Evaluation of the Involvement of the Tempromandibular Joint in Patients with Osteoarthritis Using Computed Tomography Compared to Sonography for Detection of Osteoarthritic Changes.
Abstract
Objectives of the study:
To determine the extent of tempromandibular joint involvement in patients with osteoarthritis. To evaluate the correlation
between clinical findings and radiographical findings.To evaluate of the accuracy of sonography in detection of osteoarthritic
changes compared to Computed tomography.
Materials and methods: thirty six patients are exposed to CT scan(64-Brilliance) and compared the results with sonography(12.5Mhz)
for evaluation of radiological changes, comparison between clinical and radiololgic changes also have been taken.
Results: There was significant correlation between clicking and joint effusion in computed tomography(CT),while tenderness
showed significant correlation with osteophyte and joint effusion in sonography,other correlations show no significant correlation
between clinical and radiological changes.
Conclusions: The radiographic changes in tempromandibular joint were positively correlated with duration of osteoarthritis.
Sonography was more likely to be sensitive rather than specific in detection of osteoarthritic changes.
Keywords
References
Abhijeet Deoghare and Shirish S Degwekar/ clinical
and CT scan evaluation of tempromandibular joints
with osteoarthritis and rheumatoid arthritis.10.5005/
jp.journals.10011-1058,2010.
Bernard L , The Anatomical Basis of Dentistry, 3rdEdition.
St. Louis,Mosby,2001.
Broussard JS, Jr. Derangement, osteoarthritis, and rheumatoid
arthritis of the temporomandibular joint: implications,
diagnosis, and management. Dent Clin North Am.
;49(2):327-342.
Crispian (2008). Oral and maxillofacial medicine : the basis
of diagnosis and treatment (2nd ed.). Edinburgh: Churchill
Livingstone. pp. 8,14,30,31,33,101,104,106,291–
,338,339,351. ISBN 9780443068188.
D. T. Felson, R. C. Lawrence, P. A. Dieppe et al.,
“Osteoarthritis: new insights. Part 1: the disease and its risk
factors,” Annals of Internal Medicine, vol. 133, no. 8, pp.
–646, 2000.
Elsternwick (2013). “A problem worth solving.”. Arthritis
and Osteoporosis Victoria,pp80-82.
Emshoff R, Brandlmaier I, Bodner G, Rudisch A. Condylar
erosion and disc displacement: Detection with highresolution
ultrasonography. J Oral MaxillofacSurg2003;
:877-881.
G. Dimitroulis, “The prevalence of osteoarthrosis in cases of
advanced internal derangement of the Temporomandibular
Joint: a clinical, surgical and histological study,”
International Journal of Oral and Maxillofacial Surgery,
vol. 34, no. 4, pp. 345–349, 2005.
Hunter and S. Kalathingal, “Diagnostic imaging for
temporomandibular disorders and orofacial pain,” Dental
Clinics of North America, vol. 57, pp. 405–418, 2013.
Kyung-Soo Nah/ Imaging Science in Dentistry 2012; 42 :
-53.
Turkyilmaz I, tozumTF ,Tumer MC (2007).Bone density
assessments of oral implant sites using computerized
tomography. J oral Rehabil 34(4):267-272.
DOI: http://dx.doi.org/10.26477/idj.v36i3.20
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