Trabecular structural changes in the mandibular condyle caused by degenerative osteoarthritis: a comparative study by cone-beam computed tomography imaging
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Temporomandibular osteoarthritis causes pain and loss of function. In advanced cases, it may also result in destruction of joint cartilage surfaces and bone structure.
This study was performed to examine the potential changes in the condylar trabecular bone structure in patients with temporomandibular osteoarthritis. Condylar trabecular structures were compared between 35 healthy patients and 35 patients with temporomandibular osteoarthritis by a box-counting method using fractal dimensional analysis on cone-beam computed tomography images.
The average fractal dimensions of patients with temporomandibular osteoarthritis and healthy patients were 1.18 and 1.23, respectively. This difference was statistically significant (p ≤ 0.05).
Our results add to the existing preliminary knowledge regarding the osteoporotic changes that occur in the trabecular structure under the subchondral bone, which is normally not seen on radiographic images, as well as the destruction and remodeling that occur on the condyle surface, which is visible on radiographic images.
KeywordsCancellous bone Fractals Mandibular condyle Osteoarthritis
Compliance with ethical standards
Conflict of interest
Saadettin Kayipmaz, Saliha Akçay, Ömer Said Sezgin, and Celal Çandirli declare that they have no conflict of interest.
Human rights statement
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later versions. The study was approved by the ethics committee at the Faculty of Medicine, Karadeniz Technical University (2016-120).
Informed consent was obtained from all patients for being included in the study. Additional informed consent was obtained from all patients for which identifying information is included in this article.
- 1.Okeson JP. Management of temporomandibular disorders and occlusion. 6th ed. Philadelphia: Mosby; 2014.Google Scholar
- 2.White SC, Pharoah MJ. Oral radiology: principles and interpretation. 6th ed. St. Louis: Mosby; 2014.Google Scholar
- 3.Wadhwa S, Kapila S. TMJ disorders: future innovations in diagnostics and therapeutics. J Dent Educ. 2008;72(8):930 – 47.Google Scholar
- 5.Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet J-P, 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 Fac Pain Headache. 2014;28(1):6–27.CrossRefGoogle Scholar
- 8.de Souza RF, Lovato da Silva CH, Nasser M, Fedorowicz Z, Al-Muharraqi MA. Interventions for the management of temporomandibular joint osteoarthritis. Cochrane Database Syst Rev. 2012;18(4):CD007261.Google Scholar
- 12.Mandelbrot BB. The fractal geometry of nature. New York: W.H. Freeman and Co.; 1982.Google Scholar