Use of ultrasonography in the diagnosis of temporomandibular disorders: a prospective clinical study

Ahmet Faruk Erturk, Merve Yelken Kendirci, Ilknur Ozcan, Bilge Gokcen Rohlig, Ahmet Faruk Erturk, Merve Yelken Kendirci, Ilknur Ozcan, Bilge Gokcen Rohlig

Abstract

Objectives: Panoramic radiographs, computed tomography, and magnetic resonance imaging (MRI) are traditionally used for imaging temporomandibular joint (TMJ) and its pathologies. Besides these radiographic techniques, the recent use of ultrasonography (US) in diagnosing joint diseases has been introduced. However, there is no prospective clinical study examining the application of US in imaging of Temporomandibular Disorders (TMD) patients. Therefore, this study aimed to determine the features of the joint and surrounding structures in the US in TMD patients.

Methods: 320 patients fulfilled the inclusion criteria, and 100 of these individuals accepted to participate in the study. This study evaluated 200 TMJ; including the right TMJ and left TMJ of 100 patients. The study was designed as a clinical single-blind observational device trial.

Results: It has been seen that women are 3.54 times more likely to have muscle pain than men. It has been determined that the probability of joint pain increased as the joint space with the mouth closed increased. It has been seen that women are 3.61 times more likely to experience headaches than men.

Conclusions: The US, which is becoming increasingly common in dentistry, can be used as an aid in TMD diagnoses. US will not be sufficient when it is desired to evaluate the TMJ joint area more precisely and clearly in patients who will be planned for advanced surgical intervention. Therefore, it may be necessary to refer for MRI. The values of our findings will be a reference in TMD diagnoses.

Gov id: NCT04452110.

Keywords: Temporomandibular joint; Temporomandibular joint disorders; Ultrasonography.

Conflict of interest statement

There is no conflict of interest.

© 2022. The Author(s) under exclusive licence to Japanese Society for Oral and Maxillofacial Radiology.

Figures

Fig. 1
Fig. 1
Probes used in the study
Fig. 2
Fig. 2
TMJ anatomy in ultrasonography and measuring joint space distance
Fig. 3
Fig. 3
Evaluation of TMJ elastography in ultrasonography
Fig. 4
Fig. 4
Measurement of masseter muscle thickness in ultrasonography
Fig. 5
Fig. 5
Evaluation of masseter muscle elastography in ultrasonography

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