title: Trigeminal impingement syndrome: the relationship between atypical trigeminal symptoms and anteromedial disk displacement.
abstract: The purpose of this study was to determine if compression of the mandibular nerve and its branches could be caused by antero-medial disk displacement, resulting in atypical facial pain. Sixteen temporomandibular joints (TMJ) were dissected and injected with an autopolymerizing solution into the superior compartment, which produced an artificial capsular swelling that caused disk displacement. In all specimens, the TMJ capsule was close to the mandibular branch of the trigeminal nerve after the intracapsular injection. Thus, capsular distension or antero-medial disk displacement, as seen in various temporomandibular disorders (TMD), could result in nerve compression and facial pain symptoms.
authors.affiliation: European Society of Temporomandibular Joint Surgeons.
authors.forename: Piero
authors.initials: P
authors.lastname: Cascone
authors.forename: Flavia Maria Graziana
authors.initials: FM
authors.lastname: Fatone
authors.forename: Francesco
authors.initials: F
authors.lastname: Paparo
authors.forename: Paolo
authors.initials: P
authors.lastname: Arangio
authors.forename: Giorgio
authors.initials: G
authors.lastname: Iannetti
mesh_terms: D000328:Adult; D002102:Cadaver; D003389:Cranial Nerve Diseases / Q000209:etiology; D003764:Dental Materials; D005157:Facial Pain / Q000209:etiology; D006801:Humans; D007270:Injections, Intra-Articular; D017746:Joint Capsule / Q000294:innervation / Q000473:pathology; D004204:Joint Dislocations / Q000150:complications* / Q000473:pathology; D008340:Mandibular Nerve / Q000473:pathology; D009408:Nerve Compression Syndromes / Q000209:etiology*; D011145:Polyvinyls; D012833:Siloxanes; D013704:Temporomandibular Joint / Q000294:innervation / Q000473:pathology; D019224:Temporomandibular Joint Disc / Q000473:pathology*; D013705:Temporomandibular Joint Disorders / Q000150:complications* / Q000473:pathology; D020433:Trigeminal Nerve Diseases / Q000209:etiology*; D014277:Trigeminal Neuralgia / Q000209:etiology*
chemical_list: D003764:Dental Materials; D011145:Polyvinyls; D012833:Siloxanes; C034183:vinyl polysiloxane