Correlating cone beam CT results with temporomandibular joint pain of osteoarthritic origin
Correlating cone beam CT results with temporomandibular joint pain of osteoarthritic origin
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DOI：
10.1259/dmfr/60489374
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发表时间：
2012-02-01
影响因子：
3.3
通讯作者：
Lim, P. F.
中科院分区：
文献类型：
--
作者：
Palconet, G.;Ludlow, J. B.;Lim, P. F.
目的：本研究的目的是确定颞下颌关节 (TMJ) 骨关节炎 (OA) 的骨变化是否与疼痛和其他临床体征和症状相关。方法：分析了 30 例 TMJ OA 患者的临床数据和锥形束 CT (CBCT) 图像。 Koyama 等人的标准 (Koyama J, Nishiyama H, Hayashi T. Follow-up Study of condylar bony Changes using helical Computer Tomography in Patoromandibular Disorder. Dentomaxillofac Radiol 2007; 36: 472-477.) 和 Ahmad 等人 [Ahmad M, Hollender L, Anderson Q, Kartha K, Ohrbach R, Truelove EL, et al. 的标准。研究颞下颌疾病 (RDC/TMD) 的诊断标准：制定图像分析标准和检查者图像分析的可靠性。 Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009； 107: 844-860.] 用于对 CBCT 上观察到的髁突进行分类。临床测量包括自我报告的疼痛、下颌运动范围、颞下颌关节声音、颞下颌关节和咀嚼肌触诊疼痛以及下颌功能疼痛。使用广义线性模型来关联临床和放射学结果，并使用 Spearman's rho 来关联两个分类系统。结果：最大髁变化和疼痛等级之间的相关性较差（Koyama：r（2）= 0.1443，p = 0.3995；Ahmad：r（2）= 0.0273，p = 0.9490），最大张口度（Koyama：r（2） = 0.2910，p = 0.0629；艾哈迈德：r(2) = 0.2626，p = 0.0951)，突出（小山：r(2) = 0.0875，p = 0.7001；艾哈迈德：r(2) = 0.1658，p = 0.3612），右侧运动（小山：r(2) = 0.0394，p = 0.9093；Ahmad：r(2) = 0.0866，p = 0.6877）和左侧运动（Koyama：r(2) = 0.0943，p = 0.6494；Ahmad：r(2) = 0.1704，p = 0.3236）。在 Koyama 等人和 Ahmad 等人的平均骨变化分类（r = 0.9216，p < 0.001）和最大骨变化（r = 0.7694；p < 0.0001）之间观察到很强的相关性。结论：TMJ OA 的髁突变化（如 CBCT 图像上观察到的）、疼痛和其他临床体征和症状之间的相关性较差。牙颌面放射学 (2012) 41, 126-130。号码：10.1259/dmfr/60489374
Objectives: The purpose of this study was to determine whether bony changes in temporomandibular joint (TMJ) osteoarthritis (OA) is correlated with pain and other clinical signs and symptoms.Methods: Clinical data and cone beam CT (CBCT) images of 30 patients with TMJ OA were analysed. The criteria of Koyama et al (Koyama J, Nishiyama H, Hayashi T. Follow-up study of condylar bony changes using helical computed tomography in patients with temporomandibular disorder. Dentomaxillofac Radiol 2007; 36: 472-477.) and Ahmad et al [Ahmad M, Hollender L, Anderson Q, Kartha K, Ohrbach R, Truelove EL, et al. Research diagnostic criteria for temporomandibular disorders (RDC/TMD): development of image analysis criteria and examiner reliability for image analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107: 844-860.] were used to classify the condyles observed on the CBCT. Clinical measures included self-reported pain, mandibular range of motion, TMJ sound, pain on palpation of the TMJ and masticatory muscles, and pain on jaw function. Generalized linear modelling was used to correlate the clinical and radiographic findings and Spearman's rho was used to correlate the two classification systems.Results: There was poor correlation between the maximum condyle change and pain rating (Koyama: r(2) = 0.1443, p = 0.3995; Ahmad: r(2) = 0.0273, p = 0.9490), maximum mouth opening (Koyama: r(2) = 0.2910, p = 0.0629; Ahmad: r(2) = 0.2626, p = 0.0951), protrusion (Koyama: r(2) = 0.0875, p = 0.7001; Ahmad: r(2) = 0.1658, p = 0.3612), right lateral motion (Koyama: r(2) = 0.0394, p = 0.9093; Ahmad: r(2) = 0.0866, p = 0.6877) and left lateral motion (Koyama: r(2) = 0.0943, p = 0.6494; Ahmad: r(2) = 0.1704, p = 0.3236). Strong correlation was observed between Koyama et al's and Ahmad et al's classifications for average (r = 0.9216, p < 0.001) and maximum (r = 0.7694; p < 0.0001) bony change.Conclusions: There was poor correlation between condylar changes (as observed on CBCT images), pain and other clinical signs and symptoms in TMJ OA. Dentomaxillofacial Radiology (2012) 41, 126-130. doi: 10.1259/dmfr/60489374