Effect of internal derangements and degenerative bone changes on the minimum thickness of the roof of the glenoid fossa in temporomandibular joint
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The aim of this study is to investigate the effect of internal derangements and degenerative bone changes on the minimum thickness of the roof of the glenoid fossa (RGF).
MRI and cone beam CT records of temporomandibular joints (TMJ) of 68 patients were evaluated retrospectively in this study. The joints were divided into three groups according to TMJ disc status which had been diagnosed in MRI: normal disc status, anterior disc displacement with reduction, and anterior disc displacement without reduction. Cone beam CT was used to evaluate the degenerative bone changes of TMJ and to measure the minimum thickness of RGF. The joints were categorized as “with osteoarthritis (OA)” or “without OA”. The findings of OA were determined as erosion, osteophyte, flattening, sclerosis, and pseudocyst.
No significant relationship was found between gender and the thickness of RGF (p > 0.05). RGF was found significantly higher in “with OA” group compared to “without OA” group (p < 0.001). No significant difference was found between disc displacement groups for minimum thickness of RGF (p > 0.005). No significant difference was found between condyles without erosion and condyles with erosion for the minimum thickness of RGF (p = 0.272). In the present study, osteophyte, sclerosis, flattening, and pseudocyst were found to be associated with the minimum thickness of RGF.
Osteophyte, flattening, pseudocyst, and sclerosis have an influence on RGF thickness. The minimum thickness of RGF is not significantly correlated with internal derangements. Erosion is not significantly correlated with RGF thickness. RGF thickness may be unaffected by the early stages of OA.
KeywordsRoof of the glenoid fossa Cone beam CT MRI Temporomandibular joint Osteoarthritis
Compliance with ethical standards
Conflict of interest
All authors declare that they have no conflict of interest.
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008.
Informed consent was obtained from all patients for being included in the study.
- 10.Ahmad M, Hollender L, Anderson Q, Kartha K, Ohrbach R, Truelove EL, 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. 2009;107:844–60.CrossRefGoogle Scholar
- 11.Shaefer JR, Riley CJ, Caruso P, Keith D. Analysis of criteria for MRI diagnosis of TMJ disc displacement and arthralgia. Int J Dent 2012;96:312–25.Google Scholar
- 13.Barron RP, Kainulainen VT, Gusenbauer AW, Hollenberg R, Sàndor GK. Management of traumatic dislocation of the mandibular condyle into the middle cranial fossa. J Can Dent Assoc. 2002;68:676–8.Google Scholar
- 14.İlgüy D, İlgüy M, Fişekçioğlu E, Dölekoğlu S, Ersan N. Articular eminence inclination, height, and condyle morphology on cone beam computed tomography. Sci World J. 2014;2014:2.Google Scholar