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Comparison of the Bony Changes of TMJ in Patients With and Without TMD Complaints Using CBCT | ||
| Journal of Dentistry | ||
| مقاله 8، دوره 19، شماره 2، شهریور 2018، صفحه 142-149 اصل مقاله (451.6 K) | ||
| نوع مقاله: Original Article | ||
| شناسه دیجیتال (DOI): 10.30476/dentjods.2018.41804 | ||
| نویسندگان | ||
| Shoaleh Shahidi1؛ Parisa Salehi2؛ Parnian Abedi3؛ Mehrnoush Dehbozorgi4؛ Shahram Hamedani5؛ Nazanin Berahman* 6 | ||
| 1Dept. of Oral and Maxillofacial Radiology, Biomaterials Research Centre, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran. | ||
| 2Orthodontic Research Centre, Dept. of Orthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran. | ||
| 3Student of Dentistry, Students’ Research Committee, School of Dentistry, International branch, Shiraz University of Medical Sciences, Shiraz, Iran. | ||
| 4Postgraduate Student, Dept. of Oral and Maxillofacial Radiology, School of Dentistry, Shiraz University of Medical Sciences, Iran. | ||
| 5Dental Research Development Centre, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran. | ||
| 6Postgraduate Student of Orthodontics, Dept. of Orthodontics, School of Dentistry, Shiraz University of Medical Sciences, Iran. | ||
| چکیده | ||
| Statement of the Problem: Temporomandibular joint disorders (TMD) may show a poor correlation between their clinical findings and radiological characteristics.Purpose: The aim of this study was to assess the osseous alterations of temporomandibular joint (TMJ) in symptomatic and asymptomatic subjects by employing cone beam computed tomography (CBCT) images.Materials and Method: In this study, CBCT images of 120 temporomandibular joints in 30 patients with TMJ disorder and 30 age- and sex-matched individuals without TMJ complaints were evaluated. Osteoarticular derangements of the joint were assessed by two experienced examiners. Data was statistically analyzed with SPSS software using chi-square test (p <0.05). Results: Out of 120 CBCT images (60 in each group), at least one osseous change was observed in 90% and 86.7% joints in symptomatic and asymptomatic subjects, respectively. There were no significant differences between symptomatic and asymptomatic subjects regarding frequency of osteoarticular changes including flattening (73.3% vs. 75%), irregularity (36.7% vs. 48.3%), sclerosis (20% vs. 8.3%), cyst (3.3% vs. 3.3%), erosion (13.3% vs. 21.7%), hypoplasia (3.3% vs. 5%), ankylosis (1.7% vs. Zero), osteophyte (43.3% vs. 40%), decrease joint space (3.3% vs. 3.3%), and increase joint space (5% vs. 5%). (p> 0.05)Conclusion: By employing CBCT as a modern diagnostic imaging tool, findings of this study revealed that the frequency of various temporomandibular joint alterations on CBCT images is comparable in patients with and without TMD complaints, suggesting that some people with TMJ structural damage may not display clinical manifestations. Moreover, CBCT imaging might not be necessary for TMD patients and more attention should be given to clinical examination. | ||
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