[Diagnostic evaluation of the temporomandibular joint osteoarthritis using cone beam computed tomography compared with conventional radiographic technology].
ABSTRACT Osteoarthritic lesions of Temporomandibular joint(TMJ) were assessed by dental cone beam computed tomography(CBCT), and compared with conventional radiographic technology.
The study was conducted retrospectively on 511 joints of 350 patients, who had undergone dental CBCT, panoramic radiography, transcranial projection and transpharygeal projection of TMJ. The results were compared and the accuracy with CBCT was assessed. The types of osseous condylar abnormalities were observed.
(1) The occurrence of osteoarthritis in male and female were 59.04% and 69.66%, respectively, with no significant difference. (2) Compared with CBCT, panoramic radiography, transpharygeal projection examination showed no significant difference, with the accuracy being 90.64% and 94.10%, respectively; However, transcranial projection indicated a significant difference in comparison with CBCT and the accuracy was 86.97%. (3) A higher occurrence of osteoarthritic lesions of the condyle was sclerosis (39.86%). Bony proliferation or osteophyte (28.18%) and ill-defined cortical bone (18.90%) were followed.
Cone beam CT, which reproduces multiple images including axial, coronal and sagittal planes of the joint, provides a complete radiographic investigation of the bony components of the TMJ. It is one of the best choices of imaging diagnosis of TMJ osteoarthritis. Panoramic radiography and transpharygeal projection examination are also good choices for showing osseous condylar abnormalities in the clinic, but transcranial projection examination is inferior.
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ABSTRACT: The objective of this study was to investigate the clinical and radiographic features of osteoarthrosis (OA) of the temporomandibular joints (TMJOA) in human adolescents and young adults. Patients (n = 4883) with temporomandibular disorders (age, 11 to 30 years) underwent clinical and radiographic examinations. The radiographic findings were classified as erosive bony changes, proliferative changes mainly, including flattening with uneven sclerosis, and osteophytes of the condyle, and bilaterally short condylar processes. In addition, we interpreted the reassessment radiographs of 156 of the patients. Seven hundred eleven patients had radiographic signs of OA. The frequency of OA was higher in women (563/3360, 16.8%) than in men (148/1523, 9.7%). Most patients (541/711, 76.1%) with signs of OA showed proliferative changes of OA. Moreover, 56.4% of patients with TMJOA (88/156) remained stable. These results suggest that although OA is an age-related disease, aging is not the crucial factor in the pathogenesis of OA.Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 02/2011; 111(2):e27-34. · 1.50 Impact Factor
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ABSTRACT: A review of modern imaging techniques commonly used in dental practice and their clinical applications is presented. The current dental examinations consist of intraoral imaging with digital indirect and direct receptors, while extraoral imaging is divided into traditional tomographic/panoramic imaging and the more recently introduced cone beam computed tomography. Applications, limitations and current trends of these dental "in-office" radiographic techniques are discussed.European Radiology 11/2010; 20(11):2637-55. · 3.55 Impact Factor
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ABSTRACT: Abstract Objective. To evaluate the association of condylar asymmetry and chin position with different anteroposterior skeletal patterns using three-dimensional models reconstructed from cone-beam computed tomography (CBCT) images. Materials and methods. CBCT scans of 123 Chinese adolescents (aged 11-15 years, 68 girls and 55 boys) with 64 skeletal Class I, 46 Class II and 13 Class III were selected from scans of patients attending the orthodontic clinic. The condyles of the subjects were reconstructed bilaterally and 25 linear, angular and volumetric measurements were performed to evaluate the asymmetry of the condyles and position of the chin. The proportions of condylar asymmetry in the different skeletal groups were calculated by the absolute difference value between the left and right sides to the smaller side value. One-way analysis of variance and Pearson's correlations were used to analyse the data. Results. The values for RV, RCL, LCH, RCH, LCGM, RCGM, LCo-Me and RCo-Me were significantly different among the three skeletal groups (p < 0.05). There were significant positive correlations between Pog-Ss and Co-Sh, Co-Me in the Class I and II groups (p < 0.05). Asymmetries for Co-Ss, Co-Sh, CP and SP between the left and right condyles exceeded a ratio of 20% for more than 30% of the subjects. Conclusion. Condylar asymmetry varied significantly among the three skeletal groups, with the vertical position of the condyle (Co-Sh) and height of the mandibular ramus (Co-Me) being significantly and positively related to the chin position.Acta odontologica Scandinavica 01/2013; · 1.41 Impact Factor