DOI: https://doi.org/10.22263/2312-4156.2025.1.9
A.O. Pankratov, O.M. Zherko
Ultrasound imaging potential of the temporomandibular joint elements
Institute for Advanced Training and Retraining of Healthcare Personnel of the Educational Institution “Belarusian State Medical University”, Minsk, Republic of Belarus
Vestnik VGMU. 2025;24(1):9-17.
Abstract.
The aim of the work was to analyze the possibilities of ultrasound imaging in assessing the structures of the temporomandibular joint (TMJ). Available Russian- and English-language articles by various authors concerning the study of the TMJ using medical imaging methods were analyzed.
As a result of analyzing the materials presented in the works, numerous disagreements between the research groups were revealed. It has been established that there are significant differences in describing methods for performing ultrasound examination of the TMJ, the scope of the study, multiple discrepancies in the values of ultrasound morphometric parameters and echogenicity characteristics of the TMJ elements, primarily the articular disc, as well as disagreements in terminology, including those associated with the translation of terms from foreign languages. A comprehensive uniform approach to the ultrasound assessment of the bone and soft tissue structures of the temporomandibular joint in full, its functional and anatomical relationships is not observed.
Thus, it is necessary to develop a comprehensive ultrasound method for examining the TMJ, quantitative and qualitative standard values for assessing its structure.
Keywords: ultrasound examination, temporomandibular joint, disc, capsule, norm.
Acknowledgments. The authors express their sincere gratitude to the executives of the educational institution “Belarusian State Medical University” for assistance in the work, to the reviewers for their attention and the work done.
References
1. Tamimi D, Kocasarac HD, Mardini S. Imaging of the Temporomandibular Joint. Seminars in Roentgenology. 2019 Jul;54(3):282-301. doi: http://dx.doi.org/10.1053/j.ro.2019.03.007
2. Krat MI. Early signs of changes in bony structures of the temporomandibular joint according to cone beam computed tomography and ultrasound in experiment and clinic. V: Pokhoden'ko-Chudakova IO, red. Parinskie chteniya 2022. Innovatsii v prognozirovanii, diagnostike, lechenii i meditsinskoi reabilitatsii patsientov s khirurgicheskoi patologiei cherepno-chelyustno-litsevoi oblasti i shei: sb tr Nats. kongr s mezhdunar uchastiem «Parinskie chteniya 2022», Minsk, 5-6 maya 2022 g. Minsk, RB; 2022. Р. 252-257. (In Russ.)
3. Bykovskaya TV, Ivanov SYu, Korotkova NL, Muraev AA, Bekreev VV, Safyanova EV, i dr. Evaluation of the temporomandibular joint during orthognathic surgical interventions for congenital jaw development anomalies without the use of a surgical template. Head and Neck. Golova i Sheya. 2018;(1):23-28. (In Russ.). doi: http://dx.doi.org/10.25792/HN.2018.6.1.23-28
4. Bekreev VV, Ivanov SYu, Burenchev DV, Gruzdeva TA, Yurkevich RI, Garamyan BG. Application of ultrasound research method in complex diagnostics of internal TMJ disorders. Meditsinskii Alfavit. 2016. Т. 4, № 29. С. 37–41. (In Russ.)
5. Rubnikovich SP, Baradina IN, Samuylov IV, Borodin DM. Ultrasound study of temporomandibular joints in patients with obstructive sleep apnea and snoring syndrome combined with signs of bruxism. V: Terekhova TN, red. Stomatologiya vchera, segodnya, zavtra: sb tr yubil nauch-prakt konf s mezhdunar uchastiem, posvyashch 60-letiyu stomatol f-ta BGMU, g Minsk, 2-3 apr 2020 g. Minsk, RB; 2020. S. 475-480. 1 CD-ROM. Zagl s titul ekrana. (In Russ.)
6. Klatkiewicz T, Gawriołek K, Pobudek Radzikowska M, Czajka-Jakubowska A. Ultrasonography in the diagnosis of temporomandibular disorders: a meta-analysis. Medical Science Monitor. 2018 Feb:24:812-817. doi: http://dx.doi.org/10.12659/msm.908810
7. Yılmaz D, Kamburoğlu K. Comparison of the effectiveness of high resolution ultrasound with MRI in patients with temporomandibular joint dısorders. Dentomaxillo Facial Radiology. 2019 Jul;48(5):20180349. doi: http://dx.doi.org/10.1259/dmfr.20180349
8. Bekreev VV, Kviring ME, Rabinovich SL. Possibilities of ultrasound in monitoring the effectiveness of treatment of TMJ articular disc subluxation. Klinicheskaya Stomatologiya. 2008;(3):54-57. (In Russ.)
9. Thirunavukarasu AJ, Ferro A, Sardesai A, Biyani G, Dubb SS, Brassett C, et al. Temporomandibular joint anatomy: Ultrasonographic appearances and sexual dimorphism. Clinical Anatomy. 2021 Oct;34(7):1043-1049. doi: http://dx.doi.org/10.1002/ca.23719
10. Myrzabekov EM, Nadyrbekova AN. Possibilities of ultrasound examination in patients with temporomandibular joint pathology. Nauka Novye Tekhnologii i Innovatsii Kyrgyzstana. 2021;(2):50-53. (In Russ.)
11. Myrzabekov EM, Mamytova AB. Comparative analysis of ultrasound and magnetic resonance imaging diagnostic methods in patients with temporomandibular joint pathology. Vestnik Kyrgyzskoi Gosudarstvennoi Meditsinskoi Akademii Imeni IK Akhunbaeva. 2022;(3):63-69. (In Russ.)
12. Kinzerskii AYu, Kviring ME, Ermak EM, Bekreev VV; zayavitel' Gos obrazovat uchrezhdenie dop prof obrazovaniya «Ural gos med akad dop obrazovaniya Federal agentstva po zdravookhraneniyu i sotsial'nomu razvitiyu». Patent RU 2292842, MPK A61B 8/00. Method of ultrasound examination of temporomandibular joint disk condition: № 2004134759/14; zayavl 29.11.2004: opubl 10.02.2007. 15 s: il. (In Rus.)
13. Kostina IN, Kochmasheva VV. Ultrasound imaging of the temporomandibular joint in normal. Problemy Stomatologii. 2016;2(2):95-101. (In Russ.)
14. Kostina IN, Kochmasheva VV. Ultrasound diagnosis of temporomandibular joint osteoarthritis. Problemy Stomatologii. 2016;12(2):86-94. (In Russ.)
15. Bekreev VV, Ivanov SYu, Burenchev DV, Gruzdeva TA, Yurkevich RI, Garamyan BG. Determination of ultrasound parameters of structure and function of healthy temporomandibular joints. Rossiiskii Elektronnyi Zhurnal Luchevoi Diagnostiki. 2018;8(2):24-29. URL: https://www.elibrary.ru/item.asp?id=35332784 [Accessed 13th January 2025]. (In Russ.). doi: http://dx.doi.org/10.21569/2222-7415-2018-8-2-24-29
16. Fanakin VA, Dubrovina ME. Algorithm of ultrasound examination of the temporomandibular joint in patients with occlusal-joint problems. Dental Yug. 2012;(6):11-13. (In Russ.)
17. Manfredini D, Tognini F, Melchiorre D, Zampa V, Bosco M. Ultrasound assessment of increased capsular width as a predictor of temporomandibular joint effusion. Dentomaxillo Facial Radiology. 2003 Nov;32(6):359-364. doi: http://dx.doi.org/10.1259/dmfr/25091144
18. Elias FM, Birman EG, Matsuda CK, de Souza Oliveira IR, Jorge WA. Ultrasonographic findings in normal temporomandibular joints. Brazilian Oral Research. 2006 Jan-Mar;20(1):25-32. doi: http://dx.doi.org/10.1590/s1806-83242006000100006
19. Bas B, Yılmaz N, Gökce E, Akan H. Diagnostic value of ultrasonography in temporomandibular disorders. Journal of Oral and Maxillofacial Surgery. 2011 May;69(5):1304-1310. doi: http://dx.doi.org/10.1016/j.joms.2010.07.012
20. Bas B, Yılmaz N, Gökce E, Akan H. Ultrasound assessment of increased capsular width in temporomandibular joint internal derangements: relationship with joint pain and magnetic resonance grading of joint effusion. Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontics. 2011 Jul;112(1):112-117. doi: http://dx.doi.org/10.1016/j.tripleo.2011.02.020
21. Talmaceanu D, Lenghel LM, Bolog N, Buduru S, Leucuta D, Rotar H. High-resolution ultrasound imaging compared to magnetic resonance imaging for temporomandibular joint disorders: An in vivo study. European Journal of Radiology. 2020 Nov:132:109291. doi: http://dx.doi.org/10.1016/j.ejrad.2020.109291
22. Dupuy-Bonafé I, Picot MC, Maldonado IL, Lachiche V, Granier I, Bonafé A. Internal derangement of the temporomandibular joint: is there still a place for ultrasound? Oral Surgery Oral Medicine Oral Pathology and Oral Radiology. 2012 Jun;113(6):832-840. doi: http://dx.doi.org/10.1016/j.oooo.2011.11.017
23. Assaf AT, Kahl-Nieke B, Feddersen J, Habermann CR. Is high-resolution ultrasonography suitable for the detection of temporomandibular joint involvement in children with juvenile idiopathic arthritis? Dentomaxillo Facial Radiology. 2013;42(3):20110379. doi: http://dx.doi.org/10.1259/dmfr.20110379
24. Hammer MR, Kanaan Y. Imaging of the pediatric temporomandibular joint. Oral and Maxillofacial Surgery Clinics of North America. 2018 Feb;30(1):25-34. doi: http://dx.doi.org/10.1016/j.coms.2017.08.008
25. Pihut M, Gala A, Obuchowicz R, Chmura K. Influence of Ultrasound Examination on Diagnosis and Treatment of Temporomandibular Disorders. Journal of Clinical Medicin. 2022 Feb;11(5):1202. doi: http://dx.doi.org/10.3390/jcm11051202
26. Melis M, Secci S, Ceneviz C. Use of ultrasonography for the diagnosis of temporomandibular joint disorders: a review. American Journal of Dentistry. 2007 Apr;20(2):73-78.
27. Dayisoylu EH, Cifci E, Uckan S. Ultrasound-guided arthrocentesis of the temporomandibular joint. British Journal of Oral and Maxillofacial Surgery. 2013 Oct;51(7):667-668. doi: http://dx.doi.org/10.1016/j.bjoms.2013.05.144
28. Fanakin VA, Dubrovina ME, Filimonova OI. Experience of ultrasonic diagnostics of functional disorders of temporomandibular joint in children. Ural'skii Meditsinskii Zhurnal. 2010;(8):49-51. (In Russ.)
29. Rubnikovich SP, Baradina IN, Serdyuchenko NS, Denisova YuL, Borodin DM, Grishchenkov AS. Diagnosis of temporomandibular joint disorders. Minsk, RB: Belaruskaya navuka; 2019. 189 р. (In Russ.)
30. Zelenskiy VA, Domenyuk DA, Mukhoramov FS, Mukhoramov FF, Zelenskiy IV, Minaev SV, i dr. Ultrasound examination of the maxillofacial region in children with inferior micrognathia. Kubanskii Nauchnyi Meditsinskii Vestnik. 2012;(4):143-148. (In Russ.)
31. Ponomareva VD, Bespechalnykh DA, Leshcheva EA. Possibilities of ultrasonography in the diagnosis of temporomandibular joint pathology. Molodezhnyi Innovatsionnyi Vestnik. 2018;7(S1):130-131. (In Russ.)
32. Timofeev AA, Fesenko EI, Chernyak OS. History and fundamentals of ultrasound examination. Sovremennaya Stomatologiya. 2016;(1):96-99. (In Russ.)
33. Balasubramaniam R, Delcanho R. Temporomandibular disorders and related headache / R. Balasubramaniam. Headache Orofacial Pain and Bruxism. 2009;(Chapt 7):69-82. doi: http://dx.doi.org/10.1016/B978-0-443-10310-0.00007-1
34. Cairns BE. Pathophysiology of TMD pain – basic mechanisms and their implications for pharmacotherapy. Journal of Oral Rehabilitation. 2010 May;37(6):391-410. doi: http://dx.doi.org/10.1111/j.1365-2842.2010.02074.x
35. Manfredini D, Guarda-Nardini L. Ultrasonography of the temporomandibular joint: a literature review. International Journal of Oral and Maxillofacial Surgery. 2009 Dec;38(12):1229-1236. doi: http://dx.doi.org/10.1016/j.ijom.2009.07.014
36. Motoyoshi M, Kamijo K, Numata K, Namura S. Ultrasonic imaging of the temporomandibular joint: a clinical trial for diagnosis of internal derangement. Journal of Oral Science. 1998 Jun;40(2):89-94. doi: http://dx.doi.org/10.2334/josnusd.40.89
37. Nabeih YB, Speculand B. Ultrasonography as a diagnostic aid in temporomandibular joint dysfunction. A preliminary investigation. International Journal of Oral and Maxillofacial Surgery. 1991 Jun;20(3):182-186. doi: http://dx.doi.org/10.1016/s0901-5027(05)80013-x
38. Tamimi D, Jalali E, Hatcher D. Temporomandibular Joint Imaging. Radiologic Clinics of North America. 2018 Jan;56(1):157-175. doi: http://dx.doi.org/10.1016/j.rcl.2017.08.011
39. Torres-Gaya J, Boscà-Ramón A, Marqués-Mateo M, Valverde-Navarro A, García-San Segundo MM, Puche-Torres M. Temporomandibular joint arthrocentesis guided by ultrasonography: An anatomical study. Journal of Stomatology Oral and Maxillofacial Surgery. 2021 Sep;122(4):e27-e31. doi: http://dx.doi.org/10.1016/j.jormas.2021.03.002
40. Zwir LF, Terreri MT, do Amaral E Castro A, Rodrigues WDR, Corrêa Fernandes AR. Is power Doppler ultrasound useful to evaluate temporomandibular joint inflammatory activity in juvenile idiopathic arthritis? Clinical Rheumatology. 2020 Apr;39(4):1237-1240. doi: http://dx.doi.org/10.1007/s10067-019-04731-x
Submitted 18.10.2024
Accepted 11.02.2025
Information about authors:
A.O. Pankratov – assistant of the Chair of Ultrasound Diagnosis, Institute for Advanced Training and Retraining of Healthcare Personnel of the Educational Institution “Belarusian State Medical University”,
e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Alexandr O. Pankratov;
O.M. Zherko – Doctor of Medical Sciences, associate professor, head of the Chair of Ultrasound Diagnosis, Institute for Advanced Training and Retraining of Healthcare Personnel of the educational institution “Belarusian State Medical University”.
