West China Journal of Stomatology ›› 2021, Vol. 39 ›› Issue (2): 203-208.doi: 10.7518/hxkq.2021.02.012

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Three-dimensional morphological changes in the temporomandibular joints of patients with anterior disc displacement with reduction

Teng Haidong(), Shu Jingheng, Sun Tinghui, Pan Shiyu, Liu Zhan()   

  1. Key Laboratory for Biomechanical Engineering of Sichuan Province, Sichuan University, Chengdu 610065, China
  • Received:2020-02-15 Revised:2020-08-31 Online:2021-04-01 Published:2021-04-09
  • Contact: Liu Zhan E-mail:1187627224@qq.com;bmeliuzhan@163.com
  • Supported by:
    The National Natural Science Foundation of China(31670963)

Abstract: Objective

To investigate the differences in the temporomandibular joints (TMJs) between patients with anterior disc displacement with reduction (ADDwR) and asymptomatic subjects by using 3D morphometric measurements.


A total of 15 patients with ADDwR and 10 asymptomatic subjects were enrolled. Then, 3D models of the maxilla and mandible were reconstructed using MIMICS 20.0. Nine morphologic parameters of TMJs on both sides were measured on the 3D solid model. The differences in the parameters were analyzed between the patients and the asymptomatic subjects and between the left and right sides of each group.


The horizontal and coronal condylar angles on the ipsilateral side of the patients were significantly greater than those of the asymptomatic subjects (P<0.01). Meanwhile, the sagittal ramus angle (SRA), medial joint space, lateral joint space, superior joint space, anterior joint space, and posterior joint space in the patients were significantly lower than those in the asymptomatic subjects (P<0.01).


ADDwR will increase the condylar angles to be significantly greater than the normal level and decrease SRA and articular spaces to be significantly smaller than the normal level. The condyles will be displaced upward, closer to the fossa.

Key words: anterior disc displacement, three-dimensional morphology, temporomandibular joint, temporomandibular disorder

CLC Number: