Comparative analysis of temporomandibular joint morphology in degenerative joint disease: A cone-beam CT study in patients with and without arthralgia

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Saudi Dental Journal Pub Date : 2024-05-01 DOI:10.1016/j.sdentj.2024.03.005

Priscila Brenner Hilgenberg-Sydney , Fernanda Farago Zanlorenzi , Carolina Ortigosa Cunha

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Abstract

Objectives

This cross-sectional study aimed to compare, by using Cone-Beam Computed Tomography (CBCT), temporomandibular joint (TMJ) morphology among patients with degenerative joint disease (DJD) with or without arthralgia, as well as a control group. Methods: Thirty-one patients and their respective CBCT TMJ exams were assessed. These individuals were selected from an Orofacial Pain Service and classified into three groups based on the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD): group 1 (10 patients with TMJ DJD and arthralgia), group 2 (11 patients with TMJ DJD without pain), and group 3 (the control group, consisting of 10 healthy individuals without any signs or symptoms of TMD). A second examiner, who was calibrated and blinded for the patient's diagnosis, evaluated the CBCT images. Results: Group 1 showed a statistically significant association with the variables of erosion (p = 0.003) and osteophyte (p = 0.04) on the condyle surface, as well as concentric condyle position with reduced joint space (p = 0.01). The Kappa concordance index between the clinical diagnosis of DC/TMD and CBCT images was k = 0.134 (p ≤ 0.001). Conclusion: The presence of erosion, osteophyte, and concentric condyle position with reduced joint space was statistically associated with DJD and ongoing TMJ joint pain.

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退行性关节病中颞下颌关节形态的比较分析：对关节痛和无关节痛患者的锥形束 CT 研究

目的：本横断面研究旨在通过锥形束计算机断层扫描（CBCT），比较伴有或不伴有关节痛的退行性关节病（DJD）患者以及对照组的颞下颌关节（TMJ）形态。研究方法对 31 名患者及其各自的 CBCT TMJ 检查结果进行评估。这些患者是从口面部疼痛服务机构挑选出来的，根据颞下颌关节紊乱症（DC/TMD）诊断标准分为三组：第一组（10 名颞下颌关节紊乱症和关节痛患者）、第二组（11 名无疼痛的颞下颌关节紊乱症患者）和第三组（对照组，由 10 名无任何 TMD 体征或症状的健康人组成）。第二位检查人员对 CBCT 图像进行评估，该检查人员对患者的诊断进行了校准并设置了盲区。结果显示第一组与髁状突表面的侵蚀（p = 0.003）和骨质增生（p = 0.04）变量以及髁状突同心位置与关节间隙缩小（p = 0.01）有显著统计学关联。DC/TMD 临床诊断与 CBCT 图像之间的 Kappa 一致性指数为 k = 0.134（p ≤ 0.001）。结论侵蚀、骨质增生和关节间隙缩小的髁突同心位置的存在与 DJD 和持续的颞下颌关节疼痛有统计学关联。

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来源期刊

Saudi Dental Journal DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.60

自引率

0.00%

发文量

审稿时长

22 weeks

期刊介绍： Saudi Dental Journal is an English language, peer-reviewed scholarly publication in the area of dentistry. Saudi Dental Journal publishes original research and reviews on, but not limited to: • dental disease • clinical trials • dental equipment • new and experimental techniques • epidemiology and oral health • restorative dentistry • periodontology • endodontology • prosthodontics • paediatric dentistry • orthodontics and dental education Saudi Dental Journal is the official publication of the Saudi Dental Society and is published by King Saud University in collaboration with Elsevier and is edited by an international group of eminent researchers.