Ultrasound evaluation of the temporomandibular joint in healthy children and adolescents

Year 2021, Volume: 5 Issue: 2, 175 - 180, 30.08.2021

Hatice Arıöz Habibi Zuhal Bayramoğlu Emine Çalışkan Mehmet Öztürk

https://doi.org/10.30565/medalanya.895129

Abstract

Aim: The purpose of this study was to investigate normative values of the distance between the most lateral point of the articular capsule and the most lateral point of the mandibular condyle (LCCD), in children and adolescents. Since the disc is not always visible on ultrasound, LCCD measurement is a very practical indirect indicator for evaluating TMJ.

Methods: This prospective study evaluated 141 temporomandibular joints distance of 141 pediatric individuals with a median age of 9 years (5-13) for boys and 11 years (6.5-14) for girls, comprising 69 boys and 72 girls. LCCD measurements were made with the participants in the closed mouth position, and the relationship of these values with weight, height, age, gender and body mass index (BMI) was evaluated.

Results: Median LCCD values in age groups 2 and 3 were significantly higher than the age group 1 (p=0.001). There was no significant difference between median LCCD values in age group 2 and age group 3 (p=0.5). No significant difference was found among the median LCCD values of the males 1.5 mm (1.2-1.8) and females 1.4 mm (1.1-1.6).

Conclusion: LCDD values increased with age, but no significant difference shown among the genders. However, a negative relation was detected with BMI. This study provides the normative quantitative values of TMJ distance which could be a reference point for upcoming studies. US is a diagnostic method that can be used in the follow-up and screening of children with TMD risk and general population. Since it does not include radiation, it can be safely repeated.

Keywords

Children, temporomandibular joint, Ultrasonography.

Sağlıklı Çocuklarda Temporomandibular Eklemin Ultrason ile Değerlendirilmesi

Abstract

Amaç: Bu çalışmanın amacı, çocuklarda ve ergenlerde eklem kapsülünün lateral noktası ile mandibular kondilin en lateral noktası (LCCD) arasındaki mesafenin referans değerlerini belirlemektir. Disk ultrasonda her zaman görünmediğinden, LCCD ölçümü temporomandibular eklemi(TME) değerlendirmek için dolaylı bir gösterge olmakla beraber çok pratiktir.

Yöntemler: Prospektif çalışmamızda, medyan yaşı erkeklerde 9 (5-13) ve kızlarda 11 (6.5-14) olan, 69 erkek ve 72 kız olgunun toplamda 141 TME mesafesi değerlendirildi. Katılımcılar yaş gruplarına göre 3’e ayrıldı. Ultrasonda yapılan LCCD ölçümlerinin cinsiyet, yaş, boy, kilo, vücut kitle indeksi (VKİ) ile korelasyonı değerlendirildi.

Bulgular: Grup 2 ve 3’ün LCCD değeri grup 1’den anlamlı derecede yüksekti (p = 0,001). Ancak Grup 2 ve 3 arasında anlamlı fark yoktu (p = 0,5). LCCD değerleri erkeklerde 1,5 mm (1,2-1,8) ve kızlarda 1,4 mm (1,1-1,6) olarak bulundu.

Sonuç: Çalışmamızda LCDD değerleri yaşla birlikte artış göstermekle beraber cinsiyetler arası anlamlı fark saptanmadı. LCCD ile VKİ arasında negatif bir ilişki tespit edildi. Bu çalışma, gelecekteki çalışmalar için referans olabilecek TME mesafesinin normatif değerlerini sağlamaktadır. Ultrason, temporomandibular hastalık riski olan çocukların ve genel popülasyonun tarama ve takibinde kullanılabilecek bir tanı yöntemidir. Radyasyon içermediği için güvenle tekrarlanabilir.

Çocuk, Temporomandibular Eklem, Ultrasonografi

Keywords

Çocuk;, Temporomandibular Eklem, Ultrasonografi

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