Relationship between temporomandibular joint disc perforation and clinical findings

In this study, statistical methods about the relationship between with three-dimensional mandibular movements, clinical findings and the disc perforation of 36 patients that were diganosed as anterior disc displacement without reduction, were investigated by the video-fuluoroarthrography. As a resul...

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Published inJournal of the Japanese Society for the Temporomandibular Joint Vol. 10; no. 2; pp. 452 - 458
Main Authors KOBAYASHI, Kaoru, KISHINO, Yoshinobu, IMANAKA, Masahiro, SUGA, Ken-ichiro, YONEZU, Hakubun, NOZAWA, Kenji
Format Journal Article
LanguageJapanese
Published The Japanese Society for Temporomandibular Joint 1998
一般社団法人 日本顎関節学会
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ISSN0915-3004
1884-4308
DOI10.11246/gakukansetsu1989.10.452

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Abstract In this study, statistical methods about the relationship between with three-dimensional mandibular movements, clinical findings and the disc perforation of 36 patients that were diganosed as anterior disc displacement without reduction, were investigated by the video-fuluoroarthrography. As a result, an obvious relation was not confirmed between disc perforation and mandibular movements. Also the condylar deformity was the relational factor of disc perforation, and the odds ratio was 9.0. In the result, to diagnose disc perforation, yet it was thought that arthrography was indispensable.
AbstractList In this study, statistical methods about the relationship between with three-dimensional mandibular movements, clinical findings and the disc perforation of 36 patients that were diganosed as anterior disc displacement without reduction, were investigated by the video-fuluoroarthrography.As a result, an obvious relation was not confirmed between disc perforation and mandibular movements. Also the condylar deformity was the relational factor of disc perforation, and the odds ratio was 9.0.In the result, to diagnose disc perforation, yet it was thought that arthrography was indispensable. エックス線テレビシステムを用いる顎関節腔造影検査において, 復位を伴わない円板前方転位と診断された患者36名における関節円板穿孔の有無と, それら患者の三次元顎運動所見および臨床所見との関連性について統計学的手法を用いて調査した。その結果, 関節円板穿孔の有無と顎運動所見との間には明らかな関連性は認められなかった。一方, 下顎頭外形異常は関節円板穿孔の関連因子であり, そのオッズ比は9.0であった。以上のことから関節円板穿孔の診断には未だ造影検査は必須であると考えられた。
In this study, statistical methods about the relationship between with three-dimensional mandibular movements, clinical findings and the disc perforation of 36 patients that were diganosed as anterior disc displacement without reduction, were investigated by the video-fuluoroarthrography. As a result, an obvious relation was not confirmed between disc perforation and mandibular movements. Also the condylar deformity was the relational factor of disc perforation, and the odds ratio was 9.0. In the result, to diagnose disc perforation, yet it was thought that arthrography was indispensable.
Author SUGA, Ken-ichiro
KISHINO, Yoshinobu
NOZAWA, Kenji
YONEZU, Hakubun
IMANAKA, Masahiro
KOBAYASHI, Kaoru
Author_FL 須賀 賢一郎
木住野 義信
米津 博文
野沢 健司
今中 正浩
小林 馨
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  fullname: KISHINO, Yoshinobu
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  fullname: NOZAWA, Kenji
  organization: The Second Department of Oral and Maxillofacial Surgery, Tokyo Dental College
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References 4) Kobayashi. K., Imanaka M., et al: Interventional radiology of the temporomandibular joint. Proceeding of the 10th International Congress of Dento-Maxillo-Facial Radiology 585-588, 1994.
14) Eriksson, L,, Westesson, P. -L., et al: Temporomandibular joint sounds in patients with disc displacement. Int. J. oral Surg. 14: 428-436, 1985.
11) 米津博文: X線テレビシステムを用いる上下関節腔造影検査による顎関節症患者の関節円板動態異常に関する研究. 歯科学報 87: 1613-1639, 1987.
2) Tasaki, M. and Westesson, P. -L.: Temporomandibular joint Diagnostic accuracy with sagittal and coronal MR imaging. Radiology 186: 723-729, 1993.
9) Graham, G., Ferraro, N. F., et al: Perforations of the temporomandibular meniscus: arthrographic, surgical, and clinical findings. J. max-fac. Surg. 42: 35-38, 1984.
13) Dolwick, M. F.: Surgical treatment of chronic anterior displacement of the TMJ meniscus. In Case Reports and Outlines of Selected Scientific Sessions, 42, Sixty-second Annual Meeting of the American Association of Oral and Maxillofacial Surgery, 1980.
6) 米津博文, 関 泰忠, 他: X線テレビシステムを用いる顎関節腔造影検査法について. 日口外誌 33: 937-949, 1987.
1) 小林 馨, 五十嵐千浪, 他: 関節鏡と顎関節腔二重造影断層X線所見によるMR画像所見の考察. 映像情報 27: 1087-1092, 1995.
3) 小林 馨, 今中正浩, 他: 低磁場強度装置による顎関節MR診断の有用性. 画像医学 10: 177-183, 1991.
5) 高橋 章, 呉 好宗, 他: 顎関節画像検査に関する調査成績 1. 検査法の実施状況. 歯科放射線 32: 233-236, 1992.
8) Bronstein, S. L., Tomasetti, B. J., et al: Internal derangements of the temporomandibular joint: Correlation of arthrography with surgical findings. J. oral Surg. 39: 572-584, 1981.
12) Takahashi, A., Murakami, S., et al: The clinicoradiologic predictability of perforation of the soft tissue of the temporomandibular joint. Oral Surg. 74: 243-250, 1992.
10) Westesson, P. -L., Bronstein, S. L., et al: Temporomandibular joint: Correlation between single-contrast videoarthrography and postmorten morphology. Radiology 160: 767-771, 1986.
7) 野沢健司, 米津博文, 他: 顎関節クローズド・ロック患者の3次元顎運動解析に関する研究. 日口外誌 44: 140-152, 1998.
References_xml – reference: 10) Westesson, P. -L., Bronstein, S. L., et al: Temporomandibular joint: Correlation between single-contrast videoarthrography and postmorten morphology. Radiology 160: 767-771, 1986.
– reference: 7) 野沢健司, 米津博文, 他: 顎関節クローズド・ロック患者の3次元顎運動解析に関する研究. 日口外誌 44: 140-152, 1998.
– reference: 11) 米津博文: X線テレビシステムを用いる上下関節腔造影検査による顎関節症患者の関節円板動態異常に関する研究. 歯科学報 87: 1613-1639, 1987.
– reference: 4) Kobayashi. K., Imanaka M., et al: Interventional radiology of the temporomandibular joint. Proceeding of the 10th International Congress of Dento-Maxillo-Facial Radiology 585-588, 1994.
– reference: 8) Bronstein, S. L., Tomasetti, B. J., et al: Internal derangements of the temporomandibular joint: Correlation of arthrography with surgical findings. J. oral Surg. 39: 572-584, 1981.
– reference: 14) Eriksson, L,, Westesson, P. -L., et al: Temporomandibular joint sounds in patients with disc displacement. Int. J. oral Surg. 14: 428-436, 1985.
– reference: 9) Graham, G., Ferraro, N. F., et al: Perforations of the temporomandibular meniscus: arthrographic, surgical, and clinical findings. J. max-fac. Surg. 42: 35-38, 1984.
– reference: 3) 小林 馨, 今中正浩, 他: 低磁場強度装置による顎関節MR診断の有用性. 画像医学 10: 177-183, 1991.
– reference: 6) 米津博文, 関 泰忠, 他: X線テレビシステムを用いる顎関節腔造影検査法について. 日口外誌 33: 937-949, 1987.
– reference: 12) Takahashi, A., Murakami, S., et al: The clinicoradiologic predictability of perforation of the soft tissue of the temporomandibular joint. Oral Surg. 74: 243-250, 1992.
– reference: 1) 小林 馨, 五十嵐千浪, 他: 関節鏡と顎関節腔二重造影断層X線所見によるMR画像所見の考察. 映像情報 27: 1087-1092, 1995.
– reference: 5) 高橋 章, 呉 好宗, 他: 顎関節画像検査に関する調査成績 1. 検査法の実施状況. 歯科放射線 32: 233-236, 1992.
– reference: 2) Tasaki, M. and Westesson, P. -L.: Temporomandibular joint Diagnostic accuracy with sagittal and coronal MR imaging. Radiology 186: 723-729, 1993.
– reference: 13) Dolwick, M. F.: Surgical treatment of chronic anterior displacement of the TMJ meniscus. In Case Reports and Outlines of Selected Scientific Sessions, 42, Sixty-second Annual Meeting of the American Association of Oral and Maxillofacial Surgery, 1980.
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Snippet In this study, statistical methods about the relationship between with three-dimensional mandibular movements, clinical findings and the disc perforation of 36...
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StartPage 452
SubjectTerms arthrography
disc perforation
logistic regression
three-dimensional mandibular movement
ロジスティック回帰分析
三次元顎運動所見
関節円板穿孔
顎関節腔造影検査法
Title Relationship between temporomandibular joint disc perforation and clinical findings
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