Comparison of symptoms, signs and magnetic resonance imaging in children aged 5-18 years with temporomandibular joint disease.

IF 1.9 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2025-09-01 Epub Date: 2023-11-20 DOI:10.1080/08869634.2023.2281203

Mehmet Gökhan Demir

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Abstract

Background: Temporomandibular joint diseases (TMD) are an important clinical condition in childhood as in adults. There is variation in the frequency and distribution of complaints in children about this disorder.

Materials and methods: This study was conducted on 407 children aged 5-18 years. Patients with dentofacial function problems, trauma, history of surgery, and malignancy were excluded from the study. Patients with temporomandibular magnetic resonance imaging in their records were classified as normal, reduction disc displacement and non-reduction disc displacement.

Results: Patients symptoms were click (77.2%), pain (71.5%), headache (61.2%), bruxism (31.9%), locking (28%), difficulty in mouth opening (24.3%). The most common clinical findings are normal mouth opening (62.2%) and deviation (44.9%). When the MR results were examined, 55.1% of female and 66.6% of male were observed to be normal, and this statistically shows that males have more normal MR findings.

Conclusion: TMD are also observed in children. Clinical history and findings are helpful in diagnosis, but the contribution of imaging methods may be limited. If head and neck pain is detected in children, TMD should be kept in mind.

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5-18岁儿童颞下颌关节疾病的症状、体征和磁共振成像比较

背景:颞下颌关节疾病(TMD)在儿童和成人中都是一种重要的临床疾病。儿童对这种疾病的抱怨频率和分布各不相同。材料与方法:研究对象为407名5-18岁儿童。有牙面功能问题、创伤、手术史和恶性肿瘤的患者被排除在研究之外。记录的颞下颌关节磁共振成像患者分为正常、复位椎间盘移位和非复位椎间盘移位。结果:患者症状为咔嗒声(77.2%)、疼痛(71.5%)、头痛(61.2%)、磨牙(31.9%)、闭锁(28%)、开口困难(24.3%)。最常见的临床表现为开口正常(62.2%)和偏开(44.9%)。当检查MR结果时，55.1%的女性和66.6%的男性观察到正常，这从统计学上说明男性有更多的正常MR结果。结论:TMD在儿童中也存在。临床病史和表现有助于诊断，但影像学方法的贡献可能有限。如果在儿童中发现头颈部疼痛，应牢记TMD。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.