Temporomandibular joint findings in CBCT images: A retrospective study.

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2024-09-01 Epub Date: 2021-12-11 DOI:10.1080/08869634.2021.2015102

Kevin Berry, Mariela Padilla, Somsak Mitrirattanakul, Reyes Enciso

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Abstract

Objective: To evaluate radiological characteristics of the temporomandibular joint.

Methods: Retrospective study of images of 20-80 year-old patients. Two independent clinicians analyzed the images, and a radiological score was obtained, considering sclerosis, osteophites, cysts, and erosion.

Results: Seventy eight percent of the joints belonged to females. The main complaints were pain and headache (54.5%) and reduced motion (21.2%). The most common diagnoses were disc dislocation with reduction (35.9%), myofascial pain (20.7%), and osteoarthritis (15.2%). The majority of the joints (96.5%) showed degeneration, with an average radiological score of 3.86 ± 1.47 (0-8). Non-parametric tests showed that females had significantly higher radiological scores (p = 0.014), and TMD-joint patients had higher scores than TMD-muscle patients (p = 0.013). No statistically significant association between radiological scores and chief complaint.

Conclusion: There were differences among the radiological findings between genders and joint/ muscle TMD, as well as across diagnoses, as expected.

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CBCT 图像中的颞下颌关节发现：回顾性研究

目的：评估颞下颌关节的放射学特征：评估颞下颌关节的放射学特征：对 20-80 岁患者的影像进行回顾性研究。两名独立的临床医生对图像进行分析，并根据硬化、嗜骨细胞、囊肿和侵蚀情况进行放射学评分：78%的关节炎患者为女性。主要主诉是疼痛和头痛（54.5%）以及活动减少（21.2%）。最常见的诊断结果是椎间盘脱位伴缩小（35.9%）、肌筋膜疼痛（20.7%）和骨关节炎（15.2%）。大多数关节（96.5%）出现退化，平均放射学评分为 3.86 ± 1.47（0-8）分。非参数检验显示，女性的放射学评分明显高于男性（p = 0.014），TMD-关节患者的评分高于TMD-肌肉患者（p = 0.013）。放射学评分与主诉之间无统计学意义：结论：正如预期的那样，不同性别、关节/肌肉TMD以及不同诊断之间的放射学结果存在差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.