《牙科放射线学》.ppt

编辑课件 牙科放射線學(2) 陳玉昆教授: 高雄醫學大學 口腔病理科 07-3121101~2755 yukkwa@kmu.edu.tw Temporomandibular Joint Radiography 顳顎關節放射線攝影術 Normal anatomy of TMJ Investigations available for TMJ Pathological conditions that can affect  TMJ 學 習 目 標 1. Eric Whaites: Essentials of dental radiography radiology 3rd edition, Chapter 29, p. 371-388 2. Eric Whaites: Essentials of dental radiography radiology 1st edition, Chapter 28, p. 297-323. References 3. Rosenberg et al, Aust Dent J 1999;44:106 4. Kaohsiung Medical University, Oral Pathology Department Normal anatomy of TMJ Investigations available for TMJ Pathological conditions that can affect TMJ Subtopics Condyle head Disc/meniscus Glenoid fossa Lateral pterygoid attachment Upper joint space Lower joint space Ext. auditory meatus Ref. 1 Basics components of the TMJ: Mandibular component: condyle head (Hard tissue) Disc (Soft tissue) Temporal component: glenoid fossa articular eminence (Hard tissue) Capsule surround the joint (Soft tissue) Normal Anatomy Lateral Anterior Base Normal anatomy - Dry skull Ref. 1 Rotatory and translatory movements of condyle during normal mouth opening Rest position Mouth closed Primary rotation Mouth opened Translation Mouth opened initially Mouth opened widely Secondary rotation Ref. 1 Investigations available for TMJ (1) The clinical indications How each investigation is performed: how the patient is positioned in relation to the film and X-ray tubehead, and whether the patient’s mouth needs to be opened or closed Investigations available for TMJ (2) What information from each investigation The limitations and shortcomings of each investigation Conventional radiographic projections Other techniques and investigations Investigations Transcranial Transpharyngeal Panoramic Reverse Town’s Transorbital Tomography, linear Summary of differ