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Article in English | MEDLINE | ID: mdl-18554938

ABSTRACT

OBJECTIVES: To assess disk position and the prevalence of disk displacement (DD) in a sample of the elderly by use of contrast agent-enhanced magnetic resonance imaging (MRI). STUDY DESIGN: Thirty subjects (73-75 years old) were drawn from a representative sample and examined clinically. The position and contours of the temporomandibular disk was assessed by using gadolinium-enhanced MR images which were evaluated by 2 independent raters. Statistical assessment was performed by using descriptive statistics and nonparametric tests. RESULTS: Agreement between raters with respect to disk position was excellent. The MRI showed that 8 subjects (27%; 2 men, 6 women) had DD. CONCLUSION: Gadolinum-enhanced MRI showed that DD is common in the elderly (27%) and that DD occurs more frequently in women than in men. In women without DD the disk is positioned more anteriorly than in men.


Subject(s)
Temporomandibular Joint Disc/pathology , Temporomandibular Joint Disorders/pathology , Aged , Contrast Media , Female , Gadolinium DTPA , Humans , Joint Dislocations/pathology , Magnetic Resonance Imaging/methods , Male , Patient Selection , Prospective Studies
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