Vol. 2, 2017

Medical Imaging


Oleg Slesarev, Ivan Bayricov, Dmitry Trunin, S. Abul'khanov, N. Kazanskiy

Pages: 212-216

DOI: 10.21175/RadProc.2017.43

The objective of this study was an analysis of the patient complaints of a structure and the nature of the formation of clinical groups for the study of patients with temporomandibular disorders (TMD). We examined 28 men and 148 women with TMD. We analyzed 604 tomographic images. Statistical processing included cross tables and chi-square analysis. Twenty-eight percent of the study population was followed up in a general clinical network, presenting with facial pain. Dental clinics established primary clinical diagnoses: arthrosis and arthritis (71%), dislocation or subluxation of the temporomandibular joint head (16.5%), and/or temporomandibular joint dysfunction (12.5%). X-rays showed the combination of functional disorders (75%) and degenerative dystrophic changes (67%) of the temporomandibular joint; the x-ray norm was observed in 9% of cases. By TMJ visualization, we established the clinical features of females with TMD, depending on the reproductive stage. For patients in puberty, joint mobility was limited (44.4%, p = 0.045) compared with head dislocation, and arthritis (p = 0.024) was predominant. For patients in the early reproductive stage, head subluxation (48.5%, p < 0.010) was found in all detected pathologies except deforming arthrosis. For patients in the late reproductive stage and perimenopause, half of the examined patients had deforming arthrosis (52.8% in the late reproductive stage, p < 0.01, for all detected pathologies, except for limited joint mobility; 50% in perimenopause, p < 0.05, with radiologic norms, dislocation of the head, and arthritis). In postmenopausal women, arthritis and sclerotic arthrosis were noted (30.8% and 27.8%, respectively). Structure of the patient complaints and the nature of the formation of clinical groups of patients with TMD were determined by the place of primary treatment, specialization of the institution, and the level of techniques of primary diagnosis of TMD. This affected the patients' quality of treatment and is a cause of chronic (58%) TMD.
  1. J. P. Okeson, Management of Temporomandibular Disorders and Occlusion, 4th ed., New York (NY), USA: Mosby, 1998, p. 638.
  2. C. R. Rogers, “The necessary and sufficient conditions of therapeutic personality change," Journal of Consulting Psychology, vol. 21, no. 2, pp. 95-103, Apr. 1957.
    DOI: 10.1037/h0045357
  3. Н. А. Рабухина, А. П. Аржанцев, “Панорамная томография в диагностике дисфункций височно-нижнечелюстного сустава,” Визуализация в клинике, т. 1, но. 2, стр. 47-52, Мар. 1993. (N. A. Rabukhnia, A. P. Arzhantsev, “Panoramic tomography in the diagnostics of diseases of the temporomandibular joint,” Visualization in the clinics, vol. 1, no. 2, pp. 47-52, Mar. 1993.)
  4. R. J. Gatchel, Clinical Essentials of Pain Management. Washington (DC), USA: American Psychological Association Press, 2005.
  5. В. П. Потапов, “Клиническая картина и тактика лечения больных с нейромускулярным дисфункциональным синдромом височно-нижнечелюстного сустава,” Саратовский научно-медицинский журнал, т. 5, но. 1, стр. 95-97, 2009 (V. P. Potapov, “Clinical picture and approaches to a treatment of patients with the neuromuscular dysfunctional syndrome of the temporomandibular joint,” Saratov Scientif. Med. J., vol. 5, no. 1, pp. 95-97, 2009.)
    Retrieved from: http://www.ssmj.ru/system/files/archive/ssmj-2009-1-full.pdf
    Retrieved on: Jan. 23, 2017
  6. M. D. Wise, Failure in the restored dentition: management and treatment, 1st ed., London, UK: Quintessence, 1995.
  7. G. E. Carlsson, “Epidemiology and treatment need for temporomandibular disorders,” J. Orofac. Pain, vol. 13, no. 4, pp. 232-237, 1999.
    PMid: 10823035
  8. D. A. Gonçalves, A. L. Dal Fabbro, J. A. Campos, M. E. Bigal, J. G. Speciali, “Symptoms of temporomandibular disorders in the population: an epidemiological study,” J. Orofac. Pain, vol. 24, no. 3, pp. 270-278, 2010.
    PMid: 20664828
  9. Д. А. Трунин, О. В. Слесарев, “Характер нарушения филогенетически детерминированных критериев артикуляционной нормы в онтогенезе, выявляемый на диагностическом этапе у пациентов с неартикулярными расстройствами височно-нижнечелюстного сустава,” Современные проблемы науки и образования, но. 4, Июль, 2014. (D. A. Trunin, O. V. Slesarev, “Character of the disorders of the phylogenetically determined criteria of the articulation norm in the ontogenesis detected at the diagnostic stage in patients with non-articular disorders of the temporomandibular joint”, Modern Iss. Sci. Ed., no. 4, 2014.)
    Retrieved from: https://www.science-education.ru/ru/article/view?id=14106
    Retrieved on: Jan. 17, 2017
  10. C. S. Greene, D. M. Laskin, “Temporomandibular Disorders: Moving to a Medically Based Model,” J. Dent. Res., vol. 79, no. 10, pp. 1736-1739, Oct. 2000.
    DOI: 10.1177/00220345000790100101
    PMid: 11077987
  11. О. В. Слесарев, “Методика краниометрии томограмм височно-нижнечелюстного сустава человека,” Вестник РНЦРР, Ноя. 2013. (O. V. Slesarev, “Methodology of the craniometrics of human temporomandibular joint tomograms,” Bull. Russian Scientif. Centre X-ray Radiol., Nov. 2013.)
    Retrieved from: http://vestnik.rncrr.ru/vestnik/v13/papers/slesarev_v13.htm
    Retrieved on: Jan. 10, 2017
  12. W. K. Solberg, M. W. Woo, J. B. Houston, “Prevalence of mandibular dysfunction in young adults,” J. Am. Dent. Assoc., vol. 98, no. 1, pp. 25-34, Jan. 1979.
    DOI: 10.14219/jada.archive.1979.0008
    PMid: 282342
  13. S. L. Kraus, “Characteristics of 511 patients with temporomandibular disorders referred for physical therapy,” Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, vol. 118, no. 4, pp. 432 – 439, Oct. 2014.
    DOI: 10.1016/j.oooo.2014.06.005
    PMid: 25240990
  14. Y. M. Costa et al., “Temporomandibular disorders and painful comorbidities: clinical association and underlying mechanisms,” Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, vol. 123, no. 3, pp. 288 – 297, Mar. 2017.
    DOI: 10.1016/j.oooo.2016.12.005
    PMid: 28153123