Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN:
1312-773X (Online)
Issue:
2019, vol. 25, issue2
Subject Area:
Dental Medicine
-
DOI:
10.5272/jimab.2019252.2563
Published online: 11 June 2019
Review article

J of IMAB. 2019 Apr-Jun;25(2):2563-2569
ULTRASOUND DIAGNOSIS OF TEMPOROMANDIBULAR JOINT IN PATIENTS WITH CRANIOMANDIBULAR DYSFUNCTIONS
Mariana Dimova-Gabrovska1


, Desislava Dimitrova2
, Bozhidar Yordanov1
, Nikolay Apostolov1
, Todor Peev3
,
1) Department of Prosthetic Dental Medicine, Faculty of Dental Medicine, Medical University – Sofia, Bulgaria
2) Dental Clinic “Edinstvo”, Sofia, Bulgaria.
3) Ex Deputy Rector of Medical University Sofia, Bulgaria, Privite Practice, Sofia, Bulgaria.
ABSTRACT:
In patients suffering from craniomandibular dysfunctions, early diagnosis of the problems and recognition of the signs and symptoms of functional pathology is of particular importance for duly managing and restoring these abnormalities to the physiological norm, thus ensuring the functional health of the masticatory system. Because of the specific location and nature of these abnormalities, the diagnosis is frequently difficult, and additional diagnostic imaging methods are required.
The aim of this review is to analyze and present the latest scientific evidence on the use of ultrasound diagnosis of the temporomandibular joint in patients with craniomandibular dysfunctions.
Material and methods: An electronic search by keywords was performed in PubMed, Google and Lilac databases from September 2018 to March 2019. The collected data were subject to critical analysis.
Results: The basic principles of application, various methods and techniques, advantages and disadvantages and the diagnostic accuracy of ultrasonography in the evaluation of joint-jaw relationships were examined. The relevant parameters for determining the norm and the various pathologies were presented.
Conclusion: Ultrasonography is a non-invasive, reliable, effective and easy-to-use method for diagnostic imaging of temporomandibular disorders in the dental office.
Keywords: ultrasound, temporomandibular joint, craniomandibular dysfunctions,
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Please cite this article as: Dimova-Gabrovska M, Dimitrova D, Yordanov B, Apostolov N, Peev T. Ultrasound Diagnosis of Temporomandibular Joint in Patients with Craniomandibular Dysfunctions. J of IMAB. 2019 Apr-Jun;25(2):2563-2569. DOI: 10.5272/jimab.2019252.2563
Correspondence to: Assoc. Prof. Dr Mariana Dimova-Gabrovska, PhD, DSc. Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University, Sofia; 1, St. G. Sofiiski Blvd.,1431 Sofia, Bulgaria; E-mail: marianadimova@abv.bg
REFERENCES:
1. Köneke Ch. Craniomandibuläre Dysfunktion. Interdisziplinäre Diagnostik und Therapie. Quintessence Publishing, Deutschland. 1. Auflage 2009. 448p. [Internet]
2. Dimova-Gabrovska Mariana. Contemporary trends and gnatological preconditions in the diagnosis and rehabilitation of craniomandibular dysfunctions. [dissertation]. [Sofia] Medical University of Sofia; 2015. 123 p.
3. Meyer G, Bernhardt O, Kьppers A. Der Kopfschmerz – ein interdisziplinдres Problem. Aspekte der zahnärztlichen Funktionsdiagnostik and Therapie. Quintessenz Sonderdruck. 2007; 58(11):1211-1218.
4. Damyanov N, Peev T. Etiology, Diagnosis and Treatment of Temporomandibular Dysfunction. Dental examination. 2006; 2(1):195-142. [in Bulgarian]
5. Lee C, Lin M, Lin T, Lin C, Wang T, Kao C. Increased risk of tinnitus in patients with temporomandibular disorder: a retrospective population-based cohort study. Eur Arch Otorhinolaryngol. 2016; 273(1): 203-208 [PubMed] [Crossref]
6. Schiffman E. Ohrbach R. Executive Summary of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications. J Am Dent Assoc. 2016 Jun; 147(6): 438–445. [PubMed] [Crossref]
7. Nencheva-Sveshtarov S, Chakalov I, Sveshtarov V. Occlusal and laser phototherapy in cases of temporomandibular dysfunction. Problems of dental medicine. 2001; 4(1):55-58. [in Bulgarian]
8. Molina O, dos Santos J, Nelson S, Grossman E: Prevalence of modalities of headaches and bruxism among patients with craniomandibular disorders. J Craniomand Pract. 1997; 15(4): 314-325. [PubMed]
9. Hugger A, Tarp J, Schindler H. Praxisnahe diagnostische Klassification orofayialer Schmeryen, Schweiz. Monatschr. Zahmed. 2004; 114(5):459-466.
10. Halse M, Losert-Bruggner B, Kuksen J. Schwindel und Kiefergelenkprobleme nach HWS-Trauma. Man Med Osteheopath Med. 2001; 39:20-24.
11. Freesmeyer W, Fussnegger M, Ahlers M. Diagnostic and therapeutic – restorative procedure for masticatory dysfunctions. GMSCurrTopOtorhinolaryngolHeadNeckSurg. 2005; 4:Doc19. [PubMed]
12. Klatkiewicz T, Gawriolek K, Pobudek Radzikowska M, Czajka-Jakubowska A. Ultrasonography in the Diagnosis of Temporomandibular Disorders: A Meta-Analysis. Med Sci Monit. 2018 Feb 8;24:812-817. [PubMed] [Crossref]
13. Li C, Su N, Yang X, Yang X, Shi Z, Li L. Ultrasonography for the detection of disc displacement of Temporomandibular Joint: A Systematic Review and Meta- Analysis. J Oral Maxillofac Surg. 2012;70(6): 1300–1309. [PubMed] [Crossref]
14. Sena MF, Mesquita KS, Santos FR, Silva F, Serrano KV. Prevalence of temporomandibular dysfunction in children and adolescents. Rev Paul Pediatr. 2013; 31:538–45. [PubMed] [Crossref]
15. Manfredini D, Lombardo L, Siciliani G. Temporomandibular disorders and dental occlusion. A systematic review of association studies: end of an era? J Oral Rehabil. 2017 Nov;44(11):908-923. [PubMed] [CrossRef]
16. Pavlova J, Yankova M, Uzunov T, Grozdanova R, Filchev A. Frequency of the number of tubercles of lower distal teeth. Dental Review. 2001; 83(1): 23-27. [in Bulgarian]
17. Pavlova J, Yankova M, Uzunov T, Grozdanova R, Filchev A. Frequency of the number of tubercles of upper distal teeth. Dental Review. 2004; 86(1):52-57. [in Bulgarian]
18. Bumann A, Kopp S, Ewers R. Compression joint as a differential diagnosis in chronic facial pain. Dtsch. Zahnarztl. Z. 1989; 44(12):962-3. [PubMed]
19. Ferreira L, Grossmann E, Januzzi E, de Paula M, Carvalho A. Diagnosis of temporomandibular joint disorders: indication of imaging exams. Braz J Otorhinolaryngol. 2016 May-Jun; 82(3):341-52. [PubMed] [Crossref]
20. Alomar X, Medrano J, Cabratosa J, Clavero JA, Lorente M, Serra I, Monill JM, Salvador A. Anatomy of the temporomandibular joint. Semin Ultrasound CT MR. 2007; 28(3): 170-183 [PubMed]
21. Bag A, Gaddikeri S, Singhal A, Hardin S, Tran B, Medina J, Cure J. Imaging of the temporomandibular joint: an update. World J Radiol. 2014 Aug 28;6(8):567-82. [PubMed] [CrossRef]
22. Chaves P, Oliveira Fr, Damбzio L. Incidence of postural changes and temporomandibular disorders in students. Acta Ortop Bras. 2017 Jul-Aug;25(4):162-164. [PubMed] [Crossref]
23. Sommer OJ, Aigner F, Rudisch A, Gruber H, Fritsch H, Millesi W, Stiskal M. Cross-sectional and functional imaging of the temporomandibular joint: radiology, pathology, and basic biomechanics of the jaw. Radiographics. 2003; 23(6): e14. [PubMed] [Crossref]
24. De Mello Junior C. Saito O, Filho H. Sonographic evaluation of temporomandibular joint internal disorders. Radiol Bras. 2011; 44(6):355-359. [CrossRef]
25. Tomas X, Pomes J, Berenguer J, Quinto L, Nicolau C, Mercader JM, Castro V. MR imaging of temporomandibular joint dysfunction: a pictorial review. Radiographics. 2006; 26(3):765-781. [PubMed] [Crossref]
26. Aiken A, Bouloux G, Hudgins P. MR imaging of the temporomandibular joint. Magn Reson Imaging Clin N Am. 2012; 20(3): 397-412. [PubMed] [CrossRef]
27. Katzberg RW, Westesson PL, Tallents RH, Drake CM. Anatomic disorders of the temporomandibular joint disc in asymptomatic subjects. J Oral Maxillofac Surg. 1996; 54(2): 147-153; discussion 153-155. [PubMed]
28. Su N, van Wijk A, Visscher C, Lobbezoo F, van der Heijden G. Diagnostic value of ultrasonography for the detection of disc displacements in the temporomandibular joint: a systematic review and meta-analysis. Clin Oral Investig. 2018 Sep;22(7):2599-2614. [PubMed] [CrossRef]
29. Drace JE, Enzmann DR. Defining the normal temporomandibular joint: closed-, partially open-, and open-mouth MR imaging of asymptomatic subjects. Radiology. 1990; 177(1):67-71. [PubMed] [CrossRef]
30. Dupuy-Bonafe I, Picot M, Maldonado I, Lachiche V, Granier I, Bonafe A. Internal derangement of the temporomandibular joint: is there still a place for ultrasound? Oral and Maxillofacial Radiology. 2012; 113(6): 832-840. [PubMed] [CrossRef]
31. Jank S, Emshoff R, Norer B, Missmann M, Nicasi A, Strobl H, Gassner R, Rudish A, Bodner G. Diagnostic quality of dynamic high-resolution ultrasonography of the TMJ – a pilot study. Int J Oral Maxillofac Surg. 2005; 34:132-137. [PubMed] [CrossRef]
32. Al-Saleh M, Alsufyani N, Saltaji H, Jaremko J, Major P. MRI and CBCT image registration of temporomandibular joint: a systematic review. J Otolaryngol Head Neck Surg. 2016; 45(1):30. [PubMed] [CrossRef]
33. Petscavage-Thomas JM, Walker EA: Unlocking the jaw: Advanced imaging of the temporomandibular joint. Am J Roentgenol. 2014; 203(5): 1047–58. [PubMed] [CrossRef]
34. Tvrdy P. Methods of imaging in the diagnosis of temporomandibular joint disorders. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2007; 151(1): 133-136. [PubMed]
35. Nebeith YB, Speculand B. Ultrasonography as a diagnostic aid in temporomandibular joint dysfunction. A preliminary investigation. Int J Oral Maxillofac Surg. 1991; 20(3):182–26. [PubMed]
36. Stefanoff V, Hausamen J, Berghe P. Ultrasound imaging of the TMJ disc in asymptomatic volunteers. J Craniomaxillofac Surg. 1992; 20: 337-340. [PubMed]
37. Braun S, Hicken J. Ulrasound imaging of condylar motion: a preliminary report. Angle Orthodontist. 2000; 70(5):383-386. [PubMed] [CrossRef]
38. Oelze M, Mamou J. Review of quantitative ultrasound: envelope statistics and backscatter coefficient imaging and contributions to diagnostic ultrasound. IEEE Trans Ultrason Ferroelectr Freq Control. 2016 Feb; 63(2):336-51. [PubMed] [CrossRef]
39. Evirgen S, Kamburoğlu K. Review on the applications of ultrasonography in dentomaxillofacial region. World J Radiol. 2016 Jan 28;8(1):50-8.[PubMed] [CrossRef]
40. Sharma Sh, Rasila D, Singh M, Mohan M. Ultrasound as a diagnostic boon in Dentistry – a review. IJSS. 2014; 2(2):70-76.
41. Rezek A, Al Belasy F, Ahmed W, Haggag M. Assessment of articular disc displacement of temporomandibular joint with ultrasound. J Ultrasound. 2015; 18(2): 159-163. [PubMed] [CrossRef]
42. Emshoff R, Jank S, Bertram St, Rudisch A, Bodner G. Disk displacement of the temporomandibular joint: sonography versus MR imaging. AJR. 2002; 178:1557-62. [PubMed] [CrossRef]
43. Sójka Anna, Huber J, Kaczmarek E, Hędzelek W. Evaluation of Mandibular Movement Functions Using Instrumental Ultrasound System. J Prosthodont. 2017 Feb; 26(2):123-128. [PubMed] [CrossRef]
44. Jank S, Rudisch A, Bodner G, Brandlmaier I, Gerhard S, Emshoff R. High-resolution ultrasonography of the TMJ: helpful diagnostic approach for patients with TMJ disorders? J Craniomaxillofac Surg. 2001; 29: 366-371. [PubMed] [CrossRef]
45. Hayashi T, Ito J, Koyama J, Yamada K. The accuracy of sonography for evaluation of internal derangement of the temporomandibular joint in asymptomatic elementary school children: comparison with MT and CT. Am J Neuroradiol. 2011; 22: 728-734. [PubMed]
46. Tu K, Chuang H, Hsiao M. Ultrasound imaging for Temporomandibular joint disc anterior displacement. J Med Ultrasound. 2018; 26(2):109-110. [PubMed] [CrossRef]
47. Chalkoo A, Ahmad M, Naikoo F. Magnetic resonance imaging and ultrasonography in the diagnosis of temporomandibular joint internal derangements: a comparative study. J Indian Acad Oral Med Radiol. 2015; 27:198-202. [CrossRef]
48. Byahatti S, Ramamurthy B, Mubeen M, Agnihothri P. Assasment of diagnostic accuracy of high-resolution ultrasonography in determination of temporomandibular joint internal derangement. Indian J Dent Res. 2010; 21(2): 189-194. [PubMed] [CrossRef]
49. Motoyoshi M, Kamijo K, Numata K, Namura Sh. Ultrasonic imaging for the temporomandibular joint: a clinical trial for diagnosis of internal derangement. J Oral Sci. 1998; 40(2): 89-94. [PubMed]
50. Talmaceanu D, Lenghel LM, Bolog N, Popa Stanila R, Buduru S, Leucuta DC, et al. High-resolution ultrasonography in assessing temporomandibular joint disc position. Med Ultrason. 2018 Feb 4;1(1):64-70. [PubMed] [Crossref].
Received: 21 January 2019
Published online: 11 June 2019
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