Correlation between the main clinical, imaging, and arthroscopy findings in patients with temporomandibular disorders. Issue 2 (February 2023)

• Record Type: Journal Article
• Authors: Fernández-Ferro, M.; Fernández-González, V.; Salgado-Barreira, Á.; Santos-Armentia, E.; Valdés-Sarmiento, P.; Fernández-García, A.; Gómez-Rey, D.; Fernández-Sanromán, J.
• Is Part Of: International journal of oral & maxillofacial surgery. Volume 52:Issue 2(2023)
• Page Start: 237
• Page End: 244
• Publication Date: 2023-02
• Subjects: Temporomandibular disorders -- Arthroscopy -- Synovitis -- Cartilage diseases -- Osteoarthritis; Mouth -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Dentistry -- Periodicals; Dentistry, Operative; Oral Surgical Procedures; Surgery, Oral; Dentistry; Maxilla -- Surgery; Mouth -- Surgery; Electronic journals; Periodicals; 617.52059
• DOI: 10.1016/j.ijom.2022.08.007
• Languages: English
• ISSNs: 0901-5027

Abstract

Abstract: The purpose of this work was to prospectively correlate the most characteristic clinical symptoms of temporomandibular disorders, such as pain and limitation of mouth opening, with the findings of magnetic resonance imaging (disc position, degenerative changes, and effusion) and arthroscopy findings (roofing, synovitis, chondromalacia, adhesions, and perforations). These examinations were performed in 298 patients diagnosed with internal derangement refractory to conservative treatment. The mean age of the patients was 38.59 years; 92.6% were female. The t -test and one-way analysis of variance (ANOVA) were used to correlate the findings. Significant relationships were found between pain and disc displacement without reduction ( P = 0.033) and effusion ( P = 0.003) on MRI, coinciding with correlations between pain and roofing of 0–25% ( P = 0.016) and synovitis ( P = 0.001) on arthroscopy. A significant relationship was also observed between mouth opening limitation and the presence of osteoarthrosis ( P = 0.018) on MRI, and between mouth opening limitation and synovitis ( P = 0.022), chondromalacia ( P = 0.002), and adhesions ( P < 0.001) on arthroscopy. All of these findings were observed in patients with a poor initial clinical situation, which highlights the considerable potential of correlating these data with imaging and arthroscopy findings.