Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 Feb 21:27:e20180433.
doi: 10.1590/1678-7757-2018-0433.

Temporomandibular joint disc displacement with reduction: a review of mechanisms and clinical presentation

Rodrigo Lorenzi Poluha  1 , Giancarlo De la Torre Canales  1 , Yuri Martins Costa  2 , Eduardo Grossmann  3 , Leonardo Rigoldi Bonjardim  4 , Paulo César Rodrigues Conti  1
Affiliations
Review

Temporomandibular joint disc displacement with reduction: a review of mechanisms and clinical presentation

Rodrigo Lorenzi Poluha et al. J Appl Oral Sci. .

Erratum in

Abstract

Disc displacement with reduction (DDWR) is one of the most common intra-articular disorders of the temporomandibular joint (TMJ). Factors related to the etiology, progression and treatment of such condition is still a subject of discussion. This literature review aimed to address etiology, development, related factors, diagnosis, natural course, and treatment of DDWR. A non-systematic search was conducted within PubMed, Scopus, SciELO, Medline, LILACS and Science Direct using the Medical Subjective Headings (MeSH) terms "temporomandibular disorders", "temporomandibular joint", "disc displacement" and "disc displacement with reduction". No time restriction was applied. Literature reviews, systematic reviews, meta-analysis and clinical trials were included. DDWR is usually asymptomatic and requires no treatment, since the TMJ structures adapt very well and painlessly to different disc positions. Yet, long-term studies have shown the favorable progression of this condition, with no pain and/or jaw locking occurring in most of the patients.

PubMed Disclaimer

Figures

Figure 1
Figure 1. Disc displacement with reduction (DDWR). A: Closed mouth, the articular disc (yellow arrow) is anteriorly displaced in relation to the condyle; B: Open mouth, the disc (yellow arrow) returns to the intermediate area
Figure 2
Figure 2. Disc displacement with reduction (DDWR). A: Articular disc anteriorly displaced with retrodiscal fibrosis (red arrow); B: Reduced disc, retrodiscal fibrosis (red arrow)
Figure 3
Figure 3. Disc displacement with reduction (DDWR). A: Closed mouth, the articular disc is displaced; B: Mouth opening, followed by an opening click; C: Open mouth, the articular disc is reduced. D: Mouth closing, followed by a closing click
See this image and copyright information in PMC

References

    1. Leeuw R, Klasser G.editors . Orofacial pain: guidelines for assessment, diagnosis, and management. 6th. Chicago: Quintessence; 2018.
    1. Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache. 2014;28(1):6–27. - PMC - PubMed
    1. Murakami S, Takahashi A, Nishiyama H, Fujishita M, Fuchihata H. Magnetic resonance evaluation of the temporomandibular joint disc position and configuration. Dentomaxillofac Radiol. 1993;22(4):205–207. - PubMed
    1. Talaat WM, Adel OI, Al Bayatti S. Prevalence of temporomandibular disorders discovered incidentally during routine dental examination using the Research Diagnostic Criteria for Temporomandibular Disorders. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017;125(3):250–259. - PubMed
    1. Katzberg RW, Westesson PL, Tallents RH, Drake CM. Anatomic disorders of the temporomandibular joint disc in asymptomatic subjects. J Oral Maxillofac Surg. 1996;54(2):147–153. - PubMed

MeSH terms