Abstract
One of the major problems in diagnosing and interpreting symptoms of temporomandibular joint dysfunction (TMJD/TMD) is the difficulty of properly viewing them. Two additional examinations (Magnetic resonance imaging [MRI] and Axiography) can be used together or separately in diagnosis. The purpose of this article is to highlight the approach following the non-coincidences of technical explorations of TMD through a clinical case.
Materials and methods: A 14-year-old child with Marfan syndrom and suffering from joint pain is consulted at our service; a clinical examination continued by additional examinations were made.
Results: A lack of coincidence between additional examinations was observed. MRI was in favor of an absence of any abnormality while clinical diagnosis and axiographic was in favor of an acute irreducible disk displacement.
Discussion and conclusion: The complementary examinations used in the diagnosis of TMD such as axiography and MRI are very useful but sometimes they are contradictory, only a properly conducted clinical examination will be able to guide the practitioner in his/her therapeutic approach.
Keywords
TMJ, MRI, Axiography, Additional exams