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Trabecular structural changes in the mandibular condyle caused by degenerative osteoarthritis: a comparative study by cone-beam computed tomography imaging

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Abstract

Objectives

Temporomandibular osteoarthritis causes pain and loss of function. In advanced cases, it may also result in destruction of joint cartilage surfaces and bone structure.

Methods

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.

Results

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).

Conclusions

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.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Karadeniz Technical University, Farabi Street No. 64, 61080, Ortahisar/Trabzon, Turkey

    Saadettin Kayipmaz, Saliha Akçay & Ömer Said Sezgin

  2. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Karadeniz Technical University, Farabi Street No. 64, Ortahisar/Trabzon, 61080, Turkey

    Celal Çandirli

Authors
  1. Saadettin Kayipmaz
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  2. Saliha Akçay
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  3. Ömer Said Sezgin
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  4. Celal Çandirli
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Correspondence to Saadettin Kayipmaz.

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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

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.

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Kayipmaz, S., Akçay, S., Sezgin, Ö.S. et al. Trabecular structural changes in the mandibular condyle caused by degenerative osteoarthritis: a comparative study by cone-beam computed tomography imaging. Oral Radiol 35, 51–58 (2019). https://doi.org/10.1007/s11282-018-0324-1

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  • DOI: https://doi.org/10.1007/s11282-018-0324-1

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