Method of Analysis of the Temporomandibular Joint Parameters According to Magnetic Resonance Imaging
https://doi.org/10.20862/0042-4676-2022-103-4-6-52-57
Abstract
Background. The existing variety of approaches to the treatment of temporomandibular joint (TMJ) dysfunction corresponds to the variety of methods for its diagnosing. The absence of a universal technique of updating a particular diagnostic method data makes it impossible to evaluate the effectiveness of treatment.
Objective: to evaluate the universality of magnetic resonance imaging (MRI) in the diagnosis and determination of tactics for the treatment of TMJ pathologies.
Material and methods. One hundred patients of different age groups and genders with and without TMJ pathology were divided into groups according to Angle’s classification: Class 1 – 27 persons, Class 2 – 41, Class 3 – 32. The studies were carried out using Green 18 computer tomograph (Vatech, South Korea), Optima MR450W magnetic resonance tomograph (General Electric, USA), Dentograph digital Roshchin axiograph (Prosystom, Russia), SAM 2PX articulator (SAM Praezisionstechnik GmbH, Germany). The RadiAnt Viewer software was used.
Results. We conducted a comparative analysis of the indicators of articular structures mutual disposition obtained using various methods of TMJ diagnosis. A technique for estimating TMJ parameters using the analysis of MRI data was proposed. A correlation was revealed between the indications obtained using various diagnostic methods.
Conclusion. The developed method of TMJ structures analysis has high accuracy and is applicable in practice.
About the Authors
D. К. Yudin
Herzen Moscow Research Oncological Institute – branch of National Medical Research Center of Radiology; Gette & Yudin LLC
Russian Federation
Russian Federation
Dmitriy К. Yudin, Oncostomatologist
Vtoroy Botkinskiy proezd, 3, Moscow , 125284
per. Krasina, 16, str. 1, Moscow, 123056
S. А. Gette
Gette & Yudin LLC; Kazan State Medical University
Russian Federation
Russian Federation
Sergey А. Gette, Assistant Professor, Chair of Orthopedic Dentistry
per. Krasina, 16, str. 1, Moscow, 123056
ul. Butlerova, 49, Kazan, 420012
References
1. Khvatova VA. Clinical gnatology: a study guide for students of medical postgraduate professional education system. Мoscow: Meditsina; 2005: 296 pp (in Russ).
2. Piancino MG, Cirillo S, Frongia G, et al. Sensitivity of magnetic resonance imaging and computed axiography in the diagnosis of temporomandibular joint disorders in a selected patient population. Int J Prosthodont. 2012; 25(2): 120–6.
3. Ahlers MO, Beall M. Simulation of occlusion in restorative dentistry: the Artex System: an up-to-date concept regarding facebow registration, individual recordings, articulators and measuring instruments. Hamburg: DentaConcept; 2000.
4. Markic G, Müller L, Patcas R, et al. Assessing the length of the mandibular ramus and the condylar process: a comparison of OPG, CBCT, CT, MRI, and lateral cephalometric measurements. Eur J Orthod. 2015; 37(1): 13–21. https://doi.org/10.1093/ejo/cju008.
5. Juerchott A, Freudlsperger C, Weber D, et al. In vivo comparison of MRI- and CBCT-based 3D cephalometric analysis: beginning of a non-ionizing diagnostic era in craniomaxillofacial imaging? Eur Radiol. 2020; 30(3): 1488–97. https://doi.org/10.1007/s00330-019-06540-x.
Review
For citations:
Yudin D.К., Gette S.А. Method of Analysis of the Temporomandibular Joint Parameters According to Magnetic Resonance Imaging. Journal of radiology and nuclear medicine. 2022;103(4-6):52-57. (In Russ.) https://doi.org/10.20862/0042-4676-2022-103-4-6-52-57
Views:
1217
Email this article 