Condylar osseous changes following conservative therapies: A cone-beam computed tomography longitudinal study on adult patients with degenerative temporomandibular joint disease.

J Craniomaxillofac Surg

State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China. Electronic address:

Published: December 2024

This retrospective study aimed to comprehensively investigate the impact of non-surgical treatments on condylar osseous changes in adult patients with degenerative joint disease (DJD). Radiographic and clinical data were collected for analysis. Cone-beam computed tomography (CBCT) was used to diagnose DJD, including flattening, erosion, osteophytes, sclerosis and cysts. Condylar osseous changes were divided into three classifications: progression, stability and remission. Kaplan-Meier analyses were performed to evaluate progression-free probability. Hazard ratios (HRs) of overall and specific DJD progression were calculated with multivariate Cox analysis. Hyaluronic acid (HA) injection significantly reduced the progression-free probability (P = 0.0312). HRs of progression after stabilization splint (SS) treatment within one year, glucosamine treatment within six months and HA injection was 3.41 (95% CI: 1.70-6.84; P = 0.0005), 0.35 (95% CI: 0.14-0.86; P = 0.0226), and 1.84 (95% CI: 1.06-3.20; P = 0.0313), respectively. HRs of progression of flattening, erosion, osteophyte, and sclerosis adjusted for gender and age after HA injection were 2.77 (95% CI: 1.32-5.81; P = 0.0071), 2.12 (95% CI: 1.09-4.10; P = 0.0264), 3.38 (95% CI: 1.08-10.54; P = 0.0361) and 2.78 (95% CI: 1.02-7.52; P = 0.0447) respectively. HA injection and SS treatment were possible risk factors for TMJ deterioration, while glucosamine treatment was possible protective factor against TMJ deterioration.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcms.2024.12.013DOI Listing

Publication Analysis

Top Keywords

condylar osseous
12
osseous changes
12
cone-beam computed
8
computed tomography
8
adult patients
8
patients degenerative
8
joint disease
8
flattening erosion
8
progression-free probability
8
hrs progression
8

Similar Publications

A Geometric Morphometric Study on the Rat Mandible.

Anat Histol Embryol

January 2025

Department of Anatomy, Faculty of Veterinary Medicine, Dokuz Eylül University, İzmir, Turkey.

The aim of the study was to investigate the shape of the mandible in Wistar albino rats using the geometric morphometric method. However, 'Is the shape of the mandible different in rats depending on gender?' the question formed the hypothesis of the study. For this purpose, a total of 52 rat mandibles, 31 female and 21 male rats, were used in the study.

View Article and Find Full Text PDF

The study aimed to compare the morphometric and morphologic analyses of the bone structures of temporomandibular joint and masticatory muscles on Cone beam computed tomography (CBCT) in 62 healthy subjects and 33 subjects with temporomandibular dysfunction (TMDS) aged between 18 and 56 years. In addition, a machine learning (ML) pipeline involving the Random Forest classifier was used to automatically detect TMDS. Thirty parameters (including age and gender) associated with the condylar process, articular tubercle, mandibular fossa, ramus mandible, joint space, and masticatory muscles were examined using CBCT.

View Article and Find Full Text PDF

Background: Knee arthroplasty procedures improve pain, function, stability, and appearance of the limb. Total knee arthroplasty (TKA) in severe, long-standing osteoarthritis (OA) with large medial tibial defects could be a challenge. This paper looks at TKA outcomes when large tibial defects are managed without metal wedges or stems.

View Article and Find Full Text PDF

Condylar osseous changes following conservative therapies: A cone-beam computed tomography longitudinal study on adult patients with degenerative temporomandibular joint disease.

J Craniomaxillofac Surg

December 2024

State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China. Electronic address:

This retrospective study aimed to comprehensively investigate the impact of non-surgical treatments on condylar osseous changes in adult patients with degenerative joint disease (DJD). Radiographic and clinical data were collected for analysis. Cone-beam computed tomography (CBCT) was used to diagnose DJD, including flattening, erosion, osteophytes, sclerosis and cysts.

View Article and Find Full Text PDF

. Open reduction internal fixation (ORIF) and external fixation are traditional surgical techniques for treating type VI Schatzker tibial plateau fractures. A newly developed technique integrates the intramedullary tibial nail with condylar bolts.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!