Temporomandibular joint findings in CBCT images: A retrospective study. 2021

Kevin Berry, and Mariela Padilla, and Somsak Mitrirattanakul, and Reyes Enciso
Master of Science Program Herman Ostrow School of Dentistry of, Los Angeles, CA, USA.

OBJECTIVE To evaluate radiological characteristics of the temporomandibular joint. METHODS Retrospective study of images of 20-80 year-old patients. Two independent clinicians analyzed the images, and a radiological score was obtained, considering sclerosis, osteophites, cysts, and erosion. RESULTS Seventy eight percent of the joints belonged to females. The main complaints were pain and headache (54.5%) and reduced motion (21.2%). The most common diagnoses were disc dislocation with reduction (35.9%), myofascial pain (20.7%), and osteoarthritis (15.2%). The majority of the joints (96.5%) showed degeneration, with an average radiological score of 3.86 ± 1.47 (0-8). Non-parametric tests showed that females had significantly higher radiological scores (p = 0.014), and TMD-joint patients had higher scores than TMD-muscle patients (p = 0.013). No statistically significant association between radiological scores and chief complaint. CONCLUSIONS There were differences among the radiological findings between genders and joint/ muscle TMD, as well as across diagnoses, as expected.

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