Interexaminer comparison of bone scintigraphy and panoramic radiography of temporomandibular joints: Correlation with signs and symptoms

Bush, Francis M.; Harrington, Walter G.; Harkins, Stephen W.

doi:10.1016/0022-3913(92)90462-j

Cited by 15 publications

(9 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There was no statistically significant association between radiographic changes in the condylar morphology and clinical signs and symptoms temporomandibular dysfunction, and this was in accordance with a few other studies by Sato et al [13], Hiltunen et al [24], Crow et al [6], Hansson et al [25], Bush et al [26], and Huumonen et al [10]. However this was not in agreement with the results of the studies by Flygare et al [9], Takayama et al [11] where an increased frequency of radiographic morphologic changes in TMJ was noted in patients with pain when compared with patients without symptoms.…”

Section: Discussionsupporting

confidence: 90%

Condylar Changes and Its Association with Age, TMD, and Dentition Status: A Cross-Sectional Study

Mathew

Sholapurkar

Pai

2011

International Journal of Dentistry

View full text Add to dashboard Cite

The present study was undertaken to evaluate the prevalence of radiographic changes in the condylar morphology and its association with age, clinical signs and symptoms of temporomandibular dysfunction and dentition status and also to evaluate the intra examiner and inter examiner reliability in assessing condylar changes using panoramic radiographs. A total of 75 subjects were recruited for the study. They were divided into 3 age groups. 20–40 yrs (Group A), 41–60 yrs (Group B) and 61 yrs and above (Group C). In each age group 25 subjects were evaluated both clinically and radiographically. The prevalence of radiographic changes in condylar morphology and symptoms of temporomandibular dysfunction was 81.3% and 18.6%, respectively. Radiographic abnormalities in the mandibular condylar morphology increased with age. They were seen more frequently in patients with clinical signs and symptoms of temporomandibular dysfunction and in patients with loss of teeth. Intra examiner and inter examiner reliability was high indicating a good reliability in assessing the condylar changes using panoramic radiograph.

show abstract

Section: Discussionsupporting

confidence: 90%

Condylar Changes and Its Association with Age, TMD, and Dentition Status: A Cross-Sectional Study

Mathew

Sholapurkar

Pai

2011

International Journal of Dentistry

View full text Add to dashboard Cite

show abstract

“…This report indicates that bone scans may be useful in the diagnosis of TMJ disease and other conditions affecting bone of the head, as well as altering preliminary clinical diagnoses and preliminary treatment plans. A prior study comparing panoramic radiographs of the TMJ and bone scintigraphy in patients with orofacial pain, documented a low rate of agreement between the imaging modalities (Bush, Harrington and Harkins, 1992). This is not surprising based upon the differences in the imaging techniques.…”

Section: Discussionmentioning

confidence: 99%

The use of bone scintigraphy in temporomandibular joint disorders

Rea

Chahal

2002

Oral Diseases

View full text Add to dashboard Cite

show abstract

“…The results demonstrate that the bone scan uptake rates were higher in the group without structural bone changes. In a study by Bush et al, 22 the results of a bone scan were reported to be in disagreement with panoramic radiography, thus confirming that bone scan procedures are not absolute standards for the assessment of the condylar change of the TMJ. Therefore, bone scans should be applied as supplement indices for early diagnosis of osteoarthritis, not the absolute index for the diagnosis of osteoarthritis, which should be determined in combination with the results of clinical testing, radiological evaluation and CT.…”

mentioning

confidence: 98%

Effectiveness of bone scans in the diagnosis of osteoarthritis of the temporomandibular joint

Kim

Yk²,

Kim³

et al. 2012

Dentomaxillofacial Radiology

View full text Add to dashboard Cite

patients (4 males and 18 females) from Seoul National University Bundang Hospital, Republic of Korea, were diagnosed with TMJ disorder. They were examined by clinical examination, plain radiograph and bone scan and were categorized into three groups: normal, internal derangement and osteoarthritis. TMJ uptake ratios and asymmetrical indices were calculated. Results: There were no significant differences in uptake ratios associated with pain and bone change. However, significant results were obtained when comparing uptake ratios between the osteoarthritis and non-osteoarthritis groups. Conclusion: It was concluded from this study that bone scans may help to diagnose osteoarthritis when increased uptake ratios are observed. Dentomaxillofacial Radiology (2012) 41, 224-229. doi: 10.1259/dmfr/83814366 Keywords: osteoarthritis; temporomandibular joint; bone scan Introduction Osteoarthritis, previously referred to as the degenerative joint disease of the temporomandibular joint (TMJ), is a physical response to increased force on the TMJ and refers to the degenerative state associated with secondary inflammation.1 Osteoarthritis occurs in most people, but is nonetheless more prevalent in females than in males and has been shown to be highly associated with increasing age.2 According to Dworkin and LeResche, 3 criteria for the diagnosis of osteoarthritis include the presence of pain, both subjective and palpatory, and auscultation of crepitus. Radiological characteristics such as structural changes, including erosion of the cortical bone of the condyle or mandibular fossa, sclerosis and flattening of the condyle, and osteophytes could also indicate a diagnosis of osteoarthritis.For the diagnosis of TMJ diseases, useful imaging techniques include plain radiological tests such as panoramic and transcranial radiography, tomography, arthrography, CT and MRI. 4,5 Nuclear medical test methods include bone scan and single photon emission CT (SPECT).1 However, plain radiography has some limitations, including the fact that it cannot evaluate the centre and medial side of the condyle and that a difference in bone mineral content of at least 30-50% is required for the detection of a bone lesion.6,7 Bone scans show positive detectable signals even with the increase in osteoblast activity of approximately 10%, and their sensitivity is very high, making bone scans advantageous for the early diagnosis of lesions. However, the specificity of bone scans is relatively low. 8,9 Standard radiography has several limitations for the evaluation of the bone structure of the TMJ. Nonetheless, after the diagnosis of osteoarthritis based on previous clinical assessment and radiography, if bone scan results are applied as an additional diagnostic tool, an accurate and rapid diagnosis can be made and treatment could be initiated more quickly. In our study, the association of diagnosis based on clinical symptoms and general radiographs with the results of bone scan was examined. 10 In patients with symptoms of joint noise during normal function, m...

show abstract

Interexaminer comparison of bone scintigraphy and panoramic radiography of temporomandibular joints: Correlation with signs and symptoms

Cited by 15 publications

References 9 publications

Condylar Changes and Its Association with Age, TMD, and Dentition Status: A Cross-Sectional Study

Condylar Changes and Its Association with Age, TMD, and Dentition Status: A Cross-Sectional Study

The use of bone scintigraphy in temporomandibular joint disorders

Effectiveness of bone scans in the diagnosis of osteoarthritis of the temporomandibular joint

Contact Info

Product

Resources

About