Acta clinica Croatica, Vol. 50 No. 1, 2011.
Review article
Temporomandibular Joint Development and Functional Disorders Related to Clinical Otologic Symptomatology
Tomislav Badel
orcid.org/0000-0001-5872-1132
; Department of Prosthodontics, School of Dental Medicine, University of Zagreb; Zagreb, Croatia
Ivana Savić-Pavičin
orcid.org/0000-0002-5210-1765
; Department of Dental Anthropology, School of Dental Medicine, University of Zagreb; Zagreb, Croatia
Dijana Zadravec
; Department of Diagnostic and Interventional Radiology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Miljenko Marotti
; Department of Diagnostic and Interventional Radiology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Ivan Krolo
; Department of Diagnostic and Interventional Radiology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Đurđica Grbeša
; Department of Histology and Embryology, School of Medicine, University of Zagreb, Zagreb, Croatia
Abstract
Temporomandibular disorders (TMD s) are a form of musculoskeletal pain of the temporomandibular joint (TMJ ) and/or masticatory muscles of nonspecific etiology. In this study, the relationship between embryonic and anatomic-topographic similarities of the TMJ and the ear was analyzed, i.e. secondary otologic symptoms that can be closely connected to TMJ disorder. Nonspecific otologic symptoms are not primary diagnostic symptoms of TMD , but may cause diagnostic confusion due to patients’ inability to correctly locate the origin of pain. The most common otologic symptoms that can be related to TMD s are otalgia, tinnitus and vertigo. Otorhinolaryngologists have to differentiate between primary otologic symptoms and those caused by TMJ disorders. In TMD diagnosis, manual techniques are used to determine the arthrogenic or myogenic form, whereas in the diagnosis of arthrogenic disorders magnetic resonance imaging is indicated as the highly specific imaging method of joint disk and osteoarthritic changes. Symptomatic treatments for TMD as well as the etiologic diagnosis of the pain require multidisciplinary cooperation between dentists and medical specialists.
Keywords
Temporomandibular joint disorders; Earache; Tinnitus; Magnetic resonance imaging; Diagnosis, differential
Hrčak ID:
77418
URI
Publication date:
31.3.2011.
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