SavedAdd your journal

Journals / Meandros Medical And Dental Journal / 2026 / Volume: 24 Issue: 2

Does Temporomandibular Joint Pain have a Predictive Value for Temporomandibular Joint Internal Derangement in Fibromyalgia Patients? Magnetic Resonance Imaging Role in Diagnosis

Cansu Gül Koca(USAK UNIVERSITY)
Gamze Paken(USAK UNIVERSITY)
Meryem Kösehasanoğulları(USAK UNIVERSITY)
Pages
—
Publication Date
2023-06-30
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In addition, it was found that the severity of pain did not indicate a more dramatic internal derangement and effusion.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The purpose of this study was to evaluate magnetic resonance imaging (MRI) findings of the temporomandibular joint (TMJ) in patients with temporomandibular disorders (TMDs) with and without fibromyalgia syndrome (FMS).
📊
Key Findings & Data:Materials and Methods: There 3 groups of TMJ included in this study: 1) patients diagnosed with FMS, 2) healthy patients with pain, and 3) healthy patients without pain.
💡
Conclusion & Impact:In addition, it was found that the severity of pain did not indicate a more dramatic internal derangement and effusion.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Fibromyalgia · temporomandibular disorders · magnetic resonance imaging

Abstract

Objective: The purpose of this study was to evaluate magnetic resonance imaging (MRI) findings of the temporomandibular joint (TMJ) in patients with temporomandibular disorders (TMDs) with and without fibromyalgia syndrome (FMS). Materials and Methods: There 3 groups of TMJ included in this study: 1) patients diagnosed with FMS, 2) healthy patients with pain, and 3) healthy patients without pain. The MRI variables were disc/condyle relation (normal, anterior disc displacement with reduction, and anterior disc displacement without reduction) and joint effusion (absent, moderate, and severe). Pain was assessed using the visual analog scale (VAS). Significance was evaluated at the level of p 0.05). The MRI findings in group 2 were more dramatic than in the other groups. Conclusion: This study demonstrated that based on the MRI findings of patients presenting with fibromyalgia, effusion severity increased as disc/condyle compatibility deteriorated, which is similar to patients presenting without fibromyalgia. In addition, it was found that the severity of pain did not indicate a more dramatic internal derangement and effusion.

🔖

Cite This Article

Koca, C. G., Paken, G., Kösehasanoğulları, M. (2023). Does Temporomandibular Joint Pain have a Predictive Value for Temporomandibular Joint Internal Derangement in Fibromyalgia Patients? Magnetic Resonance Imaging Role in Diagnosis. Meandros Medical And Dental Journal, Volume: 24 Issue: 2. https://doi.org/10.4274/meandros.galenos.2022.36002

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (24)

  1. Fraga BP, Santos EB, Farias Neto JP, Macieira JC, Quintans LJ Jr, Onofre AS, et al. Signs and symptoms of temporomandibular dysfunction in fibromyalgic patients. J Craniofac Surg 2012; 23: 615-8.
  2. Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Katz RS, Mease P, et al. The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res (Hoboken) 2010; 62: 600-10.
  3. Nazlıkul H. Fibromyalgia Syndrome. Bilimsel Tamamlayıcı Tıp, Regülasyon ve Nöralterapi Dergisi 2014; 8: 1-9.
  4. Şahin Onat Ş, Ünsal Delialioğlu S, Özbudak Demir S, Özel S. The prevalence of fibromyalgia in postmenopausal osteoporotic women and to determination of related risk factors (preliminary study). Osteoporoz 2014; 20: 1-5.
  5. Hasanoğlu Erbaşar GN, Ural FG. Prevalence Of Fibromyalgia Syndrome In Patients With Temporomandibular Joint Dysfunction. Bilimsel Tamamlayıcı Tıp, Regülasyon ve Nöralterapi Dergisi 2019; 13: 5-7.
  6. De Leeuw R. Orofacial pain: guidelines for assessment, diagnosis and management. 4th ed. Chicago: Quintessence; 2008.
  7. Leblebici B, Pektaş ZO, Ortancil O, Hürcan EC, Bagis S, Akman MN. Coexistence of fibromyalgia, temporomandibular disorder, and masticatory myofascial pain syndromes. Rheumatol Int 2007; 27: 541-4.
  8. Balasubramaniam R, de Leeuw R, Zhu H, Nickerson RB, Okeson JP, Carlson CR. Prevalence of temporomandibular disorders in fibromyalgia and failed back syndrome patients: a blinded prospective comparison study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104: 204-16.
  9. Koca CG, Yildirim B, Bilgir E. Effects of bruxism on temporomandibular joint internal derangement in patients with unilateral temporomandibular joint pain: The role of magnetic resonance imaging diagnostics. Cranio 2021: 1-9.
  10. Velly AM, Look JO, Schiffman E, Lenton PA, Kang W, Messner RP, et al. The effect of fibromyalgia and widespread pain on the clinically significant temporomandibular muscle and joint pain disorders--a prospective 18-month cohort study. J Pain 2010; 11: 1155-64.
  11. Guyot L, Ricard O, Gola R. Dysfonctions temporo-mandibulaire: actualites diagnostiques et therapeutiques. FADIM 2006; 2: 1-3.
  12. McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys Ther 2006; 86: 710-25.
  13. Manfredini D, Guarda-Nardini L, Winocur E, Piccotti F, Ahlberg J, Lobbezoo F. Research diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologic findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 112: 453-62.
  14. Kapitonova MY, Othman M. Ultrastructural characteristics of synovial effusion cells in some arthropathies. Malays J Pathol 2004; 26: 73-87.
  15. Koca CG, Gümrükçü Z, Bilgir E. Does clinical findings correlate with magnetic resonance imaging (MRI) findings in patients with temporomandibular joint (TMJ) pain? A cross sectional study. Med Oral Patol Oral Cir Bucal 2020; 25: e495-501.
  16. Hosgor H. The relationship between temporomandibular joint effusion and pain in patients with internal derangement. J Craniomaxillofac Surg 2019; 47: 940-4. Erratum in: J Craniomaxillofac Surg 2021; 49: 748.
  17. Larheim TA, Westesson PL, Sano T. MR grading of temporomandibular joint fluid: association with disk displacement categories, condyle marrow abnormalities and pain. Int J Oral Maxillofac Surg 2001; 30: 104-12.
  18. Manfredini D, Basso D, Arboretti R, Guarda-Nardini L. Association between magnetic resonance signs of temporomandibular joint effusion and disk displacement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107: 266-71.
  19. Orlando B, Chiappe G, Landi N, Bosco M. Risk of temporomandibular joint effusion related to magnetic resonance imaging signs of disc displacement. Med Oral Patol Oral Cir Bucal 2009; 14: E188-93.
  20. Pinto GNS, Grossmann E, Iwaki Filho L, Groppo FC, Poluha RL, Muntean SA, et al. Correlation between joint effusion and morphology of the articular disc within the temporomandibular joint as viewed in the sagittal plane in patients with chronic disc displacement with reduction: A retrospective analytical study from magnetic resonance imaging. Cranio 2021; 39: 119-24.
  21. Roh HS, Kim W, Kim YK, Lee JY. Relationships between disk displacement, joint effusion, and degenerative changes of the TMJ in TMD patients based on MRI findings. J Craniomaxillofac Surg 2012; 40: 283-6.
  22. Segami N, Miyamaru M, Nishimura M, Suzuki T, Kaneyama K, Murakami K. Does joint effusion on T2 magnetic resonance images reflect synovitis? Part 2. Comparison of concentration levels of proinflammatory cytokines and total protein in synovial fluid of the temporomandibular joint with internal derangements and osteoarthrosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 94: 515-21.
  23. Khawaja SN, Crow H, Mahmoud RF, Kartha K, Gonzalez Y. Is There an Association Between Temporomandibular Joint Effusion and Arthralgia? J Oral Maxillofac Surg 2017; 75: 268-75.
  24. Poluha RL, Grossmann E, Iwaki LCV, Uchimura TT, Santana RG, Iwaki Filho L. Myofascial trigger points in patients with temporomandibular joint disc displacement with reduction: a cross-sectional study. J Appl Oral Sci 2018; 26: e20170578. 25. Ayouni I, Chebbi R, Hela Z, Dhidah M. Comorbidity between fibromyalgia and temporomandibular disorders: a systematic review. Oral Surg Oral Med Oral Pathol Oral Radiol 2019; 128: 33- 42.