Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
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Osteoarthritic changes and condylar positioning of the temporomandibular joint in Korean children and adolescents

  • Cho, Bong-Hae (Department of Oral and Maxillofacial Radiology, School of Dentistry, Pusan National University) ;
  • Jung, Yun-Hoa (Department of Oral and Maxillofacial Radiology, School of Dentistry, Pusan National University)
  • Received : 2012.05.16
  • Accepted : 2012.06.14
  • Published : 2012.09.30
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Abstract

Purpose: To investigate the prevalence of osteoarthritic changes and condylar positioning of the temporomandibular joint (TMJ) in Korean children and adolescents with or without temporomandibular disorders (TMDs). Materials and Methods: A total of 101 asymptomatic and 181 symptomatic children and adolescents aged 10 to 18 years old were included in the study. Osteoarthritic changes such as flattening, sclerosis, osteophytes, or erosion, and the parasagittal positioning of the condyle were assessed using cone-beam computed tomography (CBCT) images. Results: The overall prevalence of osteoarthritic changes was higher in symptomatic (26.8%) than in asymptomatic adolescents (9.9%) (p<0.05). In the symptomatic group, the frequency was higher in males (33.3%) than in females (23.0%) (p<0.05). Erosion was the most common change for the symptomatic group (15.6%), whereas sclerosis was the most common change for the asymptomatic group (5.4%). Posterior condylar position was more frequently observed in the symptomatic group (p<0.05). Erosion was more common in the samples with TMJ pain or mouth opening limitations as compared to those without them (p<0.05). Conclusion: This study showed that osteoarthritic changes in TMJ were common in children and adolescents, with a much higher prevalence in symptomatic patients.

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References

  1. Poveda Roda R, Bagan JV, Díaz Fernández JM, Hernández Bazán S, Jiménez Soriano Y. Review of temporomandibular joint pathology. Part I: classification, epidemiology and risk factors. Med Oral Patol Oral Cir Bucal 2007; 12 : E292-8.
  2. Dibbets JM, van der Weele LT. Prevalence of structural bony change in the mandibular condyle. J Craniomandib Disord 1992; 6 : 254-9.
  3. Vanderas AP. Prevalence of craniomandibular dysfunction in children and adolescents: a review. Pediatr Dent 1987; 9 : 312-6.
  4. Magnusson T, Egermark-Eriksson I, Carlsson GE. Four-year longitudinal study of mandibular dysfunction in children. Community Dent Oral Epidemiol 1985; 13 : 117-20. https://doi.org/10.1111/j.1600-0528.1985.tb01690.x
  5. Gazit E, Lieberman M, Eini R, Hirsch N, Serfaty V, Fuchs C, et al. Prevalence of mandibular dysfunction in 10-18 year old Israeli schoolchildren. J Oral Rehabil 1984; 11 : 307-17. https://doi.org/10.1111/j.1365-2842.1984.tb00581.x
  6. Ishibashi H, Takenoshita Y, Ishibashi K, Oka M. Age-related changes in the human mandibular condyle: a morphologic, radiologic, and histologic study. J Oral Maxillofac Surg 1995; 53 : 1016-24. https://doi.org/10.1016/0278-2391(95)90117-5
  7. Widmalm SE, Westesson PL, Kim IK, Pereira FJ Jr, Lundh H, Tasaki MM. Temporomandibular joint pathosis related to sex, age, and dentition in autopsy material. Oral Surg Oral Med Oral Pathol 1994; 78 : 416-25. https://doi.org/10.1016/0030-4220(94)90031-0
  8. Sanchez-Woodworth RE, Katzberg RW, Tallents RH, Guay JA. Radiographic assessment of temporomandibular joint pain and dysfunction in the pediatric age-group. ASDC J Dent Child 1988; 55 : 278-81.
  9. 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 Reha- bil 2004; 31 : 298-305. https://doi.org/10.1046/j.1365-2842.2003.01246.x
  10. Pullinger AG, Solberg WK, Hollender L, Guichet D. Tomographic analysis of mandibular condyle position in diagnostic subgroups of temporomandibular disorders. J Prosthet Dent 1986; 55 : 723-9. https://doi.org/10.1016/0022-3913(86)90450-6
  11. Pereira LJ, Gavi-ao MB, Bonjardim LR, Castelo PM. Ultrasound and tomographic evaluation of temporomandibular joints in adolescents with and without signs and symptoms of temporomandibular disorders: a pilot study. Dentomaxillofac Radiol 2007; 36 : 402-8. https://doi.org/10.1259/dmfr/16641858
  12. Gateno J, Anderson PB, Xia JJ, Horng JC, Teichgraeber JF, Liebschner MA. A comparative assessment of mandibular condylar position in patients with anterior disc displacement of the temporomandibular joint. J Oral Maxillofac Surg 2004; 62 : 39-43.
  13. Bonilla-Aragon H, Tallents RH, Katzberg RW, Kyrkanides S, Moss ME. Condyle position as a predictor of temporomandibular joint internal derangement. J Prosthet Dent 1999; 82 : 205-8. https://doi.org/10.1016/S0022-3913(99)70157-5
  14. Wiese M, Svensson P, Bakke M, List T, Hintze H, Petersson A, 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 : 239-51.
  15. Abdel-Fattah RA. Optimum temporomandibular joint (TMJ) condylar position. Todays FDA 1989; 1 : 1C-3C.
  16. Robinson de Senna B, Marques LS, França JP, Ramos-Jorge ML, Pereira LJ. Condyle-disk-fossa position and relationship to clinical signs and symptoms of temporomandibular disorders in women. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108 : e117-24.
  17. Vasconcelos Filho JO, Menezes AV, Freitas DQ, Manzi FR, Bóscolo FN, de Almeida SM. Condylar and disk position and signs and symptoms of temporomandibular disorders in stressfree subjects. J Am Dent Assoc 2007; 138 : 1251-5.
  18. Katzberg RW, Keith DA, Ten Eick WR, Guralnick WC. Internal derangements of the temporomandibular joint: an assessment of condylar position in centric occlusion. J Prosthet Dent 1983; 49 : 250-4. https://doi.org/10.1016/0022-3913(83)90511-5
  19. Pullinger A, Hollender L. Variation in condyle-fossa relationships according to different methods of evaluation in tomograms. Oral Surg Oral Med Oral Pathol 1986; 62 : 719-27. https://doi.org/10.1016/0030-4220(86)90270-7
  20. Cohen J. A coefficient of agreement for nominal scales. Educ Psychol Meas 1960; 20 : 37-46. https://doi.org/10.1177/001316446002000104
  21. 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 : 141-7. https://doi.org/10.1259/dmfr/59263880
  22. Tsiklakis K, Syriopoulos K, Stamatakis HC. Radiographic examination of the temporomandibular joint using cone beam computed tomography. Dentomaxillofac Radiol 2004; 33 : 196-201. https://doi.org/10.1259/dmfr/27403192
  23. Honey OB, Scarfe WC, Hilgers MJ, Klueber K, Silveira AM, Haskell BS, 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 : 429-38. https://doi.org/10.1016/j.ajodo.2005.10.032
  24. Takayama Y, Miura E, Yuasa M, Kobayashi K, Hosoi T. Comparison of occlusal condition and prevalence of bone change in the condyle of patients with and without temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 105 : 104-12. https://doi.org/10.1016/j.tripleo.2006.12.033
  25. 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 : e27-34.
  26. Petrikowski CG, Grace MG. Age and gender differences in temporomandibular joint radiographic findings before orthodontic treatment in adolescents. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999; 87 : 380-5. https://doi.org/10.1016/S1079-2104(99)70228-3
  27. Wiese M, Wenzel A, Hintze H, Petersson A, Knutsson K, Bakke M, et al. Osseous changes and condyle position in TMJ tomograms: impact of RDC/TMD clinical diagnoses on agreement between expected and actual findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 106 : e52-63.
  28. Wiberg B, Wänman A. Signs of osteoarthrosis of the temporomandibular joints in young patients: a clinical and radiographic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998; 86 : 158-64. https://doi.org/10.1016/S1079-2104(98)90118-4
  29. Hiltunen K, Peltola JS, Vehkalahti MM, Närhi T, Ainamo A. A 5-year follow-up of signs and symptoms of TMD and radiographic findings in the elderly. Int J Prosthodont 2003; 16 : 631-4.
  30. Kurita H, Kojima Y, Nakatsuka A, Koike T, Kobayashi H, Kurashina K. Relationship between temporomandibular joint (TMJ)-related pain and morphological changes of the TMJ condyle in patients with temporomandibular disorders. Dentomaxillofac Radiol 2004; 33 : 329-33. https://doi.org/10.1259/dmfr/13269559
  31. 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 : 139-47.
  32. Ren YF, Isberg A, Westesson PL. Condyle position in the temporomandibular joint. Comparison between asymptomatic volunteers with normal disk position and patients with disk displacement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995; 80 : 101-7. https://doi.org/10.1016/S1079-2104(95)80025-5

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