CORRELATION BETWEEN PAIN SYMPTOMS AND MAGNETIC RESONANCE IMAGING FINDINGS IN PATIENTS WITH TEMPOROMANDIBULAR JOINT INTERNAL DERANGEMENT

Văn Duy Trịnh , Quang Chiến Đinh, Mạnh Nguyên Trương, Kim Loan Hoàng, Quang Long Lê, Đình Âu Hoàng

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Abstract

Objective: The aims of this study was to evaluate the correlation between symptoms and severity of temporomandibular joint (TMJ) pain with abnormalities on magnetic resonance imaging (MRI) in patients suspected of TMJ derangement syndrome. Material and methods: Prospective descriptive study at Hanoi Medical University Hospital from 9/2023 to 1/2024 on patients suspected of having TMJ derrangement syndrome. All patients had their pain symptoms and pain level assessed according to the VAS scale, then had a TMJ- MRI scan. Abnormalities on MRI images of the TMJ will be compared to determine the relationship with clinical symptoms and pain levels. Results: A total of 54 patients with 88 TMJ were included in the study, mean age of 27±11.9 years old, the lowest was 11 years old, the highest was 68 years old. There was a strong correlation between symptoms and pain level with abnormal articular disc position (p<0.01, r=0.44), abnormal condyle shape (p<0.01, r=0, 5) and joint fluid (p<0.01, r= -0.5) on MRI. There was a weak correlation between disc shape abnormalities and symptoms and pain level (p<0.01, r=0.29). Conclusion: There was a correlation between symptoms and severity of TMJ pain with articular disc displacement, condyle degeneration and joint fluid in TMJ-MRI.

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References

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