A preliminary analysis of the clinical characteristics of patients with temperature-sensitive temporomandibular joint disorder syndrome

doi:10.7518/hxkq.2025.2024321

Abstract

Abstract:

Objective This study aims to analyze the clinical symptoms and imaging manifestations in patients with temporomandibular disorder syndrome (TMD), who are sensitive to sudden temperature drop. Methods One hundred and nineteen patients with TMD who attended the Department of Stomatology of the First Medical Center of Chinese People’s Liberation Army General Hospital from December 2022 to December 2023 were included, including 44 males and 75 females, with a mean age of 32.4±13.7 years.The questionnaire was used to determine whether they were sensitive to temperature drop, and the TMD patients were divided into a temperature plunge-sensitive group and a temperature drop insensitive group. The clinical symptoms and imaging manifestations of patients in the two groups were observed. SPSS 25.0 was used for statistical analysis. Results There was no statistically significant difference between the gender and age of patients in the temperature plunge-sensitive group (50 patients) and the insensitivity group (69 patients) (P>0.05). The percentage of patients with pain was slightly higher in the temperature plunge-sensitive group [86.0% (43/50)] than in the insensitive group [68.1% (47/69)], and the difference was statistically significant (χ²=5.031, P=0.025), while the differences in joint murmur and mouth opening limitation between the two groups were not statistically significant. A total of 238 lateral joints were detected in both groups, the percentage of osteoarthropathic imaging changes was significantly higher in the temperature plunge-sensitive group [82.0% (82/100)] than in the insensitive group [53.6% (74/138)] (χ²=20.675, P<0.001). Magnetic imaging showed that the percentage of joint effusion was higher in patients in the temperature plunge-sensitive group [66.0% (33/50)] than in the insensitive group [42.0% (29/69)], and the difference was statistically significant (χ²=5.602, P=0.018). Conclusion TMD patients with maxillofacial pain symptoms, joint effusions, and abnormal imaging of osteoarticular structures are more likely to be sensitive to sudden temperature drops.

Key words: temporomandibular joint disorder syndrome, plunge in temperature, cone-beam computed tomography, magnetic resonance imaging

CLC Number:

R782.6

Hu Yifan, Ma Bowen, Zhai Xiaoting, Xu Xinyu, Wang Yihan, Li Hongbo, Hu Min, Liu Hongchen, Jiang Hua. A preliminary analysis of the clinical characteristics of patients with temperature-sensitive temporomandibular joint disorder syndrome[J]. West China Journal of Stomatology, 2025, 43(2): 269-274.

Figures/Tables 4

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组别	例数/n	年龄/岁	性别/n（%）
组别	例数/n	年龄/岁	男性	女性
温度骤降敏感组	50	33.3±14.4	20（40.0）	30（60.0）
温度骤降不敏感组	69	31.4±13.5	24（34.8）	45（65.2）
t值或x²值		-1.196	0.339
P值		0.299	0.561

组别	例数	疼痛/n（%）	关节杂音/n（%）	张口受限/n（%）
温度骤降敏感组	50	43（86.0）	33（66.0）	29（58.0）
温度骤降不敏感组	69	47（68.1）	52（75.4）	33（47.8）
t值或x²值		5.031	1.245	1.202
P值		0.025*	0.264	0.273

组别	关节侧数	有骨关节病影像改变/n（%）	无骨关节病影像改变/n（%）
温度骤降敏感组	100	82（82.0）	18（18.0）
温度骤降不敏感组	138	74（53.6）	64（46.4）
x²值		20.675
P值		0.001**

组别	例数	关节积液/n（%）	移位侧别/n（%）		移位程度/n（%）
组别	例数	关节积液/n（%）	单侧	双侧	ADD-wR	ADD-woR
温度骤降敏感组	50	33（66.0）	15（30.0）	8（16.0）	24（48.0）	25（50.0）
温度骤降不敏感组	69	29（42.0）	28（40.6）	23（33.3）	30（43.5）	33（47.8）
x²值		5.602	0.693		0.020
P值		0.018*	0.405		0.886

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