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Temporomandibular Joint: Disorders, Treatments, and Biomechanics

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Abstract

Temporomandibular joint (TMJ) is a complex, sensitive, and highly mobile joint. Millions of people suffer from temporomandibular disorders (TMD) in USA alone. The TMD treatment options need to be looked at more fully to assess possible improvement of the available options and introduction of novel techniques. As reconstruction with either partial or total joint prosthesis is the potential treatment option in certain TMD conditions, it is essential to study outcomes of the FDA approved TMJ implants in a controlled comparative manner. Evaluating the kinetics and kinematics of the TMJ enables the understanding of structure and function of normal and diseased TMJ to predict changes due to alterations, and to propose more efficient methods of treatment. Although many researchers have conducted biomechanical analysis of the TMJ, many of the methods have certain limitations. Therefore, a more comprehensive analysis is necessary for better understanding of different movements and resulting forces and stresses in the joint components. This article provides the results of a state-of-the-art investigation of the TMJ anatomy, TMD, treatment options, a review of the FDA approved TMJ prosthetic devices, and the TMJ biomechanics.

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References

  1. Abubaker, A. O., P. C. Hebda, J. N. Gunsolley. Effects of sex hormones on protein and collagen content of the temporomandibular joint disc of the rat. J. Oral Maxillofac. Surg. 54:721–727, 1996. doi:10.1016/S0278-2391(96)90690-4

    PubMed  CAS  Google Scholar 

  2. Al-Ani, M. Z., S. J. Davies, R. J. M. Gray, P. Sloan, and A. M. Glenny. Stabilisation splint therapy for temporomandibular pain dysfunction syndrome. Cochrane Database of Systematic Reviews. Issue 1, 2004. Art. No.: CD002778. doi:10.1002/14651858.CD002778.pub2. Retrieved on 01/22/2009, from http://mrw.interscience.wiley.com/cochrane/clsysrev/articles/CD002778/pdf_fs.html.

  3. Alomar, X., J. Medrano, J. Cabratosa, J. A. Clavero, M. Lorente, I. Serra, J. M. Monill, A. Salvador. Anatomy of the temporomandibular joint. Semin. Ultrasound, CT, and MRI. 28:170–183, 2007.

    CAS  Google Scholar 

  4. Alpaslan, C., M. F. Dolwick, M. W. Heft. Five-year retrospective evaluation of temporomandibular joint arthrocentesis. Int. J. Oral Maxillofac. Surg. 32:263–267, 2003. doi:10.1054/ijom.2003.0371

    PubMed  CAS  Google Scholar 

  5. American Association of Oral and Maxillofacial Surgeons (AAOMS). The temporomandibular joint (TMJ). Retrieved on 10/14/2007, from http://www.aaoms.org/tmj.php.

  6. Bakke, M., M. Zak, B. L. Jensen, F. K. Pedersen. Orofacial pain, jaw function, and temporomandibular disorders in women with a history of juvenile chronic arthritis or persistent juvenile chronic arthritis. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 92:406–414, 2001. doi:10.1067/moe.2001.115467

    PubMed  CAS  Google Scholar 

  7. Barbick, M., M. F. Dolwick, S. Rose, S. Abramowicz. Adaptibility of Biomet Lorenz tmj prosthesis to joints that were previously treated with the tmj concepts custom joint prosthesis. Oral Med Oral Pathol Oral Radiol Endod 106(2):e17, 2008. doi:10.1016/j.tripleo.2008.05.058

    Google Scholar 

  8. Beek M., M. P. Aarnts, J. H. Koolstra, A. J. Feilzer, T. M. G. J. van Eijden. Dynamical properties of the human temporomandibular joint disc. J. Dent. Res. 80:876–880, 2001a. doi:10.1177/00220345010800030601

    PubMed  CAS  Google Scholar 

  9. Beek, M., J. Koolstra, L. van Ruijven, T. van Eijden. Three dimensional finite element analysis of the cartilaginous structures in the human temporomandibular joint. J. Dent. Res. 80:1913–1918, 2001b. doi:10.1177/00220345010800101001

    PubMed  CAS  Google Scholar 

  10. Beek, M., J. H. Koolstra, T. M. G. J. van Eijden. Human temporomandibular joint disc cartilage as a poroelastic material. Clin. Biomech. 18:69–76, 2003. doi:10.1016/S0268-0033(02)00135-3

    CAS  Google Scholar 

  11. Biomet Microfixation. Retrieved on 02/04/2009, from http://www.lorenzsurgical.com/downloads/BMF-7014%20TMJBro%20(d)4Final.pdf.

  12. Brehnan, K., R. L. Boyd, J. Laskin, C. H. Gibbs, P. Mahan. Direct measurement of loads at the temporomandibular joint in macaca arctoides. J Dent Res. 60: 1820–1824, 1981.

    PubMed  CAS  Google Scholar 

  13. Breul, R., G. Mall, J. Landgraf, R. Scheck. Biomechanical analysis of stress distribution in the human temporomandibular-joint. Ann. Anat. 181:55–60, 1999. doi:10.1016/S0940-9602(99)80090-9

    PubMed  CAS  Google Scholar 

  14. Campbell, J. H., M. S. Courey, P. Bourne, et al. Estrogen receptor analysis of human temporomandibular disc. J. Oral Maxillofac. Surg. 51:1101, 1993.

    Article  PubMed  CAS  Google Scholar 

  15. Chase, D. C., J. W. Hudson, D. A. Gerard, R. Russell, K. Chambers, J. R. Curry, J. E. Latta, R. W. Christensen. The Christensen prosthesis: a retrospective clinical study. Oral Surg. Oral Med. Oral Pathol. 80:273–278, 1995.

    CAS  Google Scholar 

  16. Chen, J., U. Akyuz, L. Xu, R. M. V. Pidaparti. Stress analysis of the human temporomandibular joint. Med. Eng. Phys. 20:565–572, 1998. doi:10.1016/S1350-4533(98)00070-8

    PubMed  CAS  Google Scholar 

  17. Chung, S. C., Y. K. Kim, H. S. Kim. Prevalence and patterns of nocturnal bruxofacets on stabilization splints in temporomandibular disorder patients. Cranio. 18:92, 2000.

    PubMed  CAS  Google Scholar 

  18. Cleveland Clinic. Health information. Retrieved on 09/21/2007, from http://www.clevelandclinic.org/health/.

  19. Dao, T. T., G. J. Lavigne. Oral splints: the crutches for temporomandibular disorders and bruxism? Crit. Rev. Oral Biol. Med. 9:345–361, 1998. doi:10.1177/10454411980090030701

    PubMed  CAS  Google Scholar 

  20. Dental Care Ottawa. Retrieved on 04/09/2008, from http://www.dentalcareottawa.com/Smile%20Spa%20Images/EQUIPMENT%20PICTURES/SoftSplint.gif.

  21. Detamore, M. S., K. A. Athanasiou. Structure and function of the temporomandibular joint disc: Implications for tissue engineering. J Oral Maxillofac Surg 61(4):494–506, 2003. doi:10.1053/joms.2003.50096

    PubMed  Google Scholar 

  22. Detamore, M. S., K. A. Athanasiou, J. Mao. A call to action for bioengineers and dental professionals: directives for the future of TMJ bioengineering. Ann Biomed Eng 35(8):1301–1311, 2007. doi:10.1007/s10439-007-9298-6

    PubMed  Google Scholar 

  23. Dingworth, D. J., L. M. Wolford, R. M. Talwar, et al. Comparison of two total joint prosthesis systems used for TMJ reconstruction. J. Oral Maxillofac. Surg. 56(Suppl. 4):59, 1998.

    Google Scholar 

  24. Dutton, M. Orthopaedic Examination, Evaluation, & Intervention. New York: McGraw Hill, 2004.

    Google Scholar 

  25. Eberhard, D., H. P. Bantleon, W. Steger. The efficacy of anterior repositioning splint therapy studied by magnetic resonance imaging. European Journal of Orthodontics. 24: 343–352, 2002. doi:10.1093/ejo/24.4.343

    PubMed  CAS  Google Scholar 

  26. Farrar, W. B., W. L. McCarty Jr. The TMJ dilemma. J. Ala. Dent. Assoc. 63:19, 1979.

    PubMed  CAS  Google Scholar 

  27. Fields, R. T., L. M. Wolford. The osseointegration of Mitek mini anchors in the mandibular condyle. J. Oral Maxillofac. Surg. 59:1402–1406, 2001. doi:10.1053/joms.2001.28268

    PubMed  Google Scholar 

  28. Forssell, H., E. Kalso. Application of principles of evidence-based medicine to occlusal treatment for temporomandibular disorders: are there lessons to be learned? J. Orofac. Pain 18:9–22, (discussion) 23–32, 2004.

    PubMed  Google Scholar 

  29. Forsell, H., E. Kalso, P. Koskela, R. Vehmanen, P. Puukka, P. Alanen. Occlusal treatments in temporomandibular disorders: a qualitative systematic review of randomized controlled trials. Pain. 83:549–560, 1999. doi:10.1016/S0304-3959(99)00160-8

    Google Scholar 

  30. Fricton, J. R., J. O. Look, E. Schiffman, J. Swift. Long-term study of temporomandibular joint surgery with alloplastic implants compared with nonimplant surgery and nonsurgical rehabilitation for painful temporomandibular joint disc displacement. J. Oral Maxillofac. Surg. 60(12):1400–1411, 2002. doi:10.1053/joms.2002.36091

    PubMed  Google Scholar 

  31. Gadd, A., and T. Goswami. Temporomandibular disorder and joint replacement. Biomed. Mater., Paper No. BMW-RANL-7PJRW3, 2009.

  32. Gerard, D. A., and J. W. Hudson. The Christensen temporomandibular joint prosthesis system: an overview. TMJournal, 2002. Retrieved on 09/20/2007, from http://tmjournal.com/library/CP-009.pdf.

  33. Glaros, A. G., Z. Owais, L. Lausten. Reduction in parafuncational activity: a potential mechanism for the effectiveness of splint therapy. J. Oral Rehabil. 34:97–104, 2007. doi:10.1111/j.1365-2842.2006.01660.x

    PubMed  CAS  Google Scholar 

  34. Glass, E. G., A. G. Glaros, and F. D. McGlynn. Myofascial pain dysfunction: treatments used by ADA members. Cranio 11:25–29, 1993.

    PubMed  CAS  Google Scholar 

  35. Going, R. B., Jr. Arthroscopy in the conservative Management of TMD. Temporomandibular disorders. 2nd edition. New York: Churchill Livingstone, 217–236, 1994.

    Google Scholar 

  36. Gray, R. J. M., S. J. Davies, A. A. Quayle. Temporomandibular disorders: a clinical approach. London: British Dental Association, 1995.

    Google Scholar 

  37. Halliwell, B., J. M. C. Gutteridge. Free radicals in biology and medicine. Oxford, Clarendon press, 1995.

    Google Scholar 

  38. Hansdottir, R., M. Bakke. Joint tenderness, jaw opening, chewing velocity, and bite force in patients with temporomandibular joint pain and matched healthy control subjects. J. Orofac. Pain 18:108–113, 2004.

    PubMed  Google Scholar 

  39. Haruki, S. Stored Tendon Allograft for TMJ Disc Replacement Following Discectomy in Rabbit. J. Oral Maxillofac. Surg. 63(8):98, 2005.

    Google Scholar 

  40. Hebert, L. A. Overcoming TMJ: There is hope. Greenville, ME: IMPACC USA, 1996

    Google Scholar 

  41. Hibi, H., M. Ueda. Body posture during sleep and disc displacement in the temporomandibular joint: a pilot study. J. Oral Rehabil. 32:85–89, 2005. doi:10.1111/j.1365-2842.2004.01386.x

    PubMed  CAS  Google Scholar 

  42. Homandberg, G. A., R. Meyers, D. L. Xie. Fibronectin fragments cause chondrolysis of bovine articular cartilage slices in culture. J. Biol. Chem. 267:3597, 1992.

    PubMed  CAS  Google Scholar 

  43. Huang, S. C. Dynamics modeling of human temporomandibular joint during whiplash. Bio-Med. Mater. Eng. 9:233–241, 1999.

    CAS  Google Scholar 

  44. Huddleston Slater, J. J., C. M. Visscher, F. Lobbezoo, M. Naeije 1999 The intra-articular distance within the TMJ during free and loaded closing movements. J Dent Res. 78:1815–1820, 1999. doi:10.1177/00220345990780120801

    PubMed  CAS  Google Scholar 

  45. Hylander, L. W. An experimental analysis of temporomandibular joint reaction force in macaques. Am J Phys Anthropol. 51: 433–456, 1979. doi:10.1002/ajpa.1330510317

    PubMed  CAS  Google Scholar 

  46. Ide, Y., K. Nakazawa, T. Hongo, J. Taleishi, K. Kamimura. Anatomical Atlas of the Temporomandibular Joint. Chicago: Quintessence Pub. Co., 1991.

    Google Scholar 

  47. Kalamir, A., H. Pollard, A. L. Vitiello, R. Bonello. TMD and the problem of bruxism—a review. J. Bodywork Mov. Ther. 11:183–193. 2007. doi:10.1016/j.jbmt.2006.11.006

    Google Scholar 

  48. Kang, H., G. Bao, S. Qi. Biomechanical responses of human temporomandibular joint disc under tension and compression. Int. J. Oral Maxillofac. Surg. 35:817–821, 2006. doi:10.1016/j.ijom.2006.03.005

    PubMed  CAS  Google Scholar 

  49. Kasch, H., T. Hjorth, P. Svensson, L. Nyhuus, T. S. Jensen. Temporomandibular disorders after whiplash injury: a controlled, prospective study. J. Orofac. Pain. 16(2):118–128, 2002.

    PubMed  Google Scholar 

  50. Kiehn, C. L., J. D. Des Prez, C. F. Converse. A new procedure for total temporomandibular joint replacement. Plast. Reconstr. Surg. 53:221–226, 1974. doi:10.1097/00006534-197402000-00022

    PubMed  CAS  Google Scholar 

  51. Komistek, R. D., D. A. Dennis, J. A. Mabe, D. T. Anderson. In vivo kinetics and kinematics of the normal and implanted TMJ. J. Biomech. 31: 13, 1998. doi:10.1016/S0021-9290(98)80028-6

    Google Scholar 

  52. Koolstra, J., T. M. G. J. van Eijden. Combined finite-element and rigid-body analysis of human jaw joint dynamics. J. Biomech. 38:2431–2439, 2005. doi:10.1016/j.jbiomech.2004.10.014

    PubMed  CAS  Google Scholar 

  53. Koolstra, J., T. M. G. J. van Eijden. Prediction of volumetric strain in the human temporomandibular joint cartilage during jaw movement. J. Anat. 209:369–380, 2006a. doi:10.1111/j.1469-7580.2006.00612.x

    PubMed  CAS  Google Scholar 

  54. Koolstra, J., T. M. G. J. van Eijden. Viscoelastic behavior of the temporomandibular joint disc during masticatory dynamics. J. Biomech. 39(Suppl. 1):49, 2006b. doi:10.1016/S0021-9290(06)83740-1

    Google Scholar 

  55. Korioth, T. W. P., A. G. Hannam. Mandibular forces during simulated tooth clenching. J Orofac pain. 8(2): 178–189, 1994.

    PubMed  CAS  Google Scholar 

  56. Korioth, T.W.P., A. Versluis. Modeling the mechanical behavior of the jaws and their related structures by finite element (FE) analysis. Crit Rev Oral Biol Med. 8(1): 91–104, 1997. doi:10.1177/10454411970080010501

    Google Scholar 

  57. Kreiner, M., E. Betancor, G. T. Clark. Occlusal stabilization appliances. Evidence of their efficacy. J. Am. Dent. Assoc. 132:770–777, 2001.

    PubMed  CAS  Google Scholar 

  58. Kubein-Messenburg, D., H. Nagerl, J. Fanghanel. Elements of a general theory of joints. Anat Anz. 170: 301–308, 1990.

    Google Scholar 

  59. Laskin, D. M. Indications and Limitations of TMJ surgery. TMDs: Temporomandibular disorders: an evidence-based approach to diagnosis and treatment. Chicago: Quintessence, 2006.

    Google Scholar 

  60. Marbach, J. J., K. G. Raphael. Future directions in the treatment of chronic musculoskeletal facial pain: the role of evidence-based care. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 83:49–183, 1997. doi:10.1016/S1079-2104(97)90110-4

    Google Scholar 

  61. Mayo Foundation for Medical Education and Research. Retrieved on 10/10/2007, from http://www.mayoclinic.org/tmj/.

  62. Mehra, P., L. M. Wolford. The Mitek mini anchor for TMJ disc repositioning: surgical technique and results. Int. J. Oral Maxillofac. Surg. 30:497–503, 2001. doi:10.1054/ijom.2001.0163

    PubMed  CAS  Google Scholar 

  63. Mercuri, L. G. The use of alloplastic prostheses for temporomandibular joint reconstruction. J. Oral Maxillofac. Surg. 58:70–75, 2000. doi:10.1016/S0278-2391(00)80020-8

    PubMed  CAS  Google Scholar 

  64. Mercuri, L. G., F. A. Ali, R. Woolson. Outcomes of total alloplastic replacement with periarticular autogenous fat grafting for management of reankylosis of the temporomandibular joint. J. Oral Maxillofac. Surg. 66:1794–1803, 2008. doi:10.1016/j.joms.2008.04.004

    PubMed  Google Scholar 

  65. Mercuri, L. G., N. R. Edibam, A. Giobbie-Hurder. Fourteen-year follow-up of a patient-fitted total temporomandibular joint reconstruction system. J. Oral Maxillofac. Surg. 65:1440–1448, 2007. doi:10.1016/j.joms.2007.04.004

    Google Scholar 

  66. Mercuri, L. G., A. Giobbie-Hurder. Long-term outcomes after total alloplastic temporomandibular joint reconstruction following exposure to failed materials. J. Oral Maxillofac. Surg. 62(9):1088–1096, 2004. doi:10.1016/j.joms.2003.10.012

    PubMed  Google Scholar 

  67. Mercuri, L. G., L. M. Wolford, B. Sanders, et al. Long-term follow-up of the CAD/CAM patient fitted total temporomandibular joint reconstruction system. J. Oral Maxillofac. Surg. 60:1440–1448, 2002. doi:10.1053/joms.2002.36103

    PubMed  Google Scholar 

  68. Milam, S. B. Failed implants and multiple operations. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 83(1):156–162, 1997. doi:10.1016/S1079-2104(97)90107-4

    PubMed  CAS  Google Scholar 

  69. Milam, S. B. The process of lubrication impairment and its involvement in temporomandibular joint disc displacement: a theoretical concept. (Discussion). J. Oral Maxillofac. Surg. 59:45. doi:10.1053/joms.2001.19282

    Google Scholar 

  70. Milam, S. B., J. P. Schmitz. Molecular biology of temporomandibular joint disorders: proposed mechanisms of disease. J. Oral Maxillofac. Surg. 53:1448–1454, 1995. doi:10.1016/0278-2391(95)90675-4

    PubMed  CAS  Google Scholar 

  71. Milam, S. B., G. Zardeneta, J. P. Schmitz. Oxidative stress and degenerative temporomandibular joint disease: a proposed hypothesis. J. Oral Maxillofac. Surg. 56:214–223, 1998. doi:10.1016/S0278-2391(98)90872-2

    PubMed  CAS  Google Scholar 

  72. Molinari, F., P. F. Manicone, L. Raffaelli, R. Raffaelli, T. Pirronti, L. Bonomo. Temporomandibular joint soft-tissue pathology, I: Disc abnormalities. Seminars in Ultrasound, CT, and MRI 28(3):192–204, 2007.

    Google Scholar 

  73. Naeije, M., N. Hofman. Biomechanics of the human temporomandibular joint during chewing. J Dent Res. 82(7):528–531, 2003. doi:10.1177/154405910308200708

    PubMed  CAS  Google Scholar 

  74. Nitzan, D. W. Intraarticular pressure in the functioning human temporomandibular joint and its alteration by uniform elevation of the occlusal plane. J. Oral Maxillofac. Surg. 52:671, 1994. doi:10.1016/0278-2391(94)90476-6

    PubMed  CAS  Google Scholar 

  75. Pellizoni, S. E. P., M. A. C. Salioni, Y. Juliano, A. S. Guimarães, L. G. Alonso. Temporomandibular joint disc position and configuration in children with functional unilateral posterior crossbite: a magnetic resonance imaging evaluation. Am J Orthod Dentofac Orthoped 129(6):785–793, 2006.

    Google Scholar 

  76. Pérez-Palomar, A., M. Doblaré. The effect of collagen reinforcement in the behavior of the temporomandibular joint disc. J. Biomech. 39: 1075–1085, 2006a. doi:10.1016/j.jbiomech.2005.02.009

    Google Scholar 

  77. Pérez-Palomar, A., M. Doblaré. Finite element analysis of the temporomandibular joint during lateral excurision of the mandible. J. Biomech. 39:2153–2163, 2006b. doi:10.1016/j.jbiomech.2005.06.020

    Google Scholar 

  78. Pérez-Palomar, A., M. Doblaré. An accurate simulation model of anteriorly displaced TMJ discs with and without reduction. Med. Eng. Phys. 29:216–226, 2007a. doi:10.1016/j.medengphy.2006.02.009

    Google Scholar 

  79. Pérez-Palomar, A., M. Doblaré. Influence of unilateral disc displacement on the stress response of the temporomandibular joint discs during opening and mastication. J. Anat. 211:453–463, 2007b.

    Google Scholar 

  80. Pérez-Palomar, A., M. Doblaré. Dynamic 3D FE modelling of the human temporomandibular joint during whiplash. Med. Eng. Phys. 30:700–709, 2008. doi:10.1016/j.medengphy.2007.07.009

    Google Scholar 

  81. Pierce, C. J., R. J. Weyant, H. M. Block, D. C. Nemir. Dental splint prescription patterns: a survey. J. Am. Dent. Assoc. 126:248, 1995.

    PubMed  CAS  Google Scholar 

  82. Pileicikiene, G., E. Varpiotas, R. Surna, A. Surna, The three dimensional model of the human masticatory system, including the mandible, the dentition and the temporomandibular joints. Stomatologija Balt. Dent. Maxillofac. J. 9:27–32, 2007.

    Google Scholar 

  83. Quinn, P. D. Alloplastic reconstruction of the temporomandibular joint. Selected Readings in Oral and Maxillofacial Surgery. 7(5):1–23, 1999.

    Google Scholar 

  84. Quinn, P. D. Lorenz prosthesis—total temporomandibular joint reconstruciton. Oral Maxillofac. Surg. Clin. North Am. 12(1):93–104, 2000.

    Google Scholar 

  85. Raphael, K. G., J. J. Marbach, J. J. Klausner, M. F. Teaford, D. K. Fischoff. Is bruxism severity a predictor of oral splint efficacy in patients with myofascial face pain? J. Oral Rehabil. 30:17–29, 2003. doi:10.1046/j.1365-2842.2003.01117.x

    PubMed  CAS  Google Scholar 

  86. Schwartz, H. C., R. W. Kendrick. Internal derangement of the temporomandibular joint: description of clinical syndromes. Oral Surg Oral Med Oral Pathol 58(1):24–29, 1984. doi:10.1016/0030-4220(84)90358-X

    PubMed  CAS  Google Scholar 

  87. Solberg, W. K., M. W. Woo, J. B. Houston. Prevalence of mandibular dysfunction in young adults. J Am Dent Assoc. 98:25–34, 1979.

    PubMed  CAS  Google Scholar 

  88. Speculand, B., R. Hensher, D. Powell. Total prosthetic replacement of the TMJ: experience with two systems 1988–1997. Br. J. Oral Maxillofac. Surg. 38(4):360–369, 2000. doi:10.1054/bjom.2000.0338

    PubMed  CAS  Google Scholar 

  89. Ta, L. E., J. C. Phero, S. R. Pillemer, H. Hale-Donze, N. McCartney-Francis, A. Kingman, M. B. Max, S. M. Gordon, S. M. Wahl, R. A. Dionne 2002 Clinical evaluation of patients with temporomandibular joint implants. J. Oral Maxillofac. Surg. 60(12):1389–1399. doi:10.1053/joms.2002.36089

    PubMed  Google Scholar 

  90. Tanaka, E., D. A. Dalla-Bona, T. Iwabe, N. Kawai, E. Yamano, T. van Eijden, M. Tanaka, M. Miyauchi, T. Takata, K. Tanne. The effect of removal of the disc on the friction in the temporomandibular joint. J. Oral maxillofac. Surg. 64:1221–1224, 2006. doi:10.1016/j.joms.2006.04.017

    PubMed  Google Scholar 

  91. Tanaka, E., R. del Pozo, M. Tanaka, D. Asai, M. Hirose, T. Iwabe, K. Tanne. Three-dimensional finite element analysis of human temporomandibular joint with and without disc displacement during jaw opening. Med. Eng. Phys. 26:503–511, 2004b. doi:10.1016/j.medengphy.2004.03.001

    PubMed  CAS  Google Scholar 

  92. Tanaka, E., M. S. Detamore, K. Tanimoto, N. Kawai. Lubrication of the temporomandibular joint. Ann Biomed Eng 36(1):14–29, 2008b. doi:10.1007/s10439-007-9401-z

    PubMed  Google Scholar 

  93. Tanaka, E., M. Hirose, J. H. Koolstra, T. M. G. J. van Eijden, Y. Iwabuchi, R. Fujita, M. Tanaka, K. Tanne. Modeling of the effect of friction in the temporomandibular joint on displacement of its disc during prolonged clenching. J. Oral Maxillofac. Surg. 66:462–468, 2008c. doi:10.1016/j.joms.2007.06.640

    PubMed  Google Scholar 

  94. Tanaka, E., N. Kawai, K. Hanaoka, T. van Eijden, A. Sasaki, J. Aoyama, M. Tanaka, K. Tanne. Shear properties of the temporomandibular joint disc in relation to compressive and shear strain. J. Dent. Res. 83:476–479, 2004a. doi:10.1177/154405910408300608

    PubMed  CAS  Google Scholar 

  95. Tanaka, E., Kikuchi, K., Sasaki, A., Tanne, K. An adult case of TMJ osteoarthrosis treated with splint therapy and the subsequent orthodontic occlusal reconstruction: adaptive change of the condyle during the treatment. Am. J. Orthod. Dentofacial Orthop. 118:566–71, 2000a. doi:10.1067/mod.2000.93966

    CAS  Google Scholar 

  96. Tanaka, E., E. B. Rego, Y. Iwabuchi, T. Inubushi, J. H. Koolstra, T. M. G. J. van Eijden, N. Kawai, Y. Kudo, T. Takata, K. Tanne. Biomechanical response of condylar cartilage-on-bone to dynamic shear. J. Biomed. Mater. Res. 85(A):127–132, 2008a.

    Google Scholar 

  97. Tanaka, E., D. P. Rodrigo, Y. Miyawaki, K. Lee, K. Yamaguchi, K. Tanne. Stress distribution in the temporomandibular joint affected by anterior disc displacement: a three-dimensional analytic approach with the finite-element method. J. Oral Rehabil. 27(9):754–759, 2000b. doi:10.1046/j.1365-2842.2000.00597.x

    PubMed  CAS  Google Scholar 

  98. Tanaka, E., D. P. Rodrigo, M. Tanaka, A. Kawaguchi, T. Shibazaki, K. Tanne. Stress analysis in the TMJ during jaw opening by use of a three-dimensional finite element model based on magnetic resonance images. Int. J. Oral Maxillofac. Surg. 30:421–430, 2001. doi:10.1054/ijom.2001.0132

    PubMed  CAS  Google Scholar 

  99. TMJ Concepts, Inc. Description of the Implants. Retrieved on 10/10/2007, from http://tmjconcepts.com/.

  100. TMJ Implants, Inc. Products. Retrieved on 10/10/2007, from http://www.tmj.com/products/tmj_partial.php.

  101. Turp, J. C., F. Komine, A. Hugger. Efficacy of stabilization splints for the management of patients with masticatory muscle pain: a qualitative systmatic review. Clin. Oral Investig. 8:179–195, 2004. doi:10.1007/s00784-004-0265-4

    PubMed  CAS  Google Scholar 

  102. United States Food and Drug Administration—Center for Devices and Radiological Health (US FDA/CDRH). Retrieved on 08/15/2008, from http://www.fda.gov/cdrh/consumer/tmjupdate.html.

  103. Unites States Food and Drug Administration. W. Lorenz total TMJ replacement system—patient information. Retrieved on 08/16/2008, from http://www.fda.gov/ohrms/dockets/ac/02/briefing/3889b1_TMJ%20Patient%20Information%20final.pdf.

  104. Unites States Govermental Accountability Office (GAO). FDA approval of four TMJ implants—report to congressional requesters, September 2007. Retrieved on 09/05/2008, from http://www.gao.gov/new.items/d07996.pdf.

  105. van Loon, J. P., L. G. M. de Bont, G. Boering. Evaluation of temporomandibular joint prostheses - review of the literature from 1946 to 1994 and implications for future prosthesis designs. Int. J. Oral Maxillofac. Surg. 53:984–996, 1995. doi:10.1016/0278-2391(95)90110-8

    Google Scholar 

  106. van Loon, J.P., L. G. M. de Bont, B. Stegenga, F. K. L. Spijkervet, G. J. Verkerke. Groningen temporomandibular joint prosthesis: development and first clinical application. Int. J. Oral Maxillofac. Surg. 31(1):44–52, 2002. doi:10.1054/ijom.2001.0175

    PubMed  Google Scholar 

  107. Warren, M. P., J. L. Fried 2001 Temporomandibular disorders and hormones in women. Cells Tissues Organs. 169:187. doi:10.1159/000047881

    PubMed  CAS  Google Scholar 

  108. Wilkes, C. H. Arthrography of the temporomandibular joint in patients with the TMJ pain-dysfunction syndrome. Minn Med. 61: 645–52, 1978.

    PubMed  CAS  Google Scholar 

  109. Wilkes, C. H. Internal derangements of the temporomandibular joint. Arch Otolaryngol Head Neck Surg. 115: 469–77, 1989.

    PubMed  CAS  Google Scholar 

  110. Wolford, L. M. Temporomandibular joint devices: treatment factors and outcomes. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 83:143–149, 1997. doi:10.1016/S1079-2104(97)90105-0

    PubMed  CAS  Google Scholar 

  111. Wolford, L. M., D. A. Cottrell, and S. C. Karras. Mitek mini anchor in maxillofacial surgery. In: Proceedings of SMST-94, The First International Conference on Shape Memory and Superelastic Technologies, Monterey (CA). MIAS: 477–482, 1995.

  112. Wolford, L. M., D. J. Dingwerth, R. M. Talwar, M. C. Pitta. Comparision of two temporomandibular joint total joint prosthesis systems. J. Oral Maxillofac. Surg. 61(6):685–690, 2003a. doi:10.1053/joms.2003.50112

    PubMed  Google Scholar 

  113. Wolford, L. M., P. Mehra. Custom-made total joint prosthesis for temporomandibular joint reconstruction. Proceedings - Baylor University Medical Center. 13:135–138, 2000.

    CAS  Google Scholar 

  114. Wolford, L. M., M. C. Pitta, P. Mehra. Mitek anchors for treatment of chronic mandibular dislocation. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 92:495–498, 2001. doi:10.1067/moe.2001.118283

    PubMed  CAS  Google Scholar 

  115. Wolford, L. M., M. C. Pitta, O. Reiche-Fischel, P. F. Franco. TMJ Concepts/Techmedica custom-made TMJ total joint prosthesis: 5-year follow-up study. Int J Oral Maxillofac Surg 32(3):268–274, 2003b. doi:10.1054/ijom.2002.0350

    PubMed  CAS  Google Scholar 

  116. Wolford, L. M., O. Riechel, P. F. Franco. 5-year follow-up study on the Techmedica custom-made total joint prostheses. J. Oral Maxillofac. Surg. 55:110–111, 1997. doi:10.1016/S0278-2391(97)90535-8

    Google Scholar 

  117. Yap, A. U. 1998 Effects of stabilization appliances on nocturnal parafunctional activities in patients with and without signs of temporomandibular disorders. J. Oral Rehabil. 25:64. doi:10.1046/j.1365-2842.1998.00194.x

    PubMed  CAS  Google Scholar 

  118. Yoon, H. J., E. Baltali, K. D. Zhao, J. Rebellato, D. Kademani, K. N. An, E. E. Keller. Kinematic study of the temporomandibular joint in normal subjects and patients following unilateral temporomandibular joint arthrotomy with metal foss-eminence partial joint replacement. J. Oral Maxillofac. Surg. 65(8):1569–1576, 2007. doi:10.1016/j.joms.2006.10.009

    PubMed  Google Scholar 

  119. Zarb, G. A., G. E. Carlsson. Temporomandibular disorders: osteoarthritis. J. Orofac. Pain 13:295–306, 1999.

    PubMed  CAS  Google Scholar 

  120. Zardeneta, G., S. B. Milam, J. P. Schmitz. Type I collagen and fibronectin degeneration by the hydroxyl radical. J. Oral Maxillofac. Surg. 54:83, 1996. doi:10.1016/S0278-2391(96)90540-6

    Google Scholar 

  121. Zardeneta, G., S. B. Milam, J. P. Schmitz 1997 Presence of denatured hemoglobin deposits in diseased temporomandibular joints. J. Oral Maxillfac. Surg. 55:1242, 1997. doi:10.1016/S0278-2391(97)90176-2

    CAS  Google Scholar 

  122. Zardeneta, G., S. B. Milam, J. P. Schmitz. Iron-dependent generation of free radicals: plausible mechanisms in the progressive deterioration of the temporomandibular joint. J. Oral Maxillofac. Surg. 58:302–308, 2000. doi:10.1016/S0278-2391(00)90060-0

    PubMed  CAS  Google Scholar 

  123. Zardeneta, G., H. Mukai, V. Maker, S. B. Milam. Protein interactions with particulate Teflon: implications for the foreign body response. J. Oral Maxillofac. Surg. 54:873–878, 1996. doi:10.1016/S0278-2391(96)90540-6

    PubMed  CAS  Google Scholar 

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Ingawalé, S., Goswami, T. Temporomandibular Joint: Disorders, Treatments, and Biomechanics. Ann Biomed Eng 37, 976–996 (2009). https://doi.org/10.1007/s10439-009-9659-4

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