Kinesiographic recordings of jaw movements are not accurate to detect magnetic resonance-diagnosed temporomandibular joint (TMJ) effusion and disk displacement: findings from a validation study.
نویسندگان
چکیده
OBJECTIVE The aim of this study was to perform a validation study assessing the correlation between magnetic resonance (MR) findings of temporomandibular joint (TMJ) disk displacement and effusion and some parameters drawn from kinesiographic (KG) recordings of jaw motion, i.e., deflection, deviations, incisures. STUDY DESIGN Thirty-one patients with TMJ disorders underwent a kinesiographic recording in the same day in which the MR was performed. Regression analysis was performed to assess the correlation between the MR and KG findings. RESULTS MR findings were not correlated with KG parameters (P > .05). The accuracy of all KG variables for diagnosing MR-detected signs was low. KG deflection ranged from 38.7% to 54.8%, KG deviation from 42% to 54.8%, and KG incisures from 9.6% to 71%. Specificity and positive predictive values were far from acceptable levels for all KG variables. CONCLUSIONS The findings do not support the usefulness of jaw-tracking devices in dental practices that diagnose and manage temporomandibular disorders.
منابع مشابه
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 aim of this study was to investigate and compare the MRI findings of TMJ in both normal subjects an...
متن کاملAccuracy Rate of Clinical Diagnosis of Disc Displacement without Reduction in Temporomandibular Joint Using MRI
Introduction: Internal derangement (ID) of TMJ is the most common type of temporomandibular disorders after muscle disorders and includes all disorders related to incoordination and dislocation of disc and condyle. Anterior disc displacement without reduction or closed lock will happen if the disc or condyle displaces severely or if the disc traps in the space in front of the condyle accompanie...
متن کاملAssociation between magnetic resonance signs of temporomandibular joint effusion and disk displacement.
OBJECTIVE The aim of the present study was to evaluate the association between temporomandibular joint (TMJ) effusion and disk displacement by means of magnetic resonance (MR) imaging. METHODS One hundred and ninety-four patients were included in the study and underwent a bilateral MR of the TMJ at both closed mouth and maximum mouth opening positions. The association between TMJ effusion and...
متن کاملRisk of temporomandibular joint effusion related to magnetic resonance imaging signs of disc displacement.
BACKGROUND It has been suggested that TMJ effusion may represent an inflammatory response to a dysfunctional disc-condyle relationship. The purpose of the present study was to evaluate whether the status of the disc in the temporomandibular joint, as depicted in magnetic resonance (MR) images, is predictive of the presence of temporomandibular joint (TMJ) effusion. METHODS The relationship be...
متن کاملAccuracy of Computerized Axiography Controlled by MRI in Detecting Internal Derangements of the TMJ
Objectives: To evaluate the diagnostic accuracy of 3-D computed axiography to detect anterior disk displacements (ADD) of the temporomandibular joint (TMJ). Methods: 564 joints with no disk displacement (NDD), 114 joints with reducible displaced disk (RDD) and 36 joints with permanently displaced disk (PDD) confirmed on magnetic resonance imaging (MRI) were examined by 3-D computerized axiograp...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Oral surgery, oral medicine, oral pathology and oral radiology
دوره 114 4 شماره
صفحات -
تاریخ انتشار 2012