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

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

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 2024 Dec. 7];17:e181201. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8654066

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.

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