Correlation Between Temporomandibular Joint Disc Perforation and Degenerative Joint Changes: A CBCT and Clinical Analysis

ABSTRACT Objectives To analyse the correlation between temporomandibular joint (TMJ) disc perforation and degenerative joint changes (DJC) on cone‐beam computed tomography (CBCT) and related factors. Study Design A total of 238 female patients with anterior disc displacement without reduction (ADDwo...

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Bibliographic Details
Published in:Journal of oral rehabilitation 2024-12, Vol.51 (12), p.2675-2682
Main Authors: Yang, Rong, Lee, Lee Mui, Zhu, YaoMin, Jia, Wen Yuan, Yao, Wei, Yu, Yue, Wu, Shu Jun
Format: Article
Language:English
Subjects:
Adult
Arthralgia
Computed tomography
Cone-Beam Computed Tomography
Degeneration
degenerative joint changes
disc perforation
Female
Humans
Joint Dislocations - diagnostic imaging
Joint Dislocations - physiopathology
Mandibular Condyle - diagnostic imaging
Mandibular Condyle - pathology
Middle Aged
Patients
Retrospective Studies
Risk factors
Statistical analysis
Surgery
Temporomandibular joint
Temporomandibular Joint - diagnostic imaging
Temporomandibular Joint - pathology
Temporomandibular Joint - physiopathology
Temporomandibular Joint Disc - diagnostic imaging
Temporomandibular Joint Disc - pathology
Temporomandibular Joint Disorders - diagnostic imaging
Temporomandibular Joint Disorders - physiopathology
TMJ disc open anchorage surgery
Young Adult
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Summary:ABSTRACT Objectives To analyse the correlation between temporomandibular joint (TMJ) disc perforation and degenerative joint changes (DJC) on cone‐beam computed tomography (CBCT) and related factors. Study Design A total of 238 female patients with anterior disc displacement without reduction (ADDwoR), accounting for 348 affected joints, requiring TMJ disc open anchorage surgery were included in the study conducted from June 2021 to August 2022. Following TMJ disc open anchorage surgery, patients were divided into two groups: disc perforation (DP) and disc non‐perforation (DNP). CBCT was utilised to assess different grades of condyle and articular eminence degenerative changes, and comparisons were made between the two groups regarding DJC and clinically relevant factors. Results In comparison with the DNP group, the DP group exhibited statistically significant differences in mid‐ and late‐stage condyle bone degenerative changes and bone alterations of the articular eminence (odds ratio [OR] = 7.822; 95% CI [4.438–13.785]; p 
ISSN:0305-182X
1365-2842
1365-2842
DOI:10.1111/joor.13866