Author

publication year

country of study

Study population characteristics

Diagnosis diagnostic criteria

Gene(s) studied

Results

Study limitations

Planello [17]

2011

Brazil

Mean Age of Cases 42.82 ± 14.96

N = 115: F = NR, M = NR

Mean Age of Controls 38.04 ± 14.17

N = 117: F = NR, M = NR

Ethnic status: Brazilian

Osteophytes, erosion, avascular necrosis, subchondral cyst, loose bodies, OA

CT, Interview, MRI

MMP1

MMP3

MMP9

Only MMP1 2G/2G genotype was found to be significant (P < 0.003). Effect of age on TMJ degeneration was significant (P < 0.002)

Small sample size to detect association of MMP3 gene

Huang [13]

2011

Japan

Mean Age of Cases

15.5 to 69.7

N = 55: F = 44, M = 11

Mean Age of Controls

NR

N = NR: F = NR, M = NR

Ethnic status: Japanese

TMJ clicking (disc displacement with reduction) or closed lock (disc displacement without reduction) and not having previous history of trauma, neoplasm and/or surgery in the TMJ; TMJ clicking used as controls

Clinical evaluation, MRI

ANKH

Two alleles of ANKH-OR polymorphism were identified. ANKH-OR homozygotes were more likely to develop closed lock compared to controls (P = 0.011)

Calculation of minimal sample size was unattainable, Low response rate could have resulted in sampling bias, application of cohort study would have explored the influence of age on TMD, high percentage of patients were unwilling to take a blood test for assessment, study failed to indicate equivalence between fibrous ankylosis in mice and closed lock in humans

Kim [19]

2010

South Korea

Mean Age of Cases 31.45 ± 15.25 years

N = 74: F = 50, M = 24

Mean Age of Controls

35.58 ± 12.47

N = 64: F = 41, M = 23

Ethnic Status: Korean

MPDS, IDD with reduction, IDD without reduction, OA, Osteoarthrosis

RDC/TMD

ESR1

No statistical difference between study group and control group (P > 0.5)

Small sample size

Ribeiro-Dasilva [18]

2009

Brazil

Age for Cases 18 - 44

N = 300: F = 300, M = 0

Age for Controls 31.1 ± 8.36

N = 100: F = 100, M = 0

Ethnic Status: White, Afro-American, Asiatic

Disc displacement with and without reduction, with limited mouth opening, without reduction and without limited mouth opening

RDC/TMD

ESR1

Presence of [GC] haplotype in ERĪ± gene was higher in TMD with pain compared to control group (P = 0.0028)

Small sample size, admixed Brazilian population limits generalizability of data, only data from articular pain included and not muscular pain

Matsumoto [14]

2008

Japan

Mean Age of Cases 50.11

N = 9: F = 8, M = 1

Mean Age of Controls 65.5

N = 2: F = 2, M = 0

Ethnic Status: NR

ID, OA

NR

ADAMTS-5

ADAMTS-5 is involved in deformation of the TMJ discs with ID and OA (P < 0.01)

Small sample size, limited use of TMJ disc cells

Helenius [21]

2004

Finland

Mean Age of Cases 43.57

N = 84: F = 56, M = 28

Mean Age of Controls: NR

N = 100: F = NR, M = NR

Ethnic status: Finnish

RA, MCTD, AS, SPA

ARA 1987 for RA, Alarcon-Segovia for MCTD, MNYC for AS, ESSG for SPA

HLA-DRB1

In the whole patient population, HLA-DRB1 allele was significantly associated with TMJ erosions (P = 0.0014)

Controls were not clinically or radiologically examined