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

Petersson, Arne

doi:10.1111/j.1365-2842.2010.02108.x

Cited by 148 publications

(108 citation statements)

References 39 publications

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“…7 The assessment of reliability, validity, risk, cost and usefulness of a diagnostic procedure is an essential part of the treatment plan for patients with TMD and therefore a good quality radiographs are required to make a proper diagnosis and to know the extent of damage to the soft and hard structures. Today with all the advances in the existing techniques and the research work for newer techniques, it had been made possible to clearly visualize the hard and soft tissues of Temporomandibular joint and to modify our treatment plan accordingly.…”

Section: Resultsmentioning

confidence: 99%

Insights of TMJ through advanced imaging

Gaba

Goswami

Arora

et al. 2015

Int Jour of Biomed Res

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Temporomandibular disorders (TMD) are clinical manifestations of disorders causing pain and dysfunction in the Temporomandibular Joints (TMJs) and masticatory muscles. TMJ abnormalities cannot be reliably assessed by a clinical examination.Radiographic examination forms an integral component for the routine assessment in patients with temporomandibular joint disorders. Latest imaging modality is making life easy for those clinicians who must evaluate the hard and the soft tissue of the temporomandibular joint complex in patients with TMD's. Conventional radiographic TMJ projections like transpharyngeal, transcranial, panoramic radiograph, conventional tomographic sections of TMJ may be adequate in number of clinical situations but there are bony alterations that occur in these disorders like erosions, osteophytes, pneumatisation of articular eminence that are difficult to be detected in the conventional radiographs due to overlapping of anatomical structures. So the advanced imaging techniques such as MRI, Ultrasonography, CBCT are required for the understanding of diseases of Temporomandibular Joint. This paper aims to cover all the latest imaging modalities that can be helpful in the diagnosis of Temporomandibular Joint Disorders.

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Section: Resultsmentioning

confidence: 99%

Insights of TMJ through advanced imaging

Gaba

Goswami

Arora

et al. 2015

Int Jour of Biomed Res

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“…In fact, one of the two items related to this topic elicited no agreement among the experts (Table 5). The studies regarding the utility of panoramic radiographs for diagnosis or screening of TMD are mixed (48)(49)(50), and the lack of agreement among the respondents reflects these mixed findings.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and Beliefs Regarding TMD: Has Anything Changed After 20 Years?

et al. 2016

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Background: Due to the variety of factors involved in TMDs it is not surprising to see a wide range of treatment modalities being suggested for TMD patients. However, one determinant of treatment for TMD that is often overlooked is the practitioner's knowledge and beliefs about the syndrome itself. Objectives: To evaluate changes in experts' knowledge and beliefs regarding Temporomandibular Disorders (TMD) since the administration of the first such survey by Le Resche, Truelove and Dworkin in 1993. Patients and Methods: A survey invitation was emailed to 62 dentists and 19 psychologists, all determined to be experts in the orofacial pain/TMD field. All dentists selected to be part of this survey were members of the American Academy of Orofacial Pain. Psychologists were selected based on their publications in this field. The Le Resche et al. questionnaire was used with the following adaptations: four new statements were inserted; one statement was removed; and a 6-point Likert agreement scale for each statement was used instead of the original 11-point scale. Reminder emails were sent at one week and one month to maximize the response rate. Changes in responses to each item from the original survey were assessed using z-test. Results: Thirty-four dentists but only three psychologists responded to the survey. Therefore only responses from dentists were used in the analysis. Overall there was a high level of agreement between the original sample and the current sample. Of the 34 original items there was very clear consensus on 24. There was consensus on two new items in the survey on the need for a tomogram and splint therapy. Conclusions: Twenty years after the original survey, the knowledge and beliefs regarding TMDs among experts in this field have not changed significantly.

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“…On the other hand, Tominaga et al (2007) pointed to the changes in disc position with partial displacement occurring in the period of children's growth and development. This stresses the need for thorough analysis of TMJ on three representative layers in an oblique sagittal line in order to avoid doubts about the usefulness of MRI findings (Bumann & Lotzmann, 2002), which still poses a problem of how to interpret the disc image with respect to its physiological position or anterior displacement (Petersson, 2010). Jensen & Ruf (2007) followed subclinical and clinical symptoms of TMD which were detected and managed by MFA in a group of students.…”

Section: Epidemiology Of Tmd and The Use Of Mrimentioning

confidence: 99%