顎関節部の画像検査による診断  [in Japanese] Clinical consideration for Prosthodontic Approach Based on the TMJ Imaging Analysis  [in Japanese]

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Abstract

Dentists must assess the oral function of patients prior to prosthodontic treatment since dental treatment is completed prosthodontically in many cases. Mastication, the most important oral function, is closely associated with temporomandibular joint function. Therefore, examination and diagnosis of temporomandibular joint are the key to success for prosthodontic treatment. The purpose of this study was to review and discuss the selection criteria of imaging modalities of temporomandibular joint and how imaging diagnosis should be meaningfully used in clinical practice. Plain-film radiography, panoramic radiography, conventional tomography, computed tomography, arthrography, and magnetic resonance imaging are imaging techniques available for assessment of the temporomandibular joint. Although accuracy studies of these techniques have demonstrated that magnetic resonance imaging has the highest accuracy, the selection of techniques should be done based on what part of and how accurate images are needed for prosthodontic treatment planning.<BR>Temporomandibular joint imaging is useful for differentiating temporomandibular disorders from other joint disorders such as synovial osteochondromatosis and rheumatoid arthritis. In addition, imaging gives prosthodontists important information for determining anterior guidance in cases whose upper anterior teeth should be totally reconstructed. The condylar position on imaging was also discussed in connection with the changing concept of the central relation. It was concluded from the discussion that the clinical significance of determining condylar position is not high at present.

Journal

  • Nihon Hotetsu Shika Gakkai Zasshi

    Nihon Hotetsu Shika Gakkai Zasshi 43(1), 27-36, 1999-02-10

    Japan Prosthodontic Society

References:  68

Cited by:  3

Codes

  • NII Article ID (NAID)
    10008171901
  • NII NACSIS-CAT ID (NCID)
    AN00197911
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03895386
  • Data Source
    CJP  CJPref  J-STAGE 
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