Document Detail


Temporomandibular joint and 3.0 T pseudodynamic magnetic resonance imaging. Part 2: evaluation of articular disc obscurity.
MedLine Citation:
PMID:  21062942     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: This study examined the relationship between temporomandibular joint (TMJ) dysfunctions and obscurity grades of interpreted anterior and posterior borders of the articular disc (Da and Dp, respectively) by 3.0 T pseudodynamic MRI.
METHODS: Da and Dp were classified into seven obscurity grades, and the Dp contour was classified into three types. The grades, types and TMJ function were compared by 3.0 T pseudodynamic MRI.
RESULTS: Unobscured Da images at condylar positions posterior to the articular eminence were associated with normal TMJ function (P = 0.046 < 0.05). Unobscured Dp images at condylar positions anterior to the articular eminence were associated with normal TMJ function (P = 0.033 < 0.05). In addition, unobscured Dp images following flap insertion were associated with normal TMJ function (P = 0.043 < 0.05). There was no statistical relationship between Dp contour types and TMJ movement, but any change observed in the Dp contour during mouth opening was associated with abnormal TMJ function (P = 0.040 < 0.05).
CONCLUSIONS: Grading of Da and Dp obscurity based on how well the areas were defined in the images, identifying the condylar positions in relation to the glenoid fossa and articular eminences, and observing the changes in Dp contour types were useful for diagnosing TMJ abnormalities.
Authors:
H Iwasaki; H Kubo; M Harada; H Nishitani; Y Ohashi
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Dento maxillo facial radiology     Volume:  39     ISSN:  0250-832X     ISO Abbreviation:  Dentomaxillofac Radiol     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-10     Completed Date:  2011-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7609576     Medline TA:  Dentomaxillofac Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  486-93     Citation Subset:  D    
Affiliation:
Department of Oral and Maxillofacial Radiology, Institute of Health Bioscience (IHBS), The University of Tokushima Graduate School, 18-15 Kuramoto-3-Chome, Tokushima 770-8504, Japan. iwasaki@dent.tokushima-u.as.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Case-Control Studies
Chi-Square Distribution
Female
Humans
Ligaments, Articular / pathology
Magnetic Resonance Imaging / methods*
Male
Mandibular Condyle / pathology*
Range of Motion, Articular
Statistics, Nonparametric
Temporomandibular Joint Disk / pathology*
Temporomandibular Joint Disorders / pathology*,  physiopathology
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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