Evaluation of temporomandibular joint disk displacement and its correlation with pain and osseous abnormalities in symptomatic young patients with magnetic resonance imaging

Daniela Pita De Melo, Saulo Leonardo Sousa Melo, Luciana Soares De Andrade Freitas Oliveira, Flávia Maria De Moraes Ramos-Perez, Paulo Sérgio Flores Campos

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

Objective To evaluate the occurrence of temporomandibular joint disk displacement and its correlation with pain and osseous abnormalities using magnetic resonance imaging (MRI) in patients under 21 years of age.

Study Design MRI images in open- and closed-mouth positions from 102 patients, under 21 years of age (mean age 17 years), were studied retrospectively. Patients were divided into six groups according to the disk-condyle relationship. Chi-square, Marascuilo procedure, and Cochran-Mantel-Haenszel tests were used to evaluate the relationships among pain, abnormalities, and the groups.

Results There was a statistically significant correlation between bilateral disk displacement without reduction and pain (P =.011), and osseous changes (P <.0001). There was no proven link between pain and osseous abnormality (P =.414).

Conclusion Young patients are susceptible to all stages of disk displacement. There was a strong correlation only between each variable (osseous abnormalities and pain) and the most severe stage of disk displacement (bilateral disk displacement without reduction).

Original languageEnglish (US)
Pages (from-to)107-112
Number of pages6
JournalOral surgery, oral medicine, oral pathology and oral radiology
Volume119
Issue number1
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Pathology and Forensic Medicine
  • Dentistry (miscellaneous)
  • Radiology Nuclear Medicine and imaging

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