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CBCT and MRI of Temporomandibular Joint Disorders and Related Structures

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Temporomandibular Joint and Airway Disorders

Abstract

Clinical assessment of patients presenting with temporomandibular joint (TMJ) symptoms includes radiographic examination. There are several imaging modalities available to visualize the TMJ, and this chapter will focus specifically on cone beam computed tomography (CBCT) and magnetic resonance imaging (MRI). CBCT has revolutionized oral and maxillofacial radiology and offers low-dose, high-spatial resolution characteristics of the bony structures. In addition to anatomy seen on traditional TMJ radiographs of transpharyngeal, transcranial, panoramic radiograph, or tomographic section of the TMJ, CBCT will offer additional detailed information about bony alterations. These bony alterations may include flattening, sclerosis, erosions, osteophytes, resorption of the condylar head, ankyloses, erosion of the mandibular fossa, and reduced joint space. CBCT is also useful to visualize fractures, infection, invasion by tumor, and congenital abnormalities [1].

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Abbreviations

CBCT:

Cone beam computed tomography

MRI:

Magnetic resonance imaging

TMD:

Temporomandibular joint disorder

TMJ:

Temporomandibular joint

References

  1. Bag AK, Gaddikeri S, Singhal A, Hardin S, Tran BD, Medina JA, Cure JK. Imaging of the temporomandibular joint: an update. World J Radiol. 2014;6(8):567–82.

    Article  Google Scholar 

  2. Tsiklakis K, Syriopoulos K, Stamatakis HC. Radiographic examination of the temporomandibular joint using cone beam computed tomography. Dentomaxillofac Radiol. 2004;33(3):196–201.

    Article  Google Scholar 

  3. American Dental Association Council on Scientific Affairs. The use of cone-beam computed tomography in dentistry: an advisory statement from the American Dental Association Council on Scientific Affairs. J Am Dent Assoc. 2012;143(8):899–902.

    Article  Google Scholar 

  4. Okano T, Sur J. Radiation dose and protection in dentistry. Jpn Dent Sci Rev. 2010;46(2):112–21.

    Article  Google Scholar 

  5. Ide Y, Nakazawa K, Hongo T, Tateishi J. Anatomical atlas of the temporomandibular joint. Tokyo: Quintessence; 2001.

    Google Scholar 

  6. Blaschke DD, Blaschke TJ. Clinical science normal TMJ bony relationships in centric occlusion. J Dent Res. 1981;60(2):98–104.

    Article  Google Scholar 

  7. Dalili Z, Khaki N, Kia SJ, Salamat F. Assessing joint space and condylar position in the people with normal function of temporomandibular joint with cone-beam computed tomography. Dent Res J. 2012;9(5):607–12.

    Article  Google Scholar 

  8. Laskin DM. Temporomandibular joint disorders. In: Cummings CHW, Fredrickson JM, Harker LA, Krause CHJ, Shuller DE, editors. Otolaryngology: head and neck surgery, vol. 2. T2. Missouri: Mosby Year Book; 1993. p. 1443–50.

    Google Scholar 

  9. Gateno J, Anderson PB, Xia JJ, Horng JC, Teichgraeber JF, Liebschner MA. A comparative assessment of mandibular condylar position in patients with anterior disc displacement of the temporomandibular joint. J Oral Maxillofac Surg. 2004;62(1):39–43.

    Article  Google Scholar 

  10. Tomas X, Pomes J, Berenguer J, Quinto L, Nicolau C, Mercader JM, Castro V. MR imaging of temporomandibular joint dysfunction: a pictorial review 1. Radiographics. 2006;26(3):765–81.

    Article  Google Scholar 

  11. Singh GD. On the etiology and significance of palatal and mandibular tori. Cranio. 2010;28(4):213–5.

    Article  Google Scholar 

  12. Murtagh RD, Caracciolo JT, Fernandez G. CT findings associated with eagle syndrome. Am J Neuroradiol. 2001;22(7):1401–2.

    PubMed  Google Scholar 

  13. Gerbino G, Bianchi S, Bernardi M, Berrone S. Hyperplasia of the mandibular coronoid process: long-term follow-up after coronoidotomy. J Cranio-Maxillofac Surg. 1997;25(3):169–73.

    Article  Google Scholar 

  14. Schwab RJ, Gupta KB, Gefter WB, Metzger LJ, Hoffman EA, Pack AI. Upper airway and soft tissue anatomy in normal subjects and patients with sleep-disordered breathing. Significance of the lateral pharyngeal walls. Am J Respir Crit Care Med. 1995;152(5 Pt 1):1673–89.

    Article  Google Scholar 

  15. Friedlander AH, Freymiller EG. Detection of radiation-accelerated atherosclerosis of the carotid artery by panoramic radiography. A new opportunity for dentists. J Am Dent Assoc. 2003;134(10):1361–5.

    Article  Google Scholar 

  16. Guralnick W, Kaban LB, Merrill RG. Temporomandibular-joint afflictions. N Engl J Med. 1978;299(3):123–9.

    Article  Google Scholar 

  17. http://www.nidcr.nih.gov/OralHealth/Topics/TMJ. June 2007.

  18. Üşümez S, Öz F, Güray E. Comparison of clinical and magnetic resonance imaging diagnoses in patients with TMD history. J Oral Rehabil. 2004;31(1):52–6.

    Article  Google Scholar 

  19. Alomar X, Medrano J, Cabratosa J, Clavero J, Lorente M, Serra I, Monill J, Salvador A. Anatomy of the temporomandibular joint. In: Seminars in ultrasound, CT and MRI. Berlin: Elsevier; 2007. p. 170–83.

    Google Scholar 

  20. DaSilva AF, Shaefer J, Keith DA. The temporomandibular joint: clinical and surgical aspects. Neuroimaging Clin N Am. 2003;13(3):573–82.

    Article  Google Scholar 

  21. Pereira FJ, Lundh H, Westesson P-L. Morphologic changes in the temporomandibular joint in different age groups: an autopsy investigation. Oral Surg Oral Med Oral Pathol. 1994;78(3):279–87.

    Article  Google Scholar 

  22. Westesson P-L. Structural hard-tissue changes in temporomandibular joints with internal derangement. Oral Surg Oral Med Oral Pathol. 1985;59(2):220–4.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Center for TMJ and Sleep Disorders, Reading, PA, USA

    Tammy L. Balatgek

  2. Center for TMJ & Sleep Therapy, 175 N. Pennsylvania Ave. #4, Glendora, 91741, CA, USA

    G. Gary Demerjian

  3. Maryland Center for Craniofacial, TMJ and Dental Sleep Disorders, Columbia, MD, USA

    Anthony B. Sims

  4. Craniofacial Pain and Dental Sleep Center of Georgia, Atlanta, GA, USA

    Mayoor Patel

Authors
  1. Tammy L. Balatgek
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  2. G. Gary Demerjian
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  3. Anthony B. Sims
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  4. Mayoor Patel
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Corresponding author

Correspondence to Tammy L. Balatgek .

Editor information

Editors and Affiliations

  1. Center for TMJ & Sleep Therapy, Glendora, CA, USA

    G. Gary Demerjian

  2. Oral Biology and Medicine, UCLA School of Dentistry, Los Angeles, CA, USA

    André Barkhordarian

  3. CHS 63-090, UCLA School of Dentistry, Los Angeles, CA, USA

    Francesco Chiappelli

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Balatgek, T.L., Demerjian, G.G., Sims, A.B., Patel, M. (2018). CBCT and MRI of Temporomandibular Joint Disorders and Related Structures. In: Demerjian, G., Barkhordarian, A., Chiappelli, F. (eds) Temporomandibular Joint and Airway Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-76367-5_10

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  • DOI: https://doi.org/10.1007/978-3-319-76367-5_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-76365-1

  • Online ISBN: 978-3-319-76367-5

  • eBook Packages: MedicineMedicine (R0)

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