Comparison of the Bony Changes of TMJ in Patients With and Without TMD Complaints Using CBCT

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SHAHIDI SHOALEH; SALEHI PARISA; Abedi Parnian; Dehbozorgi Mehrnoush; HAMEDANI SHAHRAM; Berahman Nazanin

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Journal: JOURNAL OF DENTISTRY (SHIRAZ UNIVERSITY OF MEDICAL SCIENCES) Year:2018 | Volume:19 | Issue:2 Page(s): 142-149

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Title

Comparison of the Bony Changes of TMJ in Patients With and Without TMD Complaints Using CBCT

Author(s)

Keywords

Temporomandibular joint

Temporomandibular joint disorder

Cone beam computed to-mography

Abstract

Statement of the Problem: Temporomandibular joint disorders (TMD) may show a poor correlation between their clinical findings and radiological characteristics. Purpose: The aim of this study was to assess the osseous alterations of temporoman-dibular joint (TMJ) in symptomatic and asymptomatic subjects by employing cone beam computed tomography (CBCT) images. Materials and Method: In this study, CBCT images of 120 Temporomandibular joints in 30 patients with TMJ disorder and 30 age-and sex-matched individuals without TMJ complaints were evaluated. Osteoarticular derangements of the joint were as-sessed by two experienced examiners. Data was statistically analyzed with SPSS soft-ware using chi-square test (p <0. 05). Results: Out of 120 CBCT images (60 in each group), at least one osseous change was observed in 90% and 86. 7% joints in symptomatic and asymptomatic subjects, respec-tively. There were no significant differences between symptomatic and asymptomatic subjects regarding frequency of osteoarticular changes including flattening (73. 3% vs. 75%), irregularity (36. 7% vs. 48. 3%), sclerosis (20% vs. 8. 3%), cyst (3. 3% vs. 3. 3%), erosion (13. 3% vs. 21. 7%), hypoplasia (3. 3% vs. 5%), ankylosis (1. 7% vs. Zero), oste-ophyte (43. 3% vs. 40%), decrease joint space (3. 3% vs. 3. 3%), and increase joint space (5% vs. 5%). (p> 0. 05) Conclusion: By employing CBCT as a modern diagnostic imaging tool, findings of this study revealed that the frequency of various Temporomandibular joint alterations on CBCT images is comparable in patients with and without TMD complaints, sug-gesting that some people with TMJ structural damage may not display clinical manifes-tations. Moreover, CBCT imaging might not be necessary for TMD patients and more attention should be given to clinical examination.

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References

EVALUATION OF CONDYLAR POSITION AFTER ORTHOGNATHIC SURGERY FOR TREATMENT OF CLASS II VERTICAL MAXILLARY EXCESS AND MANDIBULAR DEFICIENCY BY USING CONE- BEAM COMPUTED TOMOGRAPHY

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APA: Copy

SHAHIDI, SHOALEH, SALEHI, PARISA, Abedi, Parnian, Dehbozorgi, Mehrnoush, HAMEDANI, SHAHRAM, & Berahman, Nazanin. (2018). Comparison of the Bony Changes of TMJ in Patients With and Without TMD Complaints Using CBCT. JOURNAL OF DENTISTRY (SHIRAZ UNIVERSITY OF MEDICAL SCIENCES), 19(2), 142-149. SID. https://sid.ir/paper/737489/en

Vancouver: Copy

SHAHIDI SHOALEH, SALEHI PARISA, Abedi Parnian, Dehbozorgi Mehrnoush, HAMEDANI SHAHRAM, Berahman Nazanin. Comparison of the Bony Changes of TMJ in Patients With and Without TMD Complaints Using CBCT. JOURNAL OF DENTISTRY (SHIRAZ UNIVERSITY OF MEDICAL SCIENCES)[Internet]. 2018;19(2):142-149. Available from: https://sid.ir/paper/737489/en

IEEE: Copy

SHOALEH SHAHIDI, PARISA SALEHI, Parnian Abedi, Mehrnoush Dehbozorgi, SHAHRAM HAMEDANI, and Nazanin Berahman, “Comparison of the Bony Changes of TMJ in Patients With and Without TMD Complaints Using CBCT,” JOURNAL OF DENTISTRY (SHIRAZ UNIVERSITY OF MEDICAL SCIENCES), vol. 19, no. 2, pp. 142–149, 2018, [Online]. Available: https://sid.ir/paper/737489/en

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