Relationship between Clinical Symptoms and Magnetic Resonance Imaging in Temporomandibular Disorder (TMD) Patients Utilizing the Piper MRI Diagnostic System

Clinical problems of the temporomandibular joint (TMJ) and the masticatory musculature are both included in the term temporomandibular disorder (TMD). The purpose of the present study was to examine the pathology of the joints of patients diagnosed with TMD utilizing the dedicated Piper MRI-based cl...

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Main Authors: Tor Tegnander, Grzegorz Chladek, Anders Hovland, Jarosław Żmudzki, Piotr Wojtek
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/20/4698
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author Tor Tegnander
Grzegorz Chladek
Anders Hovland
Jarosław Żmudzki
Piotr Wojtek
author_facet Tor Tegnander
Grzegorz Chladek
Anders Hovland
Jarosław Żmudzki
Piotr Wojtek
author_sort Tor Tegnander
collection DOAJ
description Clinical problems of the temporomandibular joint (TMJ) and the masticatory musculature are both included in the term temporomandibular disorder (TMD). The purpose of the present study was to examine the pathology of the joints of patients diagnosed with TMD utilizing the dedicated Piper MRI-based classification, and to link these pathologies with various symptoms while considering their severity. In total, 64 patients with clinical TMD were examined. Symptoms were recorded using a questionnaire. The clinical examination included diagnosing the occlusion in centric relation, which was followed by a standardized MRI. It was confirmed that, although they occurred in a high percentage in all classes, muscle pain and occlusal interference are not indicators of TMJ damage. The results indicate that the progressive degradation of the TMJ, represented by qualification to the higher Piper classes, is associated with an increase in TMJ pain only up to a certain stage. For the highest Piper classes, the joint pain occurs in a smaller percentage of patients, but sounds are more frequent.
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spelling doaj.art-f2fccfb5b5e546ff99b93b674167fc802023-11-22T18:41:47ZengMDPI AGJournal of Clinical Medicine2077-03832021-10-011020469810.3390/jcm10204698Relationship between Clinical Symptoms and Magnetic Resonance Imaging in Temporomandibular Disorder (TMD) Patients Utilizing the Piper MRI Diagnostic SystemTor Tegnander0Grzegorz Chladek1Anders Hovland2Jarosław Żmudzki3Piotr Wojtek4Tor Tegnander Dental Clinic, Tollbugata 10, 8006 Bodø, NorwayDepartment of Engineering Materials and Biomaterials, Faculty of Mechanical Engineering, Silesian University of Technology, Konarskiego 18A Street, 44-100 Gliwice, PolandDivision of Internal Medicine, Nordland Hospital, Parkveien 95, 8092 Bodø, NorwayDepartment of Engineering Materials and Biomaterials, Faculty of Mechanical Engineering, Silesian University of Technology, Konarskiego 18A Street, 44-100 Gliwice, PolandPolish-Norwegian Medical Consultants, ul. Mickiewicza 5, 44-100 Gliwice, PolandClinical problems of the temporomandibular joint (TMJ) and the masticatory musculature are both included in the term temporomandibular disorder (TMD). The purpose of the present study was to examine the pathology of the joints of patients diagnosed with TMD utilizing the dedicated Piper MRI-based classification, and to link these pathologies with various symptoms while considering their severity. In total, 64 patients with clinical TMD were examined. Symptoms were recorded using a questionnaire. The clinical examination included diagnosing the occlusion in centric relation, which was followed by a standardized MRI. It was confirmed that, although they occurred in a high percentage in all classes, muscle pain and occlusal interference are not indicators of TMJ damage. The results indicate that the progressive degradation of the TMJ, represented by qualification to the higher Piper classes, is associated with an increase in TMJ pain only up to a certain stage. For the highest Piper classes, the joint pain occurs in a smaller percentage of patients, but sounds are more frequent.https://www.mdpi.com/2077-0383/10/20/4698temporomandibular jointtemporomandibular disorderssymptomspainPiper MRI diagnostic system
spellingShingle Tor Tegnander
Grzegorz Chladek
Anders Hovland
Jarosław Żmudzki
Piotr Wojtek
Relationship between Clinical Symptoms and Magnetic Resonance Imaging in Temporomandibular Disorder (TMD) Patients Utilizing the Piper MRI Diagnostic System
Journal of Clinical Medicine
temporomandibular joint
temporomandibular disorders
symptoms
pain
Piper MRI diagnostic system
title Relationship between Clinical Symptoms and Magnetic Resonance Imaging in Temporomandibular Disorder (TMD) Patients Utilizing the Piper MRI Diagnostic System
title_full Relationship between Clinical Symptoms and Magnetic Resonance Imaging in Temporomandibular Disorder (TMD) Patients Utilizing the Piper MRI Diagnostic System
title_fullStr Relationship between Clinical Symptoms and Magnetic Resonance Imaging in Temporomandibular Disorder (TMD) Patients Utilizing the Piper MRI Diagnostic System
title_full_unstemmed Relationship between Clinical Symptoms and Magnetic Resonance Imaging in Temporomandibular Disorder (TMD) Patients Utilizing the Piper MRI Diagnostic System
title_short Relationship between Clinical Symptoms and Magnetic Resonance Imaging in Temporomandibular Disorder (TMD) Patients Utilizing the Piper MRI Diagnostic System
title_sort relationship between clinical symptoms and magnetic resonance imaging in temporomandibular disorder tmd patients utilizing the piper mri diagnostic system
topic temporomandibular joint
temporomandibular disorders
symptoms
pain
Piper MRI diagnostic system
url https://www.mdpi.com/2077-0383/10/20/4698
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AT andershovland relationshipbetweenclinicalsymptomsandmagneticresonanceimagingintemporomandibulardisordertmdpatientsutilizingthepipermridiagnosticsystem
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