Baltic Dental and Maxillofacial Journal | ||||||||||
March, 2004, Vol. 6, No. 1 CONTENTS SCIENTIFIC ARTICLES Dentofacial Morphology of Class II Division 1 Accuracy of Computerized Axiography Controlled by MRI in Detecting Internal Derangements of the TMJ Clinic, Diagnostics and Treatment Pecularities of Eagle’s Syndrome CLINICAL ARTICLES SCIENTIFIC ARTICLES Panoramic Radiographs in Assessment the Bone Mineral Density Oral Health Status in the Participants of the “Juvenile Hypertension Program 2002” Dental Status Among 2-6 Year Old Children in Riga City, Latvia ERRATUM © 2004 Stomatologija |
Stomatologija 2004; 6 (1): 7-10 212 KB Accuracy of Computerized Axiography Controlled by MRI in Detecting Internal Derangements of the TMJ Giedre Kobs, Olaf Bernhardt, Georg Meyer Summary 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 axiography. The assessment of TMJ disk position was based on the sagittal MRI plane (the position of the disk was controlled by coronal images). Results: Pathological TMJ states on axiography could be demarcated with sensitivity of approximately 80% end specificity of approximately 90% from healthy joints. Conclusion: Within the limitations of this study we suggest, that jaw-tracking devices remains an accurate evaluation method for determination of TMJ dysfunction. Key words: temporomandibular disorders; craniomandibular disorders; internal derangement; computerized axiography; magnetic resonance imaging; sensitivity; specificity Received: 02 02 2004 Accepted for publishing: 20 03 2004 Giedre Kobs - D.D.S., PhD, Institute of Stomatology, Faculty of Medicine, Vilnius University, Lithuania. Olaf Bernhardt - D.D.S., PhD, Ass.Prof., assistant medical director at the Department of Restorative Dentistry, Periodontology and Pediatric Dentistry, University of Greifswald, Germany. Georg Meyer - D.D.D., PhD, Hab.Dr., Professor and Head of Department of Restorative Dentistry, Periodontology and Pediatric Dentistry, University of Greifswald, Germany. Address correspondence to Dr.G.Kobs, Department of Prosthodontics, Institute of Stomatology, Faculty of Medicine, Vilnius University, Zalgirio str. 115, 2042 Vilnius, Lithuania. |
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