Interexaminer reliability for tomographic findings in temporomandibular joint degenerative disease and its agreement with clinical diagnosis: a blinded controlled cross sectional study

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

“…The interexaminer reliability for tomographic findings was strong, however, the agreement between clinical and tomographic findings was reasonable. ( Hilgenberg-Sydney et al, 2022 ) The present results have also shown that even clinically healthy patients may present some degenerative bone changes, such as condylar erosion, which is certainly not expected for asymptomatic individuals. ( Schiffman et al, 2014 , Hilgenberg-Sydney et al, 2018 ) The use of CBCT images of DJD patients, with and without TMJ pain, as a diagnostic tool should be used with additional precaution, as already suggested by previous studies.…”

“…( Wiese et al, 2008 , Palconet et al, 2012 , Al-Ekrish et al, 2015 , Hilgenberg-Sydney et al, 2018 , Bianchi et al, 2021 ) The present findings do not suggest any morphologic change as a risk factor for painful DJD. Also, Hilgenberg-Sydney et al( Hilgenberg-Sydney et al, 2022 ) found that abnormal tomographic findings had no significant difference in the diagnosis of TMJ osteoarthritis. Their study showed ‘fair’ sensitivity and specificity values of 61.5 % and 75 % respectively, for the use of CBCT as a diagnostic exam for TMJ DJD.…”