Temporomandibular Joint Disc Adhesion Without Mouth-Opening Limitation

Abstract

We present a case of a 26-year-old female patient complaining of articular pain and clicking on the left side, caused by mastication, of 5 years’ duration. Clinically, the patient presented with jaw-opening limitation, with deflection of the mandible to the right side without correction of the trajectory at the end of the jaw-opening movement. Imaging studies led to a diagnosis of bilateral disk adhesion (anchored disc phenomenon [ADP]) and slight limitation of the right condyle translation. This case, likely the first to be reported in the literature, confirms that reciprocal clicking may occur in cases of ADP and that, contrary to the general concept, ADP without mouth-opening limitation can occasionally occur.