A comparison and validation of amorphous sensor condylar movement analysis to MRI diagnosis of anterior disc displacement.
This study compared temporomandibular joint condylar movements in a sample of six patients with clinically normal joints, with those of nine patients with joints diagnosed by magnetic resonance imaging (MRI) to have anterior disc displacement with reduction (ADD). The aim of this study was to compare and validate the use of the amorphous sensor to MRI diagnosis in condylar movement analysis. The measuring device consisted of an amorphous sensor and a small magnet. Condylar and jaw movements were recorded simultaneously over the course of 10 open-close cycles. Maximum velocity of condylar movement during the opening phase in the ADD joints was significantly higher than the normal joints. The degree of jaw opening at the turning point of condylar movement in the ADD joints was significantly larger than the normal joints. The diagnostic sensitivity and specificity of the maximum velocity of condylar movement during the opening phase was 75.0 and 75.0%, respectively, while those of the degree of jaw opening at the turning point of condylar movement were 91.7 and 91.7%, respectively. These results suggest that the analysis of condylar movement, employing the amorphous sensor may be a reliable method for diagnosis of ADD.
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Department of Orthodontics, College of Dentistry, University of Oklahoma, Oklahoma City, OK 73117, USA.
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Nakata
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Nakasima
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D000328:Adult; D016022:Case-Control Studies; D004867:Equipment Design; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D008297:Male; D008335:Mandibular Condyle / Q000503:physiopathology*; D016059:Range of Motion, Articular; D012680:Sensitivity and Specificity; D018709:Statistics, Nonparametric; D013704:Temporomandibular Joint / Q000503:physiopathology*; D019224:Temporomandibular Joint Disc