Browse > Article
http://dx.doi.org/10.14476/jomp.2013.38.4.357

Effect of conservative therapy and Mandibular condylar bone change on Adolescents with osteoarthritis of TMJ  

Jeon, Hye-Mi (Department of Oral Medicine, School of Dentistry, Pusan National University)
Kim, Kyung-Hee (Department of Oral Medicine, Pasan Paik Hospital, Inje University)
Ok, Soo-Min (Department of Oral Medicine, School of Dentistry, Pusan National University)
Heo, Jun-Young (Department of Oral Medicine, School of Dentistry, Pusan National University)
Jeong, Sung-Hee (Department of Oral Medicine, School of Dentistry, Pusan National University)
Ko, Myung-Yun (Department of Oral Medicine, School of Dentistry, Pusan National University)
Ahn, Young-Woo (Department of Oral Medicine, School of Dentistry, Pusan National University)
Publication Information
Journal of Oral Medicine and Pain / v.38, no.4, 2013 , pp. 357-366 More about this Journal
Abstract
This study is designed to evaluate the treatment outcome of occlusal stabilizing splint and to assess follow-up study of condylar bony changes using cone beam computed tomography(CBCT) in adolescents patients (12-19 years) with TMJ osteoarthritis(OA). 167 eroded condyles in 149 subjects were chosen among the patients who presented to the Department of Oral Medicine of Pasan National University Hospital, diagnosed as TMJ osteoarthritis by clinical exam, x-ray and CBCT from 2009 to 2012. They were treated conservatively with physical therapy, medication, behavioral therapy and occlusal stabilizing splint therapy. After average 9 months, CBCT was retaken and subjective symptoms and clinical findings were investigated. Condyle bony changes were classified by unchanged, less severe and more severe. The obtained results were as follow: 1. Pain, Noise, LOM(Limitation of motion) and MCO(Maximum comfortable opening) measurement of TMJ OA patients were markedly improved after conservative treatment. 2. In the occlusal stabilizing splint therapy group, Pain and LOM were statistically significant improved than non-occlusal stabilizing splint therapy group. 3. In the acute occlusal stabilizing splint therapy group, Pain and LOM were remarkably improved. 4. In comparison of CBCT1 and CBCT2 images, the transition of bone changes to lesser severe was most commonly in joint with erosive change. 5. In the non-occlusal stabilizing splint therapy group, the transition of condylar bone changes from erosion to more severe was many than occlusal stabilizing splint therapy group.
Keywords
Adolescents; Cone beam computed tomography; Erosion; Occlusal stabilizing splint; Temporomandibular joint osteoarthritis;
Citations & Related Records
Times Cited By KSCI : 7  (Citation Analysis)
연도 인용수 순위
1 Okeson JP. Management of temporomandibular disorders and occlusion. 7th ed., 2013, Elsevier, pp. 339-344.
2 Barghan S, Tetradis S, Mallya SM. Application of cone beam computed tomography for assessment of the temporomandibular joints. Australian Dental Journal 2012; 57(1):109-118.
3 Lee JU, Kim HS, Song JS, Kim KA, Koh KJ. Bone change of mandibular condyle using cone beam computed tomography. Korean J Oral Maxillofac Radiol 2007;37:139-147.   과학기술학회마을
4 Zhao YP, Zhang ZY, Wu YT, Zhang WL, Ma XC. Investigation of the clinical and radiographic features of osteoarthrosis of the temporomandibular joints in adolescents and young adults. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;111(2):e27-34.
5 Honey OB, Scarfe WC, Higers MJ et al. Accuracy of cone-beam computed tomography imaging of the temporomandibular joint: Comparisons with panoramic radiology and linear tomography. Am J Orthod Dentofacial Orthop 2007;132:429-438.   DOI   ScienceOn
6 Okeson JP. Management of temporomandibular disorders and occlusion. 7th ed., 2013, Elsevier, pp. 258-290.
7 Laskin DM, Green CS., Hylander WL. Temporomandibular disorders : An evidence- based approch to diagnosis and treatment, 2006, Quintessence, pp.53-67.
8 Wiese M, Svensson P, Bakke M et al. Association between temporomandibular joint symptoms, signs, and clinical diagnosis using the RDC/TMD and radiographic findings in temporomandibular joint tomograms. J Orofac Pain 2008;22(3):239-251.
9 Alexiou K, Stamatakis H, Tsiklakis K. Evaluation of the severity of temporomandibular joint osteoarthritic changes related to age using cone beam computed tomography. Dentomaxillofac Radiol 2009;38(3): 141-147.   DOI   ScienceOn
10 Ok SM, Heo JY, Ahn YW, Ko MY, Jeong SH. Comparative analysis : The patients of temporomandibular disorder among adolescents, Korean J Oral medicine 2013;38(1):69-76.
11 Poveda Roda R, Bagan JV, Diaz Fernandez JM, Hernandez Bazan S, Jimenez Soriano Y. : Review of temporomandibular joint pathology. Part I: classification, epidemiology and risk factors. Med Oral Patol Oral Cir Bucal 2007;12(4):E292-298.
12 Neville BW, Damm DD, Allen CM, Bouquot JE. Oral and maxillofacial pathology, 2nd ed., 2001, Saunder, pp.755.
13 Nah KS. Condylar bony changes in patients with temporomandibular disorders: a CBCT study. Imaging Sci Dent 2012;42(4):249-253.   DOI   ScienceOn
14 Krisjane Z, Urtane I, Krumina G, Neimane L, Ragovska I. The prevalence of TMJ osteoarthritis in asymptomatic patients with dentofacial deformities: a cone-beam CT study. Int J Oral Maxillofac Surg 2012;41(6):690-695.   DOI   ScienceOn
15 Roh CS, Jung YH, Tae IH, Ko MY, Ahn YW. The Usefulness of Cone Beam Computed Tomography in Diagnosis of Temporomandibular Joint Osteoarthritis. Korean J Oral medicine 2009:34(1):81-90.   과학기술학회마을
16 Ko CH, Ahn YW, Ko MY, Park JS. Evaluation of Condylar Surface in Temporomandibular joint with lock sensation using Computed Tomography. Korean J Oral medicine 2004:29 (1): 67-77.
17 Yamada K, Saito I, Hanada K, Hayashi T. Observation of three cases of temporomandibular joint osteoarthritis and mandibular morphology during adolescence using helical CT. J Oral Rehabil 2004;31(4): 298-305.   DOI   ScienceOn
18 Mejersjo C. Therapeutic and prognostic considerations in TMJ osteoarthrosis : a literature review and a long-term study in 11 subjects. Cranio 1987;5(1):69-78.
19 Cho BH, Jung YH. Osteoarthritic changes and condylar positioning of the temporomandibular joint in Korean children and adolescents. Imaging Sci Dent 2012;42(3):169-174.   DOI   ScienceOn
20 Rando C, Waldron T. TMJ osteoarthritis: a new approach to diagnosis. Am J Phys Anthropol 2012;148(1):45-53.   DOI   ScienceOn
21 Kamelchuk LS, Major PW. Degenerative disease of the temporomandibular joint. J Orofac Pain 1995;9(2):168-180.
22 Son DE, Ok SJ, Ko MY, Ahn YW. A Study of Conservative Treatment for Patients with Osteoarthritis of the TMJ. Korean J Oral medicine 2007;32(2):227-239.   과학기술학회마을
23 Kim JH, Jeon HM, Ok SM et al. Effect of Occlusal Stabilizing Splint for Osteoarthritis of Temporomandibular Joint. Korean J Oral medicine 2012;37(2):113-123.   과학기술학회마을
24 Machon V, Hirjak D, Lukas J. Therapy of the osteoarthritis of the temporomandibular joint. J Craniomaxillofac Surg 2011;39(2):127-130.   DOI   ScienceOn
25 Wassell RW, Adams N, Kelly PJ. Treatment of temporomandibular disorders by stabilizing splints in general dental practice: results after initial treatment. Br Dent J 2004;197(1):35-41.
26 Wassell RW, Adams N, Kelly PJ. The treatment of temporomandibular disorders with stabilizing splints in general dental practice: one-year follow-up. J Am Dent Assoc 2006;137(8):1089-1098.   DOI   ScienceOn
27 Charlier JP, Petrovic A, Linck G. The chin cup and its effect on mandibular growth. Experimental studies on the rat. Orthod Fr 1969;40:99-113.
28 Lipton JA, Marbach JJ. Predictors of treatment outcome in patients with myofascial pain-dysfunction syndrome and organic temporomandibular joint disorders. J Prosthet Dent 1984;51(3):387-393.   DOI   ScienceOn