The Journal of Contemporary Dental Practice

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 21 , ISSUE 2 ( February, 2020 ) > List of Articles


Validity of Cone-beam Computed Tomography in Assessment of Morphological Bony Changes of Temporomandibular Joints

Hala M Abdel-Alim, Zeinab Abdel-Salam, Soliman Ouda, Fatima M Jadu, Ahmed M Jan

Keywords : Cone-beam computed tomography, Degeneration, Temporomandibular disorder, Temporomandibular joint

Citation Information : Abdel-Alim HM, Abdel-Salam Z, Ouda S, Jadu FM, Jan AM. Validity of Cone-beam Computed Tomography in Assessment of Morphological Bony Changes of Temporomandibular Joints. J Contemp Dent Pract 2020; 21 (2):133-139.

DOI: 10.5005/jp-journals-10024-2732

License: CC BY-NC 4.0

Published Online: 01-06-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Aim: The aim of the current study was to correlate the clinical symptoms that are associated with temporomandibular disorder (TMD) to the osseous changes occurring in the affected temporomandibular joint (TMJ), as detected by cone-beam computed tomography (CBCT). Materials and methods: The clinical data of patients that presented with TMJ symptoms was collected and correlated with the CBCT findings for the same patients. Patient recruitment took place over a 1-year period in the Oral and Maxillofacial Surgery and Oral and Maxillofacial Radiology department of the same academic institution. Results: There was a limited mouth opening (MO) (<3 cm). More importantly, there was a statistically significant positive relation between pain and loss of cortication. Conclusion: There was no significant correlation between CBCT findings consistent with TMJ degeneration and clinical symptoms. Clinical significance: Cone-beam computed tomography evaluation of the TMJ is important for providing information about the state and level of TMJ degeneration if any. However, clinical findings should be the most important factor when considering management options for symptomatic TMJ.

  1. Fryback DG, Thornbury JR. The efficacy of diagnostic imaging. Med Decis Mak 1991;11(2):88–94. DOI: 10.1177/0272989X9101100203.
  2. Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord 1992;6(4):301–355.
  3. Rollman GB, Gillespie JM. The role of psychosocial factors in temporomandibular disorders. Curr Rev Pain 2000;4(1):71–81. DOI: 10.1007/s11916-000-0012-8.
  4. Barghan S, Merrill R, Tetradis S. Cone beam computed tomography imaging in the evaluation of the temporomandibular joint. Tex Dent J 2012;129(3):289–302.
  5. Milam SB, Schmitz JP. Molecular biology of temporomandibular joint disorders: proposed mechanisms of disease. J Oral Maxillofac Surg 1995;53(12):1448–1454. DOI: 10.1016/0278-2391(95)90675-4.
  6. Palconet G, Ludlow JB, Tyndall DA, et al. Correlating cone beam CT results with temporomandibular joint pain of osteoarthritic origin. Dent Maxillofac Radiol 2012;41(2):126–130. DOI: 10.1259/dmfr/60489374.
  7. Tsiklakis K, Syriopoulos K, Stamatakis HC. Radiographic examination of the temporomandibular joint using cone beam computed tomography. Dent Maxillofac Radiol 2004;33(3):196–201. DOI: 10.1259/dmfr/27403192.
  8. Tetradis S, Anstey P, Graff-Radford S. Cone beam computed tomography in the diagnosis of dental disease. J Calif Dent Assoc 2010;38(1):27–32.
  9. Talaat W, Al Bayatti S, Al Kawas S. CBCT analysis of bony changes associated with temporomandibular disorders. Cranio 2016;34(2): 88–94. DOI: 10.1179/2151090315Y.0000000002.
  10. Honda K, Larheim TA, Johannessen S, et al. Ortho cubic super-high resolution computed tomography: a new radiographic technique with application to the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endodont 2001;91(2):239–243. DOI: 10.1067/moe.2001.111942.
  11. Preda L, Di Maggio EM, Dore R, et al. Use of spiral computed tomography for multiplanar dental reconstruction. Dent Maxillofac Radiol 1997;26(6):327–331. DOI: 10.1038/sj.dmfr.4600290.
  12. Mozzo P, Procacci C, Tacconi A, et al. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol 1998;8(9):1558–1564. DOI: 10.1007/s003300050586.
  13. Cohnen M, Kemper J, Mobes O, et al. Radiation dose in dental radiology. Eur Radiol 2002;12(3):634–637. DOI: 10.1007/s003300100928.
  14. Verma PSV, Kadam S, Umarji HR, et al. Assessment of joint space and arthritic changes in temporomandibular joint as visualized on cone beam computed tomography scan. Indian J Oral Med Radiol 2016;28(4):358–363. DOI: 10.4103/jiaomr.JIAOMR_34_16.
  15. Di Paolo C, Costanzo GD, Panti F, et al. Epidemiological analysis on 2375 patients with TMJ disorders: basic statistical aspects. Ann Stomatol (Roma) 2013;4(1):161–169. DOI: 10.11138/ads.0161.
  16. Shahidi S, Salehi P, Abedi P, et al. Comparison of the bony changes of TMJ in patients with and without TMD complaints using CBCT. J Dent (Shiraz) 2018;19(2):142–149.
  17. Bagis B, Ayaz EA, Turgut S, et al. Gender difference in prevalence of signs and symptoms of temporomandibular joint disorders: a retrospective study on 243 consecutive patients. Int J Med Sci 2012;9(7):539–544. DOI: 10.7150/ijms.4474.
  18. Yasuoka T, Nakashima M, Okuda T, et al. Effect of estrogen replacement on temporomandibular joint remodeling in ovariectomized rats. J Oral Maxillofac Surg 2000;58(2):189–196. DOI: 10.1016/S0278-2391(00)90337-9.
  19. Alkhader M, Ohbayashi N, Tetsumura A, et al. Diagnostic performance of magnetic resonance imaging for detecting osseous abnormalities of the temporomandibular joint and its correlation with cone beam computed tomography. Dent Maxillofac Radiol 2010;39(5):270–276. DOI: 10.1259/dmfr/25151578.
  20. Edwards R, Alsufyani N, Heo G, et al. The frequency and nature of incidental findings in large-field cone beam computed tomography scans of an orthodontic sample. Prog Orthod 2014;15(1):37. DOI: 10.1186/s40510-014-0037-x.
  21. Alexiou K, Stamatakis H, Tsiklakis K. Evaluation of the severity of temporomandibular joint osteoarthritic changes related to age using cone beam computed tomography. Dento Maxillofac Radiol 2009;38(3):141–147. DOI: 10.1259/dmfr/59263880.
  22. Wiese M, Svensson P, Bakke M, et al. Association between temporomandibular joint symptoms, signs, and clinical diagnosis using the RDC/TMD and radiographic findings in temporomandibular joint tomograms. J Orofac Pain 2008;22(3):239–251.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.