“…Age-related changes in the temporomandibular joint include: (i) decreased water content (Miles and Eichelberger, 1964;Bollet and Nance, 1966;Mankin and Thrasher, 1975;Grushko et al, 1989;Peyron and Altman, 1992), (ii) decreased cellular proliferation (Hammerman, 1993), (iii) accumulation of senescing cells (Dreesen and Halata, 1990;Hammerman, 1993), (iv) altered, decreased, or lost response to growth factors (Hammerman, 1993), (v) accumulation of altered proteins (Brown and Jones, 1990;Chevalier et al, 1992;Hammerman, 1993), and (vi) decreased catabolic activity (Bollet, 1969). There are also age-related changes that appear to be specific to cartilage, including: (i) decreased cellular density in the prechondroblastic region (Livne et al, 1985), (ii) accumulation of degenerating chondrocytes (Dreesen and Halata, 1990), (iii) reduction in the number and size of proteoglycans (Vasan, 1980;Lash and Vasan, 1983, and references therein), (iv) reduction in the molecular weight of the proteoglycan core protein (Hamerman, 1993), and (v) changes in the size and composition of the glycosaminoglycans (Hjertquist and Lemperg, 1972;Elliott and Gardner, 1979;Roughley and White, 1980;Lash and Vasan, 1983;Mankin, 1984;Hamerman, 1989;Ratcliffe et al, 1993). Thus, although the incidence of degenerative joint disease is strongly associated with increased age, the processes involved in the progression of degenerative joint disease are different from, and possibly independent of, aging.…”