Validity of Cone-beam Computed Tomography in Assessment of Morphological Bony Changes of Temporomandibular Joints.

J Contemp Dent Pract

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.

Published: February 2020

AI Article Synopsis

  • The study aimed to connect clinical symptoms of temporomandibular disorder (TMD) with bone changes in the temporomandibular joint (TMJ) using cone-beam computed tomography (CBCT).
  • Data was collected from patients experiencing TMJ symptoms over a year, correlating clinical observations with CBCT imaging results.
  • Although limited mouth opening and a relationship between pain and bone changes were noted, there was no significant correlation between CBCT findings and TMD symptoms, emphasizing the importance of clinical evaluation in treatment decisions.

Article Abstract

Aim: The aim of the current study was to correlate the clinical symptoms that are associated with temporomandibular disorder (TMD) to the osseous changes occurring in the affected temporomandibular joint (TMJ), as detected by cone-beam computed tomography (CBCT).

Materials And Methods: The clinical data of patients that presented with TMJ symptoms was collected and correlated with the CBCT findings for the same patients. Patient recruitment took place over a 1-year period in the Oral and Maxillofacial Surgery and Oral and Maxillofacial Radiology department of the same academic institution.

Results: There was a limited mouth opening (MO) (<3 cm). More importantly, there was a statistically significant positive relation between pain and loss of cortication.

Conclusion: There was no significant correlation between CBCT findings consistent with TMJ degeneration and clinical symptoms.

Clinical Significance: Cone-beam computed tomography evaluation of the TMJ is important for providing information about the state and level of TMJ degeneration if any. However, clinical findings should be the most important factor when considering management options for symptomatic TMJ.

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