Dynamic MRI of the TMJ under physical load

Dentomaxillofac Radiol. 2013;42(9):20120436. doi: 10.1259/dmfr.20120436. Epub 2013 Aug 23.

Abstract

Objectives: The objective of this study was to examine the kinematics of structures of the temporomandibular joint (TMJ) under physiological load while masticating.

Methods: Radial MRI was chosen as a fast imaging method to dynamically capture the motions of the joint's anatomy. The technique included a golden ratio-based increment angle and a sliding window reconstruction. The measurements were performed on 22 subjects with and without deformation/displacement of the intra-articular disc while they were biting on a cooled caramel toffee.

Results: The reconstructed dynamic images provided sufficient information about the size and localization of the disc as well as the change of the intra-articular distance with and without loading.

Conclusions: The feasibility of the golden ratio-based radial MRI technique to dynamically capture the anatomy of the TMJ under physical load was demonstrated in this initial study.

Keywords: magnetic resonance imaging (MRI); temporomandibular joint (TMJ); temporomandibular joint disc.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Case-Control Studies
  • Dental Stress Analysis
  • Humans
  • Joint Dislocations / pathology*
  • Magnetic Resonance Imaging, Cine / methods*
  • Mastication
  • Middle Aged
  • Prospective Studies
  • Temporomandibular Joint / pathology*
  • Temporomandibular Joint Disc / pathology*
  • Temporomandibular Joint Disorders / pathology*
  • Young Adult