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Clinical Oral Investigations
Published in: Clinical Oral Investigations 1/2017

Open Access 01-01-2017 | Original Article

Magnetic resonance imaging of temporomandibular joint with anterior disk dislocation without reposition - long-term results

Authors: M. Bristela, M. Schmid-Schwap, J. Eder, G. Reichenberg, M. Kundi, E. Piehslinger, S. Robinson

Published in: Clinical Oral Investigations | Issue 1/2017

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Abstract

Objectives

Anterior disk dislocation (ADD) without reposition in the temporomandibular joint (TMJ) may be associated with morphological changes in the retrodiscal region of the bilaminar zone presenting as pseudo-disk (PD). The present study was initiated to investigate the development of retrodiscal fibrosis in a period of 4–8 years and to assess if patients with a PD show differences in the clinical and radiologic findings versus patients without a PD.

Materials and Methods

In a retrospective follow-up study of 33 consecutive patients with ADD without reposition in one or both TMJs, a clinical and MRI-supported evaluation was conducted 4 to 8 years after baseline diagnosis.

Results

In 45 % of the TMJs with ADD without reposition, a PD could be identified. Twenty-one of 31 patients who showed pain at the baseline examination (VAS mean 56 ± 38) were pain free. The mouth opening capacity (MO) of the mandible could be increased in 80 %. There were no statistical significant differences between patients with or without PD in these clinical features. The MRI parameters effusion and translation showed a statistical tendency for more improvement in the group with PD (p = 0.061, 0.064).

Conclusion

In about half of the patients, a structure corresponding to a pseudo-disk developed during follow-up. Pain and the mouth opening capacity improved in all patients independent of the development of a PD.

Clinical Relevance

Detection of a PD during follow-up of patients with ADD without spontaneous reposition does neither predict favorable nor worse therapy response and clinical course.
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Metadata
Title
Magnetic resonance imaging of temporomandibular joint with anterior disk dislocation without reposition - long-term results
Authors
M. Bristela
M. Schmid-Schwap
J. Eder
G. Reichenberg
M. Kundi
E. Piehslinger
S. Robinson
Publication date
01-01-2017
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 1/2017
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-016-1800-9

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