Magnetic resonance imaging evaluation of the disc morphology of temporomandibular joint in patients with severe hemophilia.
Oral Radiol
; 39(4): 759-765, 2023 10.
Article
en En
| MEDLINE
| ID: mdl-37318743
ABSTRACT
OBJECTIVES:
This study aimed to assess the morphological differences in the articular disc (AD) between hemophilic patients and healthy individuals of the control group for further association with signs and symptoms.METHODS:
Fourteen severe hemophilic patients had their AD evaluated by magnetic resonance imaging (MRI). The morphological findings were compared to those of a control group consisting of 14 healthy individuals. MRI was used to evaluate all the components of the temporomandibular (TMJ), including the AD, resulting in sequential T1-weighted parasagittal images. All the images were acquired with teeth in maximum intercuspation position.RESULTS:
Morphological alterations showed significant statistical differences (P-value = 0.0068), whereas no statistical differences were found in the other variables, including TMJ pain, headache, bruxism and mouth opening limitation. In the group of non-hemophilic individuals, only two (14.29%) presented AD with non-biconcave features, whereas in the group of hemophilic patients, nine (64.29%) presented AD with a morphology other than biconcave.CONCLUSIONS:
In patients with severe hemophilia, there seems to be a pattern of morphological alterations in the articular disc over time. The standard biconcave morphology of AD tends to change into other ones, particularly biplanar, hemiconvex and folded.Palabras clave
Texto completo:
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Base de datos:
MEDLINE
Asunto principal:
Trastornos de la Articulación Temporomandibular
/
Hemofilia A
Idioma:
En
Revista:
Oral Radiol
Año:
2023
Tipo del documento:
Article