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The relation between persistent foramen tympanicum and degenerative bone alterations in temporomandibular joint region

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Abstract

Objectives

The aim of this study was to evaluate, using cone-beam computed tomography (CBCT), the relationship of persistent foramen tympanicum (PFT) with degenerative changes in the temporomandibular joint (TMJ) and the presence of pneumatized glenoid fossae and articular eminences.

Method

Two experienced oral and maxillofacial radiologists evaluated 510 CBCT scans, from which 94 patients were divided into two groups: G1—patients with PFT and G2—control group. The location of the PFT, presence, or absence of degenerative TMJ changes and morphology were evaluated. Similarly, all images were evaluated for the presence of pneumatized articular eminence and glenoid fossa. The Chi-square test and Fisher’s Exact test were used for the categorical variables. A multinomial logistic regression model was performed for subgroup analysis. To assess the estimation-chance occurrence of TMJ alterations the Odds Ratio analysis was used.

Results

Statistically significant results were found for erosion, planning, and subchondral cyst. Regarding TMJ morphology, significant results were found for: round, flat, and others. Moreover, it was possible to observe that patients who had the PFT were approximately 48 times more likely to manifest TMJ alterations and approximately 3 times more likely to manifest articular eminence pneumatization.

Conclusion

Since individuals who have FTP have a greater chance of having TMJ and PEA changes, it is important for the dental radiologist to be aware of these signs in CBCT scans for a correct diagnosis.

Trial registration number

CAAE: 34328214.3.0000.0104 (11/30/2014).

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Acknowledgements

The authors would like to thank the State University of Maringa for investing and contributing to science through research and development.

Funding

No funding used in this study.

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Authors and Affiliations

  1. Department of Dentistry, State University of Maringa, Mandacaru Avenue, Maringa, Parana, 1550, 87080-000, Brazil

    Ruth Jorge Fagundes, Matheus Kawana Couto, Mariliani Chicarelli Silva & Lilian Cristina Vessoni Iwaki

  2. Department of Oral Diagnosis, Piracicaba Dental School, State University of Campinas, Piracicaba, São Paulo, Brazil

    Beatriz Caio Felipe

Authors
  1. Ruth Jorge Fagundes
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  2. Beatriz Caio Felipe
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Correspondence to Matheus Kawana Couto.

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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 (5). Informed consent was obtained from all patients for being included in the study.

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Fagundes, R.J., Felipe, B.C., Couto, M.K. et al. The relation between persistent foramen tympanicum and degenerative bone alterations in temporomandibular joint region. Oral Radiol (2024). https://doi.org/10.1007/s11282-024-00749-3

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