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Quintessence Publishing: Journals: JOP
Journal of Orofacial Pain

Edited by Barry J. Sessle, BDS, MDS, BSc, PhD, FRSC

Official Journal of the American Academy of Orofacial Pain,
and the European, Australian, Asian, and Ibero-Latin Academies of Craniomandibular Disorders

ISSN 1064-6655

Publication:
Spring 2002
Volume 16 , Issue 2

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Mandibular Movement Characteristics of an Anterior Disc Displacement with Reduction

James J.R. Huddleston Slater, DDS, Frank Lobbezoo, DDS, PhD, Machiel Naeije, PhD

Pages: 135–142
PMID: 12043520

Aims: According to the Research Diagnostic Criteria (J Craniomandib Disord 1992;6(4):301–355), an anterior disc displacement with reduction (ADD) is characterized by reciprocal clicking with the opening click occurring at a mouth opening at least 5 mm greater than that of the closing click. The aim of this study was to test whether the 5-mm criterion of the RDC is characteristic for a click due to an ADD. Methods: From 30 participants with a unilateral ADD, recordings of mandibular movements with 6 degrees of freedom as well as joint sound recordings were made. The participants performed free open movements and loaded closing movements. Results: In 8 joints (27%), the 5-mm criterion was not fulfilled. For 2 participants, the click while closing occurred with an even larger mouth opening than that while opening. Recordings of the condylar movements showed that the opening clicks occurred over a broad range of the opening movement, whereas all the closing clicks occurred just before the condyle reached its terminal position in the fossa. Conclusion: The 5-mm criterion of the RDC is not characteristic of all anterior disc displacements with reduction. J OROFAC PAIN 2002;16:135–142.

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