Detection and Severity Assessment of Temporomandibular Joint Osteoarthritic Changes in Patients with Temporomandibular Disorders Using CBCT

Background and objectives: Osteoarthritis refers to a non-inflammatory condition often linked to aging. It involves the gradual breakdown of bone, cartilage, and surrounding soft tissues around the joints. The aim of this study is to detect osteoarthritic change in patients with temporomandibular d...

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Main Authors: Kharman Khidhr Rahman, Shahen Ali Ahmed, Sarkawt Hamad Ali, Khoshee Salh Hamed
Format: Article
Language:English
Published: College Of Dentistry Hawler Medical University 2024-12-01
Series:Erbil Dental Journal
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Online Access:https://edj.hmu.edu.krd/index.php/journal/article/view/281
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author Kharman Khidhr Rahman
Shahen Ali Ahmed
Sarkawt Hamad Ali
Khoshee Salh Hamed
author_facet Kharman Khidhr Rahman
Shahen Ali Ahmed
Sarkawt Hamad Ali
Khoshee Salh Hamed
author_sort Kharman Khidhr Rahman
collection DOAJ
description Background and objectives: Osteoarthritis refers to a non-inflammatory condition often linked to aging. It involves the gradual breakdown of bone, cartilage, and surrounding soft tissues around the joints. The aim of this study is to detect osteoarthritic change in patients with temporomandibular disorder, to determine the severity of osteoarthritic changes, and to assess the relation of gender and age with the severity prevalence of temporomandibular joint osteoarthritis. Material and method: This retrospective, cross-sectional study analyzed 100 cone beam computed tomography (CBCT) scans of the temporomandibular joint from patients diagnosed with temporomandibular disorder. To assess osteoarthritis in the temporomandibular joint, the study applied the research diagnostic criteria specific to temporomandibular disorder. The presence of osseous modifications, such erosion, flattening, sclerosis, subcortical, osteophyte, and resorption, was evaluated for condylar head and articular eminence. The impact of osteoarthritic alterations was assessed for each joint. Result: The prevalence of osteoarthritic change in patients with temporomandibular disorder was 70%. A significant correlation was found in the prevalence of AO and age. The prevalence of OA was 90.6% among those aged less than 25 years old, and the lowest prevalence (53.8%) was in the age group 25–34. No significant association was detected between gender and the prevalence of OA: 72.7% in males and 68.7% in females. Erosion (65%) and flattening (64%), the most common findings of osteoarthritic changes of the condyle, the association between age and condylar osseous changes was not significant. There is no significant association between osteoarthritic change severity and gender or age. No significant association was detected between age and changes in articular eminence. Conclusion: There is a high prevalence of osteoarthritic change among patients with temporomandibular disorder. The prevalence and severity of degenerative bone changes don’t increase with age; they can occur in any age group.
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spelling doaj-art-37d52d072b13459c81d29b8710e588f02025-02-11T20:55:43ZengCollege Of Dentistry Hawler Medical UniversityErbil Dental Journal2523-61722616-47952024-12-017210.15218/edj.2024.15268Detection and Severity Assessment of Temporomandibular Joint Osteoarthritic Changes in Patients with Temporomandibular Disorders Using CBCTKharman Khidhr Rahman0Shahen Ali Ahmed1Sarkawt Hamad Ali2Khoshee Salh Hamed3College of Dentistry, Hawler Medical University, Erbil, Kurdistan Region, Iraq.College of Dentistry, Hawler Medical University, Erbil, Kurdistan Region, Iraq.College of Dentistry, Hawler Medical University, Erbil, Kurdistan Region, Iraq.College of Dentistry, Hawler Medical University, Erbil, Kurdistan Region, Iraq. Background and objectives: Osteoarthritis refers to a non-inflammatory condition often linked to aging. It involves the gradual breakdown of bone, cartilage, and surrounding soft tissues around the joints. The aim of this study is to detect osteoarthritic change in patients with temporomandibular disorder, to determine the severity of osteoarthritic changes, and to assess the relation of gender and age with the severity prevalence of temporomandibular joint osteoarthritis. Material and method: This retrospective, cross-sectional study analyzed 100 cone beam computed tomography (CBCT) scans of the temporomandibular joint from patients diagnosed with temporomandibular disorder. To assess osteoarthritis in the temporomandibular joint, the study applied the research diagnostic criteria specific to temporomandibular disorder. The presence of osseous modifications, such erosion, flattening, sclerosis, subcortical, osteophyte, and resorption, was evaluated for condylar head and articular eminence. The impact of osteoarthritic alterations was assessed for each joint. Result: The prevalence of osteoarthritic change in patients with temporomandibular disorder was 70%. A significant correlation was found in the prevalence of AO and age. The prevalence of OA was 90.6% among those aged less than 25 years old, and the lowest prevalence (53.8%) was in the age group 25–34. No significant association was detected between gender and the prevalence of OA: 72.7% in males and 68.7% in females. Erosion (65%) and flattening (64%), the most common findings of osteoarthritic changes of the condyle, the association between age and condylar osseous changes was not significant. There is no significant association between osteoarthritic change severity and gender or age. No significant association was detected between age and changes in articular eminence. Conclusion: There is a high prevalence of osteoarthritic change among patients with temporomandibular disorder. The prevalence and severity of degenerative bone changes don’t increase with age; they can occur in any age group. https://edj.hmu.edu.krd/index.php/journal/article/view/281Cone Beam Computed TomographyOsteoarthritisTemporomandibular jointTemporomandibular joint Disorder
spellingShingle Kharman Khidhr Rahman
Shahen Ali Ahmed
Sarkawt Hamad Ali
Khoshee Salh Hamed
Detection and Severity Assessment of Temporomandibular Joint Osteoarthritic Changes in Patients with Temporomandibular Disorders Using CBCT
Erbil Dental Journal
Cone Beam Computed Tomography
Osteoarthritis
Temporomandibular joint
Temporomandibular joint Disorder
title Detection and Severity Assessment of Temporomandibular Joint Osteoarthritic Changes in Patients with Temporomandibular Disorders Using CBCT
title_full Detection and Severity Assessment of Temporomandibular Joint Osteoarthritic Changes in Patients with Temporomandibular Disorders Using CBCT
title_fullStr Detection and Severity Assessment of Temporomandibular Joint Osteoarthritic Changes in Patients with Temporomandibular Disorders Using CBCT
title_full_unstemmed Detection and Severity Assessment of Temporomandibular Joint Osteoarthritic Changes in Patients with Temporomandibular Disorders Using CBCT
title_short Detection and Severity Assessment of Temporomandibular Joint Osteoarthritic Changes in Patients with Temporomandibular Disorders Using CBCT
title_sort detection and severity assessment of temporomandibular joint osteoarthritic changes in patients with temporomandibular disorders using cbct
topic Cone Beam Computed Tomography
Osteoarthritis
Temporomandibular joint
Temporomandibular joint Disorder
url https://edj.hmu.edu.krd/index.php/journal/article/view/281
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AT shahenaliahmed detectionandseverityassessmentoftemporomandibularjointosteoarthriticchangesinpatientswithtemporomandibulardisordersusingcbct
AT sarkawthamadali detectionandseverityassessmentoftemporomandibularjointosteoarthriticchangesinpatientswithtemporomandibulardisordersusingcbct
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