Role of different imaging modalities in assessment of temporomandibular joint erosions and osteophytes: a systematic review.

OBJECTIVES To evaluate the ability of different diagnostic imaging techniques for diagnosing the presence of erosions and osteophytes in the temporomandibular joint (TMJ). METHODS A systematic search of PubMed, Medline, all Evidence Based Medicine (EBM) reviews, Embase, Web of Sciences and Lilacs identified nine articles that met the selection criteria: some type of TMJ diagnostic imaging, data from autopsy or dry skull TMJs as gold standard, absence of diagnosed systemic arthritis and evaluation of the presence of erosions and/or osteophytes. A hand search of the references of the selected articles was also performed. RESULTS Selected studies evaluated panoramic imaging (unenhanced and colour-enhanced digital subtraction panoramic imaging), axially corrected sagittal tomography, axially corrected frontal tomography, sagittal MRI, CT, high-resolution ultrasound and cone beam CT (CBCT). CONCLUSIONS Axially corrected sagittal tomography is currently the imaging modality of choice for diagnosing erosions and osteophytes in the TMJ. CT does not seem to add any significant information to what is obtained from axially corrected sagittal tomography. CBCT might prove to be a cost- and radiation dose-effective alternative to axially corrected sagittal tomography. Combining different radiographic techniques is likely to be more accurate in diagnosing erosions and osteophytes in the TMJ than using a single imaging modality. Diagnostic studies that simultaneously evaluate all of the available TMJ imaging technologies are needed.

[1]  J. Kellgren,et al.  Radiological Assessment of Rheumatoid Arthritis * , 1957, Annals of the rheumatic diseases.

[2]  A. Berrett.  Radiology of the temporomandibular joint. , 1983, Dental clinics of North America.

[3]  S. Åkerman.  Morphologic, radiologic and thermometric assessment of degenerative and inflammatory temporomandibular joint disease. An autopsy and clinical study. , 1987, Swedish dental journal. Supplement.

[4]  L. Hollender,et al.  Radiographic examination of the temporomandibular joint. A comparison between radiographic findings and gross and microscopic morphologic observations. , 1976, Dento maxillo facial radiology.

[5]  S. Åkerman,et al.  Microscopy and tomography of erosive changes in the temporomandibular joint. An autopsy study. , 1995, Acta odontologica Scandinavica.

[6]  G. Bodner,et al.  Condylar erosion and disc displacement: detection with high-resolution ultrasonography. , 2003, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[7]  D. Rozencweig.  Three-dimensional tomographic study of the temporomandibular articulation. , 1975, Journal of periodontology.

[8]  K. Brandt,et al.  Exercise increases osteophyte formation and diminishes fibrillation following chemically induced articular cartilage injury. , 1984, Journal of anatomy.

[9]  K. Matsumoto,et al.  Osseous abnormalities of the mandibular condyle: diagnostic reliability of cone beam computed tomography compared with helical computed tomography based on an autopsy material. , 2006, Dento maxillo facial radiology.

[10]  W. McDavid,et al.  Digital subtraction temporomandibular joint tomography. , 1993, Oral surgery, oral medicine, and oral pathology.

[11]  I. E. Klein,et al.  Comparison of the fidelity of radiographs of mandibular condyles made by different techniques. , 1970, The Journal of prosthetic dentistry (Print).

[12]  M. Könönen,et al.  Comparison of three radiographic methods in screening of temporomandibular joint involvement in patients with psoriatic arthritis. , 1990, Acta odontologica Scandinavica.

[13]  K. Tanimoto,et al.  Comparison of computed with conventional tomography in the evaluation of temporomandibular joint disease: a study of autopsy specimens. , 1990, Dento maxillo facial radiology.

[14]  R H Tallents,et al.  CT and MR of the temporomandibular joint: comparison with autopsy specimens. , 1987, AJR. American journal of roentgenology.

[15]  O. Eckerdal,et al.  The structural situation in temporomandibular joints. A comparison between conventional oblique transcranial radiographs, tomograms and histologic sections. , 1979, Dento maxillo facial radiology.

[16]  K. Omnell,et al.  Radiography of the temporomandibular joint utilizing oblique lateral transcranial projections. Comparison of information obtained with standardized technique and individualized technique. , 1976, Odontologisk revy.

[17]  T L Hansson,et al.  The OPG: an aid in TMJ diagnostics. III. A comparison between lateral tomography and dental rotational panoramic radiography (Orthopantomography). , 1989, Journal of oral rehabilitation.

[18]  T. Demchak,et al.  Effect of transducer velocity on intramuscular temperature during a 1-MHz ultrasound treatment. , 2006, The Journal of orthopaedic and sports physical therapy.

[19]  M. Dyson,et al.  Free radical production in amniotic fluid and blood plasma by medical ultrasound. , 1987, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[20]  William C. Scarfe,et al.  Diagnostic accuracy of film-based, TIFF, and wavelet compressed digital temporomandibular joint images , 2000, Journal of Digital Imaging.

[21]  R. Emshoff,et al.  Validation of the clinical diagnostic criteria for temporomandibular disorders for the diagnostic subgroup of degenerative joint disease. , 2003, Journal of oral rehabilitation.

[22]  S. Brooks,et al.  Dosimetry of 3 CBCT devices for oral and maxillofacial radiology: CB Mercuray, NewTom 3G and i-CAT. , 2006, Dento maxillo facial radiology.

[23]  S. Åkerman,et al.  Macroscopic and microscopic findings of areas with radiologic erosions in human temporomandibular joints. , 1992, Acta odontologica Scandinavica.

[24]  S. Kopp,et al.  Tomography as an aid to detect macroscopic changes of the temporomandibular joint. An autopsy study of the aged. , 1986, Acta odontologica Scandinavica.

[25]  U. Nannmark,et al.  Macroscopic, microscopic and radiologic assessment of the condylar part of the TMJ in elderly subjects. An autopsy study. , 1990, Swedish dental journal.

[26]  T. Fujii,et al.  The contribution of frontal tomography to the diagnosis of temporomandibular joint osteoarthritis. , 1992, Dento maxillo facial radiology.

[27]  H. Pancherz,et al.  Is orthopantomography reliable for TMJ diagnosis? An experimental study on a dry skull. , 1995, Journal of orofacial pain.

[28]  J. L. Marshall,et al.  Instability of the knee. A long-term experimental study in dogs. , 1971, The Journal of bone and joint surgery. American volume.

[29]  P. Westesson,et al.  Prevalence of osseous changes in the temporomandibular joint of asymptomatic persons without internal derangement. , 1992, Oral surgery, oral medicine, and oral pathology.

[30]  D. Tyndall,et al.  Temporomandibular joint imaging: a comparative study of diagnostic accuracy for the detection of bone change with biplanar multidirectional tomography and panoramic images. , 1995, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[31]  Johannes B Reitsma,et al.  Evaluation of QUADAS, a tool for the quality assessment of diagnostic accuracy studies , 2006, BMC medical research methodology.

[32]  G. Gynther,et al.  Comparison of arthroscopy and radiography in patients with temporomandibular joint symptoms and generalized arthritis. , 1998, Dento maxillo facial radiology.

[33]  T. Oberg,et al.  Comparison between radiologic observations and macroscopic tissue changes in temporomandibular joints. , 1977, Dento maxillo facial radiology.

[34]  G. Bodner,et al.  Pathologic-sonographic correlation in temporomandibular joint pathology , 2006, European Radiology.

[35]  B M Gratt,et al.  Thermographic characterization of osteoarthrosis of the temporomandibular joint. , 1993, Journal of orofacial pain.

[36]  H. Stamatakis,et al.  Radiographic examination of the temporomandibular joint using cone beam computed tomography. , 2004, Dento maxillo facial radiology.

[37]  K. Tanimoto,et al.  Diagnostic outcome and observer performance in sagittal tomography of the temporomandibular joint. , 1990, Dento maxillo facial radiology.

[38]  P. Byers,et al.  A post mortem study of the hip joint. Including the prevalence of the features of the right side. , 1970, Annals of the rheumatic diseases.

[39]  M. Vannier,et al.  Virtual arthroscopy of the visible human female temporomandibular joint. , 1999, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[40]  S. Brooks,et al.  Dosimetry of two extraoral direct digital imaging devices: NewTom cone beam CT and Orthophos Plus DS panoramic unit. , 2003, Dento maxillo facial radiology.

[41]  P. Westesson,et al.  Imaging of the temporomandibular joint: a position paper of the American Academy of Oral and Maxillofacial Radiology. , 1997, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[42]  S. Kopp,et al.  Macroscopic and microscopic appearance of radiologic findings in temporomandibular joints from elderly individuals , 1988 .

[43]  A. Glaros,et al.  Comparison of panoramic radiography and panoramic digital subtraction radiography in the detection of simulated osteophytic lesions of the mandibular condyle. , 2002, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[44]  M. Rohlin,et al.  Rheumatoid arthritis of the temporomandibular joint: radiologic evaluation based on standard reference films. , 1989, Oral surgery, oral medicine, and oral pathology.

[45]  A. Larsen,et al.  Radiographic Evaluation of Rheumatoid Arthritis and Related Conditions by Standard Reference Films , 1977, Acta radiologica: diagnosis.