Browse > Article
http://dx.doi.org/10.5624/isd.2013.43.4.245

Relationship between anterior disc displacement with/without reduction and effusion in temporomandibular disorder patients using magnetic resonance imaging  

Koh, Kwang-Joon (Department of Oral and Maxillofacial Radiology, School of Dentistry and Institute of Oral Bioscience, Chonbuk National University)
Park, Ha-Na (Department of Oral and Maxillofacial Radiology, School of Dentistry and Institute of Oral Bioscience, Chonbuk National University)
Kim, Kyoung-A (Department of Oral and Maxillofacial Radiology, School of Dentistry and Institute of Oral Bioscience, Chonbuk National University)
Publication Information
Imaging Science in Dentistry / v.43, no.4, 2013 , pp. 245-251 More about this Journal
Abstract
Purpose: This study was performed to evaluate the relationship between anterior disc displacement and effusion in temporomandibular disorder (TMD) patients using magnetic resonance imaging (MRI). Materials and Methods: The study subjects included 253 TMD patients. MRI examinations were performed using a 1.5 T MRI scanner. T1- and T2-weighted images with para-sagittal and para-coronal images were obtained. According to the MRI findings, temporomandibular joint (TMJ) disc positions were divided into 3 subgroups: normal, anterior disc displacement with reduction (DWR), and anterior disc displacement without reduction (DWOR). The cases of effusion were divided into 4 groups: normal, mild (E1), moderate (E2), and marked effusion (E3). Statistical analysis was made by the Fisher's exact test using SPSS (version 12.0, SPSS Inc., Chicago, IL, USA). Results: The subjects consisted of 62 males and 191 females with a mean age of 28.5 years. Of the 253 patients, T1- and T2-weighted images revealed 34 (13.4%) normal, DWR in 103 (40.7%), and DWOR in 116 (45.9%) on the right side and 37 (14.6%) normal, DWR in 94 (37.2%), and DWOR in 122 (48.2%) joints on the left side. Also, T2-images revealed 82 (32.4%) normal, 78 (30.8%) E1, 51 (20.2%) E2, and 42 (16.6%) E3 joints on the right side and 79 (31.2%) normal, 85 (33.6%) E1, 57 (22.5%) E2, and 32 (12.7%) E3 on the left side. There was no difference between the right and left side. Conclusion: Anterior disc displacement was not related to the MRI findings of effusion in TMD patients (P>0.05).
Keywords
Disc Displacement; Effusion; Temporomandibular Joint; Magnetic Resonance Imaging;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Usumez S, Oz F, Guray E. Comparison of clinical and magnetic resonance imaging diagnoses in patients with TMD history. J Oral Rehabil 2004; 31: 52-6.   DOI   ScienceOn
2 Tasaki MM, Westesson PL, Isberg AM, Ren YF, Tallents RH. Classification and prevalence of temporomandibular joint disk displacement in patients and symptom-free volunteers. Am J Orthod Dentofacial Orthop 1996; 109: 249-62.   DOI   ScienceOn
3 Larheim TA, Westesson P, Sano T. Temporomandibular joint disk displacement: comparison in asymptomatic volunteers and patients. Radiology 2001; 218: 428-32.   DOI   ScienceOn
4 Taskaya-Yilmaz N, Ogutcen-Toller M. Magnetic resonance imaging evaluation of temporomandibular joint disc deformities in relation to type of disc displacement. J Oral Maxillofac Surg 2001; 59: 860-6.   DOI   ScienceOn
5 Westesson PL, Bronstein SL, Liedberg J. Internal derangement of the temporomandibular joint: morphologic description with correlation to joint function. Oral Surg Oral Med Oral Pathol 1985; 59: 323-31.   DOI   ScienceOn
6 Larheim TA, Katzberg RW, Westesson PL, Tallents RH, Moss ME. MR evidence of temporomandibular joint fluid and condyle marrow alterations: occurrence in asymptomatic volunteers and symptomatic patients. Int J Oral Maxillofac Surg 2001; 30: 113-7.   DOI   ScienceOn
7 Yano K, Sano T, Okano T. A longitudinal study of magnetic resonance (MR) evidence of temporomandibular joint (TMJ) fluid in patients with TMJ disorders. Cranio 2004; 22: 64-71.   DOI   ScienceOn
8 Schellhas KP, Wilkes CH. Temporomandibular joint inflammation: comparison of MR fast scanning with T1- and T2- weighted imaging techniques. AJR Am J Roentgenol 1989; 153: 93-8.   DOI   ScienceOn
9 Westesson PL, Brooks SL. Temporomandibular joint: relationship between MR evidence of effusion and the presence of pain and disk displacement. AJR Am J Roentgenol 1992; 159: 559-63.   DOI   ScienceOn
10 Koh KJ, List T, Petersson A, Rohlin M. Relationship between clinical and magnetic resonance imaging diagnoses and findings in degenerative and inflammatory temporomandibular joint disease: a systematic literature review. J Orofac Pain 2009; 23: 123-39.
11 Paesani D, Westesson PL, Hatala MP, Tallents RH, Brooks SL. Accuracy of clinical diagnosis for TMJ internal derangement and arthrosis. Oral Surg Oral Med Oral Pathol 1992; 73: 360-3.   DOI   ScienceOn
12 Drace JE, Enzmann DR. Defining the normal temporomandibular joint: closed-, partially open-, and open-mouth MR imaging of asymptomatic subjects. Radiology 1990; 177: 67-71.   DOI
13 Huddleston Slater JJ, Lobbezoo F, Chen YJ, Naeije M. A comparative study between clinical and instrumental methods for the recognition of internal derangements with a clicking sound on condylar movement. J Orofac Pain 2004; 18: 138-47.
14 Guler N, Yatmaz PI, Ataoglu H, Emlik D, Uckan S. Temporomandibular internal derangement: correlation of MRI findings with clinical symptoms of pain and joint sounds in patients with bruxing behavior. Dentomaxillofac Radiol 2003; 32: 304-10.   DOI   ScienceOn
15 Suenaga S, Abeyama K, Hamasaki A, Mimura T, Noikura T. Temporomandibular disorders: relationship between joint pain and effusion and nitric oxide concentration in the joint fluid. Dentomaxillofac Radiol 2001; 30: 214-8.   DOI
16 Takahashi T, Nagai H, Seki H, Fukuda M. Relationship between joint effusion, joint pain, and protein levels in joint lavage fluid of patients with internal derangement and osteoarthritis of the temporomandibular joint. J Oral Maxillofac Surg 1999; 57: 1187-94.   DOI   ScienceOn
17 Haley DP, Schiffman EL, Lindgren BR, Anderson Q, Andreasen K. The relationship between clinical and MRI findings in patients with unilateral temporomandibular joint pain. J Am Dent Assoc 2001; 132: 476-81.   DOI   ScienceOn
18 Murakami K, Nishida M, Bessho K, Iizuka T, Tsuda Y, Konishi J. MRI evidence of high signal intensity and temporomandibular arthralgia and relating pain. Does the high signal correlate to the pain? Br J Oral Maxillofac Surg 1996; 34: 220-4.   DOI   ScienceOn
19 Rudisch A, Innerhofer K, Bertram S, Emshoff R. Magnetic resonance imaging findings of internal derangement and effusion in patients with unilateral temporomandibular joint pain.Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 92: 566-71.   DOI   ScienceOn
20 Manfredini D, Basso D, Arboretti R, Guarda-Nardini L. Association between magnetic resonance signs of temporomandibular joint effusion and disk displacement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107: 266-71.   DOI   ScienceOn
21 Takano Y, Honda K, Kashima M, Yotsui Y, Igarashi C, Petersson A. Magnetic resonance imaging of the temporomandibular joint: a study of inter- and intraobserver agreement. Oral Radiol 2004; 20: 62-7.   DOI
22 Styles C, Whyte A. MRI in the assessment of internal derangement and pain within the temporomandibular joint: a pictorial essay. Br J Oral Maxillofac Surg 2002; 40: 220-8.   DOI   ScienceOn
23 Larheim TA. Role of magnetic resonance imaging in the clinical diagnosis of the temporomandibular joint. Cells Tissues Organs 2005; 180: 6-21.   DOI   ScienceOn
24 Huh JK, Kim HG, Ko JY. Magnetic resonance imaging of temporomandibular joint synovial fluid collection and disk morphology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003; 95: 665-71.   DOI   ScienceOn
25 Katzberg RW, Westesson PL, Tallents RH, Drake CM. Anatomic disorders of the temporomandibular joint disc in asymptomatic subjects. J Oral Maxillofac Surg 1996; 54: 147-55.   DOI   ScienceOn
26 Orsini MG, Kuboki T, Terada S, Matsuka Y, Yatani H, Yamashita A. Clinical predictability of temporomandibular joint disc displacement. J Dent Res 1999; 78: 650-60.   DOI   ScienceOn
27 Katzberg RW, Tallents RH. Normal and abnormal temporomandibular joint disc and posterior attachment as depicted by magnetic resonance imaging in symptomatic and asymptomatic subjects. J Oral Maxillofac Surg 2005; 63: 1155-61.   DOI   ScienceOn
28 Helms CA, Kaban LB, McNeill C, Dodson T. Temporomandibular joint: morphology and signal intensity characteristics of the disk at MR imaging. Radiology 1989; 172: 817-20.   DOI
29 Adame CG, Monje F, Offnoz M, Martin-Granizo R. Effusion in magnetic resonance imaging of the temporomandibular joint: a study of 123 joints. J Oral Maxillofac Surg 1998; 56: 314-8.   DOI   ScienceOn