TY  - JOUR
AU  - Halilaj, Gerta
AU  - Stroni, Gentian
PY  - 2026
DA  - 2026/11/11
TI  - Magnetic Resonance Imaging Findings of Unilateral Temporomandibular Joint Derangement and Condylar Morphological Changes in a 14-Year-Old Patient: A Case Report
JO  - Journal of Oral and Dental Approaches
T2  - Journal of Oral and Dental Approaches
JF  - Journal of Oral and Dental Approaches
VL  - 1
IS  - 1
SP  - 13
EP  - 19
DO  - 10.62762/JODA.2026.471521
UR  - https://www.icck.org/article/abs/joda.2026.471521
KW  - adolescent
KW  - temporomandibular joint
KW  - magnetic resonance imaging
KW  - articular disc displacement
AB  - Temporomandibular disorders may occur during adolescence, although the relationship between clinical symptoms and structural joint abnormalities remains incompletely understood. Magnetic resonance imaging (MRI) allows detailed assessment of articular disc position and morphology and of the disc--condyle relationship. This report describes unilateral discal and condylar abnormalities in a symptomatic adolescent. A 14-year-old female presented with a one-year history of right-sided preauricular pain, joint clicking, and restricted mouth opening. She also reported sleep bruxism and childhood jaw trauma. Bilateral temporomandibular joint (TMJ) MRI showed anterior displacement of the right articular disc without reduction, with irregular disc morphology; the disc remained anteriorly displaced in the open-mouth position. Flattening and irregularity of the right condylar articular surface were observed, together with increased thickness and signal intensity of the posterior disc attachment and minimal intra-articular fluid. The left TMJ showed preserved disc morphology, condylar contour, and a normal disc--condyle relationship in both mouth positions, with a minimal amount of intra-articular fluid. This case documents the coexistence of persistent unilateral TMJ symptoms with discal and condylar abnormalities during adolescence, and bilateral closed- and open-mouth MRI clarified the distribution and extent of intra-articular involvement. Although a single examination cannot establish the relationship between disc displacement and condylar changes, the findings support comprehensive clinical assessment and individualized follow-up in adolescents with persistent TMJ symptoms.
SN  - pending
PB  - Institute of Central Computation and Knowledge
LA  - English
ER  - 

@article{Halilaj2026Magnetic,
  author = {Gerta Halilaj and Gentian Stroni},
  title = {Magnetic Resonance Imaging Findings of Unilateral Temporomandibular Joint Derangement and Condylar Morphological Changes in a 14-Year-Old Patient: A Case Report},
  journal = {Journal of Oral and Dental Approaches},
  year = {2026},
  volume = {1},
  number = {1},
  pages = {13-19},
  doi = {10.62762/JODA.2026.471521},
  url = {https://www.icck.org/article/abs/joda.2026.471521},
  abstract = {Temporomandibular disorders may occur during adolescence, although the relationship between clinical symptoms and structural joint abnormalities remains incompletely understood. Magnetic resonance imaging (MRI) allows detailed assessment of articular disc position and morphology and of the disc--condyle relationship. This report describes unilateral discal and condylar abnormalities in a symptomatic adolescent. A 14-year-old female presented with a one-year history of right-sided preauricular pain, joint clicking, and restricted mouth opening. She also reported sleep bruxism and childhood jaw trauma. Bilateral temporomandibular joint (TMJ) MRI showed anterior displacement of the right articular disc without reduction, with irregular disc morphology; the disc remained anteriorly displaced in the open-mouth position. Flattening and irregularity of the right condylar articular surface were observed, together with increased thickness and signal intensity of the posterior disc attachment and minimal intra-articular fluid. The left TMJ showed preserved disc morphology, condylar contour, and a normal disc--condyle relationship in both mouth positions, with a minimal amount of intra-articular fluid. This case documents the coexistence of persistent unilateral TMJ symptoms with discal and condylar abnormalities during adolescence, and bilateral closed- and open-mouth MRI clarified the distribution and extent of intra-articular involvement. Although a single examination cannot establish the relationship between disc displacement and condylar changes, the findings support comprehensive clinical assessment and individualized follow-up in adolescents with persistent TMJ symptoms.},
  keywords = {adolescent, temporomandibular joint, magnetic resonance imaging, articular disc displacement},
  issn = {pending},
  publisher = {Institute of Central Computation and Knowledge}
}