Yıl: 2019 Cilt: 26 Sayı: 5 Sayfa Aralığı: 799 - 804 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2019.01.024 İndeks Tarihi: 27-12-2019

Evaluation of the presence of effusion in patients with temporomandibular joint disorder

Öz:
Aim: The aim of this study is to investigate the relationship between effusion and disc displacement that were detected in MRIs oftemporomandibular joint disorder (TMD) patientsMaterial and Methods: MRIs of 60 patients who had pain and/or dysfunction in the TMJ region were evaluated for the presenceof effusion. TMC disc positions of 60 MRI results were divided into three groups: normal disc position (control group, n: 20), discdisplacement with reduction (R group, n: 20) and disc displacement without reduction (NR group, n: 20). When evaluating thepresence of effusion, hyperintense thin lines or absence of effusion was evaluated as no effusion; while signal intensity of morethan 2 mm at the anterior-posterior length or superior-inferior height at the joint space was evaluated as the presence of effusion.Results: According to MRI findings, effusion was observed in 2 of the 20 joints (10%) in the control group, 8 of the 20 joints (40%) inthe R group and 17 of the 20 joints (85%) in the NR group. When the groups were compared with each other, there was a statisticallysignificant difference between the groups (p<0.05).Conclusion: In TMD, where normal disc position deteriorates to disc displacement, the prevalence of effusion also increases. It isthought that changes in effusion levels can be used as a marker for evaluating the prognosis of TMD.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Lazarin Rde, Previdelli IT, Silva Rd, et al. Correlation of gender and age with magnetic resonance imaging findings in patients with arthrogenic temporomandibular disorders: a cross-sectional study. Int. J Oral Maxillofac. Surg 2016;45:1222-8.
  • 2. Bristela M, Schmid-Schwap M, Eder J, et al. Magnetic resonance imaging of temporomandibular joint with anterior disk dislocation without reposition- long-term results. Clin Oral Invest 2017;21:237-45.
  • 3. Jung YW, Park SH, On SW, et al. Correlation between clinical symptoms and magnetic resonance imaging findings in patients with temporomandibular joint internal derangement. J Korean Assoc Oral Maxillofac Surg 2015;41:125-32.
  • 4. Roh HS, Kim W, Kim YK, et al. Relationships between disk displacement, joint effusion, and degenerative changes of the TMJ in TMD patients based on MRI findings. J Craniomaxillofac Surg 2012;40:283-6.
  • 5. Ogura I, Kaneda T, Mori S, et al. Magnetic resonance characteristics of temporomandibular joint disc displacement in elderly patients. Dentomaxillofacial Radiology 2012;41:122-5.
  • 6. Khawaja SN, Crow H, Mahmoud RF, et al. Is there an association between temporomandibular joint effusion and arthralgia?. J Oral Maxillofac Surg 2017;75:268-75.
  • 7. Kaneyama K, Segami N, Sun W, et al. Levels of soluble cytokine factors in temporomandibular joint effusions seen on magnetic resonance images. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99:411-8.
  • 8. Segami N, Miyamaru M, Nishimura M, et al. Does joint effusion on T2 magnetic resonance images reflect synovitis? Part 2. Comparison of concentration levels of proinflammatory cytokines and total protein in synovial fluid of the temporomandibular joint with internal derangements and osteoarthrosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:515-1.
  • 9. Güler N, Uckan S, Imirzalioglu P, et al. Temporomandibular joint internal derangement: relationship between joint pain and MR grading of effusion and total protein concentration in the joint fluid. Dentomaxillofacial Radiology 2005;34:175- 81.
  • 10. Schiffman E, Ohrbach R, Truelove E, et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache 2014;28:6-27.
  • 11. Manfredini D, Basso D, Arboretti R, et al. Association between magnetic resonance signs of temporomandibular joint effusion and disk displacement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:266-71.
  • 12. Westesson PL, Eriksson L, Kurita K. Reliability of a negative clinical temporomandibular joint examination: prevalence of disk displacement in asymptomatic temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;68:551-4.
  • 13. Orsini MG, Kuboki T, Terada S, et al. Clinical predictability of temporomandibular joint disk displacement. J Dent Res 1999;78:650-60.
  • 14. Haiter-Neto F, Hollender L, Barclay P, et al. Disk position and the bilaminar zone of the temporomandibular joint in asymptomatic young individuals by magnetic resonance imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:372-8.
  • 15. Santos KCP, Dutra MEP, Warmling LV, et al. Correlation Among the Changes Observed in Temporomandibular Joint Internal Derangements Assessed by Magnetic Resonance in Symptomatic Patients. J Oral Maxillofac Surg 2013;71:1504- 12.
  • 16. Orlando B, Chiappe G, Landi N, et al. Risk of temporomandibular joint effusion related to magnetic resonance imaging signs of disc displacement. Med Oral Patol Oral Cir Bucal 2009;14:188-93.
  • 17. Bumann A, Lotzmann U. Imaging. In: Rateitschak KH, Wolf HF, eds. Color Atlas of Dental Medicine (TMJ Disorders and Orofacial Pain The role of Dentistry in a Multidisciplinary Diagnostic Approach). 1st edition. Stuttgart, Germany: Georg Thieme Verlag, Rüdigerstraβe 14; 2002. p. 141-200.
  • 18. Tasaki MM, Westesson PL. Temporomandibular joint: diagnostic accuracy with sagittal and coronal MR imaging. Radiology 1993;186:723-9.
  • 19. Katzberg RW, Westesson PL, Tallents RH, et al. Temporomandibular joint: MR assessment of rotational and sideways disk displacements. Radiology 1988;169:741-8.
  • 20. Koh KJ, Park HN, Kim KA. Relationship between anterior disc displacement with/without reduction and effusion in temporomandibular disorder patients using magnetic resonance imaging. Imaging Science in Dentistry 2013;43:245-51.
  • 21. Park HN, Kim KA, Koh KJ. Relationship between pain and effusion on magnetic resonance imaging in temporomandibular disorders patients. Imaging Science in Dentistry 2014;44:293-9.
  • 22. Thomas N, Harper DE, Aronovich S. Do signs of an effusion of the temporomandibular joint onmagnetic resonance imaging correlate with signs and symptoms of temporomandibular joint disease? B J Oral Maxillofac Surg 2018;56:96-100.
  • 23. Manfredini D, Tognini F, Zampa V, et al. Predictive value of clinical findings for temporomandibular joint effusion. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;96:521-6.
  • 24. Zheng ZW, Yang C, Wang MH, et al. Non-joint effusion is associated with osteoarthritis in temporomandibular joints with disk displacement. J Craniomaxillofac Surg 2016;44:1- 5.
  • 25. Huh JK, Kim HG, Ko JY. Magnetic resonance imaging of temporomandibular joint synovial fluid collection and disk morphology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;95:665-71.
  • 26. Ohkubo M, Sano T, Yamamoto MO, et al. Magnetic resonance signal intensity from retrodiscal tissue related to joint effusion status and disc displacement in elderly patients with temporomandibular joint disorders. Bull Tokyo Dent Coll 2009;50:55-62.
  • 27. Matsumoto K, Honda K, Ohshima M, et al. Cytokine profile in synovial fluid from patients with internal derangement of the temporomandibular joint: a preliminary study. Dentomaxillofac Radiol. 2006;35:432-41.
  • 28. Rudisch A, Innerhofer K, Bertram S, Emshoff R. Magnetic resonance imaging findings of internal derangement and effusion in patients with unilateral temporomandibular joint pain. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001,92:566-71.
  • 29. Larheim TA, Westesson PL, Sano T. MR grading of temporomandibular joint fluid: association with disk displacement categories, condyle marrow abnormalities and pain. Int J Oral Maxillofac Surg 2001;30:104-12.
  • 30. Westesson PL, Brooks SL. Temporomandibular joint: relationship between MR evidence of effusion and the presence of pain and disk displacement. AJR Am J Roentgenol 1992;159:559-63.
  • 31. Zhuo Z, Cai XY. Results of radiological follow-up untreated anterior disc displacement without reduction in adolescents. B J Oral Maxillofac Surg 2016;54:203-7.
  • 32. Adame CG, Monje F, Offnoz M, et al. Effusion in magnetic resonance imaging of the temporomandibular joint: a study of 123 joints. J Oral Maxillofac Surg 1998;56:314-8.
  • 33. Emshoff R, Rudisch A. Temporomandibular joint internal derangement and osteoarthrosis: are effusion and bone marrow edema prognostic indicators for arthrocentesis and hydraulic distention? J Oral Maxillofac Surg 2007;65:66-73.
  • 34. Murakami K, Nishida M, Bessho K, et al. MRI evidence of high signal intensity and temporomandibular arthralgia and relating pain. Does the high signal correlate to the pain? B J Oral Maxillofac Surg 1996;34:220-4.
  • 35. Takahashi T, Nagai H, Seki H, et al. Relationship between joint effusion, joint pain, and protein levels in joint lavage fluid of patients with internal derangement and osteoarthritis of the temporomandibular joint. J Oral Maxillofac Surg 1999;57:1187-94.
  • 36. Hosgor H, Bas B, Celenk C. A comparison of the outcomes of four minimally invasive treatment methods for anterior disc displacement of the temporomandibular joint. Int J Oral Maxillofac Surg 2017;46:1403-10.
  • 37. Yapıcı Yavuz G, Şimşek Kaya G, Oğul H. A comparison of the effects of Methylprednisolone Acetate, Sodium Hyaluronate and Tenoxicam in the treatment of non-reducing disc displacement of the temporomandibular joint. Med Oral Patol Oral Cir Bucal 2018;23:351-8.
  • 38. Hasegawa Y, Kakimoto N, Tomita S, et al. Clinical study of splint therapeutic efficacy for the relief of temporomandibular joint discomfort. Journal of Cranio-Maxillo-Facial Surgery. 2017;45:1772-7.
  • 39. Emshoff R, Gerhard S, Ennemoser T, et al. Magnetic resonance imaging findings of internal derangement, osteoarthrosis, effusion, and bone marrow edema before and after performance of arthrocentesis and hydraulic distension of the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:784-90.
  • 40. Guarda-Nardini L, Rossi A, Ramonda R, et al. Effectiveness of treatment with viscosupplementation in temporomandibular joints with or without effusion. Int J Oral Maxillofac Surg 2014;43:1218-23.
APA YAPİCİ YAVUZ G, KAYA G, OĞUL H, KESKİNRÜZĞAR A (2019). Evaluation of the presence of effusion in patients with temporomandibular joint disorder. , 799 - 804. 10.5455/annalsmedres.2019.01.024
Chicago YAPİCİ YAVUZ Gunay,KAYA Goksel Simsek,OĞUL Hayri,KESKİNRÜZĞAR Aydın Evaluation of the presence of effusion in patients with temporomandibular joint disorder. (2019): 799 - 804. 10.5455/annalsmedres.2019.01.024
MLA YAPİCİ YAVUZ Gunay,KAYA Goksel Simsek,OĞUL Hayri,KESKİNRÜZĞAR Aydın Evaluation of the presence of effusion in patients with temporomandibular joint disorder. , 2019, ss.799 - 804. 10.5455/annalsmedres.2019.01.024
AMA YAPİCİ YAVUZ G,KAYA G,OĞUL H,KESKİNRÜZĞAR A Evaluation of the presence of effusion in patients with temporomandibular joint disorder. . 2019; 799 - 804. 10.5455/annalsmedres.2019.01.024
Vancouver YAPİCİ YAVUZ G,KAYA G,OĞUL H,KESKİNRÜZĞAR A Evaluation of the presence of effusion in patients with temporomandibular joint disorder. . 2019; 799 - 804. 10.5455/annalsmedres.2019.01.024
IEEE YAPİCİ YAVUZ G,KAYA G,OĞUL H,KESKİNRÜZĞAR A "Evaluation of the presence of effusion in patients with temporomandibular joint disorder." , ss.799 - 804, 2019. 10.5455/annalsmedres.2019.01.024
ISNAD YAPİCİ YAVUZ, Gunay vd. "Evaluation of the presence of effusion in patients with temporomandibular joint disorder". (2019), 799-804. https://doi.org/10.5455/annalsmedres.2019.01.024
APA YAPİCİ YAVUZ G, KAYA G, OĞUL H, KESKİNRÜZĞAR A (2019). Evaluation of the presence of effusion in patients with temporomandibular joint disorder. Annals of Medical Research, 26(5), 799 - 804. 10.5455/annalsmedres.2019.01.024
Chicago YAPİCİ YAVUZ Gunay,KAYA Goksel Simsek,OĞUL Hayri,KESKİNRÜZĞAR Aydın Evaluation of the presence of effusion in patients with temporomandibular joint disorder. Annals of Medical Research 26, no.5 (2019): 799 - 804. 10.5455/annalsmedres.2019.01.024
MLA YAPİCİ YAVUZ Gunay,KAYA Goksel Simsek,OĞUL Hayri,KESKİNRÜZĞAR Aydın Evaluation of the presence of effusion in patients with temporomandibular joint disorder. Annals of Medical Research, vol.26, no.5, 2019, ss.799 - 804. 10.5455/annalsmedres.2019.01.024
AMA YAPİCİ YAVUZ G,KAYA G,OĞUL H,KESKİNRÜZĞAR A Evaluation of the presence of effusion in patients with temporomandibular joint disorder. Annals of Medical Research. 2019; 26(5): 799 - 804. 10.5455/annalsmedres.2019.01.024
Vancouver YAPİCİ YAVUZ G,KAYA G,OĞUL H,KESKİNRÜZĞAR A Evaluation of the presence of effusion in patients with temporomandibular joint disorder. Annals of Medical Research. 2019; 26(5): 799 - 804. 10.5455/annalsmedres.2019.01.024
IEEE YAPİCİ YAVUZ G,KAYA G,OĞUL H,KESKİNRÜZĞAR A "Evaluation of the presence of effusion in patients with temporomandibular joint disorder." Annals of Medical Research, 26, ss.799 - 804, 2019. 10.5455/annalsmedres.2019.01.024
ISNAD YAPİCİ YAVUZ, Gunay vd. "Evaluation of the presence of effusion in patients with temporomandibular joint disorder". Annals of Medical Research 26/5 (2019), 799-804. https://doi.org/10.5455/annalsmedres.2019.01.024