OSSEOUS CHARACTERISTICS BY CONE BEAM COMPUTED TOMOGRAPHY IMAGING IN PATIENTS WITH TEMPOROMANDIBULAR DISORDERS AND CORRELATION WITH CLINICAL FINDINGS

Nguyễn Văn Tâm1,, Nguyễn Thị Thu Phương2, Nguyễn Thị Thúy Nga3
1 Hanoi Medical University
2 The Odonto-Stomatology Training Institute, Hanoi Medical University
3 Hanoi Central Odonto-Stomatology Hospital

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.

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References

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