{"title":"通过数字全景 X 光片对髁突形态进行回顾性研究","authors":"Meenakshi Bhasin, Pooja Singh, Ramesh Gupta","doi":"10.4103/jiaomr.jiaomr_115_23","DOIUrl":null,"url":null,"abstract":"Background: Radiographical examination of temporomandibular joint (TMJ) showing changes in the shape of the condyle. Clinicians should have anatomical knowledge to assess the morphology of the condyle. Early detection of TMJ prevents the future possibility of osseous deformities. Objectives: To assess the prevalence of morphological variations in the condyles of dentate patients on digital panoramic radiographs. Methods: A total of 2364 digital panoramic radiographs were retrospectively selected from the previous patient's record that visited the Department and were observed by two radiologists for formulation of operational definitions. The OPG was evaluated for the subcondylar cysts, osteophytes, erosions, knife edges, and flattening of condyles. Morphological trends in condyles were evaluated. The obtained data were analyzed using descriptive statistics. Results: 68.73% of cases showed positive condylar changes, among which 31.13% revealed osteophytes, 27.13% flattening of condyles, 26.46% erosions, knife edges, and subcondylar cysts were 8.30%, and 6.95%, respectively, and the relationship between the type of condyles and the age groups were found to be statistically significant (P value: 0.05). Conclusions: Osteophytes were found to be the most predominant feature than other condylar morphological changes so preventive measures to be taken to stop further progression of the disease.","PeriodicalId":31366,"journal":{"name":"Journal of Indian Academy of Oral Medicine and Radiology","volume":"5 1","pages":"417 - 421"},"PeriodicalIF":0.4000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Retrospective Study of Condylar Morphology by Digital Panoramic Radiographs\",\"authors\":\"Meenakshi Bhasin, Pooja Singh, Ramesh Gupta\",\"doi\":\"10.4103/jiaomr.jiaomr_115_23\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Radiographical examination of temporomandibular joint (TMJ) showing changes in the shape of the condyle. Clinicians should have anatomical knowledge to assess the morphology of the condyle. Early detection of TMJ prevents the future possibility of osseous deformities. Objectives: To assess the prevalence of morphological variations in the condyles of dentate patients on digital panoramic radiographs. Methods: A total of 2364 digital panoramic radiographs were retrospectively selected from the previous patient's record that visited the Department and were observed by two radiologists for formulation of operational definitions. The OPG was evaluated for the subcondylar cysts, osteophytes, erosions, knife edges, and flattening of condyles. Morphological trends in condyles were evaluated. The obtained data were analyzed using descriptive statistics. Results: 68.73% of cases showed positive condylar changes, among which 31.13% revealed osteophytes, 27.13% flattening of condyles, 26.46% erosions, knife edges, and subcondylar cysts were 8.30%, and 6.95%, respectively, and the relationship between the type of condyles and the age groups were found to be statistically significant (P value: 0.05). Conclusions: Osteophytes were found to be the most predominant feature than other condylar morphological changes so preventive measures to be taken to stop further progression of the disease.\",\"PeriodicalId\":31366,\"journal\":{\"name\":\"Journal of Indian Academy of Oral Medicine and Radiology\",\"volume\":\"5 1\",\"pages\":\"417 - 421\"},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2023-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Indian Academy of Oral Medicine and Radiology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/jiaomr.jiaomr_115_23\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Indian Academy of Oral Medicine and Radiology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jiaomr.jiaomr_115_23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
摘要
背景:颞下颌关节(TMJ)的影像学检查显示髁状突的形状发生了变化。临床医生应掌握解剖学知识,以评估髁状突的形态。及早发现颞下颌关节的病变,可防止将来可能出现的骨性畸形。研究目的评估数码全景X光片上齿列患者髁状突形态变异的发生率。方法从该科就诊的前一位患者的病历中回顾性选取 2364 张数字全景 X 光片,由两位放射科医生进行观察,以制定操作定义。OPG 对髁突下囊肿、骨质增生、侵蚀、刀口和髁突变平进行评估。还对髁突的形态趋势进行了评估。获得的数据采用描述性统计进行分析。结果68.73%的病例显示髁突有阳性变化,其中31.13%显示骨质增生,27.13%显示髁突变平,26.46%显示髁突糜烂,刀状边缘和髁下囊肿分别占8.30%和6.95%,髁突类型与年龄组之间的关系有统计学意义(P值:0.05)。结论与其他髁突形态变化相比,骨赘是最主要的特征,因此应采取预防措施阻止疾病进一步发展。
A Retrospective Study of Condylar Morphology by Digital Panoramic Radiographs
Background: Radiographical examination of temporomandibular joint (TMJ) showing changes in the shape of the condyle. Clinicians should have anatomical knowledge to assess the morphology of the condyle. Early detection of TMJ prevents the future possibility of osseous deformities. Objectives: To assess the prevalence of morphological variations in the condyles of dentate patients on digital panoramic radiographs. Methods: A total of 2364 digital panoramic radiographs were retrospectively selected from the previous patient's record that visited the Department and were observed by two radiologists for formulation of operational definitions. The OPG was evaluated for the subcondylar cysts, osteophytes, erosions, knife edges, and flattening of condyles. Morphological trends in condyles were evaluated. The obtained data were analyzed using descriptive statistics. Results: 68.73% of cases showed positive condylar changes, among which 31.13% revealed osteophytes, 27.13% flattening of condyles, 26.46% erosions, knife edges, and subcondylar cysts were 8.30%, and 6.95%, respectively, and the relationship between the type of condyles and the age groups were found to be statistically significant (P value: 0.05). Conclusions: Osteophytes were found to be the most predominant feature than other condylar morphological changes so preventive measures to be taken to stop further progression of the disease.
期刊介绍:
Journal of Indian Academy of Oral Medicine and Radiology (JIAOMR) (ISSN: Print - 0972-1363, Online - 0975-1572), an official publication of the Indian Academy of Oral Medicine and Radiology (IAOMR), is a peer-reviewed journal, published Quarterly , both in the form of hard copies (print version) as well as on the web (electronic version). The journal’s full text is available online at http://www.jiaomr.in. The journal allows free access (open access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository.