The Correlation between Mandibular Condyle Shape and Temporomandibular Joint Conditions in Adult Females
Abstract
Introduction: Conditions of the temporomandibular joint (TMJ) are affected by changes in movement and load during the joint’s function, which can cause morphological changes in hard tissues, such as the condyle. Panoramic radiographs can provide an indication of changes in hard tissues in TMJ. Objectives: The aim of this study was to determine whether there was any correlation between mandibular condyle shapes as seen on panoramic radiographs and TMJ conditions in adult female participants. Methods: The participants of this study were 75 adult female patients who underwent a panoramic radiograph examination conducted at the Maranatha Dental Hospital Radiology Unit. The patients were clinically examined based on the Research Diagnostic Criteria for Clinical Temporomandibular Disorder (RDC/TMD) questionnaire and also their panoramic radiographs. The data from the patients were categorized into four groups according to the RDC/TMD: normal, muscle disorders, disc displacement, and other joint diseases. Next, the radiographs were analyzed by two observers to determine the condyle shapes. Condyle shapes were classified into four groups: ovoid, flat, erosion, and osteophyte. Result: This study showed that of 75 patients, the right TMJ was normal in 34 patients, 2 patients had muscle disorders, 24 demonstrated disc displacement, and 15 had other joint diseases. For the left side of the TMJ, 22 radiographs were normal, 2 revealed muscle disorders, 35 identified disc displacement, and 16 showed other joint diseases. There was a strong agreement between the two observers in determining the right (κ=0.681) and left condyle shapes (κ=0.652). All participants’ findings indicated that condyle shapes and TMJ conditions are highly correlated for both the right (η2=0.889) and left condyle (η2=0.762). Conclusion: This study concluded that mandibular condyle shapes seen on panoramic radiographs and TMJ conditions in adult female participants were highly correlated.
References
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Bae S, Park M-S, Han J-W, Kim Y-J. Correlation between pain and degenerative bony changes on cone-beam computed tomography images of temporomandibular joints. Maxillofac Plast Reconstr Surg. 2017;39(1):19.
Mani MF, Sivasubramanian SS. A study of temporomandibular joint osteoarthritis using computed tomographic imaging. Biomed J. 2016;39(3):201–6.
Talaat W, Bayatti SA, Kawas SA. CBCT analysis of bony changes associated with temporomandibular disorders. Cranio. 2016;34(2):88–94.
Nah KS. Condylar bony changes in patients with temporomandibular disorders: a CBCT study. Imaging Sci Dent. 2012;42(4):249–53.
Shahidi S, Salehi P, Abedi P, Dehbozorgi M, Hamedani S, Berahman N. Comparison of the bony changes of TMJ in patients with and without TMD complaints using CBCT. J Dent Shiraz Univ Med Sci. 2018;19(2):142-9.
Veerappan R, Gopal M. Comparison of the diagnostic accuracy of CBCT and conventional CT in detecting degenerative osseous changes of the TMJ: A systematic review. J Indian Acad Oral Med Radiol. 2015;27(1):81-4.
Schiffman EL, Truelove EL, Ohrbach R, Anderson GC, John MT, List T, et al. The research diagnostic criteria for temporomandibular disorders: overview and methodology for assessment of validity. J Orofac Pain. 2010;24(1):7–24.
Schiffman EL, Ohrbach R, Truelove EL, Look JO, Anderson GC, Goulet JP, 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 H. 2014;28(1):6–27.
Pietra LCF, Santiago M de O, Valerio CS, Taitson PF, Manzi FR, Seraidarian PI. Use of transcranial radiograph to detect morphological changes in mandibular condyles. Rev CEFAC. 2017;19(1):54–62.
Honda E, Yoshino N, Sasaki T. Condylar appearance in panoramic radiograms of asymptomatic subjects and patients with temporomandibular disorders. Oral Radiol. 1994;10(2):43–53.
Borahan MO, Mayil M, Pekiner FN. Using cone beam computed tomography to examine the prevalence of condylar bony changes in a Turkish subpopulation. Niger J Clin Pract. 2016;19(2):259-66.
Pramanik F, Firman RN, Sam B. Differences of temporomandibular joint condyle morphology with and without clicking using digital panoramic radiograph. Padjadjaran J Dent. 2016;28(3); 153-8.
Obamiyi S, Malik S, Wang Z, Singh S, Rossouw E P, Fishman L, et al. Radiographic features associated with temporomandibular joint disorders among African, White, Chinese, Hispanic, and Indian racial groups. Niger J Clin Pract. 2018;21(11):1495-500.
Capote TSO, Gonçalves MA, Gonçalves A, Gonçalves M. Panoramic radiography-diagnosis of relevant structures that might compromise oral and general health of the patient. In: Virdi MS, editor. Emerging trends in oral health sciences and dentistry. Rijeka (Croatia): InTech; 2015. pp. 734-62.
Ferreira LA, Grossmann E, Januzzi E, de Paula MVQ, Carvalho ACP. Diagnosis of temporomandi-bular joint disorders: indication of imaging exams. Braz J Otorhinolaryngol. 2016;82(3):341–52.
Ahmad M, Chalkoo A. Possible role of estrogen in temporomandibular disorders in female subjects: A research study. J Indian Acad Oral Med Radiol. 2014;26(1):30-3.
Bueno CH, Pereira DD, Pattussi MP, Grossi PK, Grossi ML. Gender differences in temporo-mandibular disorders in adult populational studies: A systematic review and meta-analysis. J Oral Rehabil. 2018;45(9):720–29.
Pereira TC, Brasolotto AG, Conti PC, Berretin-Felix G. Temporomandibular disorders, voice and oral quality of life in women. J Appl Oral Sci. 2009;17(spe):50–6.
Oliveira JA, Gonçalves TMSV, Vilanova LSR, Ambrosano GMB, Garcia RCMR. Female hormones fluctuation and chewing movement of patients with disc displacement. Rev Odonto Ciênc. 2012;27(1):20–5.
Hegde S, Rao G, Sattur A, Nandimath K, Shetty R, Madi M. Role of digital volumetric tomography in assessing morphological variations in condyle and temporal components of patients with asymptomatic temporomandibular joint. J Indian Acad Oral Med Radiol. 2019;31(2):140-6.
Progiante P, Pattussi M, Lawrence H, Goya S, Grossi P, Grossi M. Prevalence of temporomandibular disorders in an adult Brazilian community population using the research diagnostic criteria (Axis I and II) for temporomandibular disorders (The Maringá Study). Int J Prosthodont. 2015;28(6):600–9.
Santana MU, López CJ, Mora MJ, Otero XL, Santana PU. Temporomandibular disorders: the habitual chewing side syndrome. PLoS ONE. 2013;8(4):e59980.
Kuo C, Takahashi M, Maki K. Relationships among occlusal force, condylar surface area, and facial patterns. Dent Med Res. 2013;33(2):169–77.
David CM, Elavarasi P. Functional anatomy and biomechanics of temporomandibular joint and the far-reaching effects of its disorders. J Adv Clin Res Insights. 2016;3(3):101–6.
Ivkovic N, Racic M. Structural and functional disorders of the temporomandibular joint (Internal disorders). IntechOpen. 2018;1-26.
Kuroda S, Tanimoto K, Izawa T, Fujihara S, Koolstra JH, Tanaka E. Biomechanical and biochemical characteristics of the mandibular condylar cartilage. Osteoarthr Cartil. 2009;17(11):1408–15.
Krisjane Z, Urtane I, Krumina G, Neimane L, Ragovska I. The prevalence of TMJ osteoarthritis in asymptomatic patients with dentofacial deformities: a cone-beam CT study. Int J Oral Maxillofac Surg. 2012;41(6):690–5.
Kalladka M, Quek S, Heir G, Eliav E, Mupparapu M, Viswanath A. Temporomandibular joint osteoarthritis: diagnosis and long-term conservative management: a topic review. J Indian Prosthodont Soc. 2014;14(1):6-15.
Bae S, Park M-S, Han J-W, Kim Y-J. Correlation between pain and degenerative bony changes on cone-beam computed tomography images of temporomandibular joints. Maxillofac Plast Reconstr Surg. 2017;39(1):19.
Mani MF, Sivasubramanian SS. A study of temporomandibular joint osteoarthritis using computed tomographic imaging. Biomed J. 2016;39(3):201–6.
Talaat W, Bayatti SA, Kawas SA. CBCT analysis of bony changes associated with temporomandibular disorders. Cranio. 2016;34(2):88–94.
Nah KS. Condylar bony changes in patients with temporomandibular disorders: a CBCT study. Imaging Sci Dent. 2012;42(4):249–53.
Shahidi S, Salehi P, Abedi P, Dehbozorgi M, Hamedani S, Berahman N. Comparison of the bony changes of TMJ in patients with and without TMD complaints using CBCT. J Dent Shiraz Univ Med Sci. 2018;19(2):142-9.
Published
2020-10-30
How to Cite
SUMANTRI, Dominica Dian Saraswati; TJANDRAWINATA, Rosalina; KUSNOTO, Joko.
The Correlation between Mandibular Condyle Shape and Temporomandibular Joint Conditions in Adult Females.
Journal of Indonesian Dental Association, [S.l.], v. 3, n. 2, p. 55-60, oct. 2020.
ISSN 2621-6175.
Available at: <http://jurnal.pdgi.or.id/index.php/jida/article/view/597>. Date accessed: 19 apr. 2024.
doi: https://doi.org/10.32793/jida.v3i2.597.
Section
Research Article
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
