J Dent Rehabil Appl Sci.  2024 Aug;40(3):107-113. 10.14368/jdras.2024.40.3.107.

The relationship between dental occlusion and temporomandibular joint disorder

• Kim CR
• Jang W

• KMID: 2562754
• DOI: http://doi.org/10.14368/jdras.2024.40.3.107

Abstract

Temporomandibular disorder is a disease caused by various factors such as trauma, mental stress, occlusal factors, and parafunc- tional habits. Among them, many scholars have been interested in the relationship between occlusion and temporomandibular disorder for a long time and have conducted numerous studies, but controversy over this relationship continues to this day. Based on previous studies, this review clearly establishes the relationship on occlusion and temporomandibular disorders and presents the direction for follow-up research by summarizing the limitations of current studies.

Keyword

temporomandibular joint disorder; dental occlusion; malocclusion; vertical dimension

Reference

References

1. Okeson JP. Management of temporomandibular disorders and occlusion. 7th ed. St. Louis: Mosby;2013. p. 102–22.

2. Costen JB. 1934; A syndrome of ear and sinus symptoms dependent upon disturbed function of the temporomandibular joint. Ann Otol Rhinol Laryngol. 43:1–15. DOI: 10.1177/000348943404300101. PMID: 9342976.

3. Moraes AdR, Sanches ML, Ribeiro EC, Guimarães AS. 2013; Therapeutic exercises for the control of temporomandibular disorders. Dental Press J Orthod. 18:134–9. DOI: 10.1590/S2176-94512013000500022. PMID: 24352400.

4. Ferro KJ, Morgano SM, Driscoll CD, Freilich MA, Guckes AD, Knoernschild KL, McGarry TJ. 2017; The Glossary of Prosthodontic Terms: Ninth Edition. J Prosthet Dent. 117(5S):e1–e105. DOI: 10.1016/j.prosdent.2016.12.001. PMID: 28418832.

5. Kalladka M, Young A, Thomas D, Heir GM, Quek SY, Khan J. 2022; The relation of temporomandibular disorders and dental occlusion: a narrative review. Quintessence Int. 53:450–9. DOI: 10.3290/j.qi.b2793201. PMID: 35274511.

6. Gremillion HA. 2006; The relationship between occlusion and TMD: an evidence-based discussion. J Evid Based Dent Pract. 6:43–7. DOI: 10.1016/j.jebdp.2005.12.014. PMID: 17138396.

7. Mélou C, Leroux L, Bonnesoeur M, Le Padellec C, Bertaud V, Chauvel-Lebret D. 2024; Relationship between natural or iatrogenic malocclusions and temporomandibular disorders: A case control study. Cranio. 42:206–14. DOI: 10.1080/08869634.2021.1933307. PMID: 34061714.

8. Marchesi A, Bellini D, Sardella A, Fornarelli G, Zefi T. 2022; Correlation between temporomandibular disorders and malocclusions: A retrospective observational study-can malocclusions or previous orthodontic treatments affect Temporo-Mandibular Disorders? Int J Oral Craniofac Sci. 8:001–9. DOI: 10.17352/2455-4634.000051.

9. Manfredini D, Segù M, Arveda N, Lombardo L, Siciliani G, Rossi A, Guarda-Nardini L. 2016; Temporomandibular joint disorders in patients with different facial morphology. A systematic review of the literature. J Oral Maxillofac Surg. 74:29–46. DOI: 10.1016/j.joms.2015.07.006. PMID: 26255097.

10. Yang IH, Moon BS, Lee SP, Ahn SJ. 2012; Skeletal differences in patients with temporomandibular joint disc displacement according to sagittal jaw relationship. J Oral Maxillofac Surg. 70:e349–60. DOI: 10.1016/j.joms.2011.08.027. PMID: 22169732.

11. de Lira AdLS, Fontenele MKV. 2020; Relationship between pathological occlusal changes and the signs and symptoms of temporomandibular dysfunction. Turk J Orthod. 33:210–5. DOI: 10.5152/TurkJOrthod.2020.20035. PMID: 33447463. PMCID: PMC7771291.

12. Tervahauta E, Närhi L, Pirttiniemi P, Sipilä K, Näpänkangas R, Tolvanen M, Vuollov V, Silvola AS. 2022; Prevalence of sagittal molar and canine relationships, asymmetries and midline shift in relation to temporomandibular disorders (TMD) in a Finnish adult population. Acta Odontol Scand. 80:470–80. DOI: 10.1080/00016357.2022.2036364. PMID: 35148484.

13. Al-Hadi LA. 1993; Prevalence of temporomandibular disorders in relation to some occlusal parameters. J Prosthet Dent. 70:345–50. DOI: 10.1016/0022-3913(93)90220-I. PMID: 8229887.

14. Alamoudi N. 2000; The correlation between occlusal characteristics and temporomandibular dysfunction in Saudi Arabian children. J Clin Pediatr Dent. 24:229–36. PMID: 11314148.

15. Kahn J, Tallents RH, Katzberg RW, Ross ME, Murphy WC. 1999; Prevalence of dental occlusal variables and intraarticular temporomandibular disorders: molar relationship, lateral guidance, and nonworking side contacts. J Prosthet Dent. 82:410–5. DOI: 10.1016/S0022-3913(99)70027-2. PMID: 10512959.

16. Farronato G, Rosso G, Giannini L, Galbiati G, Maspero C. 2016; Correlation between skeletal Class II and temporomandibular joint disorders: a literature review. Minerva Stomatol. 65:239–47. PMID: 26938175.

17. Akl A, Kuliralo M, Van Reck J. 1996; The frequency of various types of disk displacement and its relation to occlusion. Acta Stomatol Belg. 93:53–9. PMID: 9281297.

18. Tinastepe N, Oral K. 2015; Investigation of the relationship between increased vertical overlap with minimum horizontal overlap and the signs of temporomandibular disorders. J Prosthodont. 24:463–8. DOI: 10.1111/jopr.12249. PMID: 25556905.

19. Manfredini D, Vano M, Peretta R, Guarda-Nardini L. 2014; Jaw clenching effects in relation to two extreme occlusal features: patterns of diagnoses in a TMD patient population. Cranio. 32:45–50. DOI: 10.1179/0886963413Z.0000000009. PMID: 24660646.

20. Minagi S, Hara T, Sato T, Natsuaki N, Akamatsu Y. 1999; Relationship between anterior guidance and mesiodistal inclination of lower incisor in human subject with or without TMJ noise. J Oral Rehabil. 26:781–5. DOI: 10.1046/j.1365-2842.1999.00453.x. PMID: 10564433.

21. Verdonck A, Takada K, Kitai N, Kuriama R, Yasuda Y, Carels C, Sakuda M. 1994; The prevalence of cardinal TMJ dysfunction symptoms and its relationship to occlusal factors in Japanese female adolescents. J Oral Rehabil. 21:687–97. DOI: 10.1111/j.1365-2842.1994.tb01184.x. PMID: 7830204.

22. Dodić S, Stanišić-Sinobad D, Vukadinović M. 2006; The relationship of occlusal disharmonies and symptoms of temporomandibular disorders. Srp Arh Celok Lek. 134:380–5. DOI: 10.2298/SARH0610380D. PMID: 17252903.

23. Raustia AM, Pirttiniemi PM, Pyhtinen J. 1995; Correlation of occlusal factors and condyle position asymmetry with signs and symptoms of temporomandibular disorders in young adults. Cranio. 13:152–6. DOI: 10.1080/08869634.1995.11678060. PMID: 8949853.

24. Ali IM, Yamada K, Alkhamrah B, Vergara R, Hanada K. 2003; Relationship between occlusal curvatures and mandibular deviation in orthodontic patients with temporomandibular disorders. J Oral Rehabil. 30:1095–103. DOI: 10.1046/j.1365-2842.2003.01160.x. PMID: 14641675.

25. Xie Q, Li X, Xu X. 2013; The difficult relationship between occlusal interferences and temporomandibular disorder-insights from animal and human experimental studies. J Oral Rehabil. 40:279–95. DOI: 10.1111/joor.12034. PMID: 23356664.

26. Fujii T. 2003; The relationship between the occlusal interference side and the symptomatic side in temporomandibular disorders. J Oral Rehabil. 30:295–300. DOI: 10.1046/j.1365-2842.2003.01032.x. PMID: 12588503.

27. Dıraçoğlu D, Alptekin K, Cifter ED, Güçlü B, Karan A, Aksoy C. 2011; Relationship between maximal bite force and tooth wear in bruxist and non-bruxist individuals. Arch Oral Biol. 56:1569–75. DOI: 10.1016/j.archoralbio.2011.06.019. PMID: 21783173.

28. Conti A, Freitas M, Conti P, Henriques J, Janson G. 2003; Relationship between signs and symptoms of temporomandibular disorders and orthodontic treatment: a cross-sectional study. Angle Orthod. 73:411–7. DOI: 10.1043/0003-3219(2003)073<0411:RBSASO>2.0.CO;2. PMID: 12940562.

29. Israel HA, Diamond B, Saed-Nejad F, Ratcliffe A. 1999; The relationship between parafunctional masticatory activity and arthroscopically diagnosed temporomandibular joint pathology. J Oral Maxillofac Surg. 57:1034–9. DOI: 10.1016/S0278-2391(99)90321-X. PMID: 10484103.

30. Arima T, Svensson P, Rasmussen C, Nielsen KD, Drewes AM, Arendt-Nielsen L. 2001; The relationship between selective sleep deprivation, nocturnal jaw-muscle activity and pain in healthy men. J Oral Rehabil. 28:140–8. DOI: 10.1046/j.1365-2842.2001.00687.x. PMID: 11298262.

31. Manfredini D, Peretta R, Guarda-Nardini L, Ferronato G. 2010; Predictive value of combined clinically diagnosed bruxism and occlusal features for TMJ pain. Cranio. 28:105–13. DOI: 10.1179/crn.2010.015. PMID: 20491232.

32. Terebesi S, Giannakopoulos NN, Brüstle F, Hellmann D, Türp JC, Schindler HJ. 2016; Small vertical changes in jaw relation affect motor unit recruitment in the masseter. J Oral Rehabil. 43:259–68. DOI: 10.1111/joor.12375. PMID: 26707515.

33. Abduljabbar T, Mehta NR, Forgione AG, Clark RE, Kronman JH, Munsat TL, George P. 1997; Effect of increased maxillo-mandibular relationship on isometric strength in TMD patients with loss of vertical dimension of occlusion. Cranio. 15:57–67. DOI: 10.1080/08869634.1997.11745993. PMID: 9586489.

34. Herpel C, Rammelsberg P, Schwindling FS. 2023; Nonsurgical treatment of class III malocclusion with temporomandibular disorder comorbidity: A clinical report. J Prosthet Dent. 129:819–23. DOI: 10.1016/j.prosdent.2021.09.012. PMID: 34711408.

35. Holmlund A, Axelsson S. 1994; Temporomandibular joint osteoarthrosis. Correlation of clinical and arthroscopic findings with degree of molar support. Acta Odontol Scand. 52:214–8. DOI: 10.3109/00016359409029049. PMID: 7985506.

36. Magnusson C, Nilsson M, Magnusson T. 2010; Degenerative changes in human temporomandibular joints in relation to occlusal support. Acta Odontol Scand. 68:305–11. DOI: 10.3109/00016357.2010.494623. PMID: 20586673.

37. Perry HT Jr. 1969; Relation of occlusion to temporomandibular joint dysfunction: the orthodontic viewpoint. J Am Dent Assoc. 79:137–41. DOI: 10.14219/jada.archive.1969.0216. PMID: 5254543.

38. Greene CS. 2011; Relationship between occlusion and temporomandibular disorders: Implications for the orthodontist. Am J Orthod Dentofacial Orthop. 139:11. 13. 15. DOI: 10.1016/j.ajodo.2010.11.010. PMID: 21195271.

39. Leite RA, Rodrigues JF, Sakima MT, Sakima T. 2013; Relationship between temporomandibular disorders and orthodontic treatment: a literature review. Dental Press J Orthod. 18:150–7. DOI: 10.1590/S2176-94512013000100027. PMID: 23876963.

40. Brown CE, Infante L. 2015; Thinking of a maladaptive occlusion as an orthopedic cumulative trauma disorder. Cranio. 33:19–22. DOI: 10.1179/0886963414Z.00000000043. PMID: 25547140.

41. Alajbeg IZ, Meštrović S, Zlendić M, Trinajstić Zrinski M, Vrbanović E. 2022; Sudden, Severe, Idiopathic Occlusal Relationship Change Coexisting with Pain-Related Temporomandibular Disorders: A Case Report. Acta Stomatol Croat. 56:405–16. DOI: 10.15644/asc56/4/7. PMID: 36713270. PMCID: PMC9873005.

42. Cordray FE. 2017; The relationship between occlusion and TMD. Open J Stomatol. 7:35–80. DOI: 10.4236/ojst.2017.71003. PMID: 17138396.

43. Loiselle RJ. 1969; Relation of occlusion to temporomandibular joint dysfunction: the prosthodontic viewpoint. J Am Dent Assoc. 79:145–6. DOI: 10.14219/jada.archive.1969.0229. PMID: 4891908.

44. Manfredini D, Lombardo L, Siciliani G. 2017; Temporomandibular disorders and dental occlusion. A systematic review of association studies: end of an era? J Oral Rehabil. 44:908–23. DOI: 10.1111/joor.12531. PMID: 28600812.