Occurrence of Nonarticular Incidental Findings on Panoramic Radiographs in Painful Temporomandibular Disorders

ABSTRACT: Facial pain is one of the symptoms of temporomandibular disorders (TMDs) but can be associated with other pathological conditions. The present study retrospectively evaluated the occurrence of nonarticular incidental findings in panoramic radiographs in a group of patients with painful TMD...

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Autores principales:	Vaiciulis,Liz Anne G, Cavalcanti,Samantha Christine X. B, Chilvarquer,Israel, Luz,João Gualberto C
Lenguaje:	English
Publicado:	Universidad de La Frontera. Facultad de Medicina 2020
Materias:	radiography panoramic jaw diseases temporomandibular joint incidental findings facial pain
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000200213
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spelling	oai:scielo:S0718-381X20200002002132020-02-27Occurrence of Nonarticular Incidental Findings on Panoramic Radiographs in Painful Temporomandibular DisordersVaiciulis,Liz Anne GCavalcanti,Samantha Christine X. BChilvarquer,IsraelLuz,João Gualberto C radiography panoramic jaw diseases temporomandibular joint incidental findings facial pain ABSTRACT: Facial pain is one of the symptoms of temporomandibular disorders (TMDs) but can be associated with other pathological conditions. The present study retrospectively evaluated the occurrence of nonarticular incidental findings in panoramic radiographs in a group of patients with painful TMDs. Outpatients with a diagnosis of TMD were included and distributed into three groups: arthralgia, myalgia or arthralgia and myalgia, according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Nonarticular incidental findings of their panoramic radiographs were classified in relation to pathological, dental and endodontic status. The dependency relationships among the variables were analyzed using the likelihood test. Sixty patients (38 women and 22 men; mean age: 36.9 years) were evaluated. There was a predominance of arthralgia plus disc displacement (43.4 %), followed by myopain plus arthralgia and disc displacement (38.3 %) and myopain (18.3 %). Pathologic radiographic changes such as bone loss, caries, maxillary sinus opacification and periapical lesions were frequent. Dental alterations such as the absence and altered position of teeth and impacted teeth were frequent. Endodontic changes such as periapical lesions with or without endodontic treatment were frequent. There was no significant difference between groups except for gyroversion. The incidental findings were compatible with caries, sinusitis, impacted tooth and periapical lesion, which may be associated with orofacial pain and could potentially be superimposed on the initial diagnosis, although this hypothesis was discarded. Findings such as the absence and altered position of teeth were also frequent, which may represent occlusal factors associated with TMDs.info:eu-repo/semantics/openAccessUniversidad de La Frontera. Facultad de MedicinaInternational journal of odontostomatology v.14 n.2 20202020-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000200213en10.4067/S0718-381X2020000200213
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	radiography panoramic jaw diseases temporomandibular joint incidental findings facial pain
spellingShingle	radiography panoramic jaw diseases temporomandibular joint incidental findings facial pain Vaiciulis,Liz Anne G Cavalcanti,Samantha Christine X. B Chilvarquer,Israel Luz,João Gualberto C Occurrence of Nonarticular Incidental Findings on Panoramic Radiographs in Painful Temporomandibular Disorders
description	ABSTRACT: Facial pain is one of the symptoms of temporomandibular disorders (TMDs) but can be associated with other pathological conditions. The present study retrospectively evaluated the occurrence of nonarticular incidental findings in panoramic radiographs in a group of patients with painful TMDs. Outpatients with a diagnosis of TMD were included and distributed into three groups: arthralgia, myalgia or arthralgia and myalgia, according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Nonarticular incidental findings of their panoramic radiographs were classified in relation to pathological, dental and endodontic status. The dependency relationships among the variables were analyzed using the likelihood test. Sixty patients (38 women and 22 men; mean age: 36.9 years) were evaluated. There was a predominance of arthralgia plus disc displacement (43.4 %), followed by myopain plus arthralgia and disc displacement (38.3 %) and myopain (18.3 %). Pathologic radiographic changes such as bone loss, caries, maxillary sinus opacification and periapical lesions were frequent. Dental alterations such as the absence and altered position of teeth and impacted teeth were frequent. Endodontic changes such as periapical lesions with or without endodontic treatment were frequent. There was no significant difference between groups except for gyroversion. The incidental findings were compatible with caries, sinusitis, impacted tooth and periapical lesion, which may be associated with orofacial pain and could potentially be superimposed on the initial diagnosis, although this hypothesis was discarded. Findings such as the absence and altered position of teeth were also frequent, which may represent occlusal factors associated with TMDs.
author	Vaiciulis,Liz Anne G Cavalcanti,Samantha Christine X. B Chilvarquer,Israel Luz,João Gualberto C
author_facet	Vaiciulis,Liz Anne G Cavalcanti,Samantha Christine X. B Chilvarquer,Israel Luz,João Gualberto C
author_sort	Vaiciulis,Liz Anne G
title	Occurrence of Nonarticular Incidental Findings on Panoramic Radiographs in Painful Temporomandibular Disorders
title_short	Occurrence of Nonarticular Incidental Findings on Panoramic Radiographs in Painful Temporomandibular Disorders
title_full	Occurrence of Nonarticular Incidental Findings on Panoramic Radiographs in Painful Temporomandibular Disorders
title_fullStr	Occurrence of Nonarticular Incidental Findings on Panoramic Radiographs in Painful Temporomandibular Disorders
title_full_unstemmed	Occurrence of Nonarticular Incidental Findings on Panoramic Radiographs in Painful Temporomandibular Disorders
title_sort	occurrence of nonarticular incidental findings on panoramic radiographs in painful temporomandibular disorders
publisher	Universidad de La Frontera. Facultad de Medicina
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000200213
work_keys_str_mv	AT vaiciulislizanneg occurrenceofnonarticularincidentalfindingsonpanoramicradiographsinpainfultemporomandibulardisorders AT cavalcantisamanthachristinexb occurrenceofnonarticularincidentalfindingsonpanoramicradiographsinpainfultemporomandibulardisorders AT chilvarquerisrael occurrenceofnonarticularincidentalfindingsonpanoramicradiographsinpainfultemporomandibulardisorders AT luzjoaogualbertoc occurrenceofnonarticularincidentalfindingsonpanoramicradiographsinpainfultemporomandibulardisorders
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Occurrence of Nonarticular Incidental Findings on Panoramic Radiographs in Painful Temporomandibular Disorders

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