Cranio : the journal of craniomandibular practice · 2014
MRI assessment of temporomandibular disorders: an approach to diagnostic and therapeutic setting.
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Summa S, Ursini R, Manicone P F, Molinari F, Deli R
Аннотация
AIMS: The aim of this study was to evaluate the relationship between the clinical and the radiological data obtained by magnetic resonance imaging (MRI) in patients with temporomandibular disorder (TMD).
METHODOLOGY: The study group included 17 patients with symptoms of TMDs. The radiological assessments before and after therapy was evaluated by MRI; in the clinical analysis, signs and associated symptoms have been assessed.
RESULTS: With MRI before therapy, we were able to distinguish the specific type of TMD that each patient had. At the end of the treatment, a general improvement of the clinical status was noticed; MRI, however, showed the permanence of several degrees of condyle-disc incoordination in some patients.
CONCLUSIONS: Certainly TMDs can be diagnosed without MRI; nevertheless, MRI gives us the possibility to obtain objective data of the patients concerned. Symptoms recorded during a clinical evaluation cannot be the only terms of diagnosis; MRI provides objective data in the diagnostic and post-therapy phases.
METHODOLOGY: The study group included 17 patients with symptoms of TMDs. The radiological assessments before and after therapy was evaluated by MRI; in the clinical analysis, signs and associated symptoms have been assessed.
RESULTS: With MRI before therapy, we were able to distinguish the specific type of TMD that each patient had. At the end of the treatment, a general improvement of the clinical status was noticed; MRI, however, showed the permanence of several degrees of condyle-disc incoordination in some patients.
CONCLUSIONS: Certainly TMDs can be diagnosed without MRI; nevertheless, MRI gives us the possibility to obtain objective data of the patients concerned. Symptoms recorded during a clinical evaluation cannot be the only terms of diagnosis; MRI provides objective data in the diagnostic and post-therapy phases.
Предметные рубрики MeSH
AdolescentAdultArthralgiaFemaleHumansImage Processing, Computer-AssistedJoint DislocationsMagnetic Resonance ImagingMaleMandibular CondyleMasseter MuscleMiddle AgedMyalgiaOcclusal SplintsOrthodontics, CorrectiveOrthognathic Surgical ProceduresRange of Motion, ArticularSoundTemporal BoneTemporal MuscleTemporomandibular Joint DiscTemporomandibular Joint DisordersYoung Adult