scholarly journals Bentuk dan posisi kondilus sebagai marker pada Temporomandibular Disorder (TMD) melalui radiografi panoramik

2020 ◽  
Vol 4 (3) ◽  
pp. 91
Author(s):  
Khamila Gayatri Anjani ◽  
Aga Satria Nurrachman ◽  
Fadhlil Ulum Abdul Rahman ◽  
Ria Noerianingsih Firman

Objectives: The purpose of writing this literature review is to describe the condyle shape and position parameters in panoramic radiographs to be used as markers in diagnosing a TMD case. Literature Review: There are several classifications of both normal and pathological condyles in terms of panoramic radiographs, however these require more detailed observation. Panoramic radiographs that are only two-dimentional and only performed when the teeth are biting edge to edge so that they only show the position of the condyle movement and the shape of the condyle from the lateral view. Panoramic radiograph also have limitations in imaging soft tissues such as articular disc which are vital anatomy in analyzing a TMD case. Conclusion: Assessment of the shape and position of the condyles on a panoramic radiograph can be used as an early diagnosis of TMD. 2-dimensional modalities such as TMJ conventional lateral and frontal or 3-dimensional modalities such as CBCT or CT can be used for further assessment of a TMD case, while MRI or ultrasound can be used for soft tissue abnormalities.

Author(s):  
Shejali Jana ◽  
Rucha Shah ◽  
Raison Thomas ◽  
A. B. Tarun Kumar ◽  
D. S. Mehta

Sequelae to too the extraction includes progressive loss in the vertical and horizontal dimension of alveolar ridge. These lead to changes in the alveolar process in a 3 dimensional fashion causing hard and soft tissue deficiency which may affect the ability to restore the site. Preservation of the alveolar crest after tooth extraction is essential to maintain the vertical and horizontal dimensions of the alveolar ridge. Several techniques and materials have been introduced to minimize crestal bone loss. There is a broad consensus that ridge preservation procedures are efficient in limiting the post extraction dimensional loss of the ridge. However, the key to successful outcome is proper treatment planning according to the case and prognosis. Conclusion: The aim of this literature review is to discuss the several bone preservation techniques and materials to minimize post-extraction loss of hard and soft tissues.


2020 ◽  
Vol 4 (3) ◽  
pp. 101
Author(s):  
Dwi Putri Wulansari ◽  
Farina Pramanik

Objectives: This review aimed to understand the radiographic features of carotid artery atheroma on panoramic radiographs as an early diagnosis of atherosclerosis. Literature Review: Carotid artery calcification is caused by a plaque known as an atheroma. Atheroma is a plaque composed of lipids and rich in calcium. If atheroma formation in the carotid arteries increases, it would cause stenosis of the blood vessels and increase the risk of stroke. On panoramic radiographs, carotid artery atheroma appears as a heterogeneous radiopaque image with an irregular shape and well-defined borders. Radiopaque image located inferior to the angle of the mandible, close to the cervical spine (C3-C5) and above the hyoid bone. Conclusion: Incidental findings on panoramic radiograph could be an initial reference for further examination and evaluation of atherosclerosis.


2016 ◽  
Vol 28 (3) ◽  
Author(s):  
Farina Pramanik ◽  
Ria Noerianingsih Firman ◽  
Belly Sam

Introduction: Clicking is the most common clinical symptom in patients with Temporomandibular Disorder (TMD). Lacking attention by either the patient or dentist, many patients were found to have suffered from morphologic alteration of the condyles seen in the panoramic radiograph inadvertently. The purpose of the study was to determine the differences of condyle morphology of the Temporomandibular Joint (TMJ) with and without the existence of clicking by means of digital panoramic radiographs. Methods: This study was based on an analytic descriptive research, whereas subjects are digital panoramic radiographs taken from clicking and non-clicking patients at the Radiology Installation of Dental Hospital Universitas Padjadjaran. 16 samples of each group were chosen in a non-random purposive sampling manner. Results: The research showed the mean of condyle morphology, HOC height  on clicking (6.31 mm) was shorter than the non clicking (7.63 mm), the width of HOC on clicking (10.38 mm) was higher than the non clicking (10.22 mm) and height of the processus condylaris on clicking (19.70 mm) was shorter than non clicking (20.04 mm). Ratio of the high of HOC, width of HOC and high of processus condylaris were 12.13 (clicking), and 12.63 (non-clicking). Conclusion: There was no significant difference between the morphology of the TMJ condyle between clicking and not clicking group, except on high of HOC.


Author(s):  
Dr. Minti Kumari ◽  
Dr. Madhuri Kumari ◽  
Dr Anurag Rai ◽  
Dr. Navin Kumar

It is evident that hyperdontia is more common in the permanent dentition than in the primary. There is a considerable difference between males and females in the prevalence of these teeth in permanent dentition; hyperdontia is twice as common in males as in females. However, this approximation varies in terms of location, other associating syndromes that may be present, and the ethnicity of the individual. In terms of ethnicity, it can be seen that hyperdontia is in fact less common in Caucasian than in Asian populations. There is evidence to show that an individual is more likely to have hyperdontia if other members of their family also have the condition. Hence the present study was planned for evaluation of occurrence of hyperdontia in non-syndromic  population from Bihar Region. The present study was planned in Public Health Dentistry, Patna Dental College and Hospital, Patna, Bihar. Total 195 patients referred to Department of Dentistry were evaluated in the present study. Panoramic radiographs and clinical records of patients above the age of 18 years and without any syndromic features were selected for the study.  All the radiographs were examined for the presence of supernumerary teeth, their location, morphology, and number. Morphologically, teeth were classified as conical, tuberculate, supplemental, and odontoma. Early diagnosis of dental anomalies can prevent some esthetic, orthodontic, and periodontal problems, and knowledge of the prevalence and distribution of the anomalies may help clinicians to the detection of these anomalies at early stages. Our study evaluated the prevalence of selected dental anomalies; future studies should investigate the prevalence of dental anomalies of all types. Keywords: Hyperdontia, non-syndromic, panoramic radiograph, supernumerary teeth, etc.


2012 ◽  
Vol 23 (4) ◽  
pp. 443-450 ◽  
Author(s):  
Kelly Machado de Andrade ◽  
Carolina Almeida Rodrigues ◽  
Plauto C. Aranha Watanabe ◽  
Marcelo Oliveira Mazzetto

Knowledge of the Eagle's syndrome shows that its symptoms can be very easily confused with other types of craniomandibular disorders, especially temporomandibular disorders (TMD). The aim of this study was to find a possible correlation between the presence of TMD and elongation of the styloid process as well relate to presence of calcification of the stilohyoid chain. Fifty patients with TMD, confirmed from the RDC/TMD, were examined clinically and radiographically. Radiographic documentation consisted of digital panoramic radiograph and digital lateral cephalometric radiograph. Radiocef software (Radiomemory) was used for the analysis of radiographs by means of specific cephalometric tracing and linear measurements of the styloid process. Each radiograph was traced and measured three times with intervals of 1 month to spread the error. Statistical analysis was performed by Pearson's test (p=0.001) using Biostat 4.0 statistical software. Result showed an incidence of 76% elongation of the styloid process in the sample. There was a correlation between the bilateral measures taken in panoramic radiographs (?<0.001) and also for measures of styloid process length carried out in different panoramic radiographs and lateral cephalometric radiographs (?<0.001). It was concluded that there is prevalence of elongated styloid process in patients with TMD. However, no relationship was found between measurements on the stylohyoid chain and symptoms of headache, orofacial pain, tinnitus and vertigo.


2005 ◽  
Vol 119 (6) ◽  
pp. 492-494 ◽  
Author(s):  
J P Hughes ◽  
Silvana Di Palma ◽  
J Rowe-Jones

A literature review reveals that gout has been described as affecting many sites in the head and neck region, both in the arthritic and tophaceous form. Gout can often mimic malignancy or infection, and has been described as causing acute airway problems requiring emergency tracheotomy. Here we describe the first published case of tophaceous gout affecting the soft tissues overlying the nasal bones. The patient presented with a bony, hard, dorsal hump and requested aesthetic rhinoplasty.We also describe an endoscopic technique for removal of tophi using a powered microdebrider system with a protected burr head. Endoscopic powered microdebrider blade excision of tophi affecting the limbs has already been described, with reduced complications when compared with conventional curettage and debridement techniques. This is the first such application to the nose.


2017 ◽  
Vol 7 (3) ◽  
pp. 62 ◽  
Author(s):  
Suzan Cangul ◽  
Ozkan Adiguzel

Imaging methods are of great importance for diagnosis and treatment in dentistry. With technological advances, great progress has been made in these methods. Over time, 3-dimensional (3-D) imaging has replaced 2-dimensional, thereby providing examination of objects in all directions. Of these methods, which play an important role in the clinical evaluation of patients, cone-beam computed tomography (CBCT) is the newest and most advanced imaging method. This method will revolutionize dental in comparison with conventional CT, it has several advantages, including a shorter scanning time, low radiation dose, low cost and the acquisition of high-resolution images. With 3-D imaging technology, this method has introduced the possibility of applying several procedures from diagnosis in the maxillofacial region to operative and surgical procedures. Although very clear results are not obtained from the imaging of soft tissues, the most important advantage of this technology is the capability of imaging hard and soft tissues together.   How to cite this article: Cangul S, Adiguzel O. Cone-Beam Three-Dimensional Dental Volumetric Tomography in Dental Practice. Int Dent Res 2017;7:62-70.  Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.


2020 ◽  
Vol 10 ◽  
pp. 65
Author(s):  
Shaima Malik ◽  
Shilpa Singh ◽  
Robby T. George ◽  
Mayank Kakkar ◽  
Nikhilesh R. Vaid

Condylar resorption of temporomandibular joint findings in the panoramic radiographs is an indication of bone resorption suggesting possible degenerative joint disease that warrants early screen and subsequent referral to a dedicated specialist. This case series reports three patients that underwent the active orthodontic treatment for the duration of approximately 24–36 months. The patients were asymptomatic at the initial examination. The clinical examination was negative for clicking; the range of motion on opening, lateral excursion, and protrusion was normal. Neither of these patients had a history of rheumatic disease or bruxism. During the later stages of orthodontic treatment, two of the three patients reported mild pain and clicking during mastication, which was also confirmed chairside on clinical evaluation. Patients were referred to the orofacial pain specialist, were they were prescribed specific medication for the symptoms, along with cognitive behavioral therapy, and were further evaluated for splint therapy. Panoramic radiographs taken before the start of the treatment, during the treatment and at the completion of the orthodontic treatments indicate the progression in the resorption of mandibular condyle in all three patients suggesting possible degeneration that warrants further investigation and therapy.


Neurographics ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 166-174
Author(s):  
B.R. Larsen ◽  
M.S. Rosztoczy ◽  
D.C. Van Tassel ◽  
C.R. Larson ◽  
S.A. Avedikian ◽  
...  

Encephalotrigeminal angiomatosis, also known as Sturge-Weber syndrome or Sturge-Weber-Dimitri disease, is a sporadic congenital neurocutaneous syndrome characterized by angiomas of the face, eyes, and meninges. The typical clinical findings include seizures, a port-wine facial nevus, hemiparesis, and developmental delay. The classic intracranial imaging features of Sturge-Weber syndrome include cerebral hemispheric atrophy, hypervascularity and/or calcification of the cortex, and ipsilateral choroid plexus enlargement. Extracranial findings primarily include the vascular abnormalities of the ocular and facial soft tissues as well as hypertrophy of the calvarial and maxillofacial osseous structures. Additionally, we report involvement of the extraocular muscles, salivary glands, and lacrimal glands, findings that have not been well described in the literature. While a developmental venous pathology underlying Sturge-Weber syndrome has been proposed resulting in many of the findings, the mechanism behind the facial soft-tissue abnormalities and the clinical sequelae associated with these glandular abnormalities is still uncertain.Learning Objective: To recognize typical clinical and various imaging manifestations of Sturge-Weber syndrome, including head and neck and intracranial imaging findings


Dental Update ◽  
2019 ◽  
Vol 46 (6) ◽  
pp. 554-560
Author(s):  
Aisha Ahsan-Mohammed ◽  
Rosalyn J Clarkson ◽  
Fiona A Carmichael

All relevant ‘dental’ radiographic anomalies require a report, be they related to the teeth, mandible, maxillary sinuses, temporomandibular joints or soft tissues. However, non-dental incidental findings are often present on dental radiographs, some of which may be due to systemic disease: these should also be assessed. We compare the confidence at diagnosing, and subsequent management of, three such incidental findings between specialist dental and maxillofacial radiologists and recently qualified dentists. The imaging features and clinical implications of dense bone islands, carotid artery calcification and osteoporosis are described. CPD/Clinical Relevance: Dental panoramic radiographs cover structures not confined to the tooth-bearing areas and incidental findings in these regions should be recognized and appropriately reported, in line with IR(ME)R legislation.


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