{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:30:13Z","timestamp":1791469813885,"version":"4.3.4"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,7,12]],"date-time":"2017-07-12T00:00:00Z","timestamp":1499817600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine the prevalence and incidence of radiographic signs of osteoarthritis\/osteoarthrosis (<jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content>) in the temporomandibular joint (<jats:styled-content style=\"fixed-case\">TMJ<\/jats:styled-content>) among middle\u2010aged and older women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were collected from ongoing representative, longitudinal and repeated cross\u2010sectional studies in Gothenburg, Sweden. Panoramic radiographs (<jats:styled-content style=\"fixed-case\">PAN<\/jats:styled-content>) have been taken regularly since 1968. The cohorts were systematically selected from the female population at the ages of 38, 50, 62 and 74. Condylar alterations indicative of <jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content> (flattening\/osteophyte\/erosion) were evaluated in a total of 5234 <jats:styled-content style=\"fixed-case\">PAN<\/jats:styled-content>s by one examiner under standardized conditions. Intra\u2010examiner reliability was good. Sensitivity was poor, and specificity was acceptable in relation to computed tomography.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of signs of <jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content> in the <jats:styled-content style=\"fixed-case\">TMJ<\/jats:styled-content> was 18% on panoramic radiographs at the age of 38, gradually increasing with age. At the age of 62, the prevalence was 38%, and it was stable around 45% in the older age groups. The highest incidence rate of <jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content> was between the ages of 55 and 65. Bilateral <jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content> was uncommon. Flattening was the most prominent finding.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The prevalence of signs of <jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content> in the <jats:styled-content style=\"fixed-case\">TMJ<\/jats:styled-content>, including remodeling, evaluated on panoramic radiographs in representative cohorts of women, increases substantially with age. Around one in every five middle\u2010aged women and almost every second woman of older ages can be expected to have some radiographic alteration in the <jats:styled-content style=\"fixed-case\">TMJ<\/jats:styled-content>. The highest proportion with new findings of <jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content> is to be found among older middle\u2010aged women.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.12312","type":"journal-article","created":{"date-parts":[[2017,7,12]],"date-time":"2017-07-12T11:06:40Z","timestamp":1499857600000},"page":"478-484","source":"Crossref","is-referenced-by-count":29,"title":["Occurrence of signs of osteoarthritis\/arthrosis in the temporomandibular joint on panoramic radiographs in Swedish women"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6460-5549","authenticated-orcid":false,"given":"Karin","family":"B\u00e4ck","sequence":"first","affiliation":[{"name":"Department of Behavioral and Community Dentistry Institute of Odontology The Sahlgrenska Academy University of Gothenburg G\u00f6teborg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margareta","family":"Ahlqwist","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Radiology Institute of Odontology The Sahlgrenska Academy University of Gothenburg G\u00f6teborg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magnus","family":"Hakeberg","sequence":"additional","affiliation":[{"name":"Department of Behavioral and Community Dentistry Institute of Odontology The Sahlgrenska Academy University of Gothenburg G\u00f6teborg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Dahlstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Behavioral and Community Dentistry Institute of Odontology The Sahlgrenska Academy University of Gothenburg G\u00f6teborg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,7,12]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Rheumatology","author":"Hochberg MC","year":"2015"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2005.09.007"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/ar2531"},{"key":"e_1_2_6_5_1","first-page":"295","article-title":"Temporomandibular disorders: osteoarthritis","volume":"13","author":"Zarb GA","year":"1999","journal-title":"J Orofac Pain"},{"key":"e_1_2_6_6_1","first-page":"239","article-title":"Association between temporomandibular joint symptoms, signs, and clinical diagnosis using the RDC\/TMD and radiographic findings in temporomandibular joint tomograms","volume":"22","author":"Wiese M","year":"2008","journal-title":"J Orofac Pain"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr\/60489374"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr\/59263880"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(95)90117-5"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1067\/moe.2001.114158"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0030-4220(92)90168-P"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2009.02.023"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr.20140235"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2015.04.008"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr\/24863557"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr.25.4.9084273"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2005.07.039"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr\/31066378"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.3109\/02813439709035031"},{"key":"e_1_2_6_20_1","first-page":"163","article-title":"The gerontological and geriatric population studies in Gothenburg, Sweden.","volume":"26","author":"Steen B","year":"1993","journal-title":"Z Gerontol"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/000163599428904"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/02813430802088403"},{"key":"e_1_2_6_23_1","first-page":"141","article-title":"The Population Study of Women in Gothenburg 1980\u201081\u2013the third phase of a longitudinal study. 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