scholarly journals Degenerative Changes in the Temporomandibular Joint in Elderly Patients with Posterior Edentulous Maxilla and Mandibula According to Cone-Beam Computed Tomography Data.

2021 ◽  
Vol 15 (1) ◽  
pp. 191-195
Author(s):  
Zurab Khabadze ◽  
Oleg Mordanov ◽  
Georgiy Davreshyan ◽  
Mariya Balashova ◽  
Alexander Prokopenko ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Elderly Patients ◽  
Temporomandibular Joint ◽  
Cone Beam Computed Tomography ◽  
Bone Structure ◽  
Joint Space ◽  
Degenerative Changes ◽  
Cone Beam ◽  
Female Group ◽  
The Right

Aim: This study aimed at assessing the degenerative changes in the Temporomandibular Joint (TMJ)in elderly patients with posterior edentulous maxilla and mandibula according to Cone-Beam Computed Tomography (CBCT) data. Materials and Methods: The study included 32 patients (64 temporomandibular joints) aged from 50 to 81 years (mean age 62 ± 7.9 years; 16 males and 16 females). TMJs were visualized on reconstructed parasagittal, paracoronal, and axial sections of the joint. The following changes in bone tissue were evaluated: condyle flattening, erosion, sclerosis, subchondral cysts, osteophytes. Joint space was evaluated as well. Results and Discussion: 100% of patients had at least one sign of degenerative changes in TMJ at least on one side. In 19 patients, degenerative symptoms were found only on one side. The most common sign was subchondral cysts. It was noted that the number of degenerative symptoms in male patients was statistically more than in the female group. On the right side, the anterior, superior, and posterior joint spaces had the following values: 2.35 mm, 2.95 mm, and 4.84 mm, respectively. On the left side, the anterior, superior, and posterior joint spaces had the following values: 2.14 mm, 2.3 mm, and 4.1 mm, respectively. Conclusion: Both edentulousness and aging affect the bone structure of TMJ in both genders.

scholarly journals The Diagnostic Yield of Cone-Beam Computed Tomography for Degenerative Changes of the Temporomandibular Joint in Dogs

2021 ◽  
Vol 8 ◽  
Author(s):  
Rachel Marie McKay ◽  
Natalia Vapniarsky ◽  
David Hatcher ◽  
Nicole Carr ◽  
Shuai Chen ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Temporomandibular Joint ◽  
Subchondral Bone ◽  
Cone Beam Computed Tomography ◽  
Degenerative Changes ◽  
Cone Beam ◽  
Kappa Statistics ◽  
Histological Findings ◽  
Bone Sclerosis ◽  
Histopathologic Changes

Degenerative changes of the temporomandibular joint (DTMJ) may be diagnosed via cone - beam computed tomography (CBCT). However, despite advancement in CBCT imaging, correlation of DTMJ features identified on CBCT with gross and histological findings is currently limited. This study aimed to correlate CBCT findings of DTMJ of dogs with gross and histopathologic changes. Temporomandibular joints (TMJ) (n = 38) from fresh cadaver heads of asymptomatic dogs (n = 19) were examined radiologically, macroscopically, and microscopically. Association of CBCT - detected DTMJ changes with gross and histological findings were statistically evaluated via kappa statistics and ordinal logistic mixed-effects models. The radiological changes observed on CBCT included joint space narrowing, subchondral/cortical bone changes (i.e., erosions or lysis), osteophytes, and subchondral bone sclerosis. Upon macroscopic evaluation, the majority of examined specimens had mild changes with cartilage defects and osteophytes affecting <10% of the total articular surface area. Histopathologic changes comprised splitting and degeneration of the fibrous cartilage layers, subchondral bone exposure, subchondral bone sclerosis, focal subchondral bone lysis, and occasional cell death. Subchondral sclerosis was the most prevalent finding radiologically and histologically with a fair to excellent agreement. Importantly, the more severe the TMJ degenerative changes, the higher the agreement between CBCT and histology. Based on the correlative results of statistical analysis, CBCT was found to be a suitable modality to evaluate DTMJ.

scholarly journals Evaluation of temporomandibular joint disorders using cone beam computed tomography

2017 ◽  
Vol 3 (4) ◽  
pp. 698
Author(s):  
Sonam Kohli ◽  
Rahul Krishan Sharma ◽  
Anchal Goel ◽  
M. K. Sunil
Keyword(s):  
Computed Tomography ◽  
Temporomandibular Joint ◽  
Cone Beam Computed Tomography ◽  
Joint Space ◽  
Temporomandibular Joint Disorders ◽  
Cone Beam ◽  
Glenoid Fossa ◽  
Significant Difference ◽  
Mandibular Fossa ◽  
Osseous Changes

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">The aim of this study was to evaluate efficacy of segmental cone beam computed tomography (CBCT) in detecting bony changes in condyle and thickness of roof of glenoid fossa in temporomandibular joint (TMJ) disorders.</span></p><p class="abstract"><strong>Methods:</strong> The study group comprised of 10 temporomandibular disorders (TMD) patients of either sex between the age group of 20-60 years diagnosed as TMDs by clinical evaluation using the research diagnostic criteria was considered. After the clinical examination, radiographic investigations were carried out which included digital OPG, transcranial radiograph and CBCT scan. TMJ Evaluation included: (a) bony changes of the condyle (flattening, erosion, sclerosis, osteophytes, resorption); (b) joint space (normal, increased, reduced, bony contact between the condyle and the mandibular fossa); and (c) bony changes of mandibular fossa (normal, sclerosis, erosion, resorption). The radiographic findings were statistically analysed.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Significant difference between OPG, transcranial and CBCT were found for the presence of erosion (P =0.000), thickness of roof of glenoid fossa (P =0.000), deformed contour (P =0.001), joint space (P =0.011), subchondral sclerosis (P =0.011), irregularity of articular surface and eminence (P =0.000), flattening (P =0.050). </span></p><p class="abstract"><strong>Conclusions:</strong> Using CBCT as imaging technique in our study to detect osseous changes in the TMJ was proved to be effective as compared to the conventional radiographic techniques, the results achieved with CBCT was 100%.The results obtained in our study prove to be a full proof one and it seems to promise to go one step closer to detect progression and severity of the osseous changes in the condylar head and mandibular fossa in patients with TMDs<span lang="EN-IN">.</span></p>

scholarly journals Spatial analysis of mandibular condyles in patients with temporomandibular disorders and normal controls using cone beam computed tomography

2017 ◽  
Vol 11 (01) ◽  
pp. 099-105 ◽  
Author(s):  
Natheer Hashim Al-Rawi ◽  
Asmaa Tahseen Uthman ◽  
Sahar M. Sodeify
Keyword(s):  
Computed Tomography ◽  
Temporomandibular Joint ◽  
Cone Beam Computed Tomography ◽  
Joint Space ◽  
Cone Beam ◽  
Control Group ◽  
Articular Eminence ◽  
Linear Measurements ◽  
Condylar Position ◽  
Normal Controls

ABSTRACT Objectives: The aim of the study is to investigate the condylar position and its relation to articular eminence and axial condylar angle in temporomandibular joint disorder (TMD) patients and in normal controls using cone beam computed tomography (CBCT). Materials and Methods: CBCT temporomandibular joint (TMJ) images of 70 participants (38 males and 32 females, mean age 26.4 years) were analyzed. They were divided into control group (including 35 subjects) and study group (including 35 subjects). Linear measurements of joint space and condyle determined the condylar position of each TMJ. Articular eminence height and inclination were also measured with axial condylar angle to determine its relation to condylar position. Independent and paired sample t-test was applied to compare between the groups and TMJ sides of the same group at significance level of 0.05. Results: Statistical significant differences were found between males and females of both groups regarding superior joint space (SJS), lateral joint space, A-P, and M-L condyle distance (P < 0.05). SJS, medial joint space (MJS), and eminence angle were greater (P < 0.01) in male's joints with TMD with flatter axial condylar angle (P < 0.05), when compared with normal TMJ counterpart. Females TMJs showed significantly higher values of MJS of affected side when compared with normal counterpart with flatter axial condylar angle (P < 0.05). Conclusion: Superior and MJS parameters were the ones that showed significant differences between affected and nonaffected joints. The mean axial condylar angle was smaller in joints with abnormal TMJ. This indicates that the condyles of the affected joints may rotate inward.

scholarly journals New Method for Analysis of the Temporomandibular Joint Using Cone Beam Computed Tomography

Sensors ◽  
2021 ◽  
Vol 21 (9) ◽  
pp. 3070
Author(s):  
Sebastian Iwaszenko ◽  
Jakub Munk ◽  
Stefan Baron ◽  
Adam Smoliński
Keyword(s):  
Computed Tomography ◽  
Temporomandibular Joint ◽  
Cross Section ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Section Plane ◽  
New Approach ◽  
Volume Of Interest ◽  
Gap Width

Modern dentistry commonly uses a variety of imaging methods to support diagnosis and treatment. Among them, cone beam computed tomography (CBCT) is particularly useful in presenting head structures, such as the temporomandibular joint (TMJ). The determination of the morphology of the joint is an important part of the diagnosis as well as the monitoring of the treatment results. It can be accomplished by measurement of the TMJ gap width at three selected places, taken at a specific cross-section. This study presents a new approach to these measurements. First, the CBCT images are denoised using curvilinear methods, and the volume of interest is determined. Then, the orientation of the vertical cross-section plane is computed based on segmented axial sections of the TMJ head. Finally, the cross-section plane is used to determine the standardized locations, at which the width of the gap between condyle and fossa is measured. The elaborated method was tested on selected TMJ CBCT scans with satisfactory results. The proposed solution lays the basis for the development of an autonomous method of TMJ index identification.

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