Internal Derangement Of Temporomandibular Joint Research Articles

Evaluation of prevalence of temporomandibular disorders based on DC / TMD Axis I diagnosis in Turkish population and correlation with Axis II

PurposeThe prevalence of DC / TMD diagnosis of individuals with internal derangement of TMJ who want to receive TMD treatment in a tertiary clinic in the Turkish population and comparison of the criteria applied in Axis I and Axis II. MethodsThis study was carried out on 200 individuals older than 18 years of age who have internal disorder of Temporomandibular Joint (TMJ). Diagnostic Criteria for Temporomandibular Disorders (DC / TMD) Axis I and II were applied. ResultsThe female to male ratio of individuals with internal derangement of TMJ in the Turkish population was 3.5. The Pearson correlation coefficient between the internal derangement of the Right TMJ and the internal derangement of the Left TMJ is 0.804 and has a statistically significant relationship (p <0.05). ConclusionsFor DC / TMD, a more comprehensive study is needed to compare the results found in the Turkish population with other populations.

Added value of dynamic 3T-MRI to conventional static MRI in evaluation of internal derangement of tempromandibular joint

PurposeThis prospective study aimed at comparing dynamic T1W fast field echo sequence to the standard static sequences in the evaluation of TMJ disorders using 3T MRI. Methods8 patients, 14 with bilateral symptomatic internal derangement of TMJ and 4 with unilateral symptoms (32 TMJs) were examined, including 17 females and one male. Static T1W, T2W and PD turbo spin-echo sequences in closed and open mouth positions as well as dynamic T1W-FFE sequence were acquired on 3T MRI unit and images were assessed for the articular disc position, morphological disc changes, condylar morphology and translation. Marginal homogeneity test was used to analyze difference between dynamic and static imaging findings and significant results were considered at p ≤ 0.05. ResultsThe study shows statistically significant difference between static and dynamic MRI in the evaluation of condylar position (p < 0.005). Out of the examined 32 joints, 28 joints (87.5%) had normal condylar position and 4 joints (12.5%) had a subluxated condyle. Dynamic MRI showed 24 joints (75%) had normal condylar position and 8 joints (25%) had a subluxated condyle. Regarding disc morphology and position, dynamic MRI added no significant superior information compared to standard static images. ConclusionStatic MRI of TMJ provides proper accurate assessment of pathological changes in TMJ disorders and considered the gold standard. Dynamic MRI added superior information regarding joint biomechanics even in normal static MRI cases and valuable findings regarding the movement patterns of the condyle and disc in different types of TMJ internal derangement.

A comparison of the outcomes following intra-articular steroid injection alone or arthrocentesis alone in the management of internal derangement of the temporomandibular joint.

One of the main causes of chronic facial pain is temporomandibular disorders (TMDs) which may turn out to be a major cause for disability. The two types of treatment strategies may be undertaken to counter temporomandibular joint (TMJ) disorders, namely conservative management and surgical intervention. Surgical management can be classified into invasive open methods and minimally invasive procedures such as arthrocentesis, intra-articular steroid injection, and arthroscopy. The aim of this study is to compare the efficacy of Kenacort (Triamcinolone) as an intra-articular corticosteroid injection and arthrocentesis for lysis and lavage, for the treatment of the temporomandibular joint disorders. Twenty patients with internal derangement of temporomandibular joint (IDTMJ) not responding to conservative management and meeting the inclusion criteria randomly underwent either intra-articular steroid injection or arthrocentesis and the results of the two procedures were evaluated and compared. Unpaired t-test, repeated-measures ANOVA. A value of P < 0.05 is considered to be statistically significant. Both procedures turned out to be successful in reducing pain and improving mouth opening, both in a short-term and a long-term use. Upon comparison in our series of patients, arthrocentesis was noted to be a better treatment modality in the long term for the management of IDTMJ.

Evaluating Role of Arthrocentesis in Management of Internal Derangement of TMJ

Background: Concerning the management of TMJ the complex anatomy of TMJ plays a vital role since it has its components that attached the most versatile part of human body. It has its several components performing and aiding in multitude of functions(1). Each instance of TMD is different and complex, thus diagnosis involves a thorough examination of the individual patient's history and symptoms as well as a range of methods. Objective: The objective of this study was to evaluate the role of arthrocentesis in management of internal derangement of TMJ Methodology: In order to access the relevant research articles a systemic research was conducted via three data bases including PubMed, Google Scholar and web of science.

Evaluation of the effects of temporomandibular joint arthrocentesis with hyaluronic acid injection on mandibular condyles using fractal dimension analysis: A retrospective study

This study aimed to investigate the effects of arthrocentesis with intra-articular hyaluronic acid (HA) injection on mandibular condyles using fractal dimension (FD) analysis.Patients with temporomandibular joint (TMJ) internal derangement (ID) were divided into three groups according to how many times the arthrocentesis with HA injection was performed. FD analysis is a quantitative concept that provides information about trabecular bone microstructures. Regions of interest were selected from bone areas close to the articular surfaces of the right and left condyles on panoramic radiographs, which were taken before the procedure (T0) and at the sixth month (T1) after the procedure. Then, the FD values were calculated. All images were reviewed by the same researcher. A two-way repeated-measures analysis of variance was used to determine whether there was a significant interaction between groups, treatment sides, and time on the FD values.A total of 140 patients, including 118 patients who received bilateral arthrocentesis with HA injection and 22 control patients, were included in the study. The images of 20 randomly selected patients were re-evaluated after 2 weeks. As a result of the correlation analysis, there was no significant difference between the two measurements (P > 0.05). The main effect of time on the FD value was significant [F (1, 136) = 157.879, P < 0.001]. This effect was qualified by a significant time × group interaction effect [F (3, 136) = 18.533, P < 0.001]. The increases in the mean FD values on the right and left sides in all treatment groups between T0 and T1 times were significant (P < 0.001 for all), whereas changes in FD values on the right and left sides between T0 and T1 times were not significant in the control group (P = 0.164 and P = 0.557, respectively). After arthrocentesis with HA injections, the mean FD values increased in the mandibular condyles, depending on time in all treatment groups.Patients with TMJ ID are likely to have radiologically detectable degenerative changes and abnormalities in the condyles. The FD analysis method, which provides quantitative data, is recommended as an adjunct and guide for oral and maxillofacial surgeons in radiological examinations that should be performed together with clinical examination for the follow-up of microstructural changes in the condyle after arthrocentesis with HA injection.

A comparative study between the effects of pain receptor blocking agent and lubrication system on pain in case of temporomandibular joint internal derangement

A comparative study between the effects of pain receptor blocking agent and lubrication system on pain in case of temporomandibular joint internal derangement

P-41648991-93 - Arthocentesis and adjuvant intraarticular steriod in the management of internal derangement of temporomandibular joint

<h3>Objectives</h3> A study was designed to compare the efficacy of arthrocentesis alone and with intraarticular steroid in treatment of TMJ internal derangements. <h3>Methods</h3> 36 patients diagnosed cases of internal derangement, aged between 17-45 years. Wilkie's second and third stage were enrolled in the study, complaining of limited mouth opening and TMJ pain. All patients were clinically evaluated before the arthocentesis, and at 1 week and 3 months after the arthocentesis after randomly distributed into two groups by lottery method. In the experimental group arthocentesisis was combined with single dose of triamecelone actonide 40mg injection into joint space. Postoperative changes were compared with the preoperative values using the Mann-Whitney U-test. <h3>Results</h3> The pre-operative mouth opening ranged from 18 to 27mm with a mean of 23.7mm with VAS pain score from 4 to 8 in control group. The post-operative MMO incresed to mean of 33.475mm and increased to a mean of 41.05mm at 3 month follow-up with decrease in pain score to a mean of 2.45 at 1 week then to a mean of 1.225 at 3 month follow-up in the control group. In the experimental group the mean MMO after steroid injection increased from 23.9 to 42.2mm, the mean pain score decreased from 6.7 to 1.11. The difference between the groups was not significant with p value of 1. <h3>Conclusion</h3> TMJ arthrocentesis is a simple, less invasive and less expensive technique with low morbidity, but addition of steroid doesn't improve the results.

Comparison of Arthroscopy and Arthrocentesis in the Management of Internal Derangement in TMJ Disorders: A Systematic Review

The aim of the systematic review is to shed some light on comparison of Arthroscopy and arthrocentesis in the management of internal derangement in temporomandibular joint (TMJ) disorders. A comprehensive electronic search was conducted with no date or language constraints. Human research, such as randomized or quasi-randomized controlled trials, controlled clinical trials, and retrospective studies comparing arthrocentesis and arthroscopy in the treatment of internal derangements in TMJ disorders, was included in this study. After considering the exclusion and inclusion criteria, seven studies were being included in the systematic review. Because all trials employed the same scale, the weighted mean difference (WMD) was used to compute the Maximum inter-incisal opening (MIO) (in millimeters) and pain in the continuous data (by visual analog scale). The improvement in MIO following arthroscopy was greater than that following arthrocentesis. The difference in pain reduction between arthroscopy and arthrocentesis patients was statistically significant (fixed: WMD = 0.42, 95% CI: 0.54–0.30; P = 0.00001). When compared to arthrocentesis, arthroscopy lysis and lavage were shown to be more effective in improving MIO and lowering pain.

Long term oral health related quality of life after TMJ arthrocentesis with hyaluronic acid. A retrospective cohort study

The purpose of the study was to assess the long-term oral health-related quality of life (oQoL) in patients with temporomandibular joint (TMJ) internal derangement (ID) after TMJ arthrocentesis plus hyaluronic acid (HA).Patients were analysed at different follow-up times using an analytical observational design. The Oral Health Impact Profile−14 (OHIP-14) score was evaluated according to age, sex, disc position, presence of degenerative joint disease (DJD), joint pain, maximum mouth opening and follow-up time.A total of 60 participants were enrolled, 88% female, with a mean age of 38 years (SD = 13.48).In an average follow-up of 25.02 months (SD = 5.32), the OHIP-14 total score decreased 8.67 (95% confidence interval [CI]: −11.21 to −6.11) after the intervention (Cohen's d = 1.22; 95% CI = 0.81 to 1.64). All OHIP-14 domain scores decreased (p < 0.05) except for the Functional limitation domain (p = 0.378). The oQoL after the intervention worsened in female patients (p = 0.039) and with a higher level of pain at baseline (p = 0.002).Self-perceived QoL improvement should be considered stable long term after temporomandibular joint arthrocentesis plus HA, regardless of concurrence with DJD or ID subtype. QoL should be used as clinical assessment measure of ID patients, with special attention to those with higher levels of pain.

Evaluation of the efficacy of platelet rich fibrin (I-PRF) intra-articular injections in the management of internal derangements of temporomandibular joints – a controlled preliminary prospective clinical study

BackgroundThe temporomandibular joint (TMJ) is one of the most complex joints in the body. Temporomandibular disorders (TMD) are among the most troublesome disorders for patients, as they can cause pain, affect oral functions and disturb dentists on the level of diagnosis and treatment. The most common symptoms of temporomandibular joint disorders are articulated sounds (such as clicking or TMJ crepitation), joint pain in comfort and function situations (jaw movements), pain or strain in masseter and jaw muscles and or restricted mandibular movements. One of the most modern biocompatible substances used to treat joint disorders, including the TMJ, is platelet-rich plasma (PRP) and injectable platelet-rich fibrin (I-PRF). This study aims to evaluate the efficacy of platelet-rich fibrin (I-PRF) intra-articular injections in managing internal derangements of temporomandibular.MethodsTwenty patients suffering from a unilateral click due to temporomandibular disorders were individually injected with 1 mL of (I-PRF) twice 1 week apart into the superior joint space of the TMJ with the internal disorder. Data were recorded and evaluated by the Helkimo index. This evaluation was conducted three times; 1 week after the first injection, 1 week after the second injection, and 6 months after the first injection.ResultsThe clicking disappeared entirely in 14 out of 20 patients after 1 week of getting the first injection, and in all patients after 1 week of getting the second injection, and returned to two of them after a six-month since the first injection.ConclusionPreliminary results showed the efficacy of the Injectable Platelet-Rich Fibrin (I-PRF) in managing articular clicking in patients with internal disorders of the temporomandibular joint. Injectable Platelet Rich Fibrin has significant clinical efficacy in treating the articular clicking resulting from internal temporomandibular joint disorders.

Superficial cervical plexus block on pain control in patients with temporomandibular joint internal derangement with headache: a retrospective cohort study.

Temporomandibular disorders (TMDs) are a group of disorders with varied pathophysiology and clinical manifestations. Masticatory and cervical motor systems have a functional relationship. Superficial cervical muscles have greater hyperactivity in myogenous and mixed TMDs than in healthy individuals, demonstrating an abnormal pattern of contraction. This study aimed to demonstrate the effects of superficial cervical plexus block (SCPB) anesthesia during arthrocentesis in patients with temporomandibular joint (TMJ) internal derangement and headache. This retrospective cohort study included 2 men and 23 women with cervicogenic headache and TMJ internal derangement treated by arthrocentesis, and 40 TMJs with established cervicogenic headaches. The average follow-up period was 9.36 ± 2.679 months. TMJ and muscle pain during mastication, maximum and non-assisted mouth opening, and lateral excursion were recorded. Pain and dysfunction were determined using the visual analog scale. Patients were monitored before, during, and after arthrocentesis while inducing SCPB anesthesia, and vital findings were recorded. In addition, skin surface temperature was measured. Patients experienced a significant increase in their clinical values. Changes in non-assisted mouth opening (mean from 29.65 ± 6.31 to 33.3 ± 5.21 mm) (P < .05), assisted mouth opening (mean from 38.98 ± 7.62 to 43.35 ± 6.17 mm), right excursions (mean from 7.28 ± 2.08 to 9.13 ± 1.86 mm), and left excursions (mean from 7.48 ± 1.71 to 8.90 ± 1.82 mm) were statistically significant (P < .05). Patients were relieved after SCPB, resulting in decreased pain and hemodynamic values. Increase in mean temperature after SCPB was statistically significant (P = .002, P < .05). This study presents a straightforward novel protocol, clinically efficient for arthrocentesis on pain control in patients with TMJ internal derangement and cervicogenic headache.

Efficacy of computer-guided versus conventional sodium hyaluronate injection in superior joint space in treatment of temporomandibular joint (TMJ) internal derangement: Comparative randomized controlled trial

Objectivesevaluate the feasibility and clinical outcomes of computer-guided sodium hyaluronate injection in superior joint space compared to conventional injection for the treatment of TMJ Internal Derangement (TMJ-ID). Patients and methodsRandomized controlled trial conducted on 40 patients diagnosed with bilateral TMJ-ID divided into two groups. Group A treated with four computer-guided sodium hyaluronate injections in superior TMJ space with one-week intervals. Group B received similar injections but with the conventional method. The intraoperative assessment included total procedural time and patient convenience during the injection. The postoperative evaluation included maximum unassisted mouth opening (MUMO), modified Helkimo's clinical dysfunction index, and pain intensity on a visual analog scale (VAS). ResultsGroup A showed better improvement in maximum mouth opening and pain intensity than group B after a week of the second, third and fourth injection. At the six months, group A continued to show better improvement regarding maximum mouth opening, while improvement in pain and TMJ dysfunction was similar in both groups. There were differences between both groups regarding procedural time and patient convenience across the study except the time of the first injection, which was similar in both groups ConclusionUsing the virtual planning and injection guide for intra-articular TMJ injection is considered promising to increase the accuracy and efficacy of injectable material securing faster results besides rendering the procedure easily reproducible and simpler to both clinicians and patients. However, the authors could not ensure the long-term superiority of the computer-guided injection technique over the conventional one in light of the results of this study.

A clinical study on the incidence of internal derangement of the temporomandibular joint following harvesting of temporalis fascia

ABSTRACT Objective The aim of the current clinical study was to reveal whether harvesting of a temporalis fascia graft would be associated with a higher incidence of temporomandibular joint (TMJ) internal derangement. Methods The study group involved 104 patients who had middle-ear operations, 67 of which involved harvesting of temporalis fascia and 37 that did not. The TMJs were clinically examined in each group. Results The total incidence of internal derangement of the TMJ was significantly higher in the group that had temporalis fascia harvesting (79.1%), compared to the group that did not have temporalis fascia harvesting (29.7%), (p= 0.001). Conclusion Harvesting of temporalis fascia probably alters mandibular kinematics and predisposes to internal derangement of the TMJs.

Comparison of intraarticular injection of platelet-rich plasma following arthrocentesis, with sodium hyaluronate and conventional arthrocentesis for management of internal derangement of temporomandibular joint

Aim:The aim of the study is to compare the efficacy of platelet-rich plasma (PRP) for the management of internal derangement of temporomandibular joint (TMJ).Settings and Design:Thirty-three patients were selected from the pool of patients visiting the department of oral and maxillofacial surgery. Simple randomization was done.Subjects and Methods:Patients with anterior disc displacement without reduction (DDWOR) were indicated for arthrocentesis. Group A patients are treated with PRP, Group B patients with sodium hyaluronate following arthrocentesis, and Group C patients were treated with arthrocentesis alone. Postoperative pain and maximal incisal opening are the primary outcomes evaluated.Statistical Analysis Used:The collected data were analyzed with IBM. SPSS statistics software 23.0 version and the one-way ANOVA with Tukey's post hoc test were used.Results:The mean age is 33 years, with female predominance. The statistical significant differences (P < 0.05) in pain and MIO between the 3 groups at the end of 3rdweek, 4thweek, and 3rd month postoperatively are seen in PRP group comparative to other groups.Conclusions:Our study has concluded that the intraarticular injection of PRP is an effective management for anterior DDWOR of TMJ than intraarticular injection of sodium hyaluronate and arthrocentesis in, reducing the pain and improving the interincisal distance in patients with DDWOR, thus providing a rapid recovery and improved quality of life.

Association of VDR gene BsmI polymorphism with temporomandibular joint disorders: A case control study in Kashmiri population

BackgroundVitamin D has been reported to maintain bone health and its deficiency has been found to be linked with many musculoskeletal disorders including temporomandibular dysfunction. Vitamin D exerts its biological effect via an intracellular receptor protein encoded by vitamin D receptor gene (VDR) by controlling the expression of various target genes. Several genetic variants of vitamin D receptor gene in the form of SNP's have been found to be associated with TMJ-ID (temporomandibular joint internal derangement). The aim of the present study was to determine intron 8 Bsm I (rs1544410) VDR gene polymorphism in association with TMJ-ID in Kashmiri population. MethodsDNA was isolated from106 (patient + control) Kashmiri subjects and VDR genotyping for BsmI was performed by RFLP and DNA sequencing. ResultsBsm I polymorphism was significantly higher for mutant genotype/allele in patients than controls with OR = 4.1 and p = 0.0015. The allelic and genotypic frequencies of Bsm I was significantly associated with TMJ-ID development. ConclusionIntron 8 Bsm I (rs1544410) VDR polymorphism was identified as susceptible region for TMJ-ID development in the Kashmiri population.

Occlusal Interferences Removal Influenced the Condylar Angular Inclination in Patients with TMJ Internal Derangement

The aim of the Study: is to discuss the role of occlusal interferences on angular condylar inclinationin patients with TMJ internal derangement. And to demonstrated that the digital guiding of theselective digital occlusal adjustment (enameloplasty) are more accurate and time saving.Materials and Methods: Eighty-four patients with full dentition and angle class I diagnosedwith DC/TMD criteria, teeth contact registered digitally by using T-Scan NOVUS device, CadiaxCompact II axiographic device was used to control the Sagittal Condylar Inclination (SCI) andBennett angle (BA) before and after occlusal interventions (occlusal adjustment and occlusalsplint).Results: Eighty-four patients (76.2% females: 23.8% male) were participated in this studywith age range (19-45 years old), highly prevalence of occlusal interferences was reported. Nosignificant differences in (SCI) before and after occlusal interventions, Bennett angle demonstrateda significant difference before and after occlusal interventions.Conclusion: The Transverse Condyle Inclination (Bennett angle) highly influenced by the occludingteeth. Enameloplasty that had been done in this study showed significant effects on Bennett angle.Therefore, any full mouth rehabilitation should be carefully evaluated to avoid abnormal condylarinclination and result in abnormal joint structures relationship.

Is Modified Condylotomy a Better Surgical Option Compared With High-Condylar Shave With Eminectomy in Improving Symptoms of Internal Derangement of Temporomandibular Joint?

A proper anatomical disc-condyle position is a prerequisite to prevent progressive deteriorating changes within the temporomandibular joint. Surgery becomes the primary treatment option for patients who do not recover with nonoperative management. The present study aimed to compare the clinical outcome of 2 different surgical procedures in patients with internal derangement of the temporomandibular joint. A prospective clinical cohort study was conducted among patients presenting to outpatient department of Oral and Maxillofacial Surgery at Maulana Azad Institute of Dental Sciences. The study sample was alternatively allocated into 2 treatment groups; Group I: modified condylotomy (MC) and Group II: high-condylar shave with eminectomy (HCSE). The primary outcome variables included pain on function, tenderness on palpation, and maximum mouth opening. The secondary outcome variables included joint sounds, jaw deviation on opening, maximum protrusive jaw movement, maximum ipsilateral jaw movement, and maximum contralateral jaw movement. The covariates were age, sex of the patient, duration of illness, the diagnosis based on Wilkes's staging, and the laterality (whether unilateral or bilateral). Descriptive, comparative, and regression analyses were conducted. Twenty-one patients with Wilkes Stage II, III, and IV were included in the study (MC: 10 patients and HCSE: 11 patients). The mean age of the study sample was 32.67 (±11.66) years. Among 21 patients recruited in our study, 18 were females. It was observed that after 1-year follow-up, patients in Group I had significantly lower pain on function (0.30±0.48) compared with Group II (3.00±1.18). (P<.001). Similarly, tenderness on palpation was significantly decreased in Group I (0.80±0.48) compared with Group II (2.45±0.93; P<.001). Joint sounds were significantly lower in Group I (1.20±0.63) compared with Group II (2.27±0.90) after 1year (P<.001). Maximum protrusive jaw movement and maximum ipsilateral jaw movement were significantly higher in Group I compared with Group II after 1year. MC is a comparatively better surgical procedure than HCSE in patients with internal derangement of the TMJ.

Are Outcomes of Temporomandibular Joint Arthroscopy Influenced by Central Sensitization?

A proportion of subjects with internal derangements of the temporomandibular joint (TMJ) may have a central sensitization disorder that may affect pain perception after surgery. This study aims to estimate the association between fibromyalgianess (FMness) score, a summed score of the Widespread Pain Index (WPI) and Symptom Severity Sore (SSS), and outcomes following TMJ arthroscopy. A retrospective cohort study including individuals who received arthroscopy for TMJ internal derangement at Michigan Medicine between 2011 and 2020 was performed. A predictor variable, FMness score, was assigned via the sum of WPI and SSS. Univariate and bivariate analyses were performed. Linear-mixed effects models were used to analyze 6 different outcomes, each in their own model: pain, jaw functional limitation scale (JFLS), JFLS-mobility domain, pain-related disability, comfortable maximum interincisal opening, and active maximum interincisal opening. Covariance structure was selected based on null model fit separately for each outcome. Thirty-one subjects were included in the study sample. Twenty-eight subjects were female. Average age was 45.9years. Bivariate analysis demonstrated that subject's FMness score was not correlated with pain (b=0.03 [-0.10, 0.17] P=.59) or JFLS score (b=1.00 [-.80, 2.81] P=.27). However, subject's FMness score was significant for predicting JFLS-mobility domain score (b=.61, [0.05, 1.18] P=.04). A greater extent of central sensitization was associated with lower comfortable mouth opening after surgery, greater limitations in opening wide enough to eat various foods (higher JFLS-mobility scores), and higher pain-related disability. Future studies with larger sample sizes and reconstructive TMJ operations such as total TMJ arthroplasty may help clarify the impact of SSS and WPI scores on outcomes of TMJ surgery.

High condylar shave with meniscorhaphy in the treatment of internal derangement of temporomandibular joint. Clinical, radiographic, and patient-based outcomes.

High condylar shave with meniscorhaphy in the treatment of internal derangement of temporomandibular joint. Clinical, radiographic, and patient-based outcomes.

A retrospective study on factors affecting the dropout rate among temporomandibular joint internal disc derangement patients in India - A single-institution experience.

Patients suffering temporomandibular joint internal disc derangement (IDD) ignore appointments after the first examination or after the first or second sessions of initial treatment. The dropout rate for these patients varies from 36% to 78% as per literature. Unfortunately, very few studies have investigated the dropout rate of these patients. Hence, the present study was undertaken to find out the dropout rate among these kinds of patients. A retrospective study was done from June 2008 to December 2017 by collecting the records of the patients who were diagnosed to have IDD. Outcome variables included were age, sex, distance traveled, occupation, and education. Out of 1021 patients 766 patients were included in the study after fulfilling the inclusion and exclusion criteria. The data were analyzed using Chi-square test. The level of significance was set at <0.05. In this study, there is slight male predominance (52.8%) and 63.1% (21-40 years) were among young adults and the patients in the age group of 21-30 years had shown good compliance, Postgraduate has shown the highest follow-up rate when compared with graduates and school level and the difference was found to be statistically significant. People in the job had shown good compliance when compared with business class and retired people and the patients within 50 km had shown the maximum follow-up with a statistically significant difference (P < 0.01). This study has shown that the dropout rate of treatment in temporomandibular joint disorder is affected by age, sex, distance traveled, occupation, and education.