Abstract
The purpose of this work was to prospectively correlate the most characteristic clinical
symptoms of temporomandibular disorders, such as pain and limitation of mouth opening,
with the findings of magnetic resonance imaging (disc position, degenerative changes,
and effusion) and arthroscopy findings (roofing, synovitis, chondromalacia, adhesions,
and perforations). These examinations were performed in 298 patients diagnosed with
internal derangement refractory to conservative treatment. The mean age of the patients
was 38.59 years; 92.6% were female. The t-test and one-way analysis of variance (ANOVA) were used to correlate the findings.
Significant relationships were found between pain and disc displacement without reduction
(P = 0.033) and effusion (P = 0.003) on MRI, coinciding with correlations between pain and roofing of 0–25% (P = 0.016) and synovitis (P = 0.001) on arthroscopy. A significant relationship was also observed between mouth
opening limitation and the presence of osteoarthrosis (P = 0.018) on MRI, and between mouth opening limitation and synovitis (P = 0.022), chondromalacia (P = 0.002), and adhesions (P < 0.001) on arthroscopy. All of these findings were observed in patients with a poor
initial clinical situation, which highlights the considerable potential of correlating
these data with imaging and arthroscopy findings.
Keywords
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Article info
Publication history
Published online: August 17, 2022
Accepted:
August 8,
2022
Identification
Copyright
© 2022 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
