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OP 132<br />
Title<br />
WHICH THERAPEuTIC SIGNIFICANCE HAS MRI FOR PATIENTS WITH CMD?<br />
Authors<br />
D. SCHuLzE 1 , G. KLETT 1 , D. ROTTKE 1<br />
Affiliations<br />
1 Dental Diagnostic Center, Freiburg, GERMANY<br />
Body<br />
Objectives<br />
Craniomandibular dysfunctions (CMD) are a predominant, controversially discussed subject in<br />
dentistry. As the symptoms are multifactorially conditioned, one therapy in most c<strong>as</strong>es is not<br />
enough.The conventional MRI is known <strong>as</strong> the best not-inv<strong>as</strong>ive medical imaging to display<br />
the temporomandibular joint (TMJ). The aim of this study w<strong>as</strong> a systemic literature review.<br />
How much is MRI influencing therapy for patients witch CMD. Respectively which therapeutic<br />
consequences can be drawn from MRI.<br />
Material and Method<br />
Literature research h<strong>as</strong> been made in electronic data datab<strong>as</strong>es like Medline or Pubmed,<br />
followed by an additional manual search in different professional journals. All the citations<br />
were checked independent of two persons using eligibility criteria. The data rating happened<br />
in tabular comparison of the survey contents. Additionally the surveys were analyzed for therapeutic<br />
effectiveness and the level of evidence.<br />
Conclusion<br />
In conclusion 54 surveys fulfilled the eligibility criteria. The therapeutic significance, which is<br />
awarded to the MRI is different and can be cl<strong>as</strong>sified in four categories:<br />
- Differentiated statements to the therapeutic significance of MRI<br />
- MRI for evaluation of surgeries<br />
- MRI for evaluation of conservative therapeutic me<strong>as</strong>ures<br />
- MRI for evaluation of the relationship between orthodontics and CMD<br />
-<br />
Discussion & Conclusion<br />
The therapeutic significance, which is awarded to the MRI in the implemented surveys, is<br />
various but mostly vague formulated. Noticeable are incomplete described surveys contents.<br />
Referring to the modell of Fryback et al. (1991) the therapeutic significance is constituted in<br />
some surveys, a patient-relevant benefit is not. The rank of evidence is restricted in the existing<br />
literature, the retrospective investigations predominate.<br />
Keywords<br />
MRI, TMJ, therapeutic significance<br />
102
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