Diagnostic criteria for intraarticular T.M. disorders.

Epidemiological investigations about the prevalence of TMJ ID and osteoarthritis have largely reported the symptoms and signs associated with these disorders without specific criteria to establish the diagnosis. In this study, specific diagnostic criteria have been developed, using historical, clinical and tomographic items that are predictive of the presence and stage of TMJ internal derangement. The diagnostic criteria were compared to arthrotomography to assess their diagnostic accuracy. Overall, the percent agreement was 75%. The predictability of specific stages of TMJ ID varied. Overall, sensitivity and specificity of the criteria were acceptable. The diagnosis of osteoarthritis was predicted only with tomography. Utilization of these diagnostic criteria in epidemiological studies is valid due to their high overall predictiveness when applied to a large population.

[1]  M. Espeland,et al.  Mandibular range of motion versus arthrographic diagnosis of the temporomandibular joint. , 1985, Oral surgery, oral medicine, and oral pathology.

[2]  P. Westesson,et al.  Clinical and radiological study of patients with anterior disc displacement of the temporomandibular joint. , 1983, Swedish dental journal.

[3]  W. Farrar,et al.  Characteristics of the condylar path in internal derangements of the TMJ. , 1978, The Journal of prosthetic dentistry.

[4]  E. Schiffman,et al.  The craniomandibular index: validity. , 1987, The Journal of prosthetic dentistry.

[5]  A. Szentpétery,et al.  Prevalence of mandibular dysfunction in an urban population in Hungary. , 1986, Community dentistry and oral epidemiology.

[6]  P. Westesson,et al.  Temporomandibular joint sounds in patients with disc displacement. , 1985, International journal of oral surgery.

[7]  O. Swanljung,et al.  Functional disorders of the masticatory system in southwest Finland. , 1979, Community dentistry and oral epidemiology.

[8]  W. Farrar,et al.  Inferior joint space arthrography and characteristics of condylar paths in internal derangements of the TMJ. , 1979, The Journal of prosthetic dentistry.

[9]  K. Schellhas,et al.  Clinical vs. Arthrographic Diagnosis of TMJ Internal Derangement , 1989, Journal of dental research.

[10]  P. Westesson,et al.  The correlation of temporomandibular joint sounds with joint morphology in fifty-five autopsy specimens. , 1985, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[11]  C. Helms,et al.  Arthrotomography of the temporomandibular joint. , 1980, AJR. American journal of roentgenology.

[12]  L. R. Eversole,et al.  Temporomandibular joint internal derangements and associated neuromuscular disorders. , 1985, Journal of the American Dental Association.

[13]  E. Schiffman,et al.  Reliability of a Craniomandibular Index , 1986, Journal of dental research.

[14]  M. Helkimo,et al.  Studies on function and dysfunction of the masticatory system. II. Index for anamnestic and clinical dysfunction and occlusal state. , 1974, Svensk tandlakare tidskrift. Swedish dental journal.

[15]  O. Rasmussen.  Description of population and progress of symptoms in a longitudinal study of temporomandibular arthropathy. , 1981, Scandinavian journal of dental research.

[16]  T. Hansson,et al.  A study of the occurrence of symptons of disease of the temporomandibular joint masticatory musculature and related structures. , 1975, Journal of oral rehabilitation.

[17]  W. Solberg,et al.  Prevalence of mandibular dysfunction in young adults. , 1979, Journal of the American Dental Association.

[18]  P. Westesson,et al.  Internal derangement of the temporomandibular joint: morphologic description with correlation to joint function. , 1985, Oral surgery, oral medicine, and oral pathology.

[19]  R. H. Griffiths.  Report of the president's conference on the examination, diagnosis, and management of temporomandibular disorders. , 1983, American journal of orthodontics.

[20]  G. Carlsson,et al.  Four-year longitudinal study of mandibular dysfunction in children. , 1985, Community dentistry and oral epidemiology.

[21]  A. Petersson,et al.  Clinical and radiologic six-year follow-up study of patients with crepitation of the temporomandibular joint. , 1984, Swedish dental journal.

[22]  M. Espeland,et al.  Clinical and arthrographic evaluation of temporomandibular joint sounds. , 1986, Oral surgery, oral medicine, and oral pathology.