ArticlePeerJ2025
Assessment of degenerative changes in the atlanto-odontoid joint using cone-beam computed tomography (CBCT) imaging.
Article in PeerJ, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
Background: This study sought to evaluate the severity of osteoarthritis in the atlanto-odontoid joint (AOJ) using cone-beam computed tomography (CBCT) and analyse its distribution by age and sex. Materials and Methods: The CBCT images of 215 patients (130 females, 85 males; aged 18-80 years) taken for dental purposes were retrospectively analysed. The severity of the osteoarthritis in the AOJ was graded from 0 to 3, while its relationships with age and sex were assessed via ordinal and binary logistic regression analyses. Results: Osteoarthritis-related changes were detected in 64.7% of patients (62.3% of females, 68.3% of males). Females showed 44.3% decreased odds of severe osteoarthritis compared to males ( Conclusion: CBCT is effective in detecting degenerative changes in the AOJ. Moreover, it is associated with lower radiation doses than conventional CT. Ageing significantly increases both the probability and the severity of osteoarthritis. Routine AOJ evaluation during CBCT imaging may significantly enhance clinical decision-making by enabling the early detection and management of osteoarthritis.
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