, vol.31, no.6, pp.603-607, 2002 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 31 Issue: 6
  • Publication Date: 2002
  • Doi Number: 10.1054/ijom.2002.0321
  • Journal Name: International Journal of Oral and Maxillofacial Surgery
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.603-607
  • Keywords: Disc displacement, Magnetic resonance imaging, Temporomandibular joint
  • Ondokuz Mayıs University Affiliated: Yes


The purpose of this study was to correlate disc position and the type of disc displacement, intra-capsular effusion and degenerative changes of the condyle as demonstrated in MRI studies. In this study, 126 temporomandibular joints (TMJs) of 63 patients with TMJ disorders were investigated using clinical examination and MRI. One hundred and twelve TMJs were found to have internal derangement as disc displacement. The angle between the posterior margin of the disc and the vertical line drawn through the centre of the condyle was measured on MRI for each TMJ. The positions of the discs were normal, 0°-10°, in 11.11%; slightly displaced, 11°-30°, in 37.30%; mildly displaced 31°-50°, in 15.08%; moderately displaced, 51°-80°, in 7.14% of the TMJs with anterior displacement with reduction (ADDR), The disc position was severely displaced anteriorly, as over 80°, in all TMJs with anterior disc displacement without reduction (ADD), constituting 27.78% of all cases. We found that the smaller the degree of disc displacement the milder the internal derangement and that the intra-capsular effusion was more frequently associated with TMJ with ADDR. The degenerative condylar changes were more severe with an increased degree of anterior disc displacement.