A logistic analysis prediction model of TMJ condylar erosion in patients with TMJ arthralgia

Emshoff, Rüdiger; Bertram, Annika; Hupp, Linus; Rudisch, Ansgar

doi:10.1186/s12903-021-01687-w

Cited by 12 publications

(11 citation statements)

References 58 publications

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“…Remarkably, joints with ADDNR were more likely to develop erosion, osteophytes and cysts than those with ADDR. Only subcortical sclerosis was associated with increasing age, as reported by Gynther et al 50 Several factors have been reported as risk items for the development of erosion, including gender, age, systemic, hormonal and mechanical factors, such as disc displacement, occlusion, trauma and increased joint friction 51 . Therefore, DDs may not be the only contributor to erosion.…”

Section: Discussionmentioning

confidence: 63%

Risk estimation of degenerative joint disease in temporomandibular disorder patients with different types of sagittal and coronal disc displacements: MRI and CBCT analysis

Fan

Xiong

Cheng

et al. 2022

J of Oral Rehabilitation

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Background Degenerative joint disease (DJD) can be associated with disc displacement (DD) in temporomandibular disorder (TMD) patients. However, the relationship between different types of DDs and DJD remains unclear. Objectives To investigate the odds ratios of different types of sagittal and coronal DDs confirmed by magnetic resonance imaging (MRI) and DJD confirmed by cone‐beam computed tomography (CBCT) in TMD patients. Methods Radiographic data from 69 males and 232 females were collected for analysis. CBCT was used to diagnose DJD, with criteria including erosion, osteophytes, generalised sclerosis and cysts in the joint. Eight types of DDs were evaluated by sagittal and coronal MRIs: NA, no abnormality; SW, sideways; ADDR, anterior with reduction; ADDR+SW; ADDNR, anterior without reduction; ADDNR + SW; single SW; PDD, posterior; PDD + SW. The odds ratios of DJD in joints with different types of DDs were determined after joint correlation, age and gender adjustment. Results Compared with NA, the odds ratio of DJD in ADDR was 2.397 (95% CI [confidence interval]: 1.070–5.368), ADDR + SW was 4.808 (95% CI: 1.709–3.528), ADDNR was 29.982 (95% CI: 15.512–57.950) and ADDNR + SW was 25.974 (95% CI: 12.743–52.945). Erosion was significantly increased in ADDR, ADDR + SW, ADDNR and ADDNR + SW; osteophytes were significantly increased in ADDR + SW, ADDNR and ADDNR + SW; and generalised sclerosis and cysts were significantly increased in ADDNR and ADDNR + SW. There were no significant associations between single SW, PDD, PDD + SW and the DJD. Conclusions ADDR, ADDR+SW, ADDNR and ADDNR+SW were associated with DJD. ADDNR had a significantly higher prevalence of DJD than ADDR. There were no significant relationships between single SW, PDD, PDD + SW and the DJD.

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Section: Discussionmentioning

confidence: 63%

Risk estimation of degenerative joint disease in temporomandibular disorder patients with different types of sagittal and coronal disc displacements: MRI and CBCT analysis

Fan

Xiong

Cheng

et al. 2022

J of Oral Rehabilitation

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“…Only in patients with TMD and condylar erosive changes, as well as those with condylar osteophytosis a closer position of the malleus to PTF was noted. Condylar erosion is a symptom of ongoing osteoarthritic alterations that may be linked to altered dentofacial morphology [ 21 ]; thus, bone erosions may be associated with disc displacement. Moreover, condylar erosion was found to be a major contributor to a painful disc displacement without reduction [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Petrotympanic Fissure Architecture and Malleus Location in Temporomandibular Joint Disorders

et al. 2022

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The aim of this research was to assess possible relationships between petrotympanic fissure (PTF) characteristics, malleus position, and temporomandibular joint disorders (TMD). A retrospective study was performed, including patients with TMD. Magnetic resonance imaging (MRI) and cone-beam computed tomography (CBCT) examination were used to evaluate temporomandibular joint (TMJ) disc position and condylar bone changes. Fifty-eight TMJs from twenty-nine patients (23:6 females: males) were assessed. Erosive changes (DDR-disc displacement with a reduction of 6 (24%), DDwR-disc displacement without a reduction of 8 (61.5%) vs. normal disc position 3 (15%), p = 0.012) and condyle osteophytes production (DDR 6 (24%), DDwR 9 (69.2%) vs. normal condyle 7 (35%), p = 0.012) were more frequent in subjects with disc displacement compared to normal disc position; malleus was closer to PTF in cases with erosive changes (median 2.15 interquartile range: (1.85–2.75) vs. 2.75 (2.25–3.15), p = 0.029) as well as those with condylar osteophytosis (2.25 (1.91–2.75) vs. 2.75 (2.33–3.32), p = 0.015); the PTF length was higher in cases with condylar osteophytosis compared to those without (4.45 (3.50–4.77) vs. 3.67 (3.34–4.28), p = 0.039). The disc position and disc shape were not related to PTF or malleus position. Malleus position and PTF dimensions were not associated with the PTF type. In cases with erosive changes and condylar osteophytosis, malleus was closer to PTF.

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“…According to Emshoff et al, 33 in patients with TMJ arthralgia, missing posterior teeth effectively predict condyle erosion.…”

Section: Discussionmentioning

confidence: 99%

Effect of the posterior stop on temporomandibular disorders: A systematic review

Jamali

Hadilou

Nourizadeh

2022

J Dent Res Dent Clin Dent Prospects

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Background. Temporomandibular disorders have common signs and symptoms, including pain in the masticatory muscles, limitation or deviation in a mandibular range of motion, and other common patient complaints, such as headache and earache. The main focus of this study was to collect comprehensive and integrated data on the effect of the posterior stop on temporomandibular joint disorders, as well as prevention, treatment, and follow-up care for the patients. Methods. The authors conducted the search in PubMed, SCOPUS, Web of Science, Cochrane Library, CINHAL, Medline, ProQuest, Google Scholar, Magiran, IranDoc, SID, and Iranmedex databases for relevant articles. A list of selected study sources, related conferences, and grey literature were manually searched in addition to the databases mentioned above. A 21-year time limit was imposed (2000-2021). Results. Finally, 16 articles were selected to be reviewed in this systematic review. The designs of the included studies were heterogeneous, and due to the low number of studies covered, the authors could not carry out a meta-analysis. Conclusion. The causes of temporomandibular disorders are multifactorial and complex. Therefore, it is difficult to investigate the relationship between this disorder and predictors. The results of the present study indicate that to determine the effect of the posterior stop on temporomandibular joint disorders, more clinical trials and case-control studies should be conducted.

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A logistic analysis prediction model of TMJ condylar erosion in patients with TMJ arthralgia

Cited by 12 publications

References 58 publications

Risk estimation of degenerative joint disease in temporomandibular disorder patients with different types of sagittal and coronal disc displacements: MRI and CBCT analysis

Risk estimation of degenerative joint disease in temporomandibular disorder patients with different types of sagittal and coronal disc displacements: MRI and CBCT analysis

Petrotympanic Fissure Architecture and Malleus Location in Temporomandibular Joint Disorders

Effect of the posterior stop on temporomandibular disorders: A systematic review

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