Sagittal joint spaces of the temporomandibular joint: Systematic review and meta-analysis

Abstract

r e v p o r t e s t o m a t o l m e d d e n t c i r m a x i l o f a c . 2 0 1 5;5 6(2):80-88 Review Meta-analysis a b s t r a c tThe aim of this study was to perform a systematic review and meta-analysis on the sagittal joint spaces measurements of the temporomandibular joint. An electronic database search was performed with the terms "condylar position"; "joint space" AND "TMJ". The risk of bias of each study was assessed with "Cochrane risk of bias tool". The values used in the meta-analysis were the joint space measurements and their differences between the right and left joint. From the initial search 2706 articles were retrieved. Eighteen articles classified for final review. Only one study was classified as having high level of evidence. Seventeen of the reviewed studies were included in the meta-analysis concluding that the mean sagittal joint space values were: anterior joint space 1.86 mm, superior 2.36 mm and posterior 2.22 mm. However, the analysis also showed high levels of heterogeneity. Right and left comparison has shown statistically significant differences. © 2015 Sociedade Portuguesa de Estomatologia e Medicina Dentária. Published by Elsevier España, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Espaços articulares sagitais da articulação temporomandibular: revisão sistemática e meta-análisePalavras chave: Articulação temporomandibular Revisão Meta-análise r e s u m o O objetivo deste estudo foi realizar uma revisão sistemática e meta-análise sobre os espaços articulares sagitais da articulação temporomandibular. Foi realizada uma pesquisa eletrónica com os termos "condylar position", "joint space"AND"TMJ". O nível de evidên-cia de cada estudo foi avaliado com "Cochrane risk of bias tool". Os valores sumariados na meta-análise foram os espaços articulares e a diferença entre a articulação direita e esquerda. article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).r e v p o r t e s t o m a t o l m e d d e n t c i r m a x i l o f a c . 2 0 1 5;5 6(2):80-88 81 Da pesquisa inicial resultaram 2076 artigos dos quais 18 foram selecionados para a revisão. Apenas um estudo foi considerado de elevado nível de evidência. Foram incluídos na metaanálise 17 dos artigos da revisão concluindo-se que, os valores médios para os espaços articulares sagitais foram: 1.86 mm para o anterior, 2.36 mm para o superior e 2.22 mm para o posterior. No entanto, a análise revelou ainda grande heterogeneidade nos resultados dos estudos avaliados. Verificaram-se diferenças estatisticamente significativas entre as articulaç ões esquerda e direita.

Temporomandibular Joint Space Dimensions among Saudi Patients with Temporomandibular Disorders: MRI-Based Retrospective Study

“…e present study demonstrated no significance when comparing the joint spaces between the right and left sides, which is in agreement with most of the published studies [25,34,35]. However, some studies were contradictory to our findings; they showed significant differences for the anterior and posterior joint space [25,[36][37][38]. is asymmetry could be related to atypical cranial base or mastication side preferences [37].…”

“…However, some studies were contradictory to our findings; they showed significant differences for the anterior and posterior joint space [25,[36][37][38]. is asymmetry could be related to atypical cranial base or mastication side preferences [37]. Furthermore, most patients have an acentric relation-centric occlusion discrepancy, which is frequently caused by unilateral posterior interference.…”

“…Furthermore, most patients have an acentric relation-centric occlusion discrepancy, which is frequently caused by unilateral posterior interference. To illustrate, the condyles might shift asymmetrically, while the contralateral condyle moves sagittally, and the ipsilateral rotates to have a more balanced dental occlusion [37].…”

Do cone‐beam computed tomography low‐dose protocols affect the evaluation of the temporomandibular joint?

“…Prior to our study, no authors have investigated the effect of acquisition protocol on the measurement of joint spaces, condylar position and excursion influence. 18 The European Commission states that bone alterations, such as those found in osteoarthritis and rheumatoid arthritis, can be detected on conventional radiographs and CBCT. 19 In the practice of dentistry, panoramic radiographs often provide essential diagnostic information of the maxillofacial region and may aid in confirming or ruling out odontogenic causes of disease or gross bony alterations.…”

Follow‐up evaluation of temporomandibular joints using magnetic resonance imaging after mandibular trauma: Case series analysis of young adult males

“…17 Widening of the condylar joint space was defined as more than 2.5 mm of superior joint space on the sagittal view of the TMJ. 18 Except for one patient (#3) who disagreed with the MRI follow-up, six patients underwent MRI after the trauma. The follow-up MRI was performed after one week on five patients (#1, #2, #5, #6, and #7) and after one and six months on patient #4 (Table 2).…”