Prospective Evaluation of Temporomandibular Joint Pathologies in Scoliosis Patients With Ultrasonography and Clinical Examination

NCT04592133 | Completed

• 1 other identifier: 2020/1
• Study Type: observational
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

From the anatomical and functional point of view, stomatognathic system and spine have close connections. Together with the complex neuromuscular relationships, this creates an important area of cooperation between dentists and orthopedics (1). The cause of scoliosis has not been precisely explained, and various causes have been suggested in the literature, such as deviation from the standard growth pattern, neuromuscular tissue changes, asymmetric growth of the trunk, changes in the sagittal configuration of the spine, and environmental factors. In addition, scoliosis may develop secondary to each of hereditary musculoskeletal disorders such as osteogenesis imperfecta, Marfan syndrome, Stickler syndrome, Ehlers-Danlos syndrome and muscular dystrophies. Fonder et al. conducted case studies showing the relationship between dental occlusion and scoliosis (2). There are studies suggesting that temporomandibular joint (TMJ) diseases are observed more frequently with the effect of the head-neck muscle balance affected by scoliosis and the irregularities in the occlusion. At the same time, some studies have shown that patients with mandible changes (deviation, deflection, asymmetry…), which is one of the TMJ components, often have abnormal morphology in the cervical vertebrae (3). Ito G et al. They reported that body posture is closely related to the function of the head support system. The cervical spine and muscles play an important role in stabilizing the head posture and in the complex and various movements of the head (4). There is no study in the literature comparing the severity of scoliosis and TMJ joint dysfunction radiologically and clinically. In this study, TMJ of scoliosis patients was evaluated by ultrasonography and clinical examination; It was aimed to correlate the severity of scoliosis with joint dysfunction.

Conditions

Scoliosis Patients

Keywords

Ultrasonography

Outcome Measures

Primary Outcomes (1)

• Joint Pain Scale

  Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) form will be used in our study

  7 month

Study Arms (2)

Scoliosis Patients

Diagnostic Test: Ultrasonography

Control Group

Diagnostic Test: Ultrasonography

Interventions

Ultrasonography DIAGNOSTIC_TEST

Ultrasonography Examination

Control Group; Scoliosis Patients

Eligibility Criteria

• Age: 12 Years - 18 Years
• Sex: all
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Probability Sample

Study Population

All patient population admitted to our clinic

You may qualify if:

• Being between the ages of 12-18
• Being diagnosed with Adolescent Idiopathic Scoliosis

You may not qualify if:

• Being diagnosed with neuromuscular, juvenile or congenital scoliosis
• Having received surgical treatment for scoliosis
• Rheumatological disease
• Having received treatment for TMJ dysfunction

Sponsors & Collaborators

• Istanbul University: lead

Study Sites (1)

Istanbul University Dentistry Faculty

Istanbul, Fatih, 34000, Turkey (Türkiye)

Location

Related Publications (3)

• Saccucci M, Tettamanti L, Mummolo S, Polimeni A, Festa F, Tecco S. Scoliosis and dental occlusion: a review of the literature. Scoliosis. 2011 Jul 29;6:15. doi: 10.1186/1748-7161-6-15.

  PMID: 21801357 BACKGROUND

• Tecco S, Festa F. Cervical spine curvature and craniofacial morphology in an adult Caucasian group: a multiple regression analysis. Eur J Orthod. 2007 Apr;29(2):204-9. doi: 10.1093/ejo/cjl061. Epub 2007 Jan 11.

  PMID: 17218718 BACKGROUND

• Ito, G., & Yamazaki, K. (1995). Relation between posture and the maxillofacial cranium. Jpn Dent Assoc, 48, 15-26.

  BACKGROUND

Related Links

• Joint, J. (2010). TMJ. Association. TMJ diseases and disorders: Basics-overview.

MeSH Terms

Interventions

Ultrasonography

Intervention Hierarchy (Ancestors)

Diagnostic Imaging; Diagnostic Techniques and Procedures; Diagnosis

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Target Duration: 6 Months
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Researcher

Study Record Dates

• First Submitted: October 13, 2020
• First Posted: October 19, 2020
• Study Start: October 1, 2020
• Primary Completion: January 3, 2021
• Study Completion: January 3, 2021
• Last Updated: April 13, 2021

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)