INTEREXAMINER COMPARISON OF BONE-SCINTIGRAPHY AND PANORAMIC RADIOGRAPHY OF TEMPOROMANDIBULAR JOINTS - CORRELATION WITH SIGNS AND SYMPTOMS

被引:13
作者
BUSH, FM
HARRINGTON, WG
HARKINS, SW
机构
[1] VIRGINIA COMMONWEALTH UNIV,MED COLL VIRGINIA,COLL DENT,DEPT AGR ENGN,CTR TMJ FACIAL PAIN,RICHMOND,VA 23298
[2] VIRGINIA COMMONWEALTH UNIV,MED COLL VIRGINIA,COLL DENT,DEPT GERONTOL,RICHMOND,VA 23298
关键词
D O I
10.1016/0022-3913(92)90462-J
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Panoramic radiographs of the temporomandibular joints of patients with orofacial pain were examined for evidence of pathology by three different groups of four dental specialists and by a group of four general dentists. Bone scans of the same joints were used as the "gold standard" for identification of disorder and indicated a low rate of correct readings by the four professional groups. When the symptomatic side of the complaint was used as the gold standard, there was no statistically significant association with the bone scan observations. Comparative analysis of other patient symptoms showed little agreement with panoramic radiographs and scintigraphs. Reliability estimates may be highly variable, even among clinical experts. These results show that neither radiologic technique would be definitive for diagnosis of TM disorders.
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页码:246 / 251
页数:6
相关论文
共 18 条
[1]  
ALEXANDER JM, 1976, J ORAL SURG, V34, P249
[2]  
ALEXANDER JM, 1979, J ORAL SURG, V37, P753
[3]   MALIGNANT DISEASE AS TEMPOROMANDIBULAR-JOINT DYSFUNCTION - REVIEW OF THE LITERATURE AND REPORT OF CASE [J].
BAVITZ, JB ;
CHEWNING, LC .
JOURNAL OF THE AMERICAN DENTAL ASSOCIATION, 1990, 120 (02) :163-166
[4]   PAIN ASSESSMENT IN TEMPOROMANDIBULAR DISORDERS [J].
BUSH, FM ;
WHITEHILL, JM ;
MARTELLI, MF .
CRANIO-THE JOURNAL OF CRANIOMANDIBULAR & SLEEP PRACTICE, 1989, 7 (02) :137-143
[5]   CLINICAL-SIGNIFICANCE OF INCREASED TEMPOROMANDIBULAR-JOINT UPTAKE BY PLANAR ISOTOPE BONE-SCAN [J].
EPSTEIN, DH ;
GRAVES, RW ;
HIGGINS, WL .
CLINICAL NUCLEAR MEDICINE, 1987, 12 (09) :705-707
[6]   BONE SCANNING AND PHOTON-ABSORPTIOMETRY IN METABOLIC BONE-DISEASE [J].
FOGELMAN, I .
BAILLIERES CLINICAL ENDOCRINOLOGY AND METABOLISM, 1988, 2 (01) :59-86
[7]  
Green D. M., 1974, SIGNAL DETECTION THE, P479
[8]  
Griffiths R., 1983, J AM DENT ASSOC, V106, P75, DOI DOI 10.14219/JADA.ARCHIVE.1983.0020
[9]   EFFICACY OF PANORAMIC RADIOGRAPHY IN DENTAL DIAGNOSIS AND TREATMENT PLANNING [J].
KANTOR, ML ;
SLOME, BA .
JOURNAL OF DENTAL RESEARCH, 1989, 68 (05) :810-812
[10]  
MAUSNER J S, 1985, EPIDEMIOLOGY INTRO T, P361