Int J Stomatol

Int J Stomatol ›› 2026, Vol. 53 ›› Issue (4): 537-544.doi: 10.7518/gjkq.2026026

• Original Article • Previous Articles    

Vibrational characteristics of the temporomandibular joints in patients with anterior disc displacement with reduction

Jingjing Li1(),Linlin Shao2,Qing Yu1()   

  1. 1.Dept. of Prosthodontics, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, China
    2.Dept. of Stomatology, Children’s Hospital of Soochow University, Suzhou 215025, China
  • Received:2025-06-06 Revised:2025-07-18 Online:2026-07-01 Published:2026-06-25
  • Contact: Qing Yu E-mail:jingjing.li@smail.nju.edu.cn;kqmike@163.com
  • Supported by:
    Nanjing Special Program for Life and Health Science and Technology(202205051)

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Abstract:

Objective　This study aimed to compare the vibration parameters of temporomandibular joint (TMJ) sounds during mouth opening and closing between patients with anterior disc displacement with reduction (ADDWR) and healthy individuals by using a TMJ vibration analysis system. Methods　Vibration signals were collected during maximum mouth opening and closing from 51 joints diagnosed with ADDWR and 51 healthy control joints. The following parameters were extracted and analyzed: peak amplitude, total vibrational energy, vibrational energy above 800 Hz, and vibrational energy below 800 Hz. They were assessed and compared using the Mann-Whitney U test. Results　The parameters evaluated were significantly higher in the ADDWR group than in the control group (P<0.01). Vibrations in ADDWR joints predominantly occurred during the mouth-opening phase. Conclusion　The vibrational characteristics of ADDWR joints differ significantly from those of healthy joints. The TMJ vibration analysis system provides a dynamic, noninvasive, and cost-effective tool with potential utility in the auxiliary assessment of temporomandibular disorders.

Key words: temporomandibular disorders, anterior disc displacement, joint vibration analysis, accelerometer, temporomandibular joint vibration analysis system

CLC Number: 

  • R782.6

TrendMD: 

Fig 1

Schematic diagram of the TMJ vibration analysis system"

Fig 2

Interface of the TMJ vibration analysis system"

Tab 1

Experimental equipment and software"

设备和软件名称型号出产公司
设备加速度传感器SENTHER 510-A-100-M上海领途实业有限公司，中国
数据采集卡VK700深圳微精艺电子有限公司，中国
联想台式电脑启天M650-N000联想集团，中国
软件制图与分析软件（OriginPro graphing & analysis）2021bOriginLab公司，美国
数学计算软件（MATLAB）R2021bMathWorks公司，美国
统计分析软件（SPSS statistics）26.0IBM公司，美国
颞下颌关节声学检测系统本研究自行搭建

Fig 3

Time-domain signals of the TMJ vibration in the experimental and control groups"

Fig 4

Frequency-spectrum diagrams of TMJ vibration at three stages during maximum mouth opening and closing"

Fig 5

Time-domain plots of TMJ vibration in the experimental and control groups"

Fig 6

Peak amplitude between the exprimental and control groups"

Tab 2

Comparison of peak amplitude between the ADDWR and control groups"

组别MQUQLP值
对照组0.044 30.072 60.034 20.000
试验组0.150 80.453 90.126 7

Tab 3

Comparison of frequency-domain parameters between the experimental and control groups"

振动能量/JADDWR组对照组P值
MQUQLMQUQL
Itotal2.830×10-48.129×10-49.309×10-58.153×10-51.916×10-44.243×10-50.000
I18.027×10-82.221×10-76.491×10-85.354×10-86.372×10-84.364×10-80.000
I22.829×10-48.127×10-49.302×10-58.147×10-51.916×10-44.236×10-50.000

Tab 4

Distribution of clinically audible clicking du-ring movement phases"

TMJ运动时期试验组（n=51）对照组（n=51）
开口期232
闭口期31
开闭口期均发生140
临床可听弹响总数400
仪器检测振动但临床无弹响数113
[1] Durham J, Newton-John TR, Zakrzewska JM. Temporomandibular disorders[J]. BMJ, 2015, 350: h-1154.
[2] Schiffman E, Ohrbach R, Truelove E, 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]. J Oral Facial Pain Headache, 2014, 28(1): 6-27.
[3] Miernik M, Więckiewicz W. The basic conservative treatment of temporomandibular joint anterior disc displacement without reduction: review[J]. Adv Clin Exp Med, 2015, 24(4): 731-735.
[4] 李榕, 赵青. 基于颞下颌关节思考成人安氏Ⅱ2分类错牙合畸形的治疗[J]. 国际口腔医学杂志, 2024, 51(6): 687-698.
Li R, Zhao Q. Treatment of adult class Ⅱ division 2 malocclusion based on temporomandibular joint[J]. Int J Stomatol, 2024, 51(6): 687-698.
[5] Dworkin SF, LeResche L, DeRouen T, et al. Asse-ssing clinical signs of temporomandibular disorders: reliability of clinical examiners[J]. J Prosthet Dent, 1990, 63(5): 574-579.
[6] Leader JK, Robert Boston J, Rudy TE, et al. Quan-titative description of temporomandibular joint sounds: defining clicking, popping, egg shell crackling and footsteps on gravel[J]. J Oral Rehabil, 2001, 28(5): 466-478.
[7] Deng M, Long X, Dong H, et al. Electrosonogra-phic characteristics of sounds from temporomandi-bular joint disc replacement[J]. Int J Oral Maxillofac Surg, 2006, 35(5): 456-460.
[8] Tanzilli RA, Tallents RH, Katzberg RW, et al. Temporomandibular joint sound evaluation with an electronic device and clinical evaluation[J]. Clin Orthod Res, 2001, 4(2): 72-78.
[9] Kręcisz K, Bączkowicz D, Kawala-Sterniuk A. Using nonlinear vibroartrographic parameters for age-related changes assessment in knee arthrokinematics[J]. Sensors, 2022, 22(15): 5549.
[10] Widmalm SE, Dong Y, Li BX, et al. Unbalanced lateral mandibular deviation associated with TMJ sound as a sign in TMJ disc dysfunction diagnosis[J]. J Oral Rehabil, 2016, 43(12): 911-920.
[11] Bączkowicz D, Majorczyk E. Joint motion quality in chondromalacia progression assessed by vibroa-coustic signal analysis[J]. PM R, 2016, 8(11): 1065-1071.
[12] Łysiak A, Marciniak T, Bączkowicz D. Repeatability of the vibroarthrogram in the temporomandibular joints[J]. Sensors (Basel), 2022, 22(23): 9542.
[13] Vasavi M, Ramaraju AV, Sajjan MCS, et al. An eva-luation of the effect of wearing complete dentures on temporomandibular joint vibrations over time using the joint vibration analyzer[J]. J Indian Pros-thodont Soc, 2023, 23(1): 30-37.
[14] Md WK, Teresa Sierpinska MD P, Mba JR. Can devices for the instrumental analysis of temporomandibular joints be used interchangeably[J]. Cranio, 2021, 39(2): 165-171.
[15] 奚晓菁, 李嘉良, 王琛, 等. 可复性关节盘前移位患者关节振动的特征性研究[J]. 口腔医学, 2017, 37(4): 336-340.
Xi XJ, Li JL, Wang C, et al. Characteristics of joint vibration of patients with anterior disc displacement with reduction in TMJ[J]. Stomatology, 2017, 37(4): 336-340.
[16] 黄超, 许向亮, 孙玉春, 等. 下颌髁突功能面三维运动轨迹的初步推算和模拟[J]. 中华口腔医学杂志, 2018, 53(10): 669-673.
Huang C, Xu XL, Sun YC, et al. A preliminary study on the three-dimensional trajectory of condyle[J]. Chin J Stomatol, 2018, 53(10): 669-673.
[17] Lee YH. Functional anatomy and vibration characteristics of the healthy temporomandibular joint: a narrative review[J]. J Korean Dent Sci, 2024, 17(1): 14-35.
[18] Huang ZS, Lin XF, Li XL. Characteristics of temporomandibular joint vibrations in anterior disk displacement with reduction in adults[J]. Cranio, 2011, 29(4): 276-283.
[19] Manfredini D, Basso D, Salmaso L, et al. Temporomandibular joint click sound and magnetic resonan-ce-depicted disk position: which relationship[J]. J Dent, 2008, 36(4): 256-260.
[20] Young AL. Internal derangements of the temporomandibular joint: a review of the anatomy, diagnosis, and management[J]. J Indian Prosthodont Soc, 2015, 15(1): 2-7.
[21] Oster C, Katzberg RW, Tallents RH, et al. Characteri-zation of temporomandibular joint sounds. A preliminary investigation with arthrographic correlation[J]. Oral Surg Oral Med Oral Pathol, 1984, 58(1): 10-16.
[22] de Oliveira LRLB, Alves IDS, Vieira APF, et al. Temporomandibular joint: from anatomy to internal derangement[J]. Radiol Bras, 2023, 56(2): 102-109.
[23] 夏文棣, 傅开元. 颞下颌关节盘前移位对下颌功能和形态的影响及其生物学机制的研究进展[J]. 中华口腔医学杂志, 2016, 51(3): 182-184.
Xia WD, Fu KY. The influences of anterior disc displacement on oral mandibular function and morpho-logy and their biological mechanisms[J]. Chin J Stomatol, 2016, 51(3): 182-184.
[24] Topaloglu Yasan G, Adiloglu S, Tuz HH, et al. Eva-luation of clinical signs and magnetic resonance imaging findings in patients with temporomandibular disorders[J]. J Craniomaxillofac Surg, 2023, 51(7/8): 441-447.
[25] Xu Y, Zhan J, Zheng Y, et al. Synovial fluid dyna-mics with small disc perforation in temporomandi-bular joint[J]. J Oral Rehabil, 2012, 39(10): 719-726.
[26] Lalue-Sanches M, Gonzaga AR, Guimaraes AS, et al. Disc displacement with reduction of the temporomandibular joint: the real need for treatment[J]. J Pain Relief, 2015, 4(5): 2-5.
[27] Gupta B, Thumati P, Radke J. Temporomandibular joint vibrations from totally asymptomatic subjects[J]. Cranio, 2016, 34(3): 169-175.
[28] Deregibus A, Castroflorio T, De Giorgi I, et al. Could different TMJ disc positions observed in MRI cause different sounds? Analysis on a group of subjects with ADD with reduction: a pilot study[J]. Cranio, 2014, 32(4): 265-274.
[29] Jacewicz E, Alexander JM, Fox RA. Introduction to the special issue on perception and production of sounds in the high-frequency range of human speecha[J]. J Acoust Soc Am, 2023, 154(5): 3168-3172.
[30] Widmalm SE, Bae HEK, Djurdjanovic D, et al. Inau-dible temporomandibular joint vibrations[J]. Cranio, 2006, 24(3): 207-212.
[31] Grochala J, Grochala D, Kajor M, et al. A novel method of temporomandibular joint hypermobility diagnosis based on signal analysis[J]. J Clin Med, 2021, 10(21): 5145.
[32] Sharma S, Crow HC, Kartha K, et al. Reliability and diagnostic validity of a joint vibration analysis device[J]. BMC Oral Health, 2017, 17(1): 56.
[33] Srinivasan R, Gupta S, Chander NG, et al. Clinical validation of the tmd-e tracker for diagnosing temporomandibular disorders: a reliability and accuracy assessment[J]. J Oral Biol Craniofac Res, 2025, 15(4): 799-803.
[34] Paiva G, Paiva PF, de Oliveira ON. Vibrations in the temporomandibular joints in patients examined and treated in a private clinic[J]. Cranio, 1993, 11(3): 202-205.
[35] 王碧娟, 梁甲兴. 食物硬度对口颌系统发育的影响[J]. 国外医学·口腔医学分册, 2003, 30(5): 411-413.
Wang BJ, Liang JX. The effect of food hardness on orofacial development[J]. Foreign Med Sci (Stomatol), 2003, 30(5): 411-413.
[36] Ferreira LA, Grossmann E, Januzzi E, et al. Diag-nosis of temporomandibular joint disorders: indication of imaging exams[J]. Braz J Otorhinolaryngol, 2016, 82(3): 341-352.
[37] Kulesa-Mrowiecka M, Barański R, Kłaczyński M. sEMG and vibration system monitoring for differential diagnosis in temporomandibular joint disorders[J]. Sensors (Basel), 2022, 22(10): 3811.
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