Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
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The Clinical and Radiographic Features of Patients with Temporomandibular Joint Osteoarthritis: Comparison of Adolescents and Middle-Old Aged Koreans

  • Kim, Jin-Hwa (Department of Oral Medicine, School of Dentistry, Pusan National University) ;
  • Ok, Soo-Min (Department of Oral Medicine, School of Dentistry, Pusan National University) ;
  • Heo, Jun-Young (Department of Oral Medicine, School of Dentistry, Pusan National University) ;
  • Kim, Kyung-Hee (Department of Oral Medicine, Inje University Busan Paik Hospital) ;
  • Jeong, Sung-Hee (Department of Oral Medicine, School of Dentistry, Pusan National University) ;
  • Ahn, Yong-Woo (Department of Oral Medicine, School of Dentistry, Pusan National University) ;
  • Ko, Myung-Yun (Department of Oral Medicine, School of Dentistry, Pusan National University)
  • Received : 2014.01.03
  • Accepted : 2014.01.28
  • Published : 2014.03.30
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Abstract

Purpose: The purpose of this study was to compare the clinical and radiographic features of temporomandibular joint (TMJ) osteoarthritis (OA) between adolescents and middle-old aged patients. Methods: The subjects were chosen among the patients who presented to the Department of Oral Medicine of Pusan National University Hospital and were diagnosed with TMJ OA by clinical exam, X-ray and cone-beam computed tomography (CBCT) from 2010 to 2011. We investigated 93 adolescent patients (12-19 years) and 53 middle-old aged (>45 years) patients who observed the erosive bony changes in TMJ. CBCT scans were retaken at intervals at an average of 8 months. Results: The adolescent patients showed unilateral degenerative changes more often, and the middle-old aged patients showed degenerative changes more frequently on both sides. The transition of bone changes to the improved group occurred most commonly in both the adolescent and middle-old aged patients. The adolescent patients were more likely to improve than middle-old aged patients. In the adolescent patients, loss of erosion and subjective symptoms occurred in shorter periods than in the middle-old aged patients. In the adolescent patients, the transition of erosion was distributed into proliferative, normal, and shortening in order. In the middle-old aged patients, the transition of erosion was distributed into shortening, proliferative, and normal in order. Conclusions: The clinical and radiographic features of TMJ OA are a significantly different between the adolescent and middle-old aged patients. Moreover, the difference by age of the adaptive and regenerative capacity of TMJ affects the prognosis of TMJ OA and adolescent patients have a better prognosis after treatment.

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References

  1. Okeson JP. Management of temporomandibular disorders and occlusion. 7th ed. St. Louis: Elsevier/Mosby; 2013. pp. 339-344.
  2. Stegenga B, de Bont LG, Boering G, van Willigen JD. Tissue responses to degenerative changes in the temporomandibular joint: a review. J Oral Maxillofac Surg 1991;49:1079-1088. https://doi.org/10.1016/0278-2391(91)90143-A
  3. Barghan S, Tetradis S, Mallya S. Application of cone beam computed tomography for assessment of the temporomandibular joints. Aust Dent J 2012;57(Suppl 1):109-118.
  4. Lee JU, Kim HS, Song JS, Kim KA, Koh KJ. Bone change of mandibular condyle using cone beam computed tomography. Korean J Oral Maxillofac Radiol 2007;37:139-147.
  5. Zhao YP, Zhang ZY, Wu YT, Zhang WL, Ma XC. Investigation of the clinical and radiographic features of osteoarthrosis of the temporomandibular joints in adolescents and young adults. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;111:e27-e34.
  6. Ahmad M, Hollender L, Anderson Q, 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. https://doi.org/10.1016/j.tripleo.2009.02.023
  7. Honey OB, Scarfe WC, Hilgers MJ, et al. Accuracy of cone-beam computed tomography imaging of the temporomandibular joint: comparisons with panoramic radiology and linear tomography. Am J Orthod Dentofacial Orthop 2007;132:429-438. https://doi.org/10.1016/j.ajodo.2005.10.032
  8. Buckwalter JA, Martin JA. Osteoarthritis. Adv Drug Deliv Rev 2006;58:150-167. https://doi.org/10.1016/j.addr.2006.01.006
  9. Nevile BW, Damm DD, Allen CM, Bouquot JE. Oral and maxillofacial pathology. 2nd ed. Edinburgh: Saunders; 2001. pp. 755.
  10. Dibbets JM, van der Weele LT. Prevalence of structural bony change in the mandibular condyle. J Craniomandib Disord 1992;6:254-259.
  11. Susami T, Kuroda T, Yano Y, Nakamura T. Growth changes and orthodontic treatment in a patient with condylolysis. Am J Orthod Dentofacial Orthop 1992;102:295-301. https://doi.org/10.1016/0889-5406(92)70044-B
  12. Ok SM, Heo JY, Ahn YW, Ko MY, Jeong SH. Comparative analysis: the patterns of temporomandibular disorder among adolescents. Korean J Oral Med 2012;37:49-61.
  13. Jeon HM, Kim KH, Ok SM, et al. Effect of conservative therapy and mandibular condylar bone change on adolescents with osteoarthritis of TMJ. Korean J Oral Med 2013;38:357-366.
  14. Ko CH, Kim BS, Ko MY, Jeong SH, Ok SM, Ahn YW. Follow-up study of condylar bone changes using cone beam computed tomography in patients with osteoarthritis. Korean J Oral Med 2012;37:34-46.
  15. Park MS, Han KS, Jung DY. Factors realted to the condylar bony change in patients with osteoarthritis of temporomandibular joint. Korean J Oral Med 2003;28:219-231.
  16. Broussard JS Jr. Derangement, osteoarthritis, and rheumatoid arthritis of the temporomandibular joint: implications, diagnosis, and management. Dent Clin North Am 2005;49:327-342. https://doi.org/10.1016/j.cden.2004.10.003
  17. Oliveria SA, Felson DT, Reed JI, Cirillo PA, Walker AM. Incidence of symptomatic hand, hip, and knee osteoarthritis among patients in a health maintenance organization. Arthritis Rheum 1995;38:1134-1141. https://doi.org/10.1002/art.1780380817
  18. Jo JH, Park MW, Kim YK, Lee JY. The occurrence of degenerative change in the mandibular condyles of Korean patients with temporomandibular disorders. Korean J Oral Med 2011;36:53-63.
  19. Gray RJ. Pain dysfunction syndrome and osteoarthrosis related to unilateral and bilateral temporomandibular joint symptoms. J Dent 1986;14:156-159. https://doi.org/10.1016/0300-5712(86)90017-5
  20. Yamada K, Hanada K, Fukui T, et al. Condylar bony change and self-reported parafunctional habits in prospective orthognathic surgery patients with temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;92:265-271. https://doi.org/10.1067/moe.2001.117558
  21. Wiese M, Svensson P, Bakke M, et al. Association between temporomandibular joint symptoms, signs, and clinical diagnosis using the RDC/TMD and radiographic findings in temporomandibular joint tomograms. J Orofac Pain 2008;22:239-251.
  22. Muir CB, Goss AN. The radiologic morphology of painful temporomandibular joints. Oral Surg Oral Med Oral Pathol 1990;70:355-359. https://doi.org/10.1016/0030-4220(90)90155-L
  23. Roh CS, Jung YH, Tae IH, Ko MY, Ahn YW. The usefulness of cone beam computed tomography in diagnosis of temporomandibular joint osteoarthritis. Korean J Oral Med 2009;34:81-90.
  24. Yamada K, Saito I, Hanada K, Hayashi T. Observation of three cases of temporomandibular joint osteoarthritis and mandibular morphology during adolescence using helical CT. J Oral Rehabil 2004;31:298-305. https://doi.org/10.1046/j.1365-2842.2003.01246.x
  25. Palconet G, Ludlow JB, Tyndall DA, Lim PF. Correlating cone beam CT results with temporomandibular joint pain of osteoarthritic origin. Dentomaxillofac Radiol 2012;41:126-130. https://doi.org/10.1259/dmfr/60489374
  26. Lee JY, Kim DJ, Lee SG, Chung JW. A longitudinal study on the osteoarthritic change of the temporomandibular joint based on 1-year follow-up computed tomography. J Craniomaxillofac Surg 2012;40:e223-e228. https://doi.org/10.1016/j.jcms.2011.10.023
  27. de Leeuw R, Boering G, Stegenga B, de Bont LG. Clinical signs of TMJ osteoarthrosis and internal derangement 30 years after non-surgical treatment. J Orofac Pain 1994;8:18-24.
  28. Haskin CL, Milam SB, Cameron IL. Pathogenesis of degenerative joint disease in the human temporomandibular joint. Crit Rev Oral Biol Med 1995;6:248-277. https://doi.org/10.1177/10454411950060030601
  29. Lei J, Liu MQ, Yap AU, Fu KY. Condylar subchondral formation of cortical bone in adolescents and young adults. Br J Oral Maxillofac Surg 2013;51:63-68. https://doi.org/10.1016/j.bjoms.2012.02.006
  30. Laskin DM, Greene CS, Hylander WL. Temporomandibular disorders: an evidence-based approach to diagnosis and treatment. Chicago: Quintessence Publishing; 2006. pp. 53-67.
  31. McNeill C. Science and practice of occlusion. 1st ed. Chicago: Quintessence Publishing; 1997. pp. 259-270.

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