Document Detail


Clinical and MRI investigation of temporomandibular joint in major depressed patients.
MedLine Citation:
PMID:  22517997     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The aim of the present study was to describe the clinical and MRI findings of the temporomandibular joint (TMJ) in patients with major depressive disorders (MDDs) of the non-psychotic type.
METHODS: 40 patients (80 TMJs) who were diagnosed as having MDDs were selected for this study. The clinical examination of the TMJs was conducted according to the research diagnostic criteria and temporomandibular disorders (TMDs). The MRIs were obtained bilaterally in each patient with axial, parasagittal and paracoronal sections within a real-time dynamic sequence. Two trained oral radiologists assessed all images. For statistical analyses, Fisher's exact test and χ(2) test were applied (α = 0.05).
RESULTS: Migraine was reported in 52.5% of subjects. Considering disc position, statistically significant differences between opening patterns with and without alteration (p = 0.00) and between present and absent joint noises (p = 0.00) were found. Regarding muscular pain, patients with and without abnormalities in disc function and patients with and without abnormalities in disc position were not statistically significant (p = 0.42 and p = 0.40, respectively). Significant differences between mandibular pathway with and without abnormalities (p = 0.00) and between present and absent joint noises (p = 0.00) were observed.
CONCLUSION: Based on the preliminary results observed by clinical and MRI examination of the TMJ, no direct relationship could be determined between MDDs and TMDs.
Authors:
S L P C Lopes; A L F Costa; A D Cruz; L M Li; S M de Almeida
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Dento maxillo facial radiology     Volume:  41     ISSN:  0250-832X     ISO Abbreviation:  Dentomaxillofac Radiol     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-20     Completed Date:  2012-07-10     Revised Date:  2013-08-14    
Medline Journal Info:
Nlm Unique ID:  7609576     Medline TA:  Dentomaxillofac Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  316-22     Citation Subset:  D    
Affiliation:
Department of Diagnosis and Surgery, Sao Jose dos Campos Dental School, Sao Paulo, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Adult
Bruxism / complications
Chi-Square Distribution
Depressive Disorder, Major / complications*
Facial Pain / complications
Female
Humans
Magnetic Resonance Imaging / methods*
Male
Mandibular Condyle / pathology
Migraine Disorders / complications
Temporomandibular Joint / pathology*
Temporomandibular Joint Disc / pathology
Temporomandibular Joint Disorders / diagnosis
Comments/Corrections

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