Disorders of the general and local bone tissue metabolism in patients with temporomandibular joint connective tissue dysplasia

I. I. Borodulina; M. S. Blinov; N. V. Tegza; K. N. Alexeev

doi:10.17816/brmma623000

Bulletin of the Russian Military Medical Academy ›› 2017, Vol. 19 ›› Issue (3) : 77 -81. DOI: 10.17816/brmma623000

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Disorders of the general and local bone tissue metabolism in patients with temporomandibular joint connective tissue dysplasia

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Abstract

Aspects of disturbance of the general and local metabolism in a case of a connective tissue dysplasia syndrome of a temporal and mandibular joint are considered. In patients with temporomandibular joint pain dysfunction syndrome presenting no signs of general somatic diseases, in 78,6% of cases no bone mineral density changes in standardized zones of the axial skeleton were revealed. In patients with temporomandibular joint pain dysfunction syndrome associated with connective tissue dysplasia, in 83,4% of cases bone mineral density changes in standardized zones of the axial skeleton were recorded. In addition, in 58,3% of cases osteopenia was registered in one of the standardized zones of skeleton and in 25,1% of cases osteopenia was revealed in two standardized zones of the axial skeleton. In patients with temporomandibular joint pain dysfunction syndrome presenting no signs of general somatic pathology, the level of radiopharmaceutical accumulation in temporomandibular joint area at both sides corresponds with that of the control group. In patients with temporomandibular joint connective tissue dysplasia, increased values of the radiopharmaceutical accumulation coefficient were registered at both sides of the temporomandibular joint, which corresponded to the second degree of accumulation (moderate). Correlation between the values of the skeleton bone mineral density and the marked radiopharmaceutical capture rate was revealed in patients with temporomandibular joint pain dysfunction syndrome presenting no signs of general somatic pathology, similar to that of individuals in the control group. The patients with temporomandibular joint connective tissue dysplasia showed moderate inverse correlation between the axial skeleton bone mineral density and the radiopharmaceutical accumulation coefficient in temporomandibular joint. Direct correlations were revealed between the value of radiopharmaceutical accumulation coefficient in temporomandibular joint of second degree and bone mineral density osteopenia in one zone; and the value of radiopharmaceutical accumulation coefficient in temporomandibular joint of second degree and bone mineral density osteopenia in two zones.

Keywords

temporomandibular joint pain dysfunction / temporomandibular joint connective tissue dysplasia syndrome / bone mineral density / radionuclide bone tissue imaging of temporomandibular joint / osteopenia

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I. I. Borodulina, M. S. Blinov, N. V. Tegza, K. N. Alexeev. Disorders of the general and local bone tissue metabolism in patients with temporomandibular joint connective tissue dysplasia. Bulletin of the Russian Military Medical Academy, 2017, 19(3): 77-81 DOI:10.17816/brmma623000

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