Assessment of Condylar Changes in Patients with Temporomandibular Joint Pain Using Digital Volumetric Tomography
Objective. To evaluate the efficiency of DVT in comparison with OPG in the assessment of bony condylar changes in patients of TMJ pain. Methods. 100 temporomandibular joints of 62 patients with the complaint of temporomandibular joint pain were included in the study. DVT and OPG radiographs were tak...
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Wiley
2014-01-01
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| Series: | Radiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2014/106059 |
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| author | Ujwala Shivarama Shetty Krishna N. Burde Venkatesh G. Naikmasur Atul P. Sattur |
| author_facet | Ujwala Shivarama Shetty Krishna N. Burde Venkatesh G. Naikmasur Atul P. Sattur |
| author_sort | Ujwala Shivarama Shetty |
| collection | DOAJ |
| description | Objective. To evaluate the efficiency of DVT in comparison with OPG in the assessment of bony condylar changes in patients of TMJ pain. Methods. 100 temporomandibular joints of 62 patients with the complaint of temporomandibular joint pain were included in the study. DVT and OPG radiographs were taken for all the 100 joints. Three observers interpreted the DVT and OPG radiograph for the bony changes separately for two times with an interval of one week. The bony changes seen in the condyle were given coding from 0 to 6. (0: Normal, 1: Erosion, 2: Flattening, 3: Osteophyte, 4: Sclerosis, 5: Resorption, and 6: other changes). Interobserver and intraobserver variability was assessed with one-way ANOVA statistics. Z test was used to see the significant difference between OPG and DVT. Results. In the present study the interexaminer reliability for OPG and DVT was 0.903 and 0.978, respectively. Intraexaminer reliability for OPG and DVT was 0.908 and 0.980, respectively. The most common condylar bony change seen in OPG and DVT was erosion followed by flattening and osteophyte. There was significant difference between OPG and DVT in detecting erosion and osteophytes. The other changes observed in our study were Ely’s cyst, pointed condyle, and bifid condyle. All the bony changes are more commonly seen in females than males.
Conclusion. DVT provides more valid and accurate information on condylar bony changes. The DVT has an added advantage of lesser radiation exposure to the patient and cost effectiveness and could be easily accessible in a dental hospital. |
| format | Article |
| id | doaj-art-7b613a13efb941db889845cd69248148 |
| institution | Kabale University |
| issn | 2090-1941 2090-195X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Radiology Research and Practice |
| spelling | doaj-art-7b613a13efb941db889845cd692481482025-08-20T03:35:03ZengWileyRadiology Research and Practice2090-19412090-195X2014-01-01201410.1155/2014/106059106059Assessment of Condylar Changes in Patients with Temporomandibular Joint Pain Using Digital Volumetric TomographyUjwala Shivarama Shetty0Krishna N. Burde1Venkatesh G. Naikmasur2Atul P. Sattur3A J Institute of Dental Science and Hospital, Mangalore, Karnataka, IndiaSDM College of Dental Science and Hospital, Dharwad, Karnataka, IndiaSDM College of Dental Science and Hospital, Dharwad, Karnataka, IndiaSDM College of Dental Science and Hospital, Dharwad, Karnataka, IndiaObjective. To evaluate the efficiency of DVT in comparison with OPG in the assessment of bony condylar changes in patients of TMJ pain. Methods. 100 temporomandibular joints of 62 patients with the complaint of temporomandibular joint pain were included in the study. DVT and OPG radiographs were taken for all the 100 joints. Three observers interpreted the DVT and OPG radiograph for the bony changes separately for two times with an interval of one week. The bony changes seen in the condyle were given coding from 0 to 6. (0: Normal, 1: Erosion, 2: Flattening, 3: Osteophyte, 4: Sclerosis, 5: Resorption, and 6: other changes). Interobserver and intraobserver variability was assessed with one-way ANOVA statistics. Z test was used to see the significant difference between OPG and DVT. Results. In the present study the interexaminer reliability for OPG and DVT was 0.903 and 0.978, respectively. Intraexaminer reliability for OPG and DVT was 0.908 and 0.980, respectively. The most common condylar bony change seen in OPG and DVT was erosion followed by flattening and osteophyte. There was significant difference between OPG and DVT in detecting erosion and osteophytes. The other changes observed in our study were Ely’s cyst, pointed condyle, and bifid condyle. All the bony changes are more commonly seen in females than males. Conclusion. DVT provides more valid and accurate information on condylar bony changes. The DVT has an added advantage of lesser radiation exposure to the patient and cost effectiveness and could be easily accessible in a dental hospital.http://dx.doi.org/10.1155/2014/106059 |
| spellingShingle | Ujwala Shivarama Shetty Krishna N. Burde Venkatesh G. Naikmasur Atul P. Sattur Assessment of Condylar Changes in Patients with Temporomandibular Joint Pain Using Digital Volumetric Tomography Radiology Research and Practice |
| title | Assessment of Condylar Changes in Patients with Temporomandibular Joint Pain Using Digital Volumetric Tomography |
| title_full | Assessment of Condylar Changes in Patients with Temporomandibular Joint Pain Using Digital Volumetric Tomography |
| title_fullStr | Assessment of Condylar Changes in Patients with Temporomandibular Joint Pain Using Digital Volumetric Tomography |
| title_full_unstemmed | Assessment of Condylar Changes in Patients with Temporomandibular Joint Pain Using Digital Volumetric Tomography |
| title_short | Assessment of Condylar Changes in Patients with Temporomandibular Joint Pain Using Digital Volumetric Tomography |
| title_sort | assessment of condylar changes in patients with temporomandibular joint pain using digital volumetric tomography |
| url | http://dx.doi.org/10.1155/2014/106059 |
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