Özet:

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. Results: There was a significant relationship between disc/condyle relation and the prevalence of effusion in all groups (p<0.05). There was also a significant relationship between pain and the disk/condyle relationship and the grade of the effusion (p<0.05). The incidence of more severe effusion and anterior disc displacement without reduction in painful joints was significantly higher than in painless joints (p<0.05). In terms of VAS values, there was no significant difference between groups 1 and 2 (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.

Anahtar Kelimeler: