Diagnosis of crystal deposition disease of the temporomandibular joint

DOI 4 Citations 40 References
  • NAKAGAWA Yoichi
    Second Department of Oral and Maxillofacial Surgery, Tsurumi University School of Dental Medicine
  • SHIMODA Shinji
    Second Department of Oral Anatomy, Tsurumi University School of Dental Medicine
  • ISHII Hisako
    Second Department of Oral and Maxillofacial Surgery, Tsurumi University School of Dental Medicine
  • KAWASAKI Kenzo
    Second Department of Oral Anatomy, Tsurumi University School of Dental Medicine
  • ISHIBASHI Katsunori
    Second Department of Oral and Maxillofacial Surgery, Tsurumi University School of Dental Medicine

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Other Title
  • 顎関節結晶沈着症の診断とそのプロセス

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Abstract

A diagnostic procedure in crystal deposition disease of the temporomandibular joint (TMJ), and a method for detection of crystals in the joint fluid, were studied. Five cases of acute arthritis of the TMJ were examined. These cases were suggested to be suppurative arthritis of the TMJ, based on clinical signs, showing apparent swelling and severe pain, and based on radiological findings. However, no microorganisms were detected in the joint fluid. Therefore, we next examined crystals in the joint fluid, employing polarized light microscopy and an electron probe micro-analyzer (EPMA). Calcium pyrophosphate dihydrate crystals were detected in 2 cases, and thus the lesion was diagnosed as CPPD crystal-induced arthritis of the TMJ.

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