Analysis of the relationship between treatment modalities and temporomandibular joint space parameters in non-traumatic bifid mandibular condyle patients

Makaleler > Tam Makale · 2026

Yazarlar: Gülcan COŞKUN AKAR

BMC ORAL HEALTH, SCI İndekslerine Giren Dergi, Uluslararası, Wos, 2026, cilt 26, ss 518-525

DOI: 10.1186/s12903-026-07893-8

Özet

<p>Abstract&nbsp;and&nbsp;Esin Alpöz2&nbsp;Background&nbsp;This&nbsp;study&nbsp;aimed&nbsp;to&nbsp;investigate&nbsp;the&nbsp;relationship&nbsp;between&nbsp;treatment&nbsp;modalities&nbsp;in&nbsp;non-traumatic&nbsp;bifid&nbsp;mandibular&nbsp;condyle&nbsp;(BMC)&nbsp;cases&nbsp;and&nbsp;temporomandibular&nbsp;joint&nbsp;(TMJ)&nbsp;radiomorphometric&nbsp;parameters,&nbsp;including&nbsp;the&nbsp;width&nbsp;and&nbsp;location&nbsp;of&nbsp;the&nbsp;narrowest&nbsp;joint&nbsp;space.&nbsp;Materials&nbsp;and&nbsp;methods&nbsp;A&nbsp;total&nbsp;of&nbsp;42&nbsp;patients&nbsp;who&nbsp;presented&nbsp;to&nbsp;a&nbsp;tertiary&nbsp;healthcare&nbsp;institution&nbsp;were&nbsp;included&nbsp;in&nbsp;the&nbsp;study.&nbsp;Cone&nbsp;beam&nbsp;computed&nbsp;tomography&nbsp;(CBCT)&nbsp;images&nbsp;of&nbsp;non-traumatic&nbsp;BMC&nbsp;cases&nbsp;were&nbsp;retrospectively&nbsp;evaluated,&nbsp;and&nbsp;84&nbsp;temporomandibular&nbsp;joints&nbsp;were&nbsp;analyzed&nbsp;to&nbsp;determine&nbsp;the&nbsp;width&nbsp;and&nbsp;location&nbsp;of&nbsp;the&nbsp;narrowest&nbsp;joint&nbsp;space.&nbsp;Clinical&nbsp;symptoms&nbsp;and&nbsp;treatment&nbsp;modalities&nbsp;were&nbsp;obtained&nbsp;from&nbsp;patient&nbsp;records&nbsp;and&nbsp;statistically&nbsp;analyzed&nbsp;in&nbsp;relation&nbsp;to&nbsp;radiological&nbsp;findings.&nbsp;Results&nbsp;The&nbsp;mean&nbsp;age&nbsp;of&nbsp;the&nbsp;patients&nbsp;was&nbsp;40.2&nbsp;±&nbsp;17.9&nbsp;years,&nbsp;and&nbsp;36&nbsp;patients&nbsp;were&nbsp;symptomatic.&nbsp;A&nbsp;statistically&nbsp;significant&nbsp;association&nbsp;was&nbsp;observed&nbsp;between&nbsp;treatment&nbsp;modality&nbsp;and&nbsp;the&nbsp;presence&nbsp;of&nbsp;clinical&nbsp;symptoms&nbsp;(p&nbsp;=&nbsp;0.021).&nbsp;Follow-up&nbsp;was&nbsp;recommended&nbsp;for&nbsp;83.3%&nbsp;of&nbsp;asymptomatic&nbsp;patients,&nbsp;whereas&nbsp;only&nbsp;8.3%&nbsp;of&nbsp;symptomatic&nbsp;patients&nbsp;were&nbsp;managed&nbsp;with&nbsp;observation&nbsp;alone.&nbsp;Among&nbsp;symptomatic&nbsp;patients,&nbsp;63.8%&nbsp;received&nbsp;occlusal&nbsp;splint&nbsp;therapy,&nbsp;16.6%&nbsp;underwent&nbsp;combined&nbsp;splint&nbsp;and&nbsp;surgical&nbsp;treatment,&nbsp;and&nbsp;11.1%&nbsp;received&nbsp;prosthetic&nbsp;or&nbsp;other&nbsp;interventions.&nbsp;No&nbsp;significant&nbsp;association&nbsp;was&nbsp;found&nbsp;between&nbsp;treatment&nbsp;modality&nbsp;and&nbsp;BMC&nbsp;type&nbsp;(p&nbsp;=&nbsp;0.463),&nbsp;coronal&nbsp;joint&nbsp;space&nbsp;width&nbsp;(p&nbsp;=&nbsp;0.470),&nbsp;or&nbsp;sagittal&nbsp;joint&nbsp;space&nbsp;width&nbsp;(p&nbsp;=&nbsp;0.344).&nbsp;Conclusion&nbsp;In&nbsp;non-traumatic&nbsp;BMC&nbsp;cases,&nbsp;treatment&nbsp;selection&nbsp;is&nbsp;primarily&nbsp;associated&nbsp;with&nbsp;clinical&nbsp;symptoms&nbsp;rather&nbsp;than&nbsp;CBCT-derived&nbsp;joint&nbsp;space&nbsp;parameters.&nbsp;Radiological&nbsp;joint&nbsp;space&nbsp;characteristics&nbsp;did&nbsp;not&nbsp;demonstrate&nbsp;a&nbsp;significant&nbsp;influence&nbsp;on&nbsp;treatment&nbsp;decisions;&nbsp;however,&nbsp;bilateral&nbsp;CBCT&nbsp;evaluation&nbsp;remains&nbsp;important&nbsp;for&nbsp;comprehensive&nbsp;assessment&nbsp;of&nbsp;TMJ&nbsp;morphology.</p>

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