摘要
目前,颞下颌关节紊乱病的诊断和治疗已越来越引起广大口腔医师的重视。影像学检查是明确诊断的主要辅助手段,其中锥形束CT和MRI检查结果对临床的重要性更显示其必要性,如明确诊断、认识疾病;早期诊断、早期治疗;随访追踪、精准治疗。但目前仍有一些突出的问题需要不断改进和完善,并获得共识,如检查方法需进一步规范,资料需能共享;医师自身需不断学习和培训,以提高阅片水平;需重视患者的病史和临床检查,避免过度的影像学检查等。
Diagnosis and treatment of temporomandibular disorders (TMD) have been paid attention greatly by dentists in clinic.Imaging is the most important method for dentists to diagnose TMD correctly.Cone-beam CT (CBCT) and MRI have been demonstrated superiority and necessity that contribute to correctly diagnosis,early diagnosis and follow-up patients.However,there are several significant problems required for professional agreement: the procedures for CBCT and MRI examination need to be standardized;dentists have to be trained regularly for the knowledge of the imaging diagnosis of TMD;it should be emphasized that patient history and clinical examination are much more important for diagnosis,imaging is only a supplement and should not be over used.
作者
傅开元
Fu Kaiyuan(Center for TMD and Orofacial Pain,Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology,Beiijng 100081,China)
出处
《中华口腔医学杂志》
CAS
CSCD
北大核心
2019年第8期505-509,共5页
Chinese Journal of Stomatology
