探讨颞下颌关节退行性疾病的临床特征与CBCT表现的关系。

IF 3.1 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Michael Wu, Hollis Lai, Fabiana T Almeida, Reid Friesen
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引用次数: 0

摘要

背景:颞下颌关节(TMJ)退行性关节疾病(DJD)涉及进行性骨性改变,通常与颞下颌关节疾病(TMD)相关。锥束计算机断层扫描(CBCT)是评估这些变化的有价值的诊断工具。然而,临床体征和症状(如颞下颌关节咔嗒声或疼痛)与影像学表现之间的关系仍然知之甚少。澄清这些关联可以改进影像学处方实践和改进患者特异性诊断策略。目的:本研究旨在探讨TMD的临床体征和症状与CBCT检测TMJ DJD的影像学特征之间的关系,强调其诊断价值和局限性。方法:对某大学口腔医学门诊98例患者(196例)的临床资料进行回顾性分析。记录临床症状,包括颞下颌关节咔嗒声、肌肉疼痛和关节疼痛,并分析CBCT结果,如骨赘和糜烂。使用逻辑回归来评估相关性。结果:发现TMJ咔嗒声与骨赘存在显著关联(p结论:研究结果支持适应症驱动的CBCT成像方法,突出了其对具有特定临床表现的患者的诊断价值,如TMJ咔嗒声,结合其他临床指标。对所有TMD患者进行常规CBCT成像是不合理的,未来的研究应侧重于完善成像指南,以确保在TMJ诊断中明智地使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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来源期刊
Journal of oral rehabilitation
Journal of oral rehabilitation 医学-牙科与口腔外科
CiteScore
5.60
自引率
10.30%
发文量
116
审稿时长
4-8 weeks
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.
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