Michael Wu, Hollis Lai, Fabiana T Almeida, Reid Friesen
{"title":"探讨颞下颌关节退行性疾病的临床特征与CBCT表现的关系。","authors":"Michael Wu, Hollis Lai, Fabiana T Almeida, Reid Friesen","doi":"10.1111/joor.13970","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular joint (TMJ) degenerative joint disease (DJD) involves progressive osseous changes and is commonly associated with temporomandibular disorders (TMD). Cone-beam computed tomography (CBCT) is a valuable diagnostic tool for evaluating these changes. However, the relationship between clinical signs and symptoms, such as TMJ clicking or pain and radiographic findings remains poorly understood. Clarifying these associations can refine imaging prescribing practices and improve patient-specific diagnostic strategies.</p><p><strong>Objective: </strong>This study aimed to investigate the association between clinical signs and symptoms of TMD and radiographic features of TMJ DJD detected on CBCT, emphasising its diagnostic value and limitations.</p><p><strong>Methods: </strong>A retrospective chart review of 98 patients (196 TMJs) was conducted at a university-based oral medicine clinic. Clinical signs, including TMJ clicking, muscle pain and joint pain, were documented and CBCT findings, such as osteophytes and erosions, were analysed. Logistic regression was used to assess associations.</p><p><strong>Results: </strong>A significant association was identified between TMJ clicking and the presence of osteophytes (p < 0.05). No significant associations were observed between other clinical features, including muscle and joint pain and CBCT findings.</p><p><strong>Conclusion: </strong>The findings support an indication-driven approach to CBCT imaging, highlighting its diagnostic value in patients with specific clinical presentations, such as TMJ clicking, combined with additional clinical indicators. Routine CBCT imaging for all patients with TMD is not justified and future research should focus on refining imaging guidelines to ensure judicious use in TMJ diagnostics.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.1000,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Exploring the Association Between Clinical Features and CBCT Findings in TMJ Degenerative Joint Disease.\",\"authors\":\"Michael Wu, Hollis Lai, Fabiana T Almeida, Reid Friesen\",\"doi\":\"10.1111/joor.13970\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Temporomandibular joint (TMJ) degenerative joint disease (DJD) involves progressive osseous changes and is commonly associated with temporomandibular disorders (TMD). Cone-beam computed tomography (CBCT) is a valuable diagnostic tool for evaluating these changes. However, the relationship between clinical signs and symptoms, such as TMJ clicking or pain and radiographic findings remains poorly understood. Clarifying these associations can refine imaging prescribing practices and improve patient-specific diagnostic strategies.</p><p><strong>Objective: </strong>This study aimed to investigate the association between clinical signs and symptoms of TMD and radiographic features of TMJ DJD detected on CBCT, emphasising its diagnostic value and limitations.</p><p><strong>Methods: </strong>A retrospective chart review of 98 patients (196 TMJs) was conducted at a university-based oral medicine clinic. Clinical signs, including TMJ clicking, muscle pain and joint pain, were documented and CBCT findings, such as osteophytes and erosions, were analysed. Logistic regression was used to assess associations.</p><p><strong>Results: </strong>A significant association was identified between TMJ clicking and the presence of osteophytes (p < 0.05). No significant associations were observed between other clinical features, including muscle and joint pain and CBCT findings.</p><p><strong>Conclusion: </strong>The findings support an indication-driven approach to CBCT imaging, highlighting its diagnostic value in patients with specific clinical presentations, such as TMJ clicking, combined with additional clinical indicators. Routine CBCT imaging for all patients with TMD is not justified and future research should focus on refining imaging guidelines to ensure judicious use in TMJ diagnostics.</p>\",\"PeriodicalId\":16605,\"journal\":{\"name\":\"Journal of oral rehabilitation\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2025-04-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of oral rehabilitation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/joor.13970\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of oral rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/joor.13970","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Exploring the Association Between Clinical Features and CBCT Findings in TMJ Degenerative Joint Disease.
Background: Temporomandibular joint (TMJ) degenerative joint disease (DJD) involves progressive osseous changes and is commonly associated with temporomandibular disorders (TMD). Cone-beam computed tomography (CBCT) is a valuable diagnostic tool for evaluating these changes. However, the relationship between clinical signs and symptoms, such as TMJ clicking or pain and radiographic findings remains poorly understood. Clarifying these associations can refine imaging prescribing practices and improve patient-specific diagnostic strategies.
Objective: This study aimed to investigate the association between clinical signs and symptoms of TMD and radiographic features of TMJ DJD detected on CBCT, emphasising its diagnostic value and limitations.
Methods: A retrospective chart review of 98 patients (196 TMJs) was conducted at a university-based oral medicine clinic. Clinical signs, including TMJ clicking, muscle pain and joint pain, were documented and CBCT findings, such as osteophytes and erosions, were analysed. Logistic regression was used to assess associations.
Results: A significant association was identified between TMJ clicking and the presence of osteophytes (p < 0.05). No significant associations were observed between other clinical features, including muscle and joint pain and CBCT findings.
Conclusion: The findings support an indication-driven approach to CBCT imaging, highlighting its diagnostic value in patients with specific clinical presentations, such as TMJ clicking, combined with additional clinical indicators. Routine CBCT imaging for all patients with TMD is not justified and future research should focus on refining imaging guidelines to ensure judicious use in TMJ diagnostics.
期刊介绍:
Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function.
Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology.
The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.