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Morphology of the Temporomandibular Joints Regarding the Presence of Osteoarthritic Changes

Author

Listed:
  • Marcin Derwich

    (Department of Orthodontics, Medical University of Lodz, 90-419 Lodz, Poland)

  • Maria Mitus-Kenig

    (Department of Prophylaxis and Experimental Dentistry, Jagiellonian University in Krakow, 31-008 Krakow, Poland)

  • Elzbieta Pawlowska

    (Department of Orthodontics, Medical University of Lodz, 90-419 Lodz, Poland)

Abstract

(1) Osteoarthritis, the most common disease of the temporomandibular joints (TMJs), is diagnosed by clinical and radiographic examination. Cone beam computed tomography (CBCT) is a method of choice for the imaging of osteoarthritic changes. The objective was to compare the morphology of the TMJs in CBCT images regarding the number of the osteoarthritic changes diagnosed in the area of the condyle. (2) A total of 105 patients participated in the study; their 210 TMJs were allocated into one of three groups regarding the number of diagnosed osteoarthritic changes: 1 (none or 1 type), 2 (2 types), 3 (3 or more types). The morphology of the TMJ was examined for each TMJ in the CBCT images. Statistical analysis was performed with STATISTICA version 12.0. The statistical significance level was p = 0.05 for all the measurements included. (3) The articular surface flattening was the most common type of the osteoarthritic changes (90%). The condylar A-P dimension differed significantly among the groups ( p = 0.0001). The bigger the number of osteoarthritic changes diagnosed in one joint, the smaller the condylar A-P dimension that was observed. (4) The temporomandibular joints’ osteoarthritic changes occur very often, even among asymptomatic patients. The increased number of osteoarthritic changes seems to have an impact on the condylar anteroposterior dimension.

Suggested Citation

  • Marcin Derwich & Maria Mitus-Kenig & Elzbieta Pawlowska, 2020. "Morphology of the Temporomandibular Joints Regarding the Presence of Osteoarthritic Changes," IJERPH, MDPI, vol. 17(8), pages 1-14, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:8:p:2923-:d:349537
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    Citations

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    Cited by:

    1. Marcin Derwich & Maria Mitus-Kenig & Elzbieta Pawlowska, 2021. "Is the Temporomandibular Joints’ Reciprocal Clicking Related to the Morphology and Position of the Mandible, as Well as to the Sagittal Position of Lower Incisors?—A Case-Control Study," IJERPH, MDPI, vol. 18(9), pages 1-14, May.
    2. Marcin Derwich & Maria Mitus-Kenig & Elzbieta Pawlowska, 2020. "Temporomandibular Joints’ Morphology and Osteoarthritic Changes in Cone-Beam Computed Tomography Images in Patients with and without Reciprocal Clicking—A Case Control Study," IJERPH, MDPI, vol. 17(10), pages 1-17, May.

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