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Published in: Oral Radiology 3/2021

01-07-2021 | Osteoarthrosis | Original Article

MRI characteristics of the asymptomatic temporomandibular joint in patients with unilateral temporomandibular joint disorder

Authors: C. Jerele, J. Avsenik, K. Šurlan Popović

Published in: Oral Radiology | Issue 3/2021

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Abstract

Objective

To determine the association between unilateral temporomandibular joint disorder (TMD) and the presence of imaging abnormalities in the contralateral, asymptomatic joint.

Methods

MRI studies of 219 subjects with symptoms of unilateral TMD were examined for signs of disc displacement, osteoarthritis, disc deformation, and effusion in both temporomandibular joints (TMJ). The Chi-Square test and stepwise logistic regression analysis were performed.

Results

Disc displacement, osteoarthritis, disc deformation, and effusion were more common on the symptomatic side. However, in the category of disc displacement with a reduction in open mouth position (DDWR), the difference was not significant between the symptomatic and the asymptomatic TMJs. Stepwise logistic regression showed that the presence of any imaging abnormality other than DDWR was related to osteoarthritis and disc deformity on the symptomatic side. On the other hand, the presence of any MRI abnormality (including DDWR) on the asymptomatic side was related only to the presence of osteoarthritis on the symptomatic side.

Conclusions

Unilateral symptomatic TMD is related to the presence of imaging abnormalities on the contralateral, asymptomatic side, suggesting that the development and progression of joint changes in symptomatic and contralateral asymptomatic TMJs are interrelated.
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Metadata
Title
MRI characteristics of the asymptomatic temporomandibular joint in patients with unilateral temporomandibular joint disorder
Authors
C. Jerele
J. Avsenik
K. Šurlan Popović
Publication date
01-07-2021
Publisher
Springer Singapore
Published in
Oral Radiology / Issue 3/2021
Print ISSN: 0911-6028
Electronic ISSN: 1613-9674
DOI
https://doi.org/10.1007/s11282-020-00483-6

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