OSSEOUS CHARACTERISTICS BY CONE BEAM COMPUTED TOMOGRAPHY IMAGING IN PATIENTS WITH TEMPOROMANDIBULAR DISORDERS AND CORRELATION WITH CLINICAL FINDINGS
Main Article Content
Abstract
Objectives: To evaluate the condylar osseous characteristics by Cone Beam computed tomography (CBCT) and to investigated the its correlation with clinical finding in patients with temporomandibular disorders. Subjects and methods: 98 diagnosed TMD patients according to the DC/TMD 2014 was divided into 3 groups: Muscle disorders, Joint Disorders and Complex group. Clinical observations (joint pain, joint sound, limited opening) were recorded, CBCT were perfomed to evaluate the bone changes of mandibular condyle. Results: 31.6% subjects have no alteration; 39.2% have erosion of the condyle; 28.6% have flattening, 23.7% have osteophyte fomation;11.3% have subchondral sclerosis and 8.2% have subchondral cyst. There were significant correlations between joint pain and subchondral cyst (r=0,264), osteophyte formation (r= 0.446), erosion of the condyle (r=0.34); joint sound and subchondral sclerosis (r =0.278); limited opening and osteophyte formation (r = 0.278). Conclusion: Condylar erosion, subchondral sclerosis and osteophyte formation are valuable characteristics in diagnosing joint disorders.
Article Details
Keywords
Temporomandibular disorders, Temporomandibular joint, CBCT
References

2. Phạm Như Hải. Nghiên Cứu Dịch Tễ Học Loạn Năng Bộ Máy Nhai và Đề Xuất Giải Pháp Can Thiệp, Luận án Tiến sỹ Y học, Trường Đại học Y Hà Nội; 2006.

3. Đoàn Hồng Phượng, Hoàng Tử Hùng. Tình hình rối loạn thái dương hàm ở người lớn (18 – 54 tuổi) tại thành phố Hồ Chí Minh, Y học thành phố Hồ Chí Minh, 11(2), 32 – 40.

4. Okeson J. Management of Temporomandibular Disorders and Occlusion. Seventh edition. Mosby; 2013, 1-250.

5. Barghan S, Merrill R, Tetradis S. Cone beam computed tomography imaging in the evaluation of the temporomandibular joint. J Calif Dent Assoc. 2010;38(1):33-39.

6. Mani F. và Sivasubramanian S. A study of temporomandibular joint osteoarthritis using computed tomographic imaging. Biomed J. 2016; 39.

7. Arayasantiparb R., Mitrirattanakul S., Kunasarapun P., et al. Association of radiographic and clinical findings in patients with temporomandibular joints osseous alteration. Clin Oral Investig. 2020; 24, 221–227.
