Temporomandibular joint condyle changes after surgically induced non-reducing disk displacement in rabbits: a macroscopic and microscopic study.
Experimentally induced displacement of the temporomandibular joint (TMJ) disk has previously been shown to induce shortening of the mandibular ramus on the ipsilateral side. The aim of this investigation was to reveal whether this shortening develops due to primary influence on condyle growth or by secondary loss of condyle mass due to degenerative tissue breakdown. Disk displacement was created in the right TMJ in seven 3-month-old rabbits, the posterior disk attachment kept intact. Seven rabbits underwent surgical opening of the TMJ without disk intervention. Seven additional animals served as references. After a 3-month experimental period, the animals were sacrificed. Previous analysis revealed shortening of mandibular height and length caused by ipsilateral TMJ disk displacement. The condyles were examined macroscopically and by histologic sectioning or scanning electron microscopy. All condyles were covered with smooth articulating soft tissue and without visible signs of degenerative changes. Four condyles from joints with disk displacement demonstrated substantial regressive remodeling resulting in a change of condyle shape with forward/downward rotation of an enlarged articulating surface. It was concluded that TMJ disk displacement in a growing individual can induce reduction of mandibular height and length before a stage where visible osteoarthrotic changes develop. It implies a primary adverse effect on condyle growth.
Legrell
P E
PE
Department of Oral and Maxillofacial Radiology, Umeå University, Sweden. Per.Erik.Legrell@odont.umu.se
Reibel
J
J
Nylander
K
K
Hörstedt
P
P
Isberg
A
A
D000818:Animals; D004204:Joint Dislocations / Q000150:complications* / Q000601:surgery; D008335:Mandibular Condyle / Q000254:growth & development / Q000473:pathology* / Q000648:ultrastructure; D008855:Microscopy, Electron, Scanning; D011817:Rabbits; D019224:Temporomandibular Joint Disc / Q000473:pathology; D013705:Temporomandibular Joint Disorders / Q000150:complications* / Q000601:surgery