Temporomandibular joint assessment in patients with articular disc displacement by way of computed tomography - radiological parameters of shape, size and location of mandibular heads

• Authors: Anna Szabelska , Katarzyna Sarna-Bos , Grzegorz Staskiewicz , Janusz Borowicz , Anna Szabelska , Katarzyna Sarna-Bos , Grzegorz Staskiewicz , Janusz Borowicz
• Languages of publication: EN

Abstracts

EN

Conventional and modern methods of radiological imaging are often used in the diagnosis of temporomandibular joint disorders, and the CT technique is particularly characterized by an excellent visualization of bony structures. The aim of the study was to show the importance and role of CT in the evaluation of TMJ bone structures in both patients with articular disc displacement and in a group of healthy subjects. Both study groups were assessed with the use of the transverse plane. Herein, multi-slice spiral computed tomography was performed in 47 subjects. These individuals were qualified for CT by way of magnetic resonance imaging, due to their being diagnosed with a displacement of their temporomandibular joint disc. The product of our study is presented as a set of tables. These are comparisons of radiological parameters based on the shape, size and location of the mandibular head, in the examined patients, in a control group, and with regard to sex. The results of our work indicate that CT can be successfully used in the imaging of TMJ bone structures, specifically, the condylar process of the mandibular head and the joint socket. However, statistically significant differences of the utilized parameters between patients with articular disc displacement and controls, warrant further analysis of this issue.

Keywords

EN

multi-slice computed tomography; temporomandibular joint; functional disorders

• Publisher: De Gruyter Open
• Journal: Current Issues in Pharmacy and Medical Sciences
• Year: 2015
• Volume: 28
• Issue: 3
• Pages: 208-211

Dates

published

1 - 9 - 2015

accepted

1 - 6 - 2015

received

22 - 7 - 2015

online

26 - 11 - 2015

Contributors

author

Anna Szabelska

• Department of Prosthetic Dentistry, Medical University of Lublin, Karmelicka 7 Lublin 20-081, Poland

author

Katarzyna Sarna-Bos

• Department of Prosthetic Dentistry, Medical University of Lublin, Karmelicka 7 Lublin 20-081, Poland

author

Grzegorz Staskiewicz

• Department of Human Anatomy, Medical University of Lublin, K. Jaczewskiego 4, Lublin 20-090, Poland

author

Janusz Borowicz

• Department of Prosthetic Dentistry, Medical University of Lublin, Karmelicka 7 Lublin 20-081, Poland

author

Anna Szabelska

• Department of Prosthetic Dentistry, Medical University of Lublin, Karmelicka 7 Lublin 20-081, Poland

author

Katarzyna Sarna-Bos

• Department of Prosthetic Dentistry, Medical University of Lublin, Karmelicka 7 Lublin 20-081, Poland

author

Grzegorz Staskiewicz

• Department of Human Anatomy, Medical University of Lublin, K. Jaczewskiego 4, Lublin 20-090, Poland

author

Janusz Borowicz

• Department of Prosthetic Dentistry, Medical University of Lublin, Karmelicka 7 Lublin 20-081, Poland

References

• 1. Berteretche MV. et al: Histologic changes associated with experimental partial anterior disc displacement in the rabbit. J. Orofac. Pain., 15, 306, 2001.
• 2. Gruber HE., Gregg J.: Subchondral bone resorption in temporomandibular joint disorders. Cells Tissues Organs,. 174, 17, 2003.
• 3. Kleinrok M., et al: Dotylne przemieszczenie krążka stawowego stawu skroniowo-żuchwowego. Protet. Stomatol., 52, 17, 2002.
• 4. Kleinrok M., Węgłowska A., Janczarek M.: Obustronne przyśrodkowe przemieszczenie krążków stawowych stawów skroniowo-żuchwowych. Protet. Stomatol., 52, 76, 2002.
• 5. Kurita H. et al: Relationship beetwen temporomandibular joint (TMJ)-related pain and morfological changes of the TMJ condyle in patients with temporomandibular disorders. Dentomaxillofac. Radiol. Sep., 33, 329, 2004.
• 6. Lemke AJ. et al: Morphometric analysis of the temporomandibular joint with MRI in 320 joints. RoFo., 177, 217, 2005.
• 7. Major P.W. et al.: Tomographic assessment of temporomandibular joint osseous articular surface contour and spatial relationships associated with disc displacement and disc length. Am. J. Orthod. Dentofacial Orthop., 121, 152, 2002.
• 8. Martinez Blanco M. et al: Osteoarthrosis of the temporomandibular joint. A clinical and radiological study of 16 patients. Med. Oral., 9, 110, 2004.
• 9. Ogutcen-Toller M., Taskaya-Yilmaz N., Yilmaz F.: The evaluation of temporomandibular joint disc position in TMJ disorders using MRI. Int. J. Oral Maxillofac. Surg., 31, 603, 2002.
• 10. Pasler FA (1993) Color atlas of Dental Medicine: Radiology. Thieme, p. 140.
• 11. Pullinger AG., et al: Multifactorial comparison of disk displacement with and without reduction to normals according to temporomandibular joint hard tissue anatomic relationships. J. Prosthet. Dent., 87, 298, 2002.
• 12. Schmitter M., Kress B., Rammelsberg P.: Temporomandibular joint pathosis in patients with myofascial pain: a comperative analysis of magnetic resonance imaging and a clinical examination based on a specific set of criteria. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod., 97, 318, 2004.
• 13. Vitral Willer Farinazzo R., et al: Computed tomography evaluation of temporomandibular joint alterations in patients with Class II Division 1 Subdivision malocclusions: Condyle- fossa relationship. Am. J. Orthod. Dentofacial Orthop., 126, 48, 2002.
• 14. Whaites E. (1994). Podstawy radiodiagnostyki stomatologicznej. Sanmedica, p. 305.

Identifiers

DOI

10.1515/cipms-2015-0074