29. Cone beam computed tomography evaluation of condyle position and joint space in a group of intra-articular disorders patients undergoing stabilization splint treatment

Le Thu Huong, Nguyen Thi Thu Phuong, Nguyen Thi Thuy Nga

Main Article Content

Abstract

This cross-sectional study assesses condyle position and joint space using Cone Beam Computed Tomography (CBCT) in patients with intra-articular disorders undergoing stabilization splint treatment. Patients are categorized into three groups based on MRI findings: no disc displacement (no DD), disc displacement with reduction (DDwR), and disc displacement without reduction (DDwoR). The study involves 35 patients, each with at least one DDwR joint. CBCT evaluates joint space and condyle position, revealing wider anterior, posterior, and superior joint spaces in both DDwR (anterior: 2.48 ± 0.98mm; posterior: 1.83 ± 0.71mm; superior: 2.46 ± 0.81mm) and DDwoR groups (anterior: 2.41 ± 1.13mm; posterior: 2.65 ± 1.14mm; superior: 2.74 ± 0.88mm) compared to the no DD group. Posterior condyle position accounts for the highest prevalence, at 60.4%, in DDwR joints. While no significant difference is noted in condyle position and anterior and superior joint space among three groups, a significant difference is observed in posterior joint space between groups (p < 0.05). The study suggests that joint space may be greater in joints with disc displacement, and posterior condyle position likely predominates in joints with and without disc displacement. However, further research is needed due to the small sample size.

Article Details

References

1. De Leeuw R, Klasser GD. Orofacial pain: guidelines for assessment, diagnosis, and management: Quintessence Publishing Company, Incorporated Hanover Park, IL, USA; 2018.
2. Schiffman E, Ohrbach R, Truelove E, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache. 2014; 28(1): 6.
3. Lomas J GT, Jackson C, Campbell D. . Temporomandibular dysfunction. Aust J Gen Pract. 2018; 47 (4): 212 - 215.
4. Chisnoiu AM, Picos AM, Popa S, et al. Factors involved in the etiology of temporomandibular disorders-a literature review. Clujul Med. 2015; 88(4): 473.
5. Rehan.. Assessment of Condylar Position and Dimensions in Symptomatic TMD Patients and Asymptomatic Individuals Using Cone Beam Computed Tomography. Advanced Dental Journal. 2024; 6(1): 139-148.
6. Yildizer E. . Relationship between mandibular condyle position and pain in patients with disc displacement with reduction: A retrospective study. European Annals of Dental Sciences. 2023; 50(1): 17-22.
7. Poluha RL, Cunha CO, Bonjardim LR, et al. Temporomandibular joint morphology does not influence the presence of arthralgia in patients with disk displacement with reduction: A magnetic resonance imaging–based study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2020; 129(2): 149-157.
8. Sener S, Akgunlu F. Correlation between the condyle position and intra-extraarticular clinical findings of temporomandibular dysfunction. European Journal of Dentistry. 2011; 5(03): 354-360.
9. Vân NTT, Trang VH, Minh NĐ. Đặc điểm hình thái khớp thái dương hàm trên bệnh nhân rối loạn thái dương hàm. Tạp chí Y dược học Cần Thơ. 2022(49): 192-198.
10. Nguyen VTL AN. Hình ảnh Cone beam CT khớp Thái dương hàm của bệnh nhân rối loạn thái dương hàm tại khoa Răng hàm mặt - Đại học Y Dược Tp Hồ Chí Minh Tạp chí Y học Thành phố Hồ Chí Minh. 2016; 20 (2).
11. Bartlett JE, Kotrlik J, Higgins CC. Organizational research: Determining appropriate sample size in survey research appropriate sample size in survey research. Information Technology, Learning, and Performance Journal. 2001; 19(1): 43.
12. Huang I-Y, Wu J-H, Kao Y-H, et al. Splint therapy for disc displacement with reduction of the temporomandibular joint. part I: modified mandibular splint therapy. Kaohsiung J Med Sci. 2011; 27(8): 323-329.
13. Ikeda K, Kawamura A. Assessment of optimal condylar position with limited cone-beam computed tomography. Am J Orthod Dentofacial Orthop. 2009; 135(4): 495-501.
14. Pullinger A, Hollender L. Variation in condyle-fossa relationships according to different methods of evaluation in tomograms. Oral Surg Oral Med Oral Pathol Oral Radiol. 1986; 62(6): 719-727.
15. Oliveira LRLBd, Alves IdS, Vieira APF, et al. Temporomandibular joint: from anatomy to internal derangement. Radiol Bras. 2023; 56: 102-109.
16. Ladeira DBS, Cruz ADd, Almeida SM. Digital panoramic radiography for diagnosis of the temporomandibular joint: CBCT as the gold standard. Braz Oral Res. 2015; 29: 01-07.
17. Krishnamoorthy B, Mamatha N, Kumar VA. TMJ imaging by CBCT: Current scenario. Ann Maxillofac Surg. 2013; 3(1): 80.
18. Larheim T, Abrahamsson A, Kristensen M, Arvidsson LJDR. Temporomandibular joint diagnostics using CBCT. Dentomaxillofac Radiol. 2015; 44(1): 20140235.
19. Barghan S, Tetradis S, Mallya S et al. Application of cone beam computed tomography for assessment of the temporomandibular joints. Aust Dent J. 2012; 57: 109-118.
20. Idan HM, Al-Aswad FD.. Determination the condyle position and measurement of joint space by CBCT in patients with disk displacement compared with healthy control group. International Journal of Medical Research and Health Sciences. 2019; 8(2): 13-20.
21. Paknahad M, Shahidi S, Iranpour S, et al. Cone-beam computed tomographic assessment of mandibular condylar position in patients with temporomandibular joint dysfunction and in healthy subjects. Int J Dent. 2015.
22. White SC, Pharoah MJ. Oral radiology-E-Book: Principles and interpretation: Elsevier Health Sciences; 2014.
23. Al-Rawi NH, Uthman AT, Sahar MS. Spatial analysis of mandibular condyles in patients with temporomandibular disorders and normal controls using cone beam computed tomography. Eur J Dent 2017; 11(01): 099-105