Temporomandibular eklem bozukluğu tanısının manyetik rezonans görüntüleme ile doğrulanması

Amaç: Bu çalışmada farklı cinsiyet ve eğitim durumu olan hastaların temporomandibular eklem şikayetlerini tanımlamaları ve bu şikayetlerin manyetik rezonans görüntüleme (MRG) ile temporomandibular eklem (TME) bozukluğu tanısının doğruluğunu araştırmak amaçlamaktadır.Gereç ve Yöntem: Çene ağrısı ve sınırlı ağız açıklığı şikâyeti ile 2011-2018 arasında diş kliniğine başvurmuş olan 18 yaşından büyük 99 hastanın Temporomandibular eklem MRG ve klinik muayene bulguları ve panoramik radyografileri değerlendirildi. MRG sonucunda TME belirlenmişse MRG (+) olarak kabul edildi. TME şikayetleri varsa, ancak MRG sonucuna göre, eklem normal sınırlardaysa, MRG (-) olarak kaydedildi.Bulgular: MRG sonuçları ile cinsiyet değişkeni arasında anlamlı ilişki bulunurken, diş eksikliği parametresi arasında anlamlı bir ilişki bulunmadı. Eğitim düzeyinin ise Temporomandibuler eklem şikayetleri ve MRG (+) bulguları üzerinde anlamlı etkisinin olmadığı belirlendi.Sonuç: Kadınların temporomandibular eklem problemlerini erkeklere göre daha iyi tarif ettikleri gözlendi. Eğitim seviyesi yüksek olsa bile eklem şikayetlerini hastalar hekime doğru bir şekilde aktaramayabilir. Bu hastalığın tanısını koyabilmek için mutlaka klinik bulgular MRG sonuçları ile desteklenmelidir.

Confirming the diagnosis of temporomandibular joint disorder by magnetic resonance imaging

Purpose: The aim of this study was to define the temporomandibular joint complaints of patients with different genders and educational levels and to investigate the accuracy of these complaints with the diagnosis of temporomandibular joint disorder (TJD) with magnetic resonance imaging (MRII).Material and Methods: Temporomandibular joint MRI and clinical examination findings and panoramic radiographs of 99 patients over 18 years of age who applied to the dental clinic between 2011-2018 with the complaint of jaw pain and limited mouth opening are evaluated. The cases which TJD was determined as a result of MRI, are accepted as MRI (+). The ones with the complaints of TJD, but the joint was within normal limits in the MRI, MRI is recorded as (-).Results: There is significant correlation between MRI results and gender but no correlation between MRI results and tooth loss. It is found education level did not have significant effect on the described joint complaints and MRI (+) findings.Conclusion: Women describe temporomandibular joint problems better than men. Even if the level of education is high, patients may not be able to convey their complaints correctly to the physician. Clinical findings should be supported by MRI results in order to diagnose this disease.

Keywords:

temporomandibular joint disorder magnetic resonance imaging, diagnosis,

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