COMPARATIVE ANALYSIS OF TMJ TOMOGRAPHIC IMAGES IN PATIENTS WITH DYSFUNCTIONAL SYNDROME OF TMJ

Gabriela Ifteni, Ovidiu Aungurencei, Alina Apostu, Oana Țănculescu, Cristina Cotea, Dragoș Virvescu, Zenaida Surlari

Abstract: The radiographic imaging brings valuable information on the TMJ morphology, statics and dynamics and there are several methods described in the literature to determine condylar position. 20 patients, 10 men and 10 women, with ages between 20 and 42 years, were evaluated. The patients came for treatment to the Dental Medicine Training Centre of the Faculty of Dental Medicine at “Grigore T. Popa” University of Medicine and Pharmacy of Iasi. All the patients included in the study group were affected by the TMJ dysfunctional syndrome intercepted at various stages of evolution. The patients were clinically and radiographically evaluated, after which they were supposed to receive medical care according to the standard treatment algorithm of the clinic. In five out of ten analysed cases of the group, asymmetries of condyle position were present on the right rather than on the left, either through anterior positions of the condyle to the centre of the glenoid fossa in four cases or a posterior position in one case. Only in 5 cases for group 1 and 2 cases for group 2, equal right-left starting positions of the condyles were found. In the other cases, either anterior or posterior displacements of the C condylar centre appear in relation to the morphological elements of the joint.

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