Bone changes in the temporomandibular joints of older adults: A cone-beam computed tomography study

Aminata Dumbuya, Amanda Farias Gomes, Leonardo Marchini, Erliang Zeng, Carissa L. Comnick, Saulo L.Sousa Melo

Research output: Contribution to journalArticle

Abstract

Aims: To assess the prevalence of degenerative bone changes in the temporomandibular joint (TMJ) of older adults using cone-beam computed tomography (CBCT), and to verify possible associations between these findings and patient health history. Methods: CBCT scans comprising both TMJs were acquired for 137 patients aged 65+, regardless of TMD status. Images were assessed by two oral radiologists and evaluated for the presence of flattening, erosion, sclerosis, subchondral cysts, and osteophytes in the TMJ bony components, and self-reported patient systemic health histories were retrieved from records. Results: There were 59 males, and the mean age was 73.35 ± 6.28. A total of 31.4% had bone changes in both TMJs, and 65.7% had bone changes in at least one side. Bone changes were more prevalent in females, with subchondral cysts (63.3%) and osteophytes (60%) the most common findings. There was a higher prevalence of osteoporosis/osteopenia (38.5%) and connective tissue disorders (39.8%) in patients with TMJ bone changes than in those with normal TMJs. Conclusion: Degenerative bone changes of TMJ were prevalent among older adults, and females were more affected. There was a greater prevalence of osteoporosis/osteopenia and connective tissue disorders in patients with TMJ bone changes than in subjects with normal TMJs.

Original languageEnglish (US)
JournalSpecial Care in Dentistry
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Cone-Beam Computed Tomography
Temporomandibular Joint
Bone and Bones
Bone Cysts
Osteophyte
Metabolic Bone Diseases
Connective Tissue
Osteoporosis
Health
Sclerosis

Keywords

  • aged
  • aged 80 and over
  • cone-beam computed tomography
  • temporomandibular joint

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Bone changes in the temporomandibular joints of older adults : A cone-beam computed tomography study. / Dumbuya, Aminata; Gomes, Amanda Farias; Marchini, Leonardo; Zeng, Erliang; Comnick, Carissa L.; Melo, Saulo L.Sousa.

In: Special Care in Dentistry, 01.01.2019.

Research output: Contribution to journalArticle

Dumbuya, Aminata ; Gomes, Amanda Farias ; Marchini, Leonardo ; Zeng, Erliang ; Comnick, Carissa L. ; Melo, Saulo L.Sousa. / Bone changes in the temporomandibular joints of older adults : A cone-beam computed tomography study. In: Special Care in Dentistry. 2019.
@article{b5ee4bb64f66485086d5dbe42be06a07,
title = "Bone changes in the temporomandibular joints of older adults: A cone-beam computed tomography study",
abstract = "Aims: To assess the prevalence of degenerative bone changes in the temporomandibular joint (TMJ) of older adults using cone-beam computed tomography (CBCT), and to verify possible associations between these findings and patient health history. Methods: CBCT scans comprising both TMJs were acquired for 137 patients aged 65+, regardless of TMD status. Images were assessed by two oral radiologists and evaluated for the presence of flattening, erosion, sclerosis, subchondral cysts, and osteophytes in the TMJ bony components, and self-reported patient systemic health histories were retrieved from records. Results: There were 59 males, and the mean age was 73.35 ± 6.28. A total of 31.4{\%} had bone changes in both TMJs, and 65.7{\%} had bone changes in at least one side. Bone changes were more prevalent in females, with subchondral cysts (63.3{\%}) and osteophytes (60{\%}) the most common findings. There was a higher prevalence of osteoporosis/osteopenia (38.5{\%}) and connective tissue disorders (39.8{\%}) in patients with TMJ bone changes than in those with normal TMJs. Conclusion: Degenerative bone changes of TMJ were prevalent among older adults, and females were more affected. There was a greater prevalence of osteoporosis/osteopenia and connective tissue disorders in patients with TMJ bone changes than in subjects with normal TMJs.",
keywords = "aged, aged 80 and over, cone-beam computed tomography, temporomandibular joint",
author = "Aminata Dumbuya and Gomes, {Amanda Farias} and Leonardo Marchini and Erliang Zeng and Comnick, {Carissa L.} and Melo, {Saulo L.Sousa}",
year = "2019",
month = "1",
day = "1",
doi = "10.1111/scd.12441",
language = "English (US)",
journal = "Special Care in Dentistry",
issn = "0275-1879",
publisher = "Wiley-Blackwell",

}

TY - JOUR

T1 - Bone changes in the temporomandibular joints of older adults

T2 - A cone-beam computed tomography study

AU - Dumbuya, Aminata

AU - Gomes, Amanda Farias

AU - Marchini, Leonardo

AU - Zeng, Erliang

AU - Comnick, Carissa L.

AU - Melo, Saulo L.Sousa

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Aims: To assess the prevalence of degenerative bone changes in the temporomandibular joint (TMJ) of older adults using cone-beam computed tomography (CBCT), and to verify possible associations between these findings and patient health history. Methods: CBCT scans comprising both TMJs were acquired for 137 patients aged 65+, regardless of TMD status. Images were assessed by two oral radiologists and evaluated for the presence of flattening, erosion, sclerosis, subchondral cysts, and osteophytes in the TMJ bony components, and self-reported patient systemic health histories were retrieved from records. Results: There were 59 males, and the mean age was 73.35 ± 6.28. A total of 31.4% had bone changes in both TMJs, and 65.7% had bone changes in at least one side. Bone changes were more prevalent in females, with subchondral cysts (63.3%) and osteophytes (60%) the most common findings. There was a higher prevalence of osteoporosis/osteopenia (38.5%) and connective tissue disorders (39.8%) in patients with TMJ bone changes than in those with normal TMJs. Conclusion: Degenerative bone changes of TMJ were prevalent among older adults, and females were more affected. There was a greater prevalence of osteoporosis/osteopenia and connective tissue disorders in patients with TMJ bone changes than in subjects with normal TMJs.

AB - Aims: To assess the prevalence of degenerative bone changes in the temporomandibular joint (TMJ) of older adults using cone-beam computed tomography (CBCT), and to verify possible associations between these findings and patient health history. Methods: CBCT scans comprising both TMJs were acquired for 137 patients aged 65+, regardless of TMD status. Images were assessed by two oral radiologists and evaluated for the presence of flattening, erosion, sclerosis, subchondral cysts, and osteophytes in the TMJ bony components, and self-reported patient systemic health histories were retrieved from records. Results: There were 59 males, and the mean age was 73.35 ± 6.28. A total of 31.4% had bone changes in both TMJs, and 65.7% had bone changes in at least one side. Bone changes were more prevalent in females, with subchondral cysts (63.3%) and osteophytes (60%) the most common findings. There was a higher prevalence of osteoporosis/osteopenia (38.5%) and connective tissue disorders (39.8%) in patients with TMJ bone changes than in those with normal TMJs. Conclusion: Degenerative bone changes of TMJ were prevalent among older adults, and females were more affected. There was a greater prevalence of osteoporosis/osteopenia and connective tissue disorders in patients with TMJ bone changes than in subjects with normal TMJs.

KW - aged

KW - aged 80 and over

KW - cone-beam computed tomography

KW - temporomandibular joint

UR - http://www.scopus.com/inward/record.url?scp=85076279280&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85076279280&partnerID=8YFLogxK

U2 - 10.1111/scd.12441

DO - 10.1111/scd.12441

M3 - Article

AN - SCOPUS:85076279280

JO - Special Care in Dentistry

JF - Special Care in Dentistry

SN - 0275-1879

ER -