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A study on volumetric change of mandibular condyles with osteoarthritis using cone-beam computed tomography
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A study on volumetric change of mandibular condyles with osteoarthritis using cone-beam computed tomography
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Journal Article
A study on volumetric change of mandibular condyles with osteoarthritis using cone-beam computed tomography
2024
Overview
This study aimed to quantitatively assess three-dimensional changes in the mandibular condyle with osteoarthritis using cone-beam computed tomography (CBCT). Pre- and post-treatment CBCT images of temporomandibular joints (TMJs) from 66 patients were used to assess longitudinal changes in condylar volume within individual patients using 3D slicer software. Total volume difference (dV), net increase (dV + , bone deposition), and net decrease (dV− , bone resorption) after treatment were analyzed based on clinical and radiological factors. Condyles with surface erosion at their first visit showed significantly decreased volume after treatment compared to condyles without erosion (
p
< 0.05). Amounts of bone resorption and deposition were higher in condyles with surface erosion (both
p
< 0.01). In patients with condylar erosion, the presence of joint pain was associated with a decrease in condylar volume and an increase in net resorption (both
p
< 0.01). When both joint pain and condylar erosion were present, patients with parafunctional habits showed reduced condylar volume after treatment (
p
< 0.05). Condylar volume change after treatment was negatively correlated with the duration of pain relief (R = − 0.501,
p
< 0.05). These results indicate that condylar erosion and TMJ pain could be significant variables affecting TMJ volume changes after treatment. Establishing appropriate treatment strategies is crucial for managing condylar erosion and TMJ pain.
Publisher
Nature Publishing Group UK,Nature Publishing Group,Nature Portfolio
Subject
/ Adult
/ Aged
/ Cone-Beam computed tomography
/ Cone-Beam Computed Tomography - methods
/ Female
/ Humanities and Social Sciences
/ Humans
/ Imaging, Three-Dimensional - methods
/ Male
/ Mandible
/ Mandibular Condyle - diagnostic imaging
/ Mandibular Condyle - pathology
/ Osteoarthritis - diagnostic imaging
/ Pain
/ Patients
/ Science
/ Temporomandibular Joint - diagnostic imaging
/ Temporomandibular Joint - pathology
/ Temporomandibular joint disorders
/ Temporomandibular Joint Disorders - diagnostic imaging
