MRI assessment of temporomandibular disorders: an approach to diagnostic and therapeutic setting

Cranio. 2014 Apr;32(2):131-8. doi: 10.1179/0886963413Z.00000000021.

Abstract

Aims: The aim of this study was to evaluate the relationship between the clinical and the radiological data obtained by magnetic resonance imaging (MRI) in patients with temporomandibular disorder (TMD).

Methodology: The study group included 17 patients with symptoms of TMDs. The radiological assessments before and after therapy was evaluated by MRI; in the clinical analysis, signs and associated symptoms have been assessed.

Results: With MRI before therapy, we were able to distinguish the specific type of TMD that each patient had. At the end of the treatment, a general improvement of the clinical status was noticed; MRI, however, showed the permanence of several degrees of condyle-disc incoordination in some patients.

Conclusions: Certainly TMDs can be diagnosed without MRI; nevertheless, MRI gives us the possibility to obtain objective data of the patients concerned. Symptoms recorded during a clinical evaluation cannot be the only terms of diagnosis; MRI provides objective data in the diagnostic and post-therapy phases.

MeSH terms

  • Adolescent
  • Adult
  • Arthralgia / diagnosis
  • Female
  • Humans
  • Image Processing, Computer-Assisted / methods
  • Joint Dislocations / diagnosis
  • Joint Dislocations / therapy
  • Magnetic Resonance Imaging / methods*
  • Male
  • Mandibular Condyle / pathology
  • Masseter Muscle / physiopathology
  • Middle Aged
  • Myalgia / diagnosis
  • Occlusal Splints
  • Orthodontics, Corrective
  • Orthognathic Surgical Procedures / methods
  • Range of Motion, Articular / physiology
  • Sound
  • Temporal Bone / pathology
  • Temporal Muscle / physiopathology
  • Temporomandibular Joint Disc / pathology
  • Temporomandibular Joint Disorders / classification
  • Temporomandibular Joint Disorders / diagnosis*
  • Temporomandibular Joint Disorders / therapy
  • Young Adult