Usefulness of tomography in the evaluation of patients with temporomandibular disorders

Callender, Karla I.; Brooks, Sharon L.

doi:10.1016/s1079-2104(96)80078-3

Cited by 17 publications

(3 citation statements)

References 53 publications

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“…In relation to other diagnostic modalities, CBCT had a major positive impact on changing endodontic diagnoses (Wittenberg et al . , Callender & Brooks ). The strict selection of patients is most likely the single most important factor explaining the high proportion of diagnostic changes.…”

Section: Discussionmentioning

confidence: 98%

The impact of cone beam computed tomography on the choice of endodontic diagnosis

2014

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Aim To determine whether the outcome of cone beam computed tomography (CBCT) examinations performed in accordance with the European Commission guidelines in a clinical setting has an impact on choosing diagnoses in endodontics. Methodology A prospective observational study was conducted. Fifty-three consecutive patients (81 teeth) from two different endodontic specialist clinics in Sweden were followed. After performing a thorough clinical examination (based on the history, clinical findings, and diagnostic tests such as intra-oral radiography), the examiner wrote down a preliminary diagnosis before CBCT examination. After the CBCT examination, a new diagnosis was made by the same examiner. Both the pre-and the post-CBCT examination diagnoses were plotted according to patients and teeth. The CBCT examinations were performed using similar equipment and protocols that were standardized amongst the clinics. Results The diagnoses were changed for at least one tooth in 22 patients (41%); overall, the diagnoses were changed for 28 teeth (35%). Conclusion CBCT has a substantial impact on diagnostic thinking in endodontics when used in accordance with the European Commission guidelines.

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Section: Discussionmentioning

confidence: 98%

The impact of cone beam computed tomography on the choice of endodontic diagnosis

2014

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“…15 The prevalence of osteoarthritis in the TMJ of dogs in the present study was similar to that for human patients. 23 Moreover, CT findings for human patients with osteoarthritis of the TMJ suggest that affected patients have a high rate of bony changes (condylar process involvement, 61%; temporal bone involvement, 47%), 23 although the etiology of osteoarthritis in human patients likely differs from that in dogs because osteoarthritis of the TMJ in human patients is commonly associated with TMJ disk displacement (ie, internal derangement). 12,24 Also, in human patients, osteoarthritis of the TMJ develops more frequently in women, 12,22 whereas in the present study, we did not find an association between sex and the presence of osteoarthritis in the TMJ.…”

Section: Discussionmentioning

confidence: 99%

Computed tomographic findings in dogs and cats with temporomandibular joint disorders: 58 cases (2006–2011)

Arzi

Cissell²,

Verstraete

et al. 2013

javma

133

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Objective To describe CT findings in dogs and cats with temporomandibular joint (TMJ) disorders. Design Retrospective case-series. Animals 41 dogs and 17 cats. Procedures Medical records and CT images of the skull were reviewed for dogs and cats that were examined at a dentistry and oral surgery specialty practice between 2006 and 2011. Results Of 142 dogs and 42 cats evaluated, 41 dogs and 17 cats had CT findings consistent with a TMJ disorder. In dogs, the most common TMJ disorder was osteoarthritis; however, in most cases, there were other TMJ disorders present in addition to osteoarthritis. Osteoarthritis was more frequently identified at the medial aspect rather than the lateral aspect of the TMJ, whereas the frequency of osteoarthritic involvement of the dorsal and ventral compartments did not differ significantly. In cats, fractures were the most common TMJ disorder, followed by osteoarthritis. Clinical signs were observed in all dogs and cats with TMJ fractures, dysplasia, ankylosis, luxation, and tumors; however, only 4 of 15 dogs and 2 of 4 cats with osteoarthritis alone had clinical signs. Conclusions and Clinical Relevance Results indicated that TMJ disorders are frequently present in combination. Osteoarthritis was the most common TMJ disorder in dogs and the second most common TMJ disorder in cats. Computed tomography should be considered as a tool for the diagnosis of TMJ disorders in dogs and cats with suspected orofacial disorders and pain.

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“…In general, few reports relate management and therapeutic outcome with radiographic findings. Some studies found that conventional tomography seemed to have a minor impact on management of TMD patients (41, 42), but the radiological findings could not predict treatment outcome (43). Another study, however, indicated that tomography may play a valuable role in influencing clinician’s diagnosis and treatment plan of patients with TMJ disorders (44).…”

Section: Therapeutic Efficacy and Patient Outcome Efficacymentioning

confidence: 99%

What you can and cannot see in TMJ imaging - an overview related to the RDC/TMD diagnostic system

Petersson

2010

Journal of Oral Rehabilitation

146

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In the current version (I) of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD), imaging of the temporomandibular joint (TMJ) is not required for a diagnosis. Research has shown that radiological findings of the TMJ do not always support the clinical findings of the RDC/TMD diagnosis. But imaging should only be performed when it is known that it could contribute to (i) a proper diagnosis and (ii) treatment with a better prognosis. Several techniques are used to image the TMJ: panoramic radiography, plain radiography, conventional and computed tomography (CT), digital volume tomography or cone-beam computed tomography (CBCT), arthrography and magnetic resonance imaging (MRI). Osseous changes are best visualized in tomography, and the newly developed CBCT is a promising method but must be evaluated in a comparative analysis with other tomographic techniques. And although MRI is the method of choice for imaging the disc, a systematic review found the evidence grade for the diagnostic efficacy of MRI to be insufficient. Today, there is no clear evidence for when TMD patients should be examined with imaging methods. Future research designs should be randomized controlled trials where various radiological examination findings are analysed in relation to therapeutic outcome. In future versions of the RDC/TMD diagnostic system, recommended radiographic techniques must be evaluated and defined, diagnostic criteria well defined and observers calibrated.

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Usefulness of tomography in the evaluation of patients with temporomandibular disorders

Cited by 17 publications

References 53 publications

The impact of cone beam computed tomography on the choice of endodontic diagnosis

The impact of cone beam computed tomography on the choice of endodontic diagnosis

Computed tomographic findings in dogs and cats with temporomandibular joint disorders: 58 cases (2006–2011)

What you can and cannot see in TMJ imaging - an overview related to the RDC/TMD diagnostic system

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