MRI Findings in Patients with TMJ Click
Introduction: It has been shown that joint click, an initial and common finding in internal derangement (ID), respond to neither conservative treatment nor surgical intervention. This raises the question as to whether it must be treated in the absence of other pertinent signs and symptoms, so the ai...
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Format: | Article |
Language: | English |
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Mashhad University of Medical Sciences
2013-12-01
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Series: | Journal of Dental Materials and Techniques |
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Online Access: | http://jdmt.mums.ac.ir/pdf_2054_a5ef054bfeebbdd58ed27062a53cc5f7.html |
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author | Mahrokh Imanimoghaddam Azam Sadat Madani Elahe Mahmoudi Hashemi |
author_facet | Mahrokh Imanimoghaddam Azam Sadat Madani Elahe Mahmoudi Hashemi |
author_sort | Mahrokh Imanimoghaddam |
collection | DOAJ |
description | Introduction: It has been shown that joint click, an initial and common finding in internal derangement (ID), respond to neither conservative treatment nor surgical intervention. This raises the question as to whether it must be treated in the absence of other pertinent signs and symptoms, so the aim of this study was to investigate and compare the MRI findings of TMJ in both normal subjects and patients with click, in order to determine the importance of click in predicting TMJ pathological changes. Methods: A total of 26 patients with clinical symptoms of disk displacement with reduction (DDwR) according to RDC/TMD were compared to 14 normal subjects in terms of their MRI findings, including disk displacement, effusion, condylar osteoarthritic changes and disk deformities. Results: Out of 80 joints in total (52 affected joints in 26 patients and 28 joints in control group), 48 were shown with normal disk position in MRI whereas 28 (35%) and 4 (5%) were categorised as DDwR and (disk displacement without reduction) DDwoR, respectively. Statistically significant correlations were established between the following pairs of variables in order: Click and disk displacement, effusion and disk displacement, disk displacement and effusion with disk deformity. Conclusion: The correlation between the presence of click and disk displacement, disk deformity and effusion emphasizes the importance of MRI for an accurate diagnosis and development of an appropriate treatment plan in these cases and shows that clinical examination is not sufficient for these purposes. |
first_indexed | 2024-12-10T21:53:46Z |
format | Article |
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institution | Directory Open Access Journal |
issn | 2322-4150 2252-0317 |
language | English |
last_indexed | 2024-12-10T21:53:46Z |
publishDate | 2013-12-01 |
publisher | Mashhad University of Medical Sciences |
record_format | Article |
series | Journal of Dental Materials and Techniques |
spelling | doaj.art-5a70bc863a154717a583cd5e08bbe9f12022-12-22T01:32:07ZengMashhad University of Medical SciencesJournal of Dental Materials and Techniques2322-41502252-03172013-12-013128362054MRI Findings in Patients with TMJ ClickMahrokh Imanimoghaddam0Azam Sadat Madani1Elahe Mahmoudi Hashemi2Oral and Maxillofacial Diseases Research Center, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Prosthodontics, Faculty of Dentistry and Dental Research Center, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Oral and Maxillofacial Radiology, Faculty of Dentistry, North Khorasan University of Medical Sciences, Bojnurd, IranIntroduction: It has been shown that joint click, an initial and common finding in internal derangement (ID), respond to neither conservative treatment nor surgical intervention. This raises the question as to whether it must be treated in the absence of other pertinent signs and symptoms, so the aim of this study was to investigate and compare the MRI findings of TMJ in both normal subjects and patients with click, in order to determine the importance of click in predicting TMJ pathological changes. Methods: A total of 26 patients with clinical symptoms of disk displacement with reduction (DDwR) according to RDC/TMD were compared to 14 normal subjects in terms of their MRI findings, including disk displacement, effusion, condylar osteoarthritic changes and disk deformities. Results: Out of 80 joints in total (52 affected joints in 26 patients and 28 joints in control group), 48 were shown with normal disk position in MRI whereas 28 (35%) and 4 (5%) were categorised as DDwR and (disk displacement without reduction) DDwoR, respectively. Statistically significant correlations were established between the following pairs of variables in order: Click and disk displacement, effusion and disk displacement, disk displacement and effusion with disk deformity. Conclusion: The correlation between the presence of click and disk displacement, disk deformity and effusion emphasizes the importance of MRI for an accurate diagnosis and development of an appropriate treatment plan in these cases and shows that clinical examination is not sufficient for these purposes.http://jdmt.mums.ac.ir/pdf_2054_a5ef054bfeebbdd58ed27062a53cc5f7.htmlDisk displacementMRITemporomandibular joint |
spellingShingle | Mahrokh Imanimoghaddam Azam Sadat Madani Elahe Mahmoudi Hashemi MRI Findings in Patients with TMJ Click Journal of Dental Materials and Techniques Disk displacement MRI Temporomandibular joint |
title | MRI Findings in Patients with TMJ Click |
title_full | MRI Findings in Patients with TMJ Click |
title_fullStr | MRI Findings in Patients with TMJ Click |
title_full_unstemmed | MRI Findings in Patients with TMJ Click |
title_short | MRI Findings in Patients with TMJ Click |
title_sort | mri findings in patients with tmj click |
topic | Disk displacement MRI Temporomandibular joint |
url | http://jdmt.mums.ac.ir/pdf_2054_a5ef054bfeebbdd58ed27062a53cc5f7.html |
work_keys_str_mv | AT mahrokhimanimoghaddam mrifindingsinpatientswithtmjclick AT azamsadatmadani mrifindingsinpatientswithtmjclick AT elahemahmoudihashemi mrifindingsinpatientswithtmjclick |