Prevalence of internal derangements of temporomandibular joint in patients with cleft-lip/palate

Authors

  • Eduardo Grossmann Federal University of Rio Grande do Sul
  • Thales Botomé Cousen Federal University of Rio Grande do Sul
  • Rodrigo Lorenzi Poluha Federal University of Rio Grande do Sul
  • Marcus Vinícius Martins Collares Federal University of Rio Grande do Sul
  • Enio Setogutti Private clinic

DOI:

https://doi.org/10.20396/bjos.v17i0.8654066

Keywords:

Cleft lip. Cleft palate. Temporomandibular joint dysfunction syndrome. Nuclear magnetic resonance.

Abstract

Aim: The aim of this study was to estimate the prevalence of internal derangements (ID) of temporomandibular joint (TMJ) in patients with cleft-lip/palate. Also, to evaluate the correlation of diagnosis between Research Diagnostic Criteria for temporomandibular disorders (RDC/TMD) clinical examination and Magnetic resonance imaging (MRI). Methods: Twenty patients with cleft-lip/palate, were clinically evaluated by RDC/TMD and by MRI. The ID of TMJ evaluate were disc displacement with reduction (DDWR) and disc displacement without reduction (DDWOR). Results: The present study showed that 9 (45%) of the patients were diagnosed with ID of TMJ (8 [40%] patients with DDWR and 1 [5%] with DDWOR) and 11 (55%) present no disorders, by RDC/TMD. MRI examination revealed that 15 (75%) of the patients had ID of TMJ (13 [65%] patients with DDWR and 2 [10%] with DDWOR) and 5 (25%) present no disorders.  The Kappa index between the clinical and imaging diagnosis was 0.01. Conclusion: In the present study, DDWR was diagnosed in 40-65% by the RDC/TMD and MRI, respectively; DDWOR was diagnosed in 5-10% by the RDC/TMD and MRI, respectively. The diagnostic correlation between the clinical examination based on RDC and on MRI was weak.

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Author Biographies

Eduardo Grossmann, Federal University of Rio Grande do Sul

Department of Dentistry, Federal University of Rio Grande do Sul.

Thales Botomé Cousen, Federal University of Rio Grande do Sul

Department of Dentistry, Federal University of Rio Grande do Sul.

Rodrigo Lorenzi Poluha, Federal University of Rio Grande do Sul

Department of Dentistry, Federal University of Rio Grande do Sul.

Marcus Vinícius Martins Collares, Federal University of Rio Grande do Sul

Department of Dentistry, Federal University of Rio Grande do Sul.

Enio Setogutti, Private clinic

Radiologist doctor, private clinic.

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Published

2018-11-26

How to Cite

1.
Grossmann E, Cousen TB, Poluha RL, Collares MVM, Setogutti E. Prevalence of internal derangements of temporomandibular joint in patients with cleft-lip/palate. Braz. J. Oral Sci. [Internet]. 2018 Nov. 26 [cited 2022 Aug. 10];17:e181201. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8654066