Description of population and progress of symptoms in a longitudinal study of temporomandibular arthropathy

Rasmussen, Ole Collin

doi:10.1111/j.1600-0722.1981.tb01671.x

Cited by 47 publications

(53 citation statements)

References 3 publications

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“…Symptoms related to temporomandibular dysfunction decrease with age and are often remitting and self-limiting. [13][14][15][16] Kurita, et al 10 suggested that the presence of TMJ pain on mandibular movement is not a reliable predictor of osteoarthritis of the TMJ. Mechanical and chemical stimuli are proposed as possible causes of pain in and around the osteoarthritic joint.…”

Section: Discussionmentioning

confidence: 99%

MR Evidence of Characteristics in Symptomatic Osteoarthritis of the Temporomandibular Joint: Increased Signal Intensity Ratio on Proton Density-Weighted Images of Bone Marrow in the Mandibular Condyle

Yajima¹,

Sano²,

Otonari-Yamamoto³

et al. 2007

CRANIO®

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The purpose of this study was to clarify the presence of pain and a correlation between pain and characteristics of signal intensity of mandibular bone marrow in temporomandibular joints (TMJ) with osteoarthritis (OA). A total of 196 joints in 98 patients with TMJ disorders were examined using magnetic resonance imaging (MRI). A pain score and signal intensity on mandibular bone marrow were analyzed in the TMJ with OA. TMJ with OA showed a higher degree of pain compared to those without (p<0.05). During opening, the joints in the higher signal intensity group showed a significantly higher degree of pain compared to the joints in the lower signal intensity group in those with OA on proton density weighted images (p<0.05). It was concluded that TMJ with osteoarthritis is related to pain and that a symptomatic osteoarthritic TMJ can accompany bone marrow changes in the condyle, showing an increased signal on proton density weighted images.

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Section: Discussionmentioning

confidence: 99%

MR Evidence of Characteristics in Symptomatic Osteoarthritis of the Temporomandibular Joint: Increased Signal Intensity Ratio on Proton Density-Weighted Images of Bone Marrow in the Mandibular Condyle

Yajima¹,

Sano²,

Otonari-Yamamoto³

et al. 2007

CRANIO®

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“…3 Others have suggested that minor dysfunction may progress to more serious joint disease. 5,6 The American Academy of Orofacial Pain has estimated that between 40% and 75% of the U.S. population displays at least one sign of TMD, while 33% report at least one symptom. 6 In addition, the 2002 U.S. National Health Institute Survey (NHIS) of 31,000 individuals found an overall prevalence of TMJ and muscle-disordertype pain of 4.6% (6.3% in women, 2.8% in men).…”

Section: Introductionmentioning

confidence: 99%

The Diagnostic Validity of Clinical Tests in Temporomandibular Internal Derangement: A Systematic Review and Meta-analysis

Chaput

Gross

Stewart

et al. 2012

Physiotherapy Canada

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Purpose: To assess the diagnostic validity of clinical tests for temporomandibular internal derangement relative to magnetic resonance imaging (MRI). Methods: MEDLINE and Embase were searched from 1994 through 2009. Independent reviewers conducted study selection; risk of bias was assessed using Quality Assessment of studies of Diagnostic Accuracy included in Systematic reviews (QUADAS); b9/14) and data abstraction. Overall quality of evidence was profiled using Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Agreement was measured using quadratic weighted kappa (kw). Positive (þ) or negative (À) likelihood ratios (LR) with 95% CIs were calculated and pooled using the DerSimonian-Laird method and a random-effects model when homogeneous (I 2 b 0.40, Q-test p a 0.10). Findings of this review will assist clinicians in deciding which diagnostic tests to use when internal derangement is suspected. The literature search revealed a lack of high-quality studies; further research with adequate description of patient populations, blinded assessments, and both sagittal and coronal MRI planes is therefore recommended.Key Words: diagnosis; magnetic resonance imaging; predictive value of tests; temporomandibular joint disorders. RÉ SUMÉObjectif : É valuer la validité du diagnostic ré sultant de tests cliniques en imagerie de ré sonance magné tique (IRM) pour le dé pistage du dé rangement interne de l'articulation temporo-mandibulaire (ATM). Mé thode : Une recherche a é té effectué e dans les bases de donné es MEDLINE et Embase pour les anné es 1994 à 2009. Des examinateurs indé pendants ont procé dé au choix des é tudes ré pertorié es ; les risques de biais ont é té é valué s à l'aide de l'é chelle QUADAS (Quality Assessment of studies of Diagnostic Accuracy included in Systematic reviews ), visant à é valuer la qualité des é tudes sur la fiabilité diagnostique incluses dans les revues systé matiques (le pointage obtenu a é té b9/14) et à l'aide d'abstraction des donné es. Le profil de la qualité globale des preuves a é té é tabli avec l'é chelle GRADE (Grading of Recommendations Assessment, Development, and Evaluation). Le degré d'accord a é té mesuré à l'aide du coefficient quadratique kappa pondé ré (kw). Les rapports de vraisemblance (RV) positifs ( þ ) ou né gatifs ( À ) avec intervalles de confiance de 95 % ont é té calculé s et groupé s suivant la mé thode de DerSimonian-Laird et à l'aide d'un modè le à effets alé atoires lorsque les donné es é taient homogè nes (I 2 b 0,40, test-Q p a 0,10). Ré sultats : Nous avons retenu 8 des 36 é tudes identifié es. Les preuves voulant que les tests individuels de dé viation (RVþ : 6,37 [95 % IC : 2,(13)(14)(15)(16)(17)(18)(19)03]) et de cré pitation ([RV : 5,) soient fiables é taient de trè s faible qualité , alors qu'un ensemble de tests regroupant cré pitation, dé viation, douleur et ouverture limité e de la bouche sont les plus valables au moment de dé terminer s'il y a effectivement dé rangement interne sans ré duction (RVþ : 6,37 [95 % IC :...

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“…These disorders were classically described as a longitudinal progression from normal disc position to DD with reduction (DDwR) to DD without reduction (DDw/oR) to DJD (Rasmussen 1981;Wilkes 1989). However, the longitudinal course of TMJ DD and DJD has never been conclusively described with magnetic resonance imaging (MRI) for soft tissue diagnoses and computed tomography (CT) for hard tissue diagnoses.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal Stability of Common TMJ Structural Disorders

et al. 2016

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The longitudinal course of temporomandibular joint (TMJ) disc displacement (DD) and degenerative joint disease (DJD) has never been conclusively described with magnetic resonance imaging and computed tomography, respectively. This 8-y observational study's objective was to assess the longitudinal stability of DD and DJD among 401 subjects. The Validation Project provided baseline measures; follow-up was performed in the TMJ Impact Project. With magnetic resonance imaging, 2 radiologists rendered a consensus diagnosis of normal/indeterminate, DD with reduction, or DD without reduction. Computed tomography consensus diagnoses included normal/ indeterminate, grade 1 DJD, or grade 2 DJD. Radiologist reliability was assessed by kappa; a Hui-Walter model was used to estimate, after accounting for diagnostic disagreement, the frequency of diagnostic progression and reversal. Permutation tests were used to test the statistical influence of concurrent baseline diagnoses on diagnostic changes at follow-up. Of 789 baseline joint-specific soft tissue diagnoses of DD, 598 (76%) joints showed no change; 109 (14%) demonstrated progression; and 82 (10%) had reversal. Of 794 joints with baseline joint-specific hard tissue diagnoses of DJD, progression was observed in 122 (15%) joints, no change in 564 (71%), and reversal in 108 (14%). Radiologist reliability (kappa) was 0.73 (95% CI, 0.64 to 0.83) for DD and 0.76 (95% CI, 0.68 to 0.83) for DJD. After accounting for the influence of diagnostic disagreement, progression of hard tissue diagnoses in the right TMJ occurred in 15.2% of subjects (95% CI, 10.5% to 20.8%) and reversal in 8.3% (95% CI, 4.9% to 12.3%); results were similar for soft tissue diagnoses and the left TMJ. Concurrent baseline soft tissue diagnoses were associated with hard tissue diagnostic changes at follow-up (P < 0.0001). Baseline hard tissue diagnoses showed no statistical association with soft tissue changes at follow-up (P = 0.11). Longitudinally, 76% of baseline TMJ soft tissue diagnoses and 71% of the baseline hard tissue diagnoses remained stable. Diagnostic reversal and progression were confirmed for both soft and hard tissues.

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Description of population and progress of symptoms in a longitudinal study of temporomandibular arthropathy

Cited by 47 publications

References 3 publications

MR Evidence of Characteristics in Symptomatic Osteoarthritis of the Temporomandibular Joint: Increased Signal Intensity Ratio on Proton Density-Weighted Images of Bone Marrow in the Mandibular Condyle

MR Evidence of Characteristics in Symptomatic Osteoarthritis of the Temporomandibular Joint: Increased Signal Intensity Ratio on Proton Density-Weighted Images of Bone Marrow in the Mandibular Condyle

The Diagnostic Validity of Clinical Tests in Temporomandibular Internal Derangement: A Systematic Review and Meta-analysis

Longitudinal Stability of Common TMJ Structural Disorders

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