Relationship of computed tomography–verified degenerative condylar morphology with temporomandibular joint disk displacement and sex

Seo, Bo-Yeon; Huh, Kyung-Hoe; An, Jung-Sub; Chang, Min-Seok; Ahn, Sug-Joon

doi:10.1016/j.oooo.2021.03.021

Cited by 8 publications

(3 citation statements)

References 31 publications

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“…Insufficient CV can lead to anomalies of the relative position between the condyle and articular disc, which will lead to TMJ ADD and is consistent with the clinical symptoms of TMJ internal derangement. Additionally, the condylar alteration could cause ADD and other degenerative TMJ diseases [ 27 , 35 , 36 ], indirectly indicating that ADD with reduction would deteriorate to ADD without reduction if appropriate treatment was not administered, leading more serious symptoms such as articular disc perforation. This decreasing trend of CV and CSA were reflected in the ADD with reduction and ADD without reduction groups.…”

Section: Discussionmentioning

confidence: 99%

Morphologic Analysis of Condyle among Different Disc Status in the Temporomandibular Joints by Three-dimensional Reconstructive Imaging: A Preliminary Study

Liu

Gong

et al. 2022

BMC Oral Health

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Objectives Morphological study is a common approach in the field of anterior disc displacement (ADD) pathology; however, analysis based on three-dimensional reconstructive imaging has not been investigated. This study investigated the association between ADD and the status of the mandibular condyle and articular fossa. Methods Thirty-four patients were divided into three groups: normal articular disc position (NADP), anterior disc displacement with reduction (ADDwR), and anterior disc displacement without reduction (ADDwoR). Multiple grouped comparisons of three different disc statuses were performed by Kruskal–Wallis H test and variance analysis respectively. Receiver-operating characteristic curve was plotted to assess the diagnostic efficacy of the morphological parameters. Multivariate logistic regression analysis was used to investigate the interfering factors of ADD. Results The condylar volume (CV) and condylar superficial area (CSA) in the NADP, ADDwR, and ADDwoR groups exhibited obvious changes (P < 0.05). Both CV and superior joint space (SJS) presented a good diagnostic accuracy for NADP-ADDwoR [area under the curve (AUC)CV = 0.813; AUCSJS = 0.855)], and ADDwR-ADDwoR (AUCCV = 0.858; AUCSJS = 0.801). CSA presented a good diagnostic accuracy for ADDwR-ADDwoR (AUC = 0.813). A multivariate logistic ordinal regression model showed that the CV [odds ratio (OR) = 1.011; regression coefficient (RC) = 0.011, P = 0.018], SJS (OR, 8.817; RC = 2.177; P < 0.001), and medial joint space (MJS) (OR, 1.492; RC = 0.400; P = 0.047) had a significantly impact on the groups. Conclusion CV, CSA, SJS, and MJS were significantly associated with the different disc status, and the condyle in ADD exhibited 3-dimensionally altered dimensions. They could be considered as promising biometric markers to assess the ADD.

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Section: Discussionmentioning

confidence: 99%

Morphologic Analysis of Condyle among Different Disc Status in the Temporomandibular Joints by Three-dimensional Reconstructive Imaging: A Preliminary Study

Liu

Gong

et al. 2022

BMC Oral Health

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“…ЗДХ траплялись у 35% серед осіб із ЗД із редукцією і в 66% серед осіб із ЗД без редукції [50]. Також у пацієнтів зі ЗД без редукції ризик розвитку ерозії, остеофіта чи сплощення суглобової голівки зростає в 3,72, 9,00, 6,35 разів відповідно, порівняно з пацієнтами зі ЗД із редукцією [51].…”

Section: поєднання зміщення диска і запальнодегенеративних хвороб снщсunclassified

Modern Views on the Etiology, Clinics, and Diagnosis of Disc Displacements and Inflammatory-Degenerative Diseases of the TMJ and Their Combinations

Shtybel

2023

Ukr. Dent. Alm.

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In more than 50% of patients with temporomandibular disorders (TMDs), the simultaneous course of several disorders is detected. A combination of anterior disc displacement (DD) and inflammatorydegenerative diseases (IDD) of the temporomandibular joints (TMJs) is common. The purpose of the study is to highlight modern views on the combination of DD and IDD of the TMJ, their etiology, clinic and diagnostic features. A review of the literature was conducted by processing scientific and metric databases, as a result of which 56 articles were selected for study the full text. To diagnose TMDs, researchers suggest using The Diagnostic Criteria for Temporomandibular Disorder (DC/TMD), which is a standardized tool. MRI and cone-beam computed tomography (CBCT) are used to verify DD and IDD of the TMJ. Many articles are devoted to the signs and symptoms of DD and IDD of the TMJ separately, however, there are very few studies that analyze the signs and symptoms in patients with a combination of DD and IDD. The clinical diagnosis of the above diseases is based on the presence of sounds in the TMJ, pain, degree and nature of mouth opening. In the case of the simultaneous course of DD and IDD, the symptoms may combine or overlap each other and, as a result, complicate differential diagnosis. According to the results of the clinical examination of patients, in the case of suspicion of the simultaneous course of DD and IDD of the TMJ, it is necessary to involve different radiological examination methods. A promising way to diagnose the combination of DD and IDD is to combine CBCT and MRI images. This approach allows simultaneous assessment of bone and soft tissue structures of the TMJ. Regarding ultrasonography of the TMJ, the authors advise using it rather to exclude the diagnosis of TMD than to confirm it. Conclusions. The combination of DD and IDD of the TMJ remains understudied and requires the study of clinical features of the course, the development and application of improved modifications of modern radiological methods.

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“…Other reports also investigated the use of ARS in severe cases of joint derangement and found a reduction of OFP symptoms with no MRI signs of normal disc-condyle relationship (135) . Severe disk displacement is not necessarily pure anterior and may contain a transverse component which renders the ARS much less effective (56,136,137,138,139) . According to Kurita.…”

Section: Mrimentioning

confidence: 99%

Treatment protocol for temporomandibular joint derangement using an anterior repositioning splint with modification (one year prospective study).

Elsaih

Mowafey

Ata

et al. 2022

Egyptian Dental Journal

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Relationship of computed tomography–verified degenerative condylar morphology with temporomandibular joint disk displacement and sex

Cited by 8 publications

References 31 publications

Morphologic Analysis of Condyle among Different Disc Status in the Temporomandibular Joints by Three-dimensional Reconstructive Imaging: A Preliminary Study

Morphologic Analysis of Condyle among Different Disc Status in the Temporomandibular Joints by Three-dimensional Reconstructive Imaging: A Preliminary Study

Modern Views on the Etiology, Clinics, and Diagnosis of Disc Displacements and Inflammatory-Degenerative Diseases of the TMJ and Their Combinations

Treatment protocol for temporomandibular joint derangement using an anterior repositioning splint with modification (one year prospective study).

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