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Association of radiographic and clinical findings in patients with temporomandibular joints osseous alteration.

颞下颌关节骨性改变患者的影像学和临床表现的相关性。

  • 影响因子:2.55
  • DOI:10.1007/s00784-019-02945-6
  • 作者列表:"Arayasantiparb R","Mitrirattanakul S","Kunasarapun P","Chutimataewin H","Netnoparat P","Sae-Heng W
  • 发表时间:2020-01-01
Abstract

OBJECTIVES:To characterize the relationship between radiographic and clinical characteristics of patients with temporomandibular joint (TMJ) osseous changes. MATERIALS AND METHODS:TMJ cone beam computed tomography (CBCT) images of 73 patients (142 joints) with changes in osseous component of TMJ were included in this study. Based on both clinical and radiographic findings, each TMJ was diagnosed as either non-degenerative joint disease (non-DJD) or degenerative joint disease (DJD) according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) criteria. The DJD group was further classified into two subgroups of osteoarthritis and osteoarthrosis. The data were analyzed using t test and Pearson's correlation. Level of statistical significance was set at 0.05. RESULTS:Statistically significant relationships were found between TMJ crepitation sound and 4 radiographic characteristics of DJD. DJD group demonstrated statistically significant higher CBCT bone change score (BCS) and age. In contrast, there was no significant difference of BCS between osteoarthrosis and osteoarthritis groups within the DJD group. CONCLUSIONS:Crepitation sounds and osseous changes in TMJ radiograph are confirmed to be important diagnostic criteria for TMJ DJD. However, degree of TMJ osseous changes does not correlate significantly with clinical pain symptom. CLINICAL RELEVANCE:For TMJ DJD diagnosis, dentists should consider both clinical examination for TMJ crepitation and radiographic assessment for TMJ bony changes.

摘要

目的: 探讨颞下颌关节 (TMJ) 骨性改变的x线表现与临床特征的关系。 材料和方法: 73 例 (142 个关节) 颞下颌关节骨性成分改变的颞下颌关节锥形束ct (CBCT) 图像纳入本研究。根据临床和影像学表现,每个颞下颌关节均被诊断为非退行性关节病 (non-DJD) 或退行性关节病 (DJD) 根据颞下颌关节紊乱病诊断标准 (DC/TMD) 标准。将DJD组进一步分为骨关节炎和骨关节病两个亚组。T he da t a采用test t和Pearson's correla t ion进行分析。统计学显著性水平设定为 0.05。 结果: TMJ cre音与DJD的 4 个影像学特征之间存在统计学显著关系。DJD组CBCT骨变化评分 (BCS) 和年龄明显高于对照组。相比之下,DJD组骨关节病组和骨关节炎组之间的BCS无显著差异。 结论: 颞下颌关节x线片的cre音和骨性改变是颞下颌关节DJD的重要诊断标准。然而,TMJ骨性改变的程度与临床疼痛症状无显著相关性。 临床相关性: 对于TMJ DJD诊断,牙医应考虑TMJ隆起的临床检查和TMJ骨性改变的影像学评估。

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影响因子:0.73
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DOI:10.1097/SCS.0000000000005693
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颌部疾病方向

颌部的疾病,包括颌畸形、颌骨囊肿、颌骨肿瘤等疾病。

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