Contour mapping of the TMJ temporal component and the relationship to articular soft tissue thickness and disk displacement.
The osseous architecture of central sagittal histologic sections of the temporal component of 51 temporomandibular joints of young adults at autopsy was studied to determine if this predicted the thickness of the overlying articular soft tissue and disk displacement. Geometric groupings of fossa-eminence shapes were generated using a hierarchical cluster analysis of the osseous fossa-eminence sigmoid curve, size, and slope. Six cluster groups were evolved and tested for relationship to soft tissue thickness measured at the eminence crest, mid-point of the eminence slope, closed pack location of the condyle, the inflection point, and the depth of the fossa. Soft tissue thickness at the inflection point and depth of the fossa was remarkably constant between cluster groups. Increased soft tissue thickness at the eminence crest and lower part of the posterior slope was weakly correlated to a flatter eminence slope and curve, explaining 10% to 20% of the variance (r2). There were no relationships between the parameters studied to the fossa curvature. An ANOVA showed no statistical difference in the posterior slope angle between the categories of disk position (p = 0.715) or to the six cluster groupings. The results suggest that the osseous contours seen on radiographs may not accurately predict the actual articular surface of the temporal component.
Pullinger
A G
AG
Section of Orofacial Pain and Occlusion, UCLA School of Dentistry.
Bibb
C A
CA
Ding
X
X
Baldioceda
F
F
D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D002358:Cartilage, Articular / Q000473:pathology; D016000:Cluster Analysis; D005260:Female; D006801:Humans; D007090:Image Interpretation, Computer-Assisted; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D008335:Mandibular Condyle / Q000473:pathology; D008954:Models, Biological; D011237:Predictive Value of Tests; D011859:Radiography; D013701:Temporal Bone / Q000000981:diagnostic imaging / Q000473:pathology*; D013704:Temporomandibular Joint / Q000000981:diagnostic imaging / Q000473:pathology; D013705:Temporomandibular Joint Disorders / Q000000981:diagnostic imaging / Q000473:pathology*