Impact of Routine Open Mouth Osseous Temporomandibular Joint Tomography on Diagnosis and Therapeutic Options
Journal Article
المجلة \ الصحيفة:
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
رقم الإصدار السنوي:
Accepted for publication
مستخلص المنشور:
Objectives: To evaluate the impact of routine open mouth osseous TMJ tomography on diagnosis and treatment planning of TMJ conditions. Investigating the need for such images is important in order to justify the additional radiation exposure imparted by such images.
Study Design: The records of patients who underwent closed and open mouth osseous TMJ tomography (planar film tomography beginning of and pre-2006; CBCT 2006 and onwards) were reviewed. Three examiners formulated a diagnosis and treatment plan based upon the history, clinical findings, and tomography interpretation reports of closed mouth images. Then they reviewed the interpretation of the open mouth images and recorded whether or not they would change their original diagnosis and/or treatment plan. Descriptive analysis of the results was performed.
Results: The impact of routine open mouth imaging on diagnosis and treatment planning was variable amongst the examiners. Examiners 1, 2 , and 3 had a change in diagnosis in 7%, 5%, and 3% of cases, respectively, and a change in treatment plan in 1%, 1%, and 8% respectively.
Conclusions: Routine open mouth osseous TMJ tomography had a minimal impact on diagnosis and treatment planning of TMJ conditions, which varied according to the treating clinician.