Kundert M
SSO Schweiz Monatsschr Zahnheilkd. 1976 Apr;86(4):393-412.
A tentative diagnosis of the supposed position of the condyle in its glenoid fossa was made for 150 temporomandibular joints only be means of Schuller radiographs. To determine the value of the radiographs for diagnosis of occlusion the radiologic diagnosis of each joint was then compared with the real diagnosis based upon instrumental functional analysis of the occlusion, clinical findings and individually projected radiographs of the joint. Radiologic diagnosis and real diagnosis coincided to a relatively high degree provided that the radiographs were readable. Very high correspondence was found for anterior and posterior displacement of the condyle whereas supperior, inferior and lateral displacement showed considerably less coincidence. By the Schuller technique 30 of the 150 joints were not represented readably and better projection by a different angulation of the central X-ray beam was possible for half of those only. Posterior displacement of the condyle was found to be the most frequent malposition of the joint in this study.
仅通过许勒位X线片对150个颞下颌关节髁突在关节窝中的假定位置做出初步诊断。为了确定这些X线片对咬合诊断的价值，随后将每个关节的放射学诊断与基于咬合功能分析、临床检查结果以及关节的个体化投照X线片得出的实际诊断进行比较。只要X线片可读，放射学诊断与实际诊断在较高程度上相符。发现髁突前后移位的相符度非常高，而髁突上、下及侧方移位的相符度则低得多。采用许勒位技术时，150个关节中有30个无法清晰显示，其中仅有一半关节可通过改变中央X线束角度获得更好的投照。在本研究中，髁突后移位是该关节最常见的错位情况。
