Diagnostic accuracy of magnetic resonance imaging and clinical signs of temporomandibular joint disorders: a 10-year research update review

Orhan, Kaan; Seki, Umut; Różyło‐Kalinowska, Ingrid

doi:10.1007/s11282-017-0278-8

Cited by 10 publications

(9 citation statements)

References 55 publications

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“…Osteoarthritis of the TMJ is a disease that typically occurs after the articular disc is displaced and bone contact is established between the condyle and the glenoid fossa. Although there are several reports in the literature, the relationship between osteoarthritis and internal derangement of the TMJ is not yet fully understood ( 7 , 27 ) .…”

Section: Discussionmentioning

confidence: 99%

“…It has been suggested that progression of disc displacement leads to degenerative changes in the disc itself and in the articular surfaces ( 1 , 5 - 7 ) , such changes presenting as radiological signs of osteoarthritis. Some authors have suggested that the anatomy of the eminence may predispose to disc displacement, whereas others have proposed that, conversely, disc displacement may lead to changes in the shape of the eminence ( 1 , 6 , 8 , 9 ) .…”

Section: Introductionmentioning

confidence: 99%

“…Magnetic resonance imaging (MRI), considered the gold standard for the diagnosis of head and neck abnormalities ( 12 - 16 ) , particularly TMJ changes, provides excellent contrast in soft tissues, without radiation exposure or surgical invasion, and is widely used to assess the configuration and position of the articular disc, as well as bone changes and effusion ( 1 , 5 , 7 , 9 , 10 , 17 , 18 ) . Pain in and dysfunction of the TMJ are common clinical problems and, according to some studies, affect up to 28% of the population ( 19 ) .…”

Section: Introductionmentioning

confidence: 99%

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Changes in temporomandibular joint anatomy, changes in condylar translation, and their relationship with disc displacement: magnetic resonance imaging study

Bedran

Santos

2019

Radiol Bras

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Objective: To assess changes in the articular surfaces of the temporomandibular joint (TMJ) and in condylar translation, as detected by magnetic resonance imaging (MRI), determining whether such changes correlate with disc displacement. Materials and Methods: We retrospectively analyzed the MRI scans of 2076 TMJs of 1038 patients with symptoms of temporomandibular disorder. We attempted to determine whether articular disc deformity and changes in condylar translation, as well as changes in the articular surfaces of the condyle, glenoid fossa, and articular eminence, correlated with disc displacement. Results: Disc displacement with reduction was associated with changes in the shape of the articular eminence. Disc displacement without reduction was most strongly associated with disc deformity, condylar degeneration, glenoid fossa degeneration, and effusion. Neither decreases nor increases in condylar translation were associated with disc deformity, degenerative bone changes, or disc displacement. Conclusion: Changes in the shape of the articular eminence seem to predispose to progression of internal derangement of the TMJ.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Changes in temporomandibular joint anatomy, changes in condylar translation, and their relationship with disc displacement: magnetic resonance imaging study

Bedran

Santos

2019

Radiol Bras

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“…In the available literature, there is a lack of correlation between TMJ disc position in MRI and clinical symptoms [ 20 , 21 ]. The compatibility of clinical diagnoses of TMJ disc displacement and diagnoses based on the MRI, according to different authors, depending on the type of displacement, ranges from 44 to 90% [ 5 , 6 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

The importance of multisection sagittal and coronal magnetic resonance imaging evaluation in the assessment of temporomandibular joint disc position

2020

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Objectives The aim of this study was to evaluate diagnoses of temporomandibular (TMJ) disc displacement by comparing evaluations done on the basis of central sagittal scans only, the most often used in temporomandibular disorder (TMD) patients, with a multisection evaluation done with both sagittal and coronal scans. Materials and methods Multisection MRI analysis of 382 TMJs was conducted in 191 patients with disc displacement according to RDC/TMD criteria. Disc position in the intercuspal position (IP) was assessed two times using two different methods. The first method involved a TMJ disc position evaluation on the central slide in the oblique sagittal plane only. In the second method, the TMJ disc position was assessed on all oblique sagittal and coronal images. McNemar’s χ2 test was used to evaluate the differences between the sensitivities of two methods. Results The first method (central oblique sagittal scans assessment) identified 148 TMJs (38.7%) with normal disc position compared with 89 TMJs (23.3%) with normal disc position found by the second method (all oblique sagittal and coronal scans assessment). The sensitivity of analysis in both planes was significantly higher than in the sagittal plane only (p < 0.001). Conclusions The multisection analysis in the sagittal and coronal plane allows to distinguish the correct disc position from disc displacement and thus improve evaluation of TMJ internal derangement. Clinical relevance The multisection sagittal and coronal images should be recommended as a standard in MRI of the TMJ disc displacement in patients with TMD to avoid false-negative diagnoses.

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“…In the literature, there are many studies on the anatomy, histology, and biomechanics of the TMJ. However, there are only a few studies in the literature describing the morphometry of the joint in an anatomically normal population [7].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the anatomical measurements of the temporomandibular joint by cone-beam computed tomography

et al. 2015

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Diagnostic accuracy of magnetic resonance imaging and clinical signs of temporomandibular joint disorders: a 10-year research update review

Cited by 10 publications

References 55 publications

Changes in temporomandibular joint anatomy, changes in condylar translation, and their relationship with disc displacement: magnetic resonance imaging study

Changes in temporomandibular joint anatomy, changes in condylar translation, and their relationship with disc displacement: magnetic resonance imaging study

The importance of multisection sagittal and coronal magnetic resonance imaging evaluation in the assessment of temporomandibular joint disc position

Evaluation of the anatomical measurements of the temporomandibular joint by cone-beam computed tomography

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