Temporomandibular joint sounds in asymptomatic volunteers. 1993

R H Tallents, and M Hatala, and R W Katzberg, and P L Westesson
Department of Orthodontics, Eastman Dental Center, Rochester, N.Y.

Abnormalities within the temporomandibular joints often produce audible sounds. Electronic recording of joint sounds has been used as a method of staging internal derangement. This study had three objectives: first, to determine whether the characterization of temporomandibular sounds can provide a sensitive and accurate measure for the presence or absence of joint abnormalities in asymptomatic volunteers; second, to evaluate the reproducibility of the sounds, when present, with successive recordings; and third, to evaluate the sound characteristics to determine their predictability for the types of internal derangement. Fifty asymptomatic volunteers (100 joints) were evaluated with an electronic device for the presence of joint sounds. Of the patients, 24% (N = 50, five men and seven women) (16% of all joints) had one or two abnormal joints as diagnosed by magnetic resonance imaging. Forty-four percent of all joints had identifiable sounds; 50% of the sounds were produced when the condyle was located at the apex of the articular eminence. Sounds often occurred in the early opening phase of jaw movement in joints diagnosed as normal by magnetic resonance imaging. Finally, the characteristics of these events did not produce adequate separation to stage the internal derangement.

UI MeSH Term Description Entries
D008279 Magnetic Resonance Imaging Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques. Chemical Shift Imaging,MR Tomography,MRI Scans,MRI, Functional,Magnetic Resonance Image,Magnetic Resonance Imaging, Functional,Magnetization Transfer Contrast Imaging,NMR Imaging,NMR Tomography,Tomography, NMR,Tomography, Proton Spin,fMRI,Functional Magnetic Resonance Imaging,Imaging, Chemical Shift,Proton Spin Tomography,Spin Echo Imaging,Steady-State Free Precession MRI,Tomography, MR,Zeugmatography,Chemical Shift Imagings,Echo Imaging, Spin,Echo Imagings, Spin,Functional MRI,Functional MRIs,Image, Magnetic Resonance,Imaging, Magnetic Resonance,Imaging, NMR,Imaging, Spin Echo,Imagings, Chemical Shift,Imagings, Spin Echo,MRI Scan,MRIs, Functional,Magnetic Resonance Images,Resonance Image, Magnetic,Scan, MRI,Scans, MRI,Shift Imaging, Chemical,Shift Imagings, Chemical,Spin Echo Imagings,Steady State Free Precession MRI
D008297 Male Males
D004204 Joint Dislocations Displacement of bones from their normal positions at a joint. Inferior Dislocation,Joint Subluxations,Luxatio Erecta,Dislocation, Joint,Dislocations, Joint,Inferior Dislocations,Joint Dislocation,Joint Subluxation,Subluxation, Joint,Subluxations, Joint
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000704 Analysis of Variance A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable. ANOVA,Analysis, Variance,Variance Analysis,Analyses, Variance,Variance Analyses
D001314 Auscultation Act of listening for sounds within the body. Auscultations
D013016 Sound A type of non-ionizing radiation in which energy is transmitted through solid, liquid, or gas as compression waves. Sound (acoustic or sonic) radiation with frequencies above the audible range is classified as ultrasonic. Sound radiation below the audible range is classified as infrasonic. Acoustic Waves,Elastic Waves,Sonic Radiation,Sound Waves,Acoustic Wave,Elastic Wave,Radiation, Sonic,Radiations, Sonic,Sonic Radiations,Sound Wave,Sounds,Wave, Acoustic,Wave, Elastic,Wave, Sound,Waves, Acoustic,Waves, Elastic,Waves, Sound
D013637 Tape Recording Recording of information on magnetic or punched paper tape. Audiotapes,Tape Recordings,Audiotape,Recording, Tape
D013705 Temporomandibular Joint Disorders A variety of conditions affecting the anatomic and functional characteristics of the temporomandibular joint. Factors contributing to the complexity of temporomandibular diseases are its relation to dentition and mastication and the symptomatic effects in other areas which account for referred pain to the joint and the difficulties in applying traditional diagnostic procedures to temporomandibular joint pathology where tissue is rarely obtained and x-rays are often inadequate or nonspecific. Common diseases are developmental abnormalities, trauma, subluxation, luxation, arthritis, and neoplasia. (From Thoma's Oral Pathology, 6th ed, pp577-600) TMJ Disorders,TMJ Diseases,Temporomandibular Disorders,Temporomandibular Joint Diseases,Disease, TMJ,Disease, Temporomandibular Joint,Diseases, TMJ,Diseases, Temporomandibular Joint,Disorder, TMJ,Disorder, Temporomandibular,Disorder, Temporomandibular Joint,Disorders, TMJ,Disorders, Temporomandibular,Disorders, Temporomandibular Joint,Joint Disease, Temporomandibular,Joint Diseases, Temporomandibular,Joint Disorder, Temporomandibular,Joint Disorders, Temporomandibular,TMJ Disease,TMJ Disorder,Temporomandibular Disorder,Temporomandibular Joint Disease,Temporomandibular Joint Disorder

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