Diagnostic Imaging in TMJ Osteoarthritis: A Case Report and Overview

Prasannasrinivas Deshpande^1, , Karthikeya Patil¹, Mahima V. Guledgud¹ and Reema Sharon D’souza¹

¹Department of Oral Medicine and Radiology, JSS Dental College and Hospital, JSS University, SS Nagar, Mysore, Karnataka, India

Cite this paper:
Prasannasrinivas Deshpande, Karthikeya Patil, Mahima V. Guledgud and Reema Sharon D’souza. Diagnostic Imaging in TMJ Osteoarthritis: A Case Report and Overview. International Journal of Dental Sciences and Research. 2015; 3(3):56-59. doi: 10.12691/ijdsr-3-3-4

Abstract

Osteoarthritis is the most common degenerative joint disease affecting human body and most of this disability is attributable to the involvement of hips or knees. In rare instances, it can influence the temporomandibular joint. Osteoarthritis is strongly associated with ageing. Sometimes, patients may display signs and symptoms of osteoarthritic disease with no radiologic evidence of any joint pathology or vice versa. The diagnosis is essentially based on clinical and radiological examination. However, laboratory tests and radiographic examination are also useful to exclude other temporomandibular joint diseases. Erosion, sclerosis, flattening, osteophytes, joint mice and Ely’s cysts were some of the radiographic findings in the present case. CT is the imaging modality of choice for evaluating bone involvement and for diagnosing and establishing the degree of the disease, which was performed in the present case. Here we present a rare and a characteristic case of osteoarthritis of the temporomandibular joint diseases.

Keywords:
temporomandibular joint osteoarthritis computed tomography osteophyte condyle

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	Ferrazzo KL, Osorio LB and Ferrazzo VA. Case Report - CT Images of a Severe TMJ Osteoarthritis and Differential Diagnosis with Other Joint Disorders. Case Reports in Dentistry 2013; 1-5.
[2]	Arya RK, Jain V. Osteoarthritis of the Knee Joint - An Overview. Journal of Indian Academy of Clinical Medicine 2013; 14(2): 154-62.
[3]	Fransen M, Bridgett L, March L, Hoy D, Penserga E and Brooks P. Review Article - The epidemiology of Osteoarthritis in Asia. International Journal of Rheumatic Diseases 2011; 14: 113-121.
[4]	Souhami RL, Moxham J. Musculoskeletal and connective tissue disease: Osteoarthritis. In Souhami RL, Moxham J, Textbook of medicine. 2nd ed. Churchill Livingstone; 1994. p. 1010-12.
[5]	Nishiokaa M, Ioib H, Matsumotoa R, Gotoc TK, Nakatad S, Akihiko Nakasimae, et al. TMJ Osteoarthritis/Osteoarthrosis and Immune System Factors in a Japanese Sample. Angle Orthodontist 2008; 78(5): 793-798.
[6]	Das SK. TMJ osteoarthritis and early diagnosis. Journal of oral biology and cranio facial research; 2013. 3:109-110.
[7]	Mahajan A, Verma S, Tandon V. Osteoarthritis 2005. JAPI; 53: 634-641.
[8]	Kurt H, Oztas E, Gencel B, Tasan DA, Oztas D. A adult case of temporomandibular joint Osteoarthritis treated with splint therapy and the subsequent orthodontic occlusal reconstruction. Contemporary Clinical Dentistry 2011; 2(4): 364-367.
[9]	Lin H, Zhu P, Lin Y, Wan S, Shu X, Xu Y, et al. Mandibular asymmetry - A three-dimensional quantification of bilateral condyles. Head & Face Medicine 2013; 9:1-7.
[10]	Machon V, Rehorova M, Sedy J and Foltan R. Platelet-Rich plasma in Temporomandibular Joint Osteoarthritis Therapy - A 3-Month Follow-Up Pilot Study. J Arthritis 2013; 2: 1-4.
[11]	Wadhwa S, Kapila S. TMJ disorders: Future innovations in diagnostics and therapeutics. Journal of Dental Education 2008; 72(8): 930-47
[12]	Nitzan DW, Price A. The use of Arthrocentesis for the treatment of Osteoarthritic Temporomandibular Joints. J Oral Maxillofac Surg 2001; 59:1154-1159.
[13]	Badel T, Marotti M, Simunkovi SK, Keros J, Kern J, Krolo I. Radiological characteristics of Osteoarthritis of temporomandibular joint without disc displacement. Period Biol 2009; 111(2): 289-292.
[14]	Alexiou K, Stamatakis Hc and Tsiklakis K. Research-Evaluation of the severity of temporomandibular joint Osteoarthritic changes related to age using cone beam computed tomography. Dentomaxillofacial radiology 2009. 38: 141-147.
[15]	Roopashri, Vaishali, Baig M. Osteoarthritis of the temporomandibular joint- a rare case report. Int j dent case reports 2011; 1(3): 54-59.
[16]	Roda RP, Bagan JV, Sanchis JM. Differences in clinical variables and risk factors between patients with Osteoarthritis and Osteoarthrosis of the Temporomandibular Joint. J Clin Exp Dent 2011; 3(4):E303-9.
[17]	Krastev Ds. A case of temporomandibular joint Osteoarthritis treated with splint therapy and occlusal equilibration. International journal of pharmaceutical research and bio-science 2014; 3(5): 350-353.
[18]	Meng JH, Zhang WL, Liu DG, Zhao YP, Ma XC. Diagnostic evaluation of the temporomandibular joint osteoarthritis using cone beam computed tomography compared with conventional radiographic technology. Journal of Peking University Health Sciences 2007; 39(1):26-29
[19]	Cevidanes LHS, Hajati AK, Paniagua B, Lim PF, Walker DG, Palconet G, et al. Quantification of condylar resorption in temporomandibular joint osteoarthritis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 110:110-117.
[20]	Yakan Ab, Toameh M: Treatment of Temporomandibular Joint Osteoarthritis by using Arthrocentesis and Hyaluronic acid injections- Modified Protocol. Journal of Dental Health, Oral Disorders & Therapy 2014; 1(5): 1-6.
[21]	Hironobu, Tetsunori, Naoyuki, Hideki. A clinical and tomographic study on Temporomandibular Joint Osteoarthritis. Oral radiology 1992; 8(2); 79-88.