The assessment of osseous changes in the temporomandibular joint using Cone Beam Computed Tomography
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Date
2018
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Publisher
The South African Dental Association
Abstract
INTRODUCTION: Clicking of the temporomandibular joint (TMJ) is not a normal occurrence. The clinical finding of chronic clicking of the joint can signify osseous changes and early signs of degenerative joint diseases.
AIM: To compare osseous changes seen in the mandibular condyles of patients presenting at the Oral Health Centre, Tygerberg Campus, with and without clicking of the temporomandibular joint.
METHODS: From amongst patients routinely attending the Oral Health Centre, a sample of 25 were selected as presenting with asymptomatic clicking of the temporomandibular joints. A matched sample of patients who did not demonstrate clicking was collected as a control. The mandibular condyles of both groups (N=100) were examined for erosions, flattening, lipping, sclerosis and osteophyte formation.
RESULTS: The prevalence of sclerosis of the right joint in the study group was statistically significantly higher in comparison with the control group (P = 0.002). Age and gender showed no statistical significance between the two groups.
CONCLUSION: Osseous changes were found in both the control and study groups but were more consistently found amongst those having asymptomatic clicks of the temporomandibular joints.
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Keywords
Cone Beam Computer Tomography, Clicking, Degenerative joint disease, TMD, Temporomandibular joint (TMJ)
Citation
Shaik, S, & Parker, ME. (2018). The assessment of osseous changes in the temporomandibular joint using Cone Beam Computed Tomography. South African Dental Journal , 73(4), 259-261. http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162018000400020&lng=pt&tlng=en.