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The Usefulness of Cone Beam Computed Tomography in Diagnosis of Temporomandibular Joint Osteoarthritis  

Roh, Chang-Se (Department of Oral Medicine, College of Dentistry, Pusan National University)
Jung, Yun-Hoa (Department of Maxillofacial Radiology, College of Dentistry, Pusan National University)
Tae, Il-Ho (Department of Oral Medicine, College of Dentistry, Pusan National University)
Ko, Myung-Yun (Department of Oral Medicine, College of Dentistry, Pusan National University)
Ahn, Yong-Woo (Department of Oral Medicine, College of Dentistry, Pusan National University)
Publication Information
Journal of Oral Medicine and Pain / v.34, no.1, 2009 , pp. 81-90 More about this Journal
Abstract
This study is designed to assess Relationship between clinical diagnosis of Temporomandibular Joint Disorder and diagnostic finding of Cone Beam Computed Tomography(CBCT) The author performed clinical examination for TMD Patients who visited Orofacial pain clinic, Jin-ju ooo Dental office. CBCT(Cone beam computed tomography) was taken for 190 joints in 95 subjects. A Oral medicine and Oral radiologist evaluated CBCT each other. then we compared with that result, Condyle bony changes were classified by no bone change, flattening, erosion and osteophyte. The obtained results were as follow: 1. The Kappa index of the diagnosis between oral medicine and oral radiogist were high, the index of diagnosis by degenerative joint disease were more higher. 2. The Kappa index of panoramic view and CBCT was low, more condylar bone chages were observed by CBCT diagnosis 3. Condylar bone changes of the 54.2% of non-DJD group clinicaly was observed by CBCT diagnosis and no bone changes of the 15.3% of DJD group.was observed by CBCT 4. TMJ pain was associated with erosion of condyle bone change of TMJ. Crepitation and longest duration of TMD were associated with osteophytic bone change.
Keywords
TMD; DJD; CBCT;
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1 Christiansen E.L., Thompson J.R., Kopp S.F.O., Hasso A.N., Hinshaw D.B. Radiographic sign of temporomandibular joint disease: An investigation utilizing X-ray computed tomography. Dentomaxillofac Radilo 1985;14:83-92   DOI   PUBMED
2 Christiansen E.L., Thompson J.R., Kopp S.F.O., Hasso A.N., Hinshaw D.B. Radiographic sign of temporomandibular joint disease: An investigation utilizing X-ray computed tomography. Dentomaxillofac Radilo 1985;14:83-92   DOI   PUBMED
3 Larheim T.A. Current trends in temporomandibualr joint imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endol 1995;80:555-576   DOI   ScienceOn
4 AM Hussain, G Packota, PW Major, C Flores-Mir. Role of different imaging modalities in assessment of temporomandibular joint erosion and osteophytes: a systematic review. Dentomaxillofacial Radiology 2008;37:63-71   DOI   ScienceOn
5 Rasmussen OC. Clinical findings during the course of temporomandibular arthropathy. Scand J Dent Res 1981;89:283-288   DOI   PUBMED
6 Rohlin M., Akerman S., Kopp S. Tomography as an aid to detect macroscopic change of the temporomandibualr joint. An autopsy study of the aged. Acta Odontol Scand 1986;44(3):131-140   DOI   ScienceOn
7 Roberts C.A., Tallents R.H., Espeland M.A., Handelman S.L Katxberg R.W. Mandibular range of motion versus arthrougraphic diadgnosis of temporomandibular joint. Oral Surg Oral Med Oral Pathol 1985;60:244-251   DOI   ScienceOn
8 K Hona, TA Larheim, K Maruhashi, K Mastumoto, K Iwai. Osseous abnormalities of the mandibular condyle: diagnostic reliability of cone beam computed tomography compared with helical computed tomography based on an autopsy material. Dentomaxillofacial Radiology 2006;35:152-157   DOI   ScienceOn
9 Chung SC, Kim YK et al. Orofacial pains and temporomandibular disorders. 2nd ed, Seoul, 2006, Shinhung Co., pp. 176-179
10 Avrahami E., Segal R., Solomon A. et al. Direct coronal high resolution computed tomography of the temporomandubular joint in patients with rheumatoid arthritis. J Rheumatol 1989;16:298-301   PUBMED
11 Muir C.B., Goss A.N. The radiologic morphology of asymptomatic temporo-mandibular joints. Oral Surg Oral Med Oral Pathol 1990;70:349-354   DOI   ScienceOn
12 Chul-Hee Ko, Yong-Woo Ahn, Myung-Yun Ko, June-Sang Park. Evaluation of condylar surface in temporomandibualr joint with lock sensation using computed tomography. Korean J Oral medicine 2004;29(1):69-77
13 Krik W.S. Sagittal magnetic resonance image characteristics and surgical findings of mandibular condyle surface disease in staged internal derangement. J Oral Maxillofac Surg 1994;52:64-68   DOI   ScienceOn
14 Suarez F.R. Bhussry B.R., Huang K.H., Vaughn D. A preliminary study of computerized tomography for evaluation of the temporomandibular joint. Compend contin Educ Dent 1980;1:217-222
15 Oana Bida Honey, William Charles Scarfe, Michael J. Higers et al. Accuracy of cone-beam computed tomography imaging of the temporomandibular joint:Comparisions with panoramic radiology and linear tomography. Am J Orthod Dentofacial Orthop 2007;132:429-38   DOI   ScienceOn
16 Goupillie P., Fouquet B., Cotty P., Goga D., Valat J.P. Direct coronal computed tomography of the temporomandibular joint in patients with rheumatoid arthritis. Br J Radiol 1992;65:955-960   DOI   ScienceOn
17 Kyung-A Kim, Kwang-Joon Koh. Radiographic study of bony changes of the mandibular consyle. Korean J Oral Maxillofac Radiol 2000;30(1):23-32
18 K Tsiklakis, K Syriopoulos, HC Stamatakis. Radiographic examination of the temporomandibualr joint using cone beam computed tomography. Dentomaxillofacial Radiology 2004;33:196-201   DOI   ScienceOn
19 Epstein JB, Caldwell J, Black G. The utility of panoramic imaging of the temporomandibular joint in patients with temporomandibular disorder. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;92:236-9   DOI   ScienceOn
20 HC Crow, E Parks, JH Campbell, DS Stuck and Daggy. The utility of panoramic radiography in temporomandibualr joint assessment. Dentomaxillofacial Radiology 2005;34:91-95   DOI   ScienceOn
21 Hatcher D., McEvoy S., Mah R., Faulkner G. In : McNeil C. Science and Practice of Occlusion. 1st ed., illinois, 1997, Quintessence Publishing Co., pp.259-270
22 McNeill C. Science and Practice of Occlusion. 1st ed., illinois, 1997, Quintessence Publishing Co., pp. 259-270
23 Pertes RA, Attanasio R. In: Kaplan AS, Aasael LA. Temporomandibular disorder: Diagnosis and Treatment. Philadelphia, 1991, W.B. Saunders Co., pp. 142-164
24 K. Yamada, I. Saito, K. Hanada, T. Hayashi. Observation of three cases of temporomandibualr joint osteoarthritis and mandibular morphology during adolescence using helical CT. J Oral Rehabilitation 2004;30:298-305
25 Ericksson L., Westesson P.L. Clinical and radiological study of patients with anterior disc displacement of the temporomandibular Joint. Swed Dent J 1983;7:55-64   PUBMED
26 Goupillie P., Fouquet B., Cotty P., Goga D., Valat J.P. Direct coronal computed tomography of the temporomandibular joint in patients with rheumatoid arthritis. Br J Radiol 1992;65:955-960   DOI   ScienceOn
27 Dworkin SF., LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord 1992;6(4):301-55   PUBMED
28 Kazuhiro Y, Kooji H, Takafumi H, Jusuke I. Condylar bony change, disk displacement, and signs and symptoms of TMJ disorders in orthognathic surgery patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;91:603-10   DOI   PUBMED   ScienceOn
29 Larheim T.A., Kolbenstved A. Osseous temporomandiblular joint abnormalities in rheumatic disease. Acta Radiol 1990;31:383-387   DOI