Detection of Degenerative Changes in the Articular Disc of the Temporomandibular Joint Using Delayed Gadolinium- Enhanced MRI at 3 Tesla – A Case Report

Authors

  • Jaryna Eder University Clinic of Dentistry, Department of Prosthodontics, Medical University of Vienna Sensengasse 2a, 1090 Vienna, Austria
  • Martina Schmid-Schwap University Clinic of Dentistry, Department of Prosthodontics, Medical University of Vienna Sensengasse 2a, 1090 Vienna, Austria
  • Pavol Szomolanyi High Field MR Center, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna Lazarettgasse 14, 1090 Vienna, Austria and Institute of Measurement Science, Slovak Academy of Sciences, Dubravskacesta 9, 84104 Bratislava, Slovakia
  • Margit Bristela University Clinic of Dentistry, Department of Prosthodontics, Medical University of Vienna Sensengasse 2a, 1090 Vienna, Austria
  • Astrid Skolka University Clinic of Dentistry, Department of Prosthodontics, Medical University of Vienna Sensengasse 2a, 1090 Vienna, Austria
  • Eva Piehslinger University Clinic of Dentistry, Department of Prosthodontics, Medical University of Vienna Sensengasse 2a, 1090 Vienna, Austria
  • Siegfried Trattnig High Field MR Center, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna Lazarettgasse 14, 1090 Vienna, Austria; CD Laboratory for Clinical Molecular MR Imaging, Vienna, Austria and Austrian Cluster for Tissue Regeneration, Ludwig Boltzmann Institute for Experimental and Clinical Traumatology, Vienna, Austria

DOI:

https://doi.org/10.12974/2311-8695.2018.06.4

Keywords:

dGEMRIC, TMD, TMJ, MRI, 3 Tesla.

Abstract

The delayed Gadolinium-Enhanced Magnetic Resonance Imaging of Cartilage (dGEMRIC) is a useful tool for the evaluation of a repair tissue status after cartilage transplantation. A previous study showed the feasibility of dGEMRIC at 3 Tesla in TMJ. This case report describes the application of dGEMRIC to a TMD patient. A 27 years old female patient reported TMJ (VAS 87) with increasing intensity. The examination according to RDC/TMD showed myofacial pain (group I) and arthralgia of the right and left joint (IIIa). The graded chronical pain score showed grade III. The conventional MRI showed no sign of discus dislocation. T2 mapping showed a significant signal in homogeneity in both disci, as well as an increased amount of fluid in both compartments and a flattened disc in the lateral area. The application of dGEMRIC with patients suffering from temporomandibular disorders could be very well suited for early detection of onset pathological change in fibrocartilage. 

References

Trattnig S, Mamisch TC, Pinker K, Domayer S, Szomolanyi P. et al. Differentiating normal hyaline cartilage from post-surgical repair tissue using fast gradient echo imaging in delayed gadolinium-enhanced MRI (dGEMRIC) at 3 Tesla. Eur Radiol 2008; 18(6): 1251-9. https://doi.org/10.1007/s00330-008-0859-3

Pittschieler E, Szomolanyi P, Schmid-Schwap M, Weber M, Egerbacher M, et al. Delayed Gadolinium-Enhanced MRI of the Fibrocartilage Disc of the Temporomandibular Joint-a Feasibility Study. Magn Reson Imaging 2014. https://doi.org/10.1016/j.mri.2014.08.008

Dworkin SF. Research Diagnostic criteria for Temporomandibular Disorders: current status & future relevance. J Oral Rehabil 2010; 37(10): 734-43. https://doi.org/10.1111/j.1365-2842.2010.02090.x

Katzberg RW and Tallents RH. Normal and abnormal temporomandibular joint disc and posterior attachment as depicted by magnetic resonance imaging in symptomatic and asymptomatic subjects. J Oral Maxillofac Surg 2005; 63(8): 1155-61. https://doi.org/10.1016/j.joms.2005.04.012

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Published

03-05-2018

How to Cite

Eder, J., Schmid-Schwap, M. ., Szomolanyi, P., Bristela, M., Skolka, A., Piehslinger, E., & Trattnig, S. (2018). Detection of Degenerative Changes in the Articular Disc of the Temporomandibular Joint Using Delayed Gadolinium- Enhanced MRI at 3 Tesla – A Case Report. The Journal of Dentists, 6, 17–19. https://doi.org/10.12974/2311-8695.2018.06.4

Issue

Vol. 6 (2018)

Section

Articles