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P 4<br />

Title<br />

THE MRI EVALuATION OF DISC POSITIONS AND EFFuSION IN AGROuP OF PATIENTS<br />

WITH TMD<br />

Authors<br />

S. yALCINKAyA 1, MA ELCIN 1, A VAROL 2<br />

Affiliations<br />

1 DepT of Oral Maxillofacial Radiology, Faculty of Dentistry, Marmara University, Istanbul, TUR-<br />

KEY, 2 Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Marmara University,<br />

Istanbul, TURKEY<br />

Body<br />

Introduction: MRI is regarded <strong>as</strong> superior to other imaging techniques in evaluating temporomandibular<br />

disorders (TMDs), since MRI can provide positional information about disc, volume<br />

of synovial fluid, and qualitative data about the status of retrodiscal tissues and surrounding<br />

muscular tissue.<br />

Objective: The aim of this study w<strong>as</strong> to evaluate disc position, degenerative changes of condylar<br />

head, intracapsular effusion and signal intensity of retrodiscal tissues in patients with<br />

TMDs using with MRI.<br />

Material and Method: 32 patients with TMDs were examined with MRI. Spurring, flattening and<br />

erosion along condylar surface, glenoid fossa or articular eminence were cl<strong>as</strong>sified <strong>as</strong> degenerative<br />

changes on the MRIs. Intracapsular effusion w<strong>as</strong> evaluated with T2-weighted images <strong>as</strong><br />

incre<strong>as</strong>ed signal. The signal intensity of TMJ disc w<strong>as</strong> also <strong>as</strong>sessed.<br />

Results: The disc position w<strong>as</strong> normal in 9.3 % and anteriorly displaced in 37.5 % of the TMJs.<br />

Intracapsular effusion w<strong>as</strong> observed in 18.75 %. T<strong>here</strong> w<strong>as</strong> a significant correlation between<br />

displacement of the disc and the hyperintense signal (p < 0.01). The relationship of intracapsular<br />

effusion with disc displacement, TMJ pain and the type of disc displacement were<br />

statistically significant (p

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