Evaluation of diagnostic criteria from computerized axiography to detect internal derangements of the TMJ.
Objective of this study was to evaluate the diagnostic value of 3-D computed axiography to detect anterior disk displacements (ADD) of the TMJ. 65 patients with MRI confirmed ADD with reduction and 27 patients with ADD without reduction were examined by 3-D computed axiography. 44 healthy volunteers with normal disk position and joint function served as controls. A descriptive analysis of the axiographic opening/closing cycle revealed significantly higher rates of abrupt deviations, accelerations/decelerations, and crossings for ADD with reduction compared to healthy volunteers. A new axiographic index reduced the number of false positive to 10% and false negative to 14% of the diagnosis. ADD without reduction was characterized by significantly shorter opening curves. The optimum split point at 11 mm, resulted in 10% false positive and 20% false negative diagnosis. However, the diagnostic value of computed axiography was reduced by the significant influence of the clicking or limited joint on the contralateral TMJ.
Rammelsberg
P
P
Poliklinik für Zahnärztliche Prothetik, Universität München, Germany.
Pospiech
P
P
May
H C
HC
Gernet
W
W
D000293:Adolescent; D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D007574:Jaw Relation Record / Q000379:methods; D004204:Joint Dislocations / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D012815:Signal Processing, Computer-Assisted; D018709:Statistics, Nonparametric; D019224:Temporomandibular Joint Disc / Q000473:pathology*; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis*