EVALUATION OF TEMPOROMANDIBULAR JOINT BONE DEGENERATIONS USING CONE BEAM COMPUTED TOMOGRAPHY in KENNEDY CLASS I and CLASS II PARTIALLY EDENTULOUS PATIENTS


Yülek H., Keser G., Namdar Pekiner F. M.

JOURNAL OF THE COLLEGE OF PHYSICIANS AND SURGEONS--PAKISTAN : JCPSP, cilt.36, ss.1-5, 2025 (SCI-Expanded)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 36
  • Basım Tarihi: 2025
  • Dergi Adı: JOURNAL OF THE COLLEGE OF PHYSICIANS AND SURGEONS--PAKISTAN : JCPSP
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, MEDLINE, Veterinary Science Database
  • Sayfa Sayıları: ss.1-5
  • Marmara Üniversitesi Adresli: Evet

Özet

Objective: To assess temporomandibular joint (TMJ) osseous degenerations in Kennedy Class I and II partially edentulous patients using cone beam computed tomography (CBCT).
Study Design: Descriptive study.
Place and Duration of the Study: Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Marmara University, Istanbul, Turkey, between January and June 2023.
Methodology: CBCT images of 207 patients (55 males, 152 females; age range: 22–80 years) were retrospectively analysed. TMJ osseous degenerations were classified as flattening, erosion, depression, osteophyte formation, sclerosis, subchondral cysts, or ankylosis. Statistical analyses were performed using descriptive methods and comparative tests including Chi-square, Fisher’s exact Chi-square, and Yates’ continuity correction.
Results: Flattening was the most prevalent degenerative change, observed in 21.3% of right and 39.1% of left TMJs. Degenerative changes were significantly more common in the left TMJ among females (59.9%) than males (41.8%) (p=0.021). In Kennedy Class I patients, the prevalence of right TMJ degeneration (51.2%) was significantly higher than in Class II patients (37.2%) (p=0.045).
Conclusion: CBCT evaluation revealed that TMJ degenerative changes, particularly flattening, were more prevalent on the left side, significantly associated with female gender and Kennedy Class I edentulism.

Objective: To assess temporomandibular joint (TMJ) osseous degenerations in Kennedy Class I and II partially edentulous patients using cone beam computed tomography (CBCT).
Study Design: Descriptive study.
Place and Duration of the Study: Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Marmara University, Istanbul, Turkey, between January and June 2023.
Methodology: CBCT images of 207 patients (55 males, 152 females; age range: 22–80 years) were retrospectively analysed. TMJ osseous degenerations were classified as flattening, erosion, depression, osteophyte formation, sclerosis, subchondral cysts, or ankylosis. Statistical analyses were performed using descriptive methods and comparative tests including Chi-square, Fisher’s exact Chi-square, and Yates’ continuity correction.
Results: Flattening was the most prevalent degenerative change, observed in 21.3% of right and 39.1% of left TMJs. Degenerative changes were significantly more common in the left TMJ among females (59.9%) than males (41.8%) (p=0.021). In Kennedy Class I patients, the prevalence of right TMJ degeneration (51.2%) was significantly higher than in Class II patients (37.2%) (p=0.045).
Conclusion: CBCT evaluation revealed that TMJ degenerative changes, particularly flattening, were more prevalent on the left side, significantly associated with female gender and Kennedy Class I edentulism.