DOI QR코드

DOI QR Code

The Correlations between Temporomandibular Joint Symptoms and Magnetic Resonance Imaging Findings in German Patients

  • Kye, Min-Kyoung (Department of Orthodontics, Graduate School of Yonsei University) ;
  • Choi, Young-Yuhn (Department of Oral Hygiene, Suwon Science College) ;
  • Lee, Kee-Joon (Department of Orthodontics, Yonsei University College of Dentistry)
  • Received : 2015.05.12
  • Accepted : 2015.06.19
  • Published : 2015.06.30

Abstract

Purpose: The purpose of this study was to evaluate the correlation between the clinical symptoms of temporomandibular disorder and findings in the magnetic resonance imaging (MRI). Materials and Methods: Clinical data and MRI images were collected from a total of 240 German patients. Clinical symptoms were briefed as joint clicking, crepitus and pain. MRI findings were further defined according to the condyle position, condyle degeneration, disc positon, disc degeneration and the presence of osteophyte/sclerosis/synovitis. Hypermobility was separately recorded. Correlation analysis between parameters was performed. Result: Joint clicking had a positive correlation with unilateral disc degeneration, osteophyte, sclerosis and synovitis. Crepitus had a significant correlation with bilateral osteophyte. Pain was not correlated with any MRI findings except hypermobility. Conclusion: Selective correlations between the MRI findings and clinical symptoms were elucidated. The results of this study imply that condyle-disc deformities could be advanced without pain, and that joint clicking and crepitus could be clinical symptoms of condyle-disc degeneration.

Keywords

References

  1. Liu JK, Tsai MY. The prevalence of TMD in orthodontic patients prior to treatment at NCKUH in southern Taiwan. National Cheng Kung University Hospital. Funct Orthod. 1996; 13: 9-12.
  2. Manfredini D, Perinetti G, Stellini E, Di Leonardo B, Guarda-Nardini L. Prevalence of static and dynamic dental malocclusion features in subgroups of temporomandibular disorder patients: Implications for the epidemiology of the TMD-occlusion association. Quintessence Int. 2015; 46: 341-9.
  3. Häggman-Henrikson B, Rezvani M, List T. Prevalence of whiplash trauma in TMD patients: a systematic review. J Oral Rehabil. 2014; 41: 59-68. https://doi.org/10.1111/joor.12123
  4. Katzberg RW, Westesson PL, Tallents RH, Drake CM. Orthodontics and temporomandibular joint internal derangement. Am J Orthod Dentofacial Orthop. 1996; 109: 515-20. https://doi.org/10.1016/S0889-5406(96)70136-1
  5. Wiese M, Svensson P, Bakke M, List T, Hintze H, Petersson A, Knutsson K, Wenzel A. 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: 239-51.
  6. Adame CG, Monje F, Offnoz M, Martin-Granizo R. Effusion in magnetic resonance imaging of the temporomandibular joint: a study of 123 joints. J Oral Maxillofac Surg. 1998; 56: 314-8. https://doi.org/10.1016/S0278-2391(98)90106-9
  7. Limchaichana N, Petersson A, Rohlin M. The efficacy of magnetic resonance imaging in the diagnosis of degenerative and inflammatory temporomandibular joint disorders: a systematic literature review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 102: 521-36. https://doi.org/10.1016/j.tripleo.2006.02.001
  8. Dergin G, Kilic C, Gozneli R, Yildirim D, Garip H, Moroglu S. Evaluating the correlation between the lateral pterygoid muscle attachment type and internal derangement of the temporomandibular joint with an emphasis on MR imaging findings. J Craniomaxillofac Surg. 2012; 40: 459-63. https://doi.org/10.1016/j.jcms.2011.08.002
  9. Campos MI, Campos PS, Cangussu MC, Guimaraes RC, Line SR. Analysis of magnetic resonance imaging characteristics and pain in temporomandibular joints with and without degenerative changes of the condyle. Int J Oral Maxillofac Surg. 2008; 37: 529-34. https://doi.org/10.1016/j.ijom.2008.02.011
  10. Kopp S, Rockler B. Relationship between clinical and radiographic findings in patients with mandibular pain or dysfunction. Acta Radiol Diagn (Stockh). 1979; 20: 465-77. https://doi.org/10.1177/028418517902000309
  11. Hansson LG, Hansson T, Petersson A. A comparison between clinical and radiologic findings in 259 temporomandibular joint patients. J Prosthet Dent. 1983; 50: 89-94. https://doi.org/10.1016/0022-3913(83)90172-5
  12. Helenius LM, Hallikainen D, Helenius I, Meurman JH, Kononen M, Leirisalo-Repo M, Lindqvist C. Clinical and radiographic findings of the temporomandibular joint in patients with various rheumatic diseases. A case-control study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005; 99: 455-63. https://doi.org/10.1016/j.tripleo.2004.06.079
  13. Kurita H, Kojima Y, Nakatsuka A, Koike T, Kobayashi H, Kurashina K. Relationship between temporomandibular joint (TMJ)-related pain and morphological changes of the TMJ condyle in patients with temporomandibular disorders. Dentomaxillofac Radiol. 2004; 33: 329-33. https://doi.org/10.1259/dmfr/13269559
  14. Katzberg RW, Westesson PL, Tallents RH, Drake CM. Anatomic disorders of the temporomandibular joint disc in asymptomatic subjects. J Oral Maxillofac Surg. 1996; 54: 147-53; discussion 153-5. https://doi.org/10.1016/S0278-2391(96)90435-8
  15. Dworkin SF, Massoth DL. Temporomandibular disorders and chronic pain: disease or illness? J Prosthet Dent. 1994; 72: 29-38. https://doi.org/10.1016/0022-3913(94)90213-5
  16. Tasaki MM, Westesson PL. Temporomandibular joint: diagnostic accuracy with sagittal and coronal MR imaging. Radiology. 1993; 186: 723-9. https://doi.org/10.1148/radiology.186.3.8430181
  17. Tasaki MM, Westesson PL, Kurita K, Mohl N. Magnetic resonance imaging of the temporomandibular joint. Value of axial images. Oral Surg Oral Med Oral Pathol. 1993; 75: 528-31. https://doi.org/10.1016/0030-4220(93)90183-5
  18. Tasaki MM, Westesson PL, Raubertas RF. Observer variation in interpretation of magnetic resonance images of the temporomandibular joint. Oral Surg Oral Med Oral Pathol. 1993; 76: 231-4. https://doi.org/10.1016/0030-4220(93)90210-U
  19. List T, Wahlund K, Wenneberg B, Dworkin SF. TMD in children and adolescents: prevalence of pain, gender differences, and perceived treatment need. J Orofac Pain. 1999; 13: 9-20.
  20. Limchaichana N, Nilsson H, Ekberg EC, Nilner M, Petersson A. Clinical diagnoses and MRI findings in patients with TMD pain. J Oral Rehabil. 2007; 34: 237-45. https://doi.org/10.1111/j.1365-2842.2006.01719.x
  21. Park JW, Song HH, Roh HS, Kim YK, Lee JY. Correlation between clinical diagnosis based on RDC/TMD and MRI findings of TMJ internal derangement. Int J Oral Maxillofac Surg. 2012; 41: 103-8. https://doi.org/10.1016/j.ijom.2011.09.010
  22. Rudisch A, Innerhofer K, Bertram S, Emshoff R. Magnetic resonance imaging findings of internal derangement and effusion in patients with unilateral temporomandibular joint pain. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001; 92: 566-71. https://doi.org/10.1067/moe.2001.116817
  23. Lin YC, Hsu ML, Yang JS, Liang TH, Chou SL, Lin HY. Temporomandibular joint disorders in patients with rheumatoid arthritis. J Chin Med Assoc. 2007; 70: 527-34. https://doi.org/10.1016/S1726-4901(08)70055-8
  24. Liljestrom MR, Le Bell Y, Anttila P, Aromaa M, Jamsa T, Metsahonkala L, Helenius H, Viander S, Jappila E, Alanen P, Sillanpaa M. Headache children with temporomandibular disorders have several types of pain and other symptoms. Cephalalgia. 2005; 25: 1054-60. https://doi.org/10.1111/j.1468-2982.2005.00957.x
  25. Vasconcelos Filho JO, Menezes AV, Freitas DQ, Manzi FR, Boscolo FN, de Almeida SM. Condylar and disk position and signs and symptoms of temporomandibular disorders in stress-free subjects. J Am Dent Assoc. 2007; 138: 1251-5; quiz 1268. https://doi.org/10.14219/jada.archive.2007.0351
  26. Wiberg B, Wanman A. Signs of osteoarthrosis of the temporomandibular joints in young patients: a clinical and radiographic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998; 86: 158-64. https://doi.org/10.1016/S1079-2104(98)90118-4
  27. Helenius LM, Tervahartiala P, Helenius I, Al- Sukhun J, Kivisaari L, Suuronen R, Kautiainen H, Hallikainen D, Lindqvist C, Leirisalo-Repo M. Clinical, radiographic and MRI findings of the temporomandibular joint in patients with different rheumatic diseases. Int J Oral Maxillofac Surg. 2006; 35: 983-9. https://doi.org/10.1016/j.ijom.2006.08.001