Radiographic interpretation using high-resolution Cbct to diagnose degenerative temporomandibular joint disease.
The objective of this study was to use high-resolution cone-beam computed images (hr- CBCT) to diagnose degenerative joint disease in asymptomatic and symptomatic subjects using the Diagnostic Criteria for Temporomandibular Disorders DC/TMD imaging criteria. This observational study comprised of 92...
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Public Library of Science (PLoS)
2021-01-01
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| author | Jonas Bianchi João Roberto Gonçalves Antônio Carlos de Oliveira Ruellas Júlia Vieira Pastana Bianchi Lawrence M Ashman Marilia Yatabe Erika Benavides Fabiana Naomi Soki Lucia Helena Soares Cevidanes |
| author_facet | Jonas Bianchi João Roberto Gonçalves Antônio Carlos de Oliveira Ruellas Júlia Vieira Pastana Bianchi Lawrence M Ashman Marilia Yatabe Erika Benavides Fabiana Naomi Soki Lucia Helena Soares Cevidanes |
| author_sort | Jonas Bianchi |
| collection | DOAJ |
| description | The objective of this study was to use high-resolution cone-beam computed images (hr- CBCT) to diagnose degenerative joint disease in asymptomatic and symptomatic subjects using the Diagnostic Criteria for Temporomandibular Disorders DC/TMD imaging criteria. This observational study comprised of 92 subjects age-sex matched and divided into two groups: clinical degenerative joint disease (c-DJD, n = 46) and asymptomatic control group (n = 46). Clinical assessment of the DJD and high-resolution CBCT images (isotropic voxel size of 0.08mm) of the temporomandibular joints were performed for each participant. An American Board of Oral and Maxillofacial Radiology certified radiologist and a maxillofacial radiologist used the DC/TMD imaging criteria to evaluate the radiographic findings, followed by a consensus of the radiographic evaluation. The two radiologists presented a high agreement (Cohen's Kappa ranging from 0.80 to 0.87) for all radiographic findings (osteophyte, erosion, cysts, flattening, and sclerosis). Five patients from the c- DJD group did not present radiographic findings, being then classified as arthralgia. In the asymptomatic control group, 82.6% of the patients presented radiographic findings determinant of DJD and were then classified as osteoarthrosis or overdiagnosis. In conclusion, our results showed a high number of radiographic findings in the asymptomatic control group, and for this reason, we suggest that there is a need for additional imaging criteria to classify DJD properly in hr-CBCT images. |
| format | Article |
| id | doaj-art-6e5075330b8f4a408b03a4d5dde54507 |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-6e5075330b8f4a408b03a4d5dde545072025-01-18T05:31:05ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01168e025593710.1371/journal.pone.0255937Radiographic interpretation using high-resolution Cbct to diagnose degenerative temporomandibular joint disease.Jonas BianchiJoão Roberto GonçalvesAntônio Carlos de Oliveira RuellasJúlia Vieira Pastana BianchiLawrence M AshmanMarilia YatabeErika BenavidesFabiana Naomi SokiLucia Helena Soares CevidanesThe objective of this study was to use high-resolution cone-beam computed images (hr- CBCT) to diagnose degenerative joint disease in asymptomatic and symptomatic subjects using the Diagnostic Criteria for Temporomandibular Disorders DC/TMD imaging criteria. This observational study comprised of 92 subjects age-sex matched and divided into two groups: clinical degenerative joint disease (c-DJD, n = 46) and asymptomatic control group (n = 46). Clinical assessment of the DJD and high-resolution CBCT images (isotropic voxel size of 0.08mm) of the temporomandibular joints were performed for each participant. An American Board of Oral and Maxillofacial Radiology certified radiologist and a maxillofacial radiologist used the DC/TMD imaging criteria to evaluate the radiographic findings, followed by a consensus of the radiographic evaluation. The two radiologists presented a high agreement (Cohen's Kappa ranging from 0.80 to 0.87) for all radiographic findings (osteophyte, erosion, cysts, flattening, and sclerosis). Five patients from the c- DJD group did not present radiographic findings, being then classified as arthralgia. In the asymptomatic control group, 82.6% of the patients presented radiographic findings determinant of DJD and were then classified as osteoarthrosis or overdiagnosis. In conclusion, our results showed a high number of radiographic findings in the asymptomatic control group, and for this reason, we suggest that there is a need for additional imaging criteria to classify DJD properly in hr-CBCT images.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0255937&type=printable |
| spellingShingle | Jonas Bianchi João Roberto Gonçalves Antônio Carlos de Oliveira Ruellas Júlia Vieira Pastana Bianchi Lawrence M Ashman Marilia Yatabe Erika Benavides Fabiana Naomi Soki Lucia Helena Soares Cevidanes Radiographic interpretation using high-resolution Cbct to diagnose degenerative temporomandibular joint disease. PLoS ONE |
| title | Radiographic interpretation using high-resolution Cbct to diagnose degenerative temporomandibular joint disease. |
| title_full | Radiographic interpretation using high-resolution Cbct to diagnose degenerative temporomandibular joint disease. |
| title_fullStr | Radiographic interpretation using high-resolution Cbct to diagnose degenerative temporomandibular joint disease. |
| title_full_unstemmed | Radiographic interpretation using high-resolution Cbct to diagnose degenerative temporomandibular joint disease. |
| title_short | Radiographic interpretation using high-resolution Cbct to diagnose degenerative temporomandibular joint disease. |
| title_sort | radiographic interpretation using high resolution cbct to diagnose degenerative temporomandibular joint disease |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0255937&type=printable |
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