Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
권호 표지

Factors related to the Condylar Bony Change in Patients with Osteoarthritis of Temporomandibular Joint

악관절 골관절염 환자에서 과두돌기 골변화의 양상에 관한 연구

Park, Mi-Sung;Han, Kyung-Soo;Jung, Dae-Yeon
박미성;한경수;정대연

  • Published : 20030600
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Abstract

The purpose of this study was to investigate the relationship between the degree of condylar bony change and clinical signs and symptoms, and to seek the related factors for estimation of osteoarthrosis in patients with osteoarthritis(OA) of temporomandibular joint(TMJ). 175 patients with temporomandibular disorders and 102 general dental patients were selected, and they were classified into the experimental and the control group, respectively. Clinical examination related to the mandibular function, occlusal condition, and subjective recording for the chief complaints using visual analogue scale(VAS) was performed in the experimental group. Plain radiographs, panoramic and transcranial, were taken in both groups. Some items related to mandibular height were measured and condylar bony change were assessed and numbered according to the criteria based on Boering's report, that was, 0 : no bony change, 1: flattening, 2: erosion, 3: shortening or dimensional shrinkage. The data collected were analyzed by SPSS $Windows^{\circledR}$ and prediction equation for the estimation of osteoarthrosis was produced by multiple regression analysis. Ramus heights were higher in the control group, but condylar heights were higher in the experimental group. As a result, the ratio of condylar heights to ramus heights was higher in the experimental group. Degree of condylar bony change in women was also slightly higher in the experimental group. Comparison of mandibular heights between right and left side did not show any significant difference in all observed cases, and comparison of condylar change between right and left side also did not show any significant difference in almost all observed cases. But the correlationship between right and left side were highly positive. Almost not significant correlation was observed between pain during mandibular functional movement and condylar bony change, and only anterior openbite was related to the degree of condylar bony change in both male and female patients with temporomandibular disorders. VAS scores in the first visit were not correlated with condylar bony change. Male subjects in the experimental group showed positive correlation between history of joint sound duration and condylar bony change. Significant factors for the prediction of degree of osteoarthrosis for male subjects in the experimental group were ramus height and amount of anterior overjet, and for female subjects in the experimental group, were ramus height, clenching habit and retroepicondylar height.

Keywords

References

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