Comprehensive diagnosis of cartilage damage for temporomandibular joint traumatic diseases
DOI:
https://doi.org/10.11603/2311-9624.2020.1.11218Keywords:
temporomandibular joint, chondrodestructionAbstract
Over the past decades, the diagnostic spectrum of affected articular cartilage has provided many options for recognition, visualization, quantification and analysis related to the progression from focal cartilage damage to the development of a common disease. Accurate diagnosis of the temporomandibular joints damage, especially cartilage tissue, is a prerequisite for successful treatment and helps to improve the prognosis in patients with joint diseases of various etiologies.
The aim of the study – to offer updates and proper understanding of the articular cartilage diagnosis for clinical and research purposes from early focal matrix damage and degeneration to a generalized intraarticular process, focusing on reliability, clinical value, current condition and possible use.
Materials and Methods. A retrospective analysis of the medical literature was carried out by comparing all possible methods for examination of the temporomandibular joints, including clinical signs and symptoms, x-ray studies, arthroscopy and magnetic resonance imaging (MRI), ultrasound, biochemical parameters, and etc.
Results and Discussion. A comparative analysis of instrumental and laboratory parameters proved the feasibility of the latest methods usage for the diagnosis of articular cartilage degradation, such as delayed gadolinium MRI of cartilage, optical coherence tomography and genetic profiling, relating to various aspects of cartilage morphology and functioning. The ability to identify markers of the cartilage damage and their correlation with other indicators makes it possible to diagnose all temporomandibular disorders with reasonable confidence and plan for adequate treatment.
Conclusions. The variety of the temporomandibular joint diagnostic methods is based on visualization, biochemical and biomechanical characteristics of the articular cartilage. It is expected that technical improvement and expansion of knowledge about the onset and dynamics of the disease will positively influence on current trends in the diagnosis of the technique and will become a reliable basis for the development of new tretment methods.
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