Guidelines for sequential diagnosis and treatment of temporomandibular joint anterior disc displacement and condylar resorption in adolescents: surgical treatment strategies

doi:10.19438/j.cjoms.2026.04.003

China Journal of Oral and Maxillofacial Surgery ›› 2026, Vol. 24 ›› Issue (4): 331-339.doi: 10.19438/j.cjoms.2026.04.003

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Guidelines for sequential diagnosis and treatment of temporomandibular joint anterior disc displacement and condylar resorption in adolescents: surgical treatment strategies

Yang Chi¹, Shen Pei¹, Hu Min², Chen Minjie¹, Jiao Zixian¹, Lu Haixia³, Fu Kaiyuan⁴, Fang Bing⁵, Zhou Qing⁶, Zhang Qingbin⁷, Zhu Yaomin⁸, Jiao Guoliang⁹, Tian Lei¹⁰, Li Huang¹¹, Li Zhiyong¹², Li Yunpeng¹³, Maimaitituxun Tuerdi¹⁴, Liu Xinhua¹⁵, He Dongmei¹, Zhang Shanyong¹, Fang Yiming¹⁶, Guo Jing¹⁷, Jiang Lingyong¹⁸, He Hong¹⁹, Chen Lili²⁰, Zhang Yi²¹, He Yang²¹, Jiao Kai²², Yin Zhiguo²³, Long Xing²⁴, Jiang Yinhua²⁵, Ma Zhigui¹, Xie Qianyang¹, Ge Jing¹, Zheng Jisi¹, Bai Guo¹, Liu Xiaohan¹, Zhang Dahe¹, Qu Guanlin¹, Luo Yi¹

1. Department of Oral Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine;College of Stomatology, Shanghai Jiao Tong University;National Center for Stomatology;National Clinical Research Center for Oral Diseases;Shanghai Key Laboratory of Stomatology;Shanghai Research Institute of Stomatology. Shanghai 200011;
2. Department of Stomatology, the First Medical Center of PLA General Hospital. Beijing 100039;
3. Department of Oral Prevention, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
4. Center for Temporomandibular Disorders & Orofacial Pain, Peking University School and Hospital of Stomatology. Beijing 100081;
5. Department of Orthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
6. Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, China Medical University. Shenyang 110002, Liaoning Province;
7. Department of Temporomandibular Joint, School and Hospital of Stomatology, Guangzhou Medical University. Guangzhou 510080, Guangdong Province;
8. Department of Oral and Maxillofacial Surgery, Shenzhen Stomatological Hospital, Shenzhen University. Shenzhen 518001, Guangdong Province;
9. Department of Stomatology, Bethune International Peace Hospital. Shijiazhuang 050082, Hebei Province;
10. Department of Maxillofacial Trauma and Orthognathic Surgery, School of Stomatology, The Fourth Military Medical University. Xi'an 710032, Shaanxi Province;
11. Department of Orthodontics, Nanjing Stomatological Hospital. Nanjing 210008, Jiangsu Province;
12. Department of Oral and Maxillofacial Surgery, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine. Hangzhou 310006, Zhejiang Province;
13. Department of Craniofacial Plastic and Aesthetic Surgery, School of Stomatology, Air Force Military Medical University. Xi'an 710005, Shaanxi Province;
14. Department of Maxillofacial Surgery, The First Affiliated Hospital of Xinjiang Medical University. Urumqi 830054, Xinjiang Uygur Autonomous Region;
15. Department of Stomatology, The First People's Hospital of Jinzhong. Jinzhong 030600, Shanxi Province;
16. Department of Stomatology, The First Affiliated Hospital of Wenzhou Medical University. Wenzhou 325000, Zhejiang Province;
17. Department of Orthodontics, Ningbo Stomatological Hospital. Ningbo 315010, Zhejiang Province;
18. Department of Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
19. Department of Orthodontics, Hospital of Stomatology, Wuhan University. Wuhan 430079, Hubei Province;
20. Department of Orthodontics, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University. Guangzhou 510055, Guangdong Province;
21. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology. Beijing 100081;
22. Department of Stomatology, Tangdu Hospital, School of Stomatology, Air Force Military Medical University. Xi'an 710038, Shaanxi Province;
23. Department of Stomatology, Wuxi People's Hospital. Wuxi 214043, Jiangsu Province;
24. Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Wuhan University. Wuhan 430079, Hubei Province;
25. Department of Oral and Maxillofacial Surgery, Lishui City People's Hospital. Lishui 323000, Zhejiang Province

Received:2026-03-10 Revised:2026-04-12 Published:2026-08-05

Abstract

Abstract: The incidence of temporomandibular joint (TMJ) anterior disc displacement (ADD) in adolescents is high, with strong concealment and significant risks, potentially leading to condylar resorption and affecting the growth of the craniofacial musculoskeletal system. The sequential diagnosis and treatment of TMJ ADD in adolescents refer to a comprehensive diagnosis and treatment based on the concept of “joint-jaw-occlusion” with the primary goal of restoring the correct disc-condylar relationship and promoting healthy growth of the joint and craniofacial musculoskeletal system. This is accomplished via comprehensive joint and craniofacial examinations, in conjunction with multidisciplinary collaboration. Surgical treatment serves as the principal approach, complemented by occlusal and orthodontic interventions. It aims to treat joint diseases while preventing or correcting craniofacial deformities caused by joint problems. This guideline mainly included four aspects: the hazards of TMJ ADD in adolescents, the evaluation system, sequential treatments, and the criteria for success, aiming to provide a scientific basis and guidance for the clinical diagnosis and treatment of this disease.

Key words: Adolescents, Temporomandibular joint anterior disc displacement, Condylar resorption, Temporomandibular joint-originated dentofacial deformity, Sequential treatment, Clinical guideline

CLC Number:

R782.6

Yang Chi, Shen Pei, Hu Min, Chen Minjie, Jiao Zixian, Lu Haixia, Fu Kaiyuan, Fang Bing, Zhou Qing, Zhang Qingbin, Zhu Yaomin, Jiao Guoliang, Tian Lei, Li Huang, Li Zhiyong, Li Yunpeng, Maimaitituxun Tuerdi, Liu Xinhua, He Dongmei, Zhang Shanyong, Fang Yiming, Guo Jing, Jiang Lingyong, He Hong, Chen Lili, Zhang Yi, He Yang, Jiao Kai, Yin Zhiguo, Long Xing, Jiang Yinhua, Ma Zhigui, Xie Qianyang, Ge Jing, Zheng Jisi, Bai Guo, Liu Xiaohan, Zhang Dahe, Qu Guanlin, Luo Yi. Guidelines for sequential diagnosis and treatment of temporomandibular joint anterior disc displacement and condylar resorption in adolescents: surgical treatment strategies[J]. China Journal of Oral and Maxillofacial Surgery, 2026, 24(4): 331-339.

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Guidelines for sequential diagnosis and treatment of temporomandibular joint anterior disc displacement and condylar resorption in adolescents: surgical treatment strategies

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