The value of MRI in patients with temporomandibular joint dysfunction: Correlation of MRI and clinical findings

Vogl, Thomas J.; Lauer, Hans–Christoph; Lehnert, Thomas; Naguib, N; Ottl, Peter; Filmann, Natalie; Soekamto, Howard; Nour-Eldin, Nour-Eldin A.

doi:10.1016/j.ejrad.2016.02.001

Cited by 76 publications

(48 citation statements)

References 23 publications

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“…Despite the limitations, plain radiographs of the temporomandibular joint, such as high level orthopantomograms and transcranial projections, are useful as baseline investigations for detection of any gross pathological, degenerative or traumatic changes in the mandibular condyle. In recent years, magnetic resonance imaging has increasingly been used in the investigation of the status of the articular disc to determine if there is internal derangement of the temporomandibular joint . Cone‐beam CT‐scans are becoming more cost effective and accessible to many Dental Practitioners and are extremely useful in showing high resolution, multiplanar images of the condylar head that clearly shows the presence of condylar pathology such as osteoarthrosis …”

Section: Investigationsmentioning

confidence: 99%

“…Clinicians must be careful to differentiate between failed TMD cases that require chronic pain management and those that would benefit from a surgical opinion . Clinical features of intolerable joint specific pain and joint dysfunction, backed up by radiologically confirmed joint pathology are essentially the key criteria for TMJ surgical intervention …”

Section: Treatment Of Temporomandibular Disorders (Table )mentioning

confidence: 99%

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Management of temporomandibular joint disorders: A surgeon's perspective

Dimitroulis

2018

Australian Dental Journal

101

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Disorders of the Temporomandibular joint (TMJ) may clinically present with jaw pain and restricted mouth opening that may limit a patient's access to comprehensive dental care. The aim of this article is to provide a general overview of the current treatment strategies available in the management of disorders of the TMJ. Both conservative and surgical treatment options will be discussed as there is no one treatment for temporomandibular disorders (TMD) which encompasses a wide range of diagnoses. A multidisciplinary team approach to management is essential in the fundamental care of all TMD patients so that treatment can be specifically tailored to individual patient needs.

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Section: Investigationsmentioning

confidence: 99%

Section: Treatment Of Temporomandibular Disorders (Table )mentioning

confidence: 99%

Management of temporomandibular joint disorders: A surgeon's perspective

Dimitroulis

2018

Australian Dental Journal

101

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“…The advantage of MRI is the ability to assess soft tissue structures, articular disc displacement and the presence of joint effusion with a high degree of specificity and sensitivity. 13 Given the high cost of MRI, it is predominantly used in the setting of severe, treatment-resistant TMD, as well as for pre-operative planning purposes; however, the need for medical imaging is becoming less important as surgical options for treatment diminish.…”

Section: Diagnostic Imagingmentioning

confidence: 99%

Temporomandibular dysfunction

Lomas¹,

Gurgenci²,

Jackson³

et al. 2018

Aust J Gen Pract

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“…[11,12] In the Department of Oral Surgery of the Ninth People's Hospital, Shanghai Jiao Tong University, School of Medicine, MRI is a routine examination for the patients with TMJ diseases. [4,10] …”

Section: Introductionmentioning

confidence: 99%

Does condylar height decrease more in temporomandibular joint nonreducing disc displacement than reducing disc displacement?

Chen²,

Cai³

et al. 2016

Medicine

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The aim of the study was to compare condylar height changes of anterior disc displacement with reduction (ADDwR) and anterior disc displacement without reduction (ADDwoR) in temporomandibular joint (TMJ) quantitatively, to get a better understanding of the changes in condylar height of patients with anterior disc displacement who had received no treatment, and to provide useful information for treatment protocol. This longitudinal retrospective study enrolled 206 joints in 156 patients, which were divided into ADDWR group and ADDwoR group based on magnetic resonance imaging examination. The joints were assessed quantitatively for condylar height at initial and follow-up visits. Also, both groups were further divided into 3 subgroups according to age: <15 years group, 15 to 21 years group, and 22 to 35 years group. Paired t test and independent t test were used to assess intra- and intergroup differences. The average age of the ADDwR group was 19.65 years with a mean of 9.47 months’ follow-up. The follow-up interval of the patients with ADDwoR was 7.96 months, with a mean age of 18.51 years. Condylar height in ADDwoR tended to decrease more than those in ADDwR, especially during the pubertal growth spurt and with the presence of osteoarthrosis, meaning ADDwoR could cause a severe disturbance in mandibular development. Thus, an early disc repositioning was suggested to avoid decrease in condylar height.

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The value of MRI in patients with temporomandibular joint dysfunction: Correlation of MRI and clinical findings

Cited by 76 publications

References 23 publications

Management of temporomandibular joint disorders: A surgeon's perspective

Management of temporomandibular joint disorders: A surgeon's perspective

Temporomandibular dysfunction

Does condylar height decrease more in temporomandibular joint nonreducing disc displacement than reducing disc displacement?

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