1、Radiographic examinations of the temporomandibular joint,Dob-Nagy, Csaba Semmelweis University,Knowledge required by clinicians,Anatomy Available investigations Clinical indications How each investigation is performed position open or closed Limitations Pathological conditions,Anatomical section of
2、a normal TMJ,lateral pterygoid muscle,Skull base model,A,P,L,R,Visualization of the TMJ,Main radiographyc projections of the TMJ,TrCran,TrPhar,TrOrb,SMV,RevTowne,Transcranial projection,Reverse Townes,Transorbital,Transpharyngeal (Parma),Dental panoramic tomograph,Condylar silhouette,Projection of p
3、anoramic tomography,Double lateral view of TMJ,SMV,Corrected tomography,Limitations of routin radiographic projections,Soft tissue abnormalities Effusion Small and localised bony defects One aspect of the joint (except for tomography),Main pathological signs of TMJ,Adaptive response,Osteophyte forma
4、tion,Fracture,osteochondroma,Diagnostic informations of MR,Disk displacement The integrity of the disk and its soft tissue attachments Effusion (T2-weighted image) Integrity of the articular surface Research (gold standard),CT coronal view,CT sagittal view,CBCT imaging of a normal TMJ,CBCT examinati
5、on of arthritis,Osteophyte,Ankylosis,Diagnostic informations of CT,The shape of the bony compartments Information on all aspects of the joint The condition of the articular surface The size of the joint space Integrity of the disk and soft tissue attachements,Size of TMJ space and soft tissue changes,Diagnostic informations by modalities,Suggested hierarchy of imaging modalities in TMJ disease,panoramic,MRI,tomography,CBCT, CT,soft tissue changes,bone changes,Primary examination: dysfunction organic changes failed treatment,Summary of views of main projections,
