Familial inheritance of TMD: a case report
DOI:
https://doi.org/10.5195/d3000.2017.75Keywords:
Familial TMD, systemic joint laxity, chronic headaches/pain, craniofacial dimensions, TMD inheritanceAbstract
The TMJ is a joint that can perform both hinge and sliding motions and whose proper functioning depends on the actions of the joint and joint capsule, the muscles of mastication, and the condition and action of the mandibular condyle. If any of these components deviate from their normal structure or function, then TMD can result. There have been many reported contributing factors to TMD development, many of which include environmental influences such as bruxism, trauma, and other oral habits. However, a genetic component can also play a role. This paper reports a case of TMD occurring within three consecutive generations of a family and explores the possibility of this disorder exhibiting familial inheritance. Members of the family affected all displayed manifestations of joint laxity in other areas of the body, migraines, pain, and had smaller craniofacial dimensions with a narrower mandible. These factors were found to have a genetic influence and these genes can also be tied to TMD, thus supporting the argument that the cases of TMD seen in this family are in fact due to inheritance. If TMD can be shown to have a genetic component and be inherited, then dental practitioners would be able to identify high risk patients and help to modify environmental factors early on in order to help prevent the onset of TMD in those individuals.References
TMJ disorders. National Insti-tute of Dental and Craniofacial Re-search. [cited March 4, 2017] Available from https://www.nidcr.nih.gov/oralhealth/topics/tmj/tmjdisorders.htm#symptoms.
The many faces of the genetics contribution to temporomandibu-lar joint disorder. Oakley M, Vieira AR. Orthod Craniofac Res. 2008 Aug;11(3):125–135. PMID: 18713149.
Genetic predictors of human chronic pain conditions. Zorina-Lichtenwalter K, Meloto CB, Khoury S, Diatchenko L. Neurosci-ence. 2016 Dec;338:36–62. PMID: 27143481.
Temporomandibular joint dys-function and systemic joint laxity. Westling L. Swedish Dental Journal Supplement. 1992;81:1-79. PMID: 1621231
The role of systemic hypermo-bility and condylar hypermobility in temporomandibular joint dys-function. Kavuncu, V., Sahin, S., Kamanli, A. et al. Rheumatol Int. 2006 Jan;26(3): 257-60. PMID: 15988598
Temporomandibular disorders in relation to craniofacial dimen-sions, head posture and bite force in children selected for orthodon-tic treatment. Liselotte Sonnesen, Merete Bakke, Beni Solow. Eur J Orthod. 2001 Apr;23(2): 179-192. PMID:11398555
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.