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Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology
Published on: August 22, 2022
MRI findings of temporomandibular joints with disk perforation
Ami Kuribayashi1, Kiyoshi Okochi, Kaoru Kobayashi
1Oral and Maxillofacial Radiology, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan. ami8orad@tmd.ac.jp
Objective:
To investigate magnetic resonance imaging (MRI) findings of temporomandibular joints (TMJs) with disk perforation.
Study Design:
Thirty-one TMJs (31 patients) with disk perforation, 37 TMJs (34 patients) with anterior disk displacement and no disk perforation, and 22 asymptomatic TMJs of 11 volunteers were examined by MRI. The presence or absence of disk perforation was confirmed by TMJ arthrography. The MR images were evaluated for the presence or absence of disk deformity, disk displacement, condylar bone changes and joint effusion and for visualization of the temporal posterior attachment (TPA) of the posterior disk attachment. Those findings were compared among the 3 groups.
Results:
The incidences of anterior disk displacement and condylar bone changes in the patients group with disk perforation were significantly higher than in asymptomatic volunteers. Disk deformity and obscurity of TPA were significantly more frequent in the patient group with disk perforation than in the other 2 groups.
Conclusion:
In addition to disk deformity, TPA obscurity was considered to be one of the characteristic MRI findings of TMJs with disk perforation.
Insights
Magnetic resonance imaging (MRI) reveals that temporomandibular joint (TMJ) disk perforation is associated with disk deformity and obscured temporal posterior attachment (TPA). These findings help differentiate TMJ disk perforation from other conditions.
Area of Science:
- Radiology
- Orthodontics
- Oral and Maxillofacial Surgery
Background:
- Temporomandibular joint (TMJ) disk perforation is a significant pathological condition.
- Accurate diagnosis of TMJ disk perforation is crucial for effective treatment planning.
Purpose of the Study:
- To identify characteristic magnetic resonance imaging (MRI) findings associated with TMJ disk perforation.
- To compare MRI findings in TMJs with disk perforation, anterior disk displacement, and asymptomatic controls.
Main Methods:
- MRI scans of 31 TMJs with disk perforation, 37 with anterior disk displacement, and 22 asymptomatic TMJs were analyzed.
- TMJ arthrography was used to confirm disk perforation.
- MRI findings including disk deformity, displacement, bone changes, effusion, and temporal posterior attachment (TPA) visualization were evaluated and compared across groups.
Main Results:
- TMJs with disk perforation showed significantly higher incidences of anterior disk displacement and condylar bone changes compared to asymptomatic controls.
- Disk deformity and TPA obscurity were significantly more frequent in the disk perforation group.
- These findings suggest specific MRI indicators for TMJ disk perforation.
Conclusions:
- Obscurity of the TPA is a characteristic MRI finding in TMJs with disk perforation, alongside disk deformity.
- MRI can effectively identify key features indicative of TMJ disk perforation.
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