Baltic Dental and Maxillofacial Journal
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March, 2005, Vol. 7, No. 1

CONTENTS

SCIENTIFIC ARTICLES

Halitosis Manifestation and Prevention Means for Patients with Fixed Teeth Dentures
3 - 6

Clinical Effectiveness of the Twin Block Appliance in the Treatment of Class II Division 1 Malocclusion
7 - 10

Dental Treatment Needs in Lithuanian Adolescents
11 - 15

Mandibular Pubertal Growth Spurt Prediction. Part One: Method Based on the Hand-Wrist Radiographs
16 - 20

Factors Influencing the Removal of Posts
21 - 23

Oral Hygiene in Children with Type I Diabetes Mellitus
24 - 27

Critical Assessment of Temporomandibular Joint Clicking in Diagnosing Anterior Disc Displacement
28 - 30

© 2005 Stomatologija

Stomatologija 2005; 7 (1): 28-30 273 KB

Critical Assessment of Temporomandibular Joint Clicking in Diagnosing Anterior Disc Displacement

Giedre Kobs, Olaf Bernhardt, Thomas Kocher, Georg Meyer

Summary

Objectives. The objective of this study was to compare temporomandibular joint (TMJ) findings from clinical examination and magnetic resonance imaging (MRI) for diagnosing anterior disc displacement.

Material and methods. 114 subjects with at least one sign of temporomandibular disorders (tenderness/pain on palpation of the joints or muscles, TMJ sounds, pain or deviation during maximum mouth opening (active/passive)) and 193 controls underwent MRI after proper history taking and assessment of clinical symptoms.

Results. 464 joints with no disk displacement (NDD), 114 joints with reducible displaced disk (RDD), and 36 joints with permanently displaced disk (PDD) were confirmed on magnetic resonance imaging (MRI).

Conclusion. The results suggest that anterior disc displacement of the TMJ can not be diagnosed with considerable accuracy through the use of clinical examination only.

Key words: temporomandibular joint; temporomandibular disorders; internal derangement; clinical examination; magnetic resonance imaging

Received: 22 02 2005

Accepted for publishing: 20 03 2005


1Institute of Odontology, Faculty of Medicine, Vilnius University, Lithuania.
2Department of Restorative Dentistry, Periodontology and Pediatric Dentistry, University of Greifswald, Germany.
3Department of Periodontology and Pediatric Dentistry, University of Greifswald, Germany.


Giedre Kobs1 - D.D.S., PhD.
Olaf Bernhardt2 - D.D.S., PhD, assist. prof., assistant medical director.
Thomas Kocher3 - D.D.S., PhD, dr.hab.med., prof. and Head of Department.
George Meyer2 - D.D.S., PhD, dr.hab.med., prof. and Head of Department.


Address correspondence to dr.Giedre Kobs, Institute of Odontology, Zalgirio 115, Vilnius, Lithuania.