Pathology and Medical Management TMJ Disorders 病理学和医学管理的颞下颌关节紊乱.pptxVIP

Pathology and Medical Management TMJ Disorders and Diseases Symbols this is for your information only, it won’t be used for the exam important to know for exam 2 Temporomandibular Joint Imaging Radiography: Fractures which might occur. Can also get an idea of the joint position Generally not as useful as other types of imaging studies Standard Views: Transcranial View Submentovertex view Cephalometry: lateral views MRI: T1-weighted sagittal images are the method of choice for TMJ examination. Articular disk position T2 weighted images Periarticular changes Joint effusions CT 3 Figure 5.??a, Sagittal and b, coronal MR images (770/27) of a normal TMJ with jaw in closed position. Sommer O J et al. Radiographics 2003;23:e14-e14 ?2003 by Radiological Society of North America 4 TMJ Dysfunctions Non-Inflammatory Inflammatory MPDS Articular Non Articular Articular Disk Displacement With Reduction Deviation in Form Dislocation and Subluxation Fibrosis Without Reduction Ankylosis Bony Synovitis and Capsulitis Arthritic Disorders Osteoarthritis Rheumatoid Arthritis Other Myositis Spasm Muscle Contracture /dentalsem/Temporomandibular... 5 Articular Disk Displacements with Reduction Partial Anteromedial Disk Displacement Disk slides anterior on the condyle Posterior band is more anteriorly placed than normal Etiology: Thinning of the posterior band Minimal elongation of diskal ligaments TX: intro-oral appliances in combination with stress reduction 6 Disk Displacement Anteromedial Disk Displacement with Reduction Definition: Change in the disk-condyle structural relation during mandibular translation with mouth opening and closing Etiology: Articular surface irregularity Disk-articular surface adherence Synovial fluid degradation Myofascial imbalances around the joint Increased elongation of diskal ligaments and posterior attachment /smd/Rad/tmj.htm 7 5 Progressive Stages Stage I Disk Displacement Temporal mandibular ligam