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Published on: June 9, 2018
Temporal tendinitis: a modified Levandoski panoramic analysis of 21 cases
1TMJ & Facial Pain Center 158A Commerce Park Dr., Westerville, OH 43082, USA. drwes@drshankland.com
Cranio : the Journal of Craniomandibular Practice
|May 17, 2012
Summary
Panoramic radiographs may aid in diagnosing temporal tendinitis. A modified Levandoski technique found 85% of patients had coronoid processes equal to or longer than condylar processes, suggesting a diagnostic link.
Area of Science:
- Dentistry
- Radiology
- Orthodontics
Background:
- The Levandoski system (1993) analyzes panoramic radiographs, particularly temporomandibular joints.
- Piedra extended this work to assess facial and dental asymmetries.
- Temporal tendinitis diagnosis can be challenging.
Purpose of the Study:
- To explore temporal tendinitis.
- To evaluate the utility of panoramic radiography in diagnosing temporal tendinitis using a modified Levandoski technique.
Main Methods:
- A retrospective study of 21 temporal tendinitis cases.
- Comparison of coronoid and condylar process lengths on panoramic radiographs.
- Utilized a modified Levandoski technique.
Main Results:
- In 18 out of 21 cases (85%), coronoid processes were equal to or longer than condylar processes.
- This finding suggests a potential radiographic indicator for temporal tendinitis.
Conclusions:
- Panoramic radiography, using a modified Levandoski technique, may offer a simple diagnostic method for temporal tendinitis.
- The correlation between coronoid and condylar process lengths warrants further investigation in diagnosing this condition.

