지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.6
- 수록면
- 45 - 53 (9page)
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초록· 키워드
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Purpose: To determine whether crepitus may be a clinical indication for early temporomandibular joint (TMJ) osteoarthritis (OA) and to investigate the correlation between crepitus and the occurrence of TMJ OA with respect to factors, such as patient sex, age, chewing habits, and diagnosis.
Methods: This is retrospective analysis of clinical data for 162 TMJs. The criteria for a joint to be included in this study was a minimum of two cone-beam computed tomography (CBCT) scans performed with no OA observed during the initial scan. The Diagnostic Criteria for Temporomandibular Disorders was used for OA diagnosis. Crepitus was recorded when it was objectively palpated during the follow-up period. Correlations between various patient factors and progression to TMJ OA were calculated using the Pearson’s chi-square test. A linear-by-linear association was used to analyze trends of OA progression with increasing age.
Results: Among the 162 joints, 101 progressed to OA and 61 did not. In the joints where crepitus had been present before OA was confirmed at next or last CBCT, OA progressed at a high rate, and especially higher in female and older patients (p<0.01). Patients in the painrelated disorder group with crepitus were observed to have higher rates of OA progression compared to patients in the intra-articular disorder group (p<0.01).
Conclusions: If a patient experiences pain in the TMJs and crepitus, close monitoring through regular CBCT scans is necessary even if there is no evidence of radiologically confirmed OA after the first CBCT.
Methods: This is retrospective analysis of clinical data for 162 TMJs. The criteria for a joint to be included in this study was a minimum of two cone-beam computed tomography (CBCT) scans performed with no OA observed during the initial scan. The Diagnostic Criteria for Temporomandibular Disorders was used for OA diagnosis. Crepitus was recorded when it was objectively palpated during the follow-up period. Correlations between various patient factors and progression to TMJ OA were calculated using the Pearson’s chi-square test. A linear-by-linear association was used to analyze trends of OA progression with increasing age.
Results: Among the 162 joints, 101 progressed to OA and 61 did not. In the joints where crepitus had been present before OA was confirmed at next or last CBCT, OA progressed at a high rate, and especially higher in female and older patients (p<0.01). Patients in the painrelated disorder group with crepitus were observed to have higher rates of OA progression compared to patients in the intra-articular disorder group (p<0.01).
Conclusions: If a patient experiences pain in the TMJs and crepitus, close monitoring through regular CBCT scans is necessary even if there is no evidence of radiologically confirmed OA after the first CBCT.
목차
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (34)
참고문헌 신청
Schiffman E / 2014 / Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group / J Oral Facial Pain Headache 28:6~27
Cömert Kiliç S / 2015 / Temporomandibular joint osteoarthritis: cone beam computed tomography findings, clinical features, and correlations / Int J Oral Maxillofac Surg 44:1268~1274
Das SK / 2013 / TMJ osteoarthritis and early diagnosis / J Oral Biol Craniofac Res 3:109~110
Madry H / 2016 / Early osteoarthritis of the knee / Knee Surg Sports Traumatol Arthrosc 24:1753~1762
Robinson JL / 2017 / Sex differences in the estrogen-dependent regulation of temporomandibular joint remodeling in altered loading / Osteoarthritis Cartilage 25:533~543
Cömert Kiliç S / 2015 / Temporomandibular joint osteoarthritis: cone beam computed tomography findings, clinical features, and correlations / Int J Oral Maxillofac Surg 44:1268~1274
Das SK / 2013 / TMJ osteoarthritis and early diagnosis / J Oral Biol Craniofac Res 3:109~110
Madry H / 2016 / Early osteoarthritis of the knee / Knee Surg Sports Traumatol Arthrosc 24:1753~1762
Robinson JL / 2017 / Sex differences in the estrogen-dependent regulation of temporomandibular joint remodeling in altered loading / Osteoarthritis Cartilage 25:533~543
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UCI(KEPA) : I410-ECN-0101-2019-515-000865973