Exploring the relationship between clinical symptoms and MRI findings in temporomandibular joint disorders: a preliminary study.

IF 2.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Oral & Facial Pain and Headache Pub Date : 2025-09-01 Epub Date: 2025-09-12 DOI:10.22514/jofph.2025.059

Ecem Sancar, Dilek Yılmaz, Safak Parlak, Elif G Bulut, Gozde Ozer, Nur E Hersek

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Abstract

Background: This study aimed to evaluate the relationships between magnetic resonance imaging (MRI) findings (such as condylar degeneration, disc displacement, joint effusion and disc deformity) and clinical symptoms in patients with temporomandibular joint disorders (TMDs).

Methods: A total of 54 patients (108 temporomandibular joints (TMJs)) were included. Clinical evaluations assessed joint pain, joint sounds, mouth opening limitations, deviation/deflection and locking. MRI scans were analyzed for condylar degeneration, disc displacement (disc displacement with reduction (DDWR) or disc displacement without reduction (DDWOR)), joint effusion, and disc morphology. Statistical analyses included chi-square tests/Fisher's exact tests for categorical variables. A p value < 0.05 was considered to be statistically significant.

Results: DDWR and DDWOR were significantly associated with joint pain (p = 0.044) and sounds (p = 0.032). Joint effusion demonstrated no clear correlation with clinical symptoms. Condylar degeneration was frequently observed but had limited clinical impact, except for a reduction in joint sounds (p = 0.03). Moreover, disc deformity was significantly correlated with condylar degeneration and joint effusion (p < 0.001).

Conclusions: MRI findings provide valuable insights into the structural changes observed in TMDs. Although disc displacement is strongly linked to pain and joint sounds, condylar degeneration and effusion exhibit more complex relationships with clinical symptoms.

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探讨颞下颌关节疾病的临床症状与MRI表现之间的关系：初步研究。

背景：本研究旨在探讨颞下颌关节疾病（TMDs）患者的磁共振成像（MRI）表现（如髁突退变、椎间盘移位、关节积液和椎间盘畸形）与临床症状的关系。方法：纳入54例患者（108个颞下颌关节）。临床评估包括关节疼痛、关节声音、张嘴受限、偏离/偏转和锁定。MRI扫描分析髁突退变、椎间盘移位（椎间盘移位伴复位（DDWR）或椎间盘移位不复位（DDWOR））、关节积液和椎间盘形态。统计分析包括卡方检验/Fisher分类变量精确检验。p值< 0.05认为有统计学意义。结果：DDWR和DDWOR与关节疼痛（p = 0.044）和声音（p = 0.032）有显著相关性。关节积液与临床症状无明显相关性。髁突退变经常被观察到，但临床影响有限，除了关节声音减少（p = 0.03）。此外，椎间盘畸形与髁突退变和关节积液显著相关（p < 0.001）。结论：MRI结果为观察颞下颌关节的结构变化提供了有价值的见解。虽然椎间盘移位与疼痛和关节声音密切相关，但髁突退变和积液与临床症状的关系更为复杂。

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来源期刊

Journal of Oral & Facial Pain and Headache DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

5.10

自引率

4.00%

发文量

期刊介绍： Founded upon sound scientific principles, this journal continues to make important contributions that strongly influence the work of dental and medical professionals involved in treating oral and facial pain, including temporomandibular disorders, and headache. In addition to providing timely scientific research and clinical articles, the journal presents diagnostic techniques and treatment therapies for oral and facial pain, headache, mandibular dysfunction, and occlusion and covers pharmacology, physical therapy, surgery, and other pain-management methods.