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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Autores principales:	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
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6e5075330b8f4a408b03a4d5dde54507
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spelling	oai:doaj.org-article:6e5075330b8f4a408b03a4d5dde545072021-12-02T20:18:27ZRadiographic interpretation using high-resolution Cbct to diagnose degenerative temporomandibular joint disease.1932-620310.1371/journal.pone.0255937https://doaj.org/article/6e5075330b8f4a408b03a4d5dde545072021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255937https://doaj.org/toc/1932-6203The 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.Jonas BianchiJoão Roberto GonçalvesAntônio Carlos de Oliveira RuellasJúlia Vieira Pastana BianchiLawrence M AshmanMarilia YatabeErika BenavidesFabiana Naomi SokiLucia Helena Soares CevidanesPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255937 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q 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.
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
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
title	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_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_sort	radiographic interpretation using high-resolution cbct to diagnose degenerative temporomandibular joint disease.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/6e5075330b8f4a408b03a4d5dde54507
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Radiographic interpretation using high-resolution Cbct to diagnose degenerative temporomandibular joint disease.

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