Temporomandibular joint osteoarthritis: a comparative clinical and tomographic study pre- and post-treatment

J Oral Rehabil. 1994 Jul;21(4):383-95. doi: 10.1111/j.1365-2842.1994.tb01153.x.

Abstract

Nineteen patients with definite and suspected temporomandibular joint (TMJ) osteoarthritis participated in this study. All patients were treated by dental care including bite plane therapy. By comparing the pre-treatment clinical symptoms and TMJ tomograms with those post-treatment, efficacy of the dental treatment applied for these patients has been assessed. Since TMJ pain and limitation of mouth opening were considerably improved in almost all patients post-treatment, this suggests that the clinical prognosis of TMJ osteoarthritis can be favourable. On the other hand, radiographic changes post-treatment were variable. The longitudinal changes found in the TMJ tomograms were classified into four types. The frequency of Type 2 and Type 3, which indicate the occurrence of TMJ remodelling during the observation period, was fairy high (20 TMJs and 14 patients).

Publication types

  • Clinical Trial
  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Chi-Square Distribution
  • Dental Occlusion, Balanced
  • Dental Occlusion, Traumatic / therapy
  • Denture, Partial
  • Facial Pain / therapy
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Mandibular Condyle / diagnostic imaging
  • Mandibular Condyle / pathology
  • Middle Aged
  • Occlusal Splints
  • Orthodontic Appliances, Removable
  • Osteoarthritis / diagnostic imaging
  • Osteoarthritis / therapy*
  • Range of Motion, Articular
  • Sound
  • Temporomandibular Joint / diagnostic imaging*
  • Temporomandibular Joint Disorders / diagnostic imaging
  • Temporomandibular Joint Disorders / therapy*
  • Tomography, X-Ray
  • Tooth Extraction
  • Treatment Outcome