Browse > Article
http://dx.doi.org/10.5125/jkaoms.2022.48.3.155

Mischievous mandibular third molars camouflaging temporomandibular joint disorders  

Bhardwaj, Aakansha (Department of Oral and Maxillofacial Surgery, Jaipur Dental College)
Gupta, Savina (Department of Oral and Maxillofacial Surgery, Jaipur Dental College)
Narula, Jai (Private Clinic, Palm Desert)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.48, no.3, 2022 , pp. 155-158 More about this Journal
Abstract
Objectives: The aim of this study was to observe the relationship between impacted mandibular third molars and development of temporomandibular joint (TMJ) disorders. Knowledge of the factors that have an adverse effect on the TMJ is necessary for proper diagnosis, treatment, and prognosis of TMJ disorders. Materials and Methods: The study was performed on 80 patients aged between 20 and 60 years with impacted mandibular third molars, over a period of two months. The patients were examined clinically and radiologically to determine the type of impaction and detect the associated TMJ symptoms or disorders. Results: In the 80 patients, 63.8% (51/80) of TMJ disorders were found in the horizontal group, 46.3% (37/80) in the mesioangular group, 42.5% (34/80) in the distoangular group, and 30.0% (24/80) in the vertical group of impacted mandibular third molars. Conclusion: The study concluded that type of impacted mandibular third molar is factor in the development of temporomandibular disorders.
Keywords
Clicking; Tenderness; Impaction; Molar; Temporomandibular joint;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Kurita H, Ohtsuka A, Kobayashi H, Kurashina K. The relationship between the degree of disk displacement and ability to perform disk reduction. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90:16-20. https://doi.org/10.1067/moe.2000.107222   DOI
2 Abouelhuda AM, Kim HS, Kim SY, Kim YK. Association between headache and temporomandibular disorder. J Korean Assoc Oral Maxillofac Surg 2017;43:363-7. https://doi.org/10.5125/jkaoms.2017.43.6.363   DOI
3 Bertoli FM, Antoniuk SA, Bruck I, Xavier GR, Rodrigues DC, Losso EM. Evaluation of the signs and symptoms of temporomandibular disorders in children with headaches. Arq Neuropsiquiatr 2007;65:251-5. https://doi.org/10.1590/s0004-282x2007000200012   DOI
4 Deliverska EG, Petkova M. Complications after extraction of impacted third molars - literature review. J IMAB 2016;22:1202-11. https://doi.org/10.5272/jimab.2016223.1202   DOI
5 Huang GJ, Rue TC. Third-molar extraction as a risk factor for temporomandibular disorder. J Am Dent Assoc 2006;137:1547-54. https://doi.org/10.14219/jada.archive.2006.0090   DOI
6 Ugolini A, Mapelli A, Segu M, Zago M, Codari M, Sforza C. Three-dimensional mandibular motion in skeletal Class III patients. Cranio 2018;36:113-20. https://doi.org/10.1080/08869634.2017.1299830   DOI
7 Jasim HH. Effect of the impacted third molars on the development of temporomandibular joint (TMJ) clicking. J Int Oral Health 2019;11:393-7. https://doi.org/10.4103/jioh.jioh_310_18   DOI
8 Clark GT. Etiologic theory and the prevention of temporomandibular disorders. Adv Dent Res 1991;5:60-6. https://doi.org/10.1177/08959374910050010901   DOI
9 Barbosa C, Gavinha S, Soares T, Manso MC. Coincidence and awareness of the relationship between temporomandibular disorders and jaw injury, orthodontic treatment, and third molar removal in university students. J Oral Facial Pain Headache 2016;30:221-7. https://doi.org/10.11607/ofph.1587   DOI
10 De Rossi SS, Greenberg MS, Liu F, Steinkeler A. Temporomandibular disorders: evaluation and management. Med Clin North Am 2014;98:1353-84. https://doi.org/10.1016/j.mcna.2014.08.009   DOI
11 Akhter R, Hassan NM, Ohkubo R, Tsukazaki T, Aida J, Morita M. The relationship between jaw injury, third molar removal, and orthodontic treatment and TMD symptoms in university students in Japan. J Orofac Pain 2008;22:50-6.
12 Kim JY, Jee HG, Song HC, Kim SJ, Kim MR. Clinical and pathologic features related to the impacted third molars in patients of different ages: a retrospective study in the Korean population. J Dent Sci 2017;12:354-9. https://doi.org/10.1016/j.jds.2017.01.004   DOI
13 Pullinger AG, Seligman DA. TMJ osteoarthrosis: a differentiation of diagnostic subgroups by symptom history and demographics. J Craniomandib Disord 1987;1:251-6.
14 Honda K, Natsumi Y, Urade M. Correlation between MRI evidence of degenerative condylar surface changes, induction of articular disc displacement and pathological joint sounds in the temporomandibular joint. Gerodontology 2008;25:251-7. https://doi.org/10.1111/j.1741-2358.2008.00219.x   DOI
15 DeAngelis AF, Chambers IG, Hall GM. Temporomandibular joint disorders in patients referred for third molar extraction. Aust Dent J 2009;54:323-5. https://doi.org/10.1111/j.1834-7819.2009.01157.x   DOI
16 Murphy MK, MacBarb RF, Wong ME, Athanasiou KA. Temporomandibular disorders: a review of etiology, clinical management, and tissue engineering strategies. Int J Oral Maxillofac Implants 2013;28:e393-414. https://doi.org/10.11607/jomi.te20   DOI
17 Juhl GI, Jensen TS, Norholt SE, Svensson P. Incidence of symptoms and signs of TMD following third molar surgery: a controlled, prospective study. J Oral Rehabil 2009;36:199-209. https://doi.org/10.1111/j.1365-2842.2008.01925.x   DOI
18 Fischer DJ, Mueller BA, Critchlow CW, LeResche L. The association of temporomandibular disorder pain with history of head and neck injury in adolescents. J Orofac Pain 2006;20:191-8.
19 Mirmohamadsadeghi H, Alavi O, Karamshahi M, Tabrizi R. Prevalence of temporomandibular joint problems in candidate patients for impacted third molar surgery with and without the previous temporomandibular disorder: a prospective study. Dent Hypotheses 2019;10:29-33. https://doi.org/10.4103/denthyp.denthyp_48_19   DOI
20 Lopes V, Mumenya R, Feinmann C, Harris M. Third molar surgery: an audit of the indications for surgery, post-operative complaints and patient satisfaction. Br J Oral Maxillofac Surg 1995;33:33-5. https://doi.org/10.1016/0266-4356(95)90083-7   DOI