Osteoarthrosis as the cause of craniomandibular pain and dysfunction: A unifying concept

B Stegenga*, L.G.M de Bont, G Boering

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    179 Citations (Scopus)


    It has been demonstrated that osteoarthrotic changes in the temporomandibular joint (TMJ) and in other synovial joints show a similar course, both clinically and (ultra)microscopically. Initially, cartilage changes and possibly also changes in the synovial membrane set up a vicious cycle of cartilage breakdown accompanied by attempts at repair. When the degradative process exceeds the response of repair, the osteoarthrotic disorder progresses into clinically detectable stages. Frequently, the gliding capacity of the articular disc is also impaired, giving rise to an internal derangement. In this article, a concept is presented in which it is suggested that in many cases of craniomandibular pain and dysfunction TMJ osteoarthrosis is the basic disorder
    Original languageEnglish
    Pages (from-to)249-256
    Number of pages8
    JournalJournal of Oral and Maxillofacial Surgery
    Issue number3
    Publication statusPublished - Mar-1989

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