Comparative study of the prevalence of temporomandibular joint osteoarthritic changes in cone beam computed tomograms of patients with or without temporomandibular disorder

Al-Ekrish, Asma’a Abdurrahman; Al-Juhani, Hebah Omar; Alhaidari, Roaa Ibrahim; Alfaleh, Wafa

doi:10.1016/j.oooo.2015.04.008

Cited by 31 publications

(31 citation statements)

References 21 publications

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“…In the presented study, there were no significant differences regarding the age among the examined groups. Similar results were obtained by Walewski et al [33] and Al-Ekrish et al [34]. Nonetheless, Alexiou et al [29] confirmed that osteoarthritic changes were related to age.…”

Section: Discussionsupporting

confidence: 82%

Morphology of the Temporomandibular Joints Regarding the Presence of Osteoarthritic Changes

Derwich

Mituś-Kenig

Pawłowska

2020

IJERPH

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1) Osteoarthritis, the most common disease of the temporomandibular joints (TMJs), is diagnosed by clinical and radiographic examination. Cone beam computed tomography (CBCT) is a method of choice for the imaging of osteoarthritic changes. The objective was to compare the morphology of the TMJs in CBCT images regarding the number of the osteoarthritic changes diagnosed in the area of the condyle. (2) A total of 105 patients participated in the study; their 210 TMJs were allocated into one of three groups regarding the number of diagnosed osteoarthritic changes: 1 (none or 1 type), 2 (2 types), 3 (3 or more types). The morphology of the TMJ was examined for each TMJ in the CBCT images. Statistical analysis was performed with STATISTICA version 12.0. The statistical significance level was p = 0.05 for all the measurements included. (3) The articular surface flattening was the most common type of the osteoarthritic changes (90%). The condylar A-P dimension differed significantly among the groups (p = 0.0001). The bigger the number of osteoarthritic changes diagnosed in one joint, the smaller the condylar A-P dimension that was observed. (4) The temporomandibular joints' osteoarthritic changes occur very often, even among asymptomatic patients. The increased number of osteoarthritic changes seems to have an impact on the condylar anteroposterior dimension. Author Contributions: Conceptualization, M.D.; methodology, M.D.; validation, M.D., M.M.-K., and E.P.; formal analysis, M.D.; investigation, M.D.; resources, M.D.; writing-original draft preparation, M.D.; writing-review and editing, M.M.-K. and E.P.; visualization, M.D.; supervision, M.M.-K. and E.P.; project administration, M.D., M.M.-K., and E.P. All authors have read and agreed to the published version of the manuscript. Funding: This research received no external funding. Conflicts of Interest:The authors declare no conflict of interest.

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Section: Discussionsupporting

confidence: 82%

Morphology of the Temporomandibular Joints Regarding the Presence of Osteoarthritic Changes

Derwich

Mituś-Kenig

Pawłowska

2020

IJERPH

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“…A recent study on TMD symptoms in knee arthritis patients and non-arthritic controls reported that arthritic patients were more likely to experience temporomandibular joint dysfunction and limited range of motion [ 26 ], and joint space narrowing and osteophyte formation were observed in the temporomandibular joint in generalized osteoarthritis and rheumatoid arthritis patients [ 27 ]. However, osteoarthritic change of the temporomandibular joint and TMD symptoms do not always go hand in hand [ 28 ]. Prevalence of osseous changes resembling temporomandibular joint osteoarthritis was shown to be similar in both groups with and without TMD symptoms [ 29 ], indicating that radiological test results do not necessarily correlate with clinical symptoms.…”

Section: Discussionmentioning

confidence: 99%

Association between temporomandibular disorders, chronic diseases, and ophthalmologic and otolaryngologic disorders in Korean adults: A cross-sectional study

et al. 2018

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IntroductionTemporomandibular disorders (TMDs) are common musculoskeletal conditions in the maxillofacial area. Although strong relationships between TMDs and other pain and diseases exist, few studies have comprehensively assessed the association between chronic diseases, ophthalmologic and otolaryngologic disorders and TMD.MethodsOf 25,534 individuals included in the fifth Korea National Health and Nutrition Examination Survey (2010–2012), 17,575 aged ≥20 years who completed survey items on TMD symptoms were included for cross-sectional analysis. Logistic regression analysis was performed to assess the association between chronic diseases, ophthalmologic and otolaryngologic disorders and examination findings, and TMD symptoms after adjusting for various confounding variables.ResultsOut of 17,575 participants, 2,059 (11.75%) reported experience of ≥1 TMD symptom(s). Compared to individuals without chronic disease, those with asthma (odds ratio (OR) 1.46; 95% confidence interval (CI) 1.09–1.96), migraine (1.44; 1.26–1.65), osteoarthritis (1.51; 1.20–1.89), thyroid dysfunction (1.49; 1.13–1.96), and depressive symptoms (1.51; 1.29–1.77) had higher ORs for TMD prevalence. Participants with tinnitus (1.97; 1.70–2.27), hearing difficulties (1.55; 1.29–1.87), dizziness (1.52; 1.27–1.82), rhinitis (1.46; 1.28–1.65), and xerophthalmia (1.82; 1.57–2.12) also displayed higher ORs for TMD prevalence. Patients diagnosed with chronic rhinosinusitis upon otolaryngologic examination exhibited an OR of 1.44 (95% CI 1.11–1.87) for TMD prevalence, while that for individuals with abnormal laryngoscopic results was 0.57 (95% CI 0.36–0.90).ConclusionsThese findings imply that TMDs, chronic diseases, and ophthalmologic and otolaryngologic disorders hold various correlations, suggesting the need for multitarget approaches to effectively address this phenomenon.

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“…This is because in in vivo studies, it is difficult to know the corresponding reality of bone changes if a real patient is examined, and thus, there is no gold standard for reference. This directly affects the calculations of the sensitivity, specificity and ROC curve 14 15 16 17 , which are essential for a meta-analysis.…”

Section: Discussionmentioning

confidence: 99%

The detection accuracy of cone beam CT for osseous defects of the temporomandibular joint: a systematic review and meta-analysis

Yin

2016

Sci Rep

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The purpose of this review was to evaluate whether cone-beam computed tomography (CBCT) is reliable for the detection of bone changes of the temporomandibular joint (TMJ). Studies collected from the PubMed, Web of Science, Cochrane Library, ScienceDirect, Embase, Wanfang and CNKI databases were searched, and the publishing time was limited from January 1990 to December 2015. Eight studies (23 experimental research groups) were eventually included for further analysis. The pooled sensitivity was 0.67 and the pooled specificity was 0.87, which leads to a relatively large area (0.84) under the Receiver Operating Characteristic (ROC) curve. The related pooled positive likelihood ratio (+LR) and the pooled negative likelihood ratio (−LR) were 5.2 and 0.38, respectively. The subgroup analysis was conducted for four subgroups categorized by voxel size (≤0.2; >0.2, ≤0.3; >0.3, ≤0.4; >0.4, and ≤0.5 (mm)), and the “>0.4, ≤0.5” subgroup had a higher pooled sensitivity and pooled specificity than the other groups. The present study demonstrates that CBCT has a relatively high diagnostic accuracy for TMJ bone changes, although its reliability is limited. Voxel size did not play a role in the accuracy of CBCT.

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Comparative study of the prevalence of temporomandibular joint osteoarthritic changes in cone beam computed tomograms of patients with or without temporomandibular disorder

Cited by 31 publications

References 21 publications

Morphology of the Temporomandibular Joints Regarding the Presence of Osteoarthritic Changes

Morphology of the Temporomandibular Joints Regarding the Presence of Osteoarthritic Changes

Association between temporomandibular disorders, chronic diseases, and ophthalmologic and otolaryngologic disorders in Korean adults: A cross-sectional study

The detection accuracy of cone beam CT for osseous defects of the temporomandibular joint: a systematic review and meta-analysis

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