Assessment of the Morphology and Degenerative Changes in the Temporomandibular Joint Using CBCT according to the Orthodontic Approach: A Scoping Review.

Background. Available knowledge about disorders of temporomandibular joint structures and their association with orthodontic variables are still lacking. Objectives. This article is aimed at to identifying studies and presenting current information on the relationship between morphology diversity an...

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Published in:BioMed Research International pp. 1 - 29
Main Authors: Dygas, Sebastian, Szarmach, Izabela, Radej, Ilona
Format: research systematic review tables/charts Journal Article
Published: Wiley-Blackwell 2/1/2022
Online Access:View this record in EBSCOhost
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      dt: 2/1/2022
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2022/6863014
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        atl: Assessment of the Morphology and Degenerative Changes in the Temporomandibular Joint Using CBCT according to the Orthodontic Approach: A Scoping Review.
      aug:
        au:
          Dygas, Sebastian
          Szarmach, Izabela
          Radej, Ilona
        affil: Department of Orthodontics, Medical University of Bialystok, Bialystok, Poland
      sug:
        subj:
          Temporomandibular Joint Radiography
          Temporomandibular Joint Anatomy and Histology
          Temporomandibular Joint Pathology
          Tomography, X-Ray Computed Methods
          Human
          Scoping Review
          PubMed
          Medline
          Cochrane Library
          Malocclusion
          Mandible Pathology
          Mandibular Condyle Pathology
          Temporomandibular Joint Diseases Risk Factors
          Checklists
          Clinical Assessment Tools
      ab: Background. Available knowledge about disorders of temporomandibular joint structures and their association with orthodontic variables are still lacking. Objectives. This article is aimed at to identifying studies and presenting current information on the relationship between morphology diversity and the occurrence of degenerative changes in structures of the temporomandibular joint (TMJ) assessed by cone-beam computed tomography (CBCT) in the context of craniofacial morphology and malocclusion. Search Methods. The review was conducted by analyzing the PubMed (including Medline), Cochrane Library, Web of Science, and Scopus electronic databases up to November 2021 using two different comprehensive search strategies based on keywords as well as additional manual searches. Eligibility Criteria. Selection of the literature was carried out according to the PRISMA-ScR checklist. Methodological quality of the selected studies was evaluated using JBI Critical Appraisal Tool. Results. The electronic databases search revealed 3331 records. After applying the eligibility criteria and JBI assessment, a total of 33 studies were extracted and selected to the study. The review was divided into 4 parts, in which the following correlations were assessed in terms of orthodontic variables: TMJ degenerative changes, joint space and condylar position, condylar shape, TMJ articular eminence, and fossa. Conclusions. Skeletal and dental class II malocclusion with a retrognathic mandible, a hypodivergent skeletal pattern with a steep mandibular plane, and significant lateral mandibular displacement can be risk factors for developing radiographically detectable degenerative changes. Patients with skeletal and dental class III malocclusion as well as a hyperdivergent skeletal pattern may be at greater risk of TMD occurrence compared with other groups. Further studies are necessary to clarify the relationship between the position of the condylar processes and the presence of degenerative changes in the temporomandibular joints among orthodontic patients.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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