Zampese D R, Photopoulos D J, Manzione J V
J Prosthet Dent. 1983 Dec;50(6):821-6. doi: 10.1016/0022-3913(83)90099-9.
Treatment of TMJ pain and dysfunction should primarily be directed at correction of a specific abnormality and the patient's chief complaint. The specific approach to treatment of TMJ abnormalities is based on an accurate diagnosis. Although sound clinical judgment often suggests a tentative diagnosis, the specific diagnosis can often be confirmed radiographically. Fluoroscopic arthrotomography can effectively aid in the diagnosis and treatment needed for effective and efficient TMJ care. It is especially beneficial in the diagnosis and treatment of anterior disk dislocation. The authors conclude that (1) anterior disk dislocation is a common occurrence in TMJ intra-articular disorders; (2) standard radiographs are not diagnostic for ADD; (3) arthrotomography is an effective aid in the diagnosis and treatment of TMJ soft tissue derangements, especially ADD; (4) use of arthrotomography should be based on sound clinical judgment; (5) the causes and significance of and the optimal treatment for ADD are controversial at this time; and (6) knowledge gained from arthrotomography may clarify these controversies.
颞下颌关节疼痛和功能障碍的治疗应主要针对特定异常情况的纠正以及患者的主要诉求。颞下颌关节异常的具体治疗方法基于准确的诊断。虽然合理的临床判断常常提示初步诊断，但具体诊断通常可通过影像学检查得以证实。荧光镜关节断层摄影术能够有效地辅助诊断以及为有效且高效的颞下颌关节护理提供所需的治疗。它在诊断和治疗关节盘前移位方面尤其有益。作者得出结论：（1）关节盘前移位在颞下颌关节关节内疾病中很常见；（2）标准X线片对关节盘前移位无诊断价值；（3）关节断层摄影术对颞下颌关节软组织紊乱，尤其是关节盘前移位的诊断和治疗有有效的辅助作用；（4）关节断层摄影术的使用应基于合理的临床判断；（5）目前，关节盘前移位的病因、意义及最佳治疗方法存在争议；（6）从关节断层摄影术中获得的知识可能会澄清这些争议。
