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Ameena

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NAME: AMEENA TAHIR

DEPARTMENT: BS RIT
SEMESTER: 6TH
PRESENTED TO: MAM SEERAT
TEMPOROMANDIBULAR JOINT:

Arthrography is an invasive technique for diagnosing


temporomandibular joint The most commonly used method for
diagnosing TMJ soft tissue derangements is magnetic resonance
imaging (MRI).
• Arthrography is also useful for guided therapeutic injections,
e.g., administration of corticosteroids.
INDICATIONS OF
TEMPOROMANDIBULAR JOINT:
In general practice, the findings before considering arthrography
with or without administration of corticosteroid are:
1- Clinical signs of TMJ arthralgia/arthritis, including pain on jaw
movements and restricted jaw opening.
2- No or minor pain relief after justified conservative treatment with
either non-steroid anti-inflammatory drugs, occlusal splint or,
exercises of the jaw.
3- Clinical signs of possible internal derangements and/or
adherences.
CONTRAINDICATIONS:

• Previous reaction to iodine contrast media (can be overcome with


corticosteroid premedication); anticoagulant medication or bleeding
disorders; patient anxiety; and infection in the pre-auricular area.
MATERIAL:
• Chlorhexidine-ethyl alcohol
• Basin for disinfecting solution
• Gauze sponge
• Syringes
• Sodium hyaluronate
• Tube with needle
• Sterile arm sleeve
• Sterile gloves Sterile
• adhesive operation towel
• Surgical tape
• Sterile transparent film dressing
provides continuous X-ray imaging displayed on a monitor. The dose
• Fluoroscopy
of radiation depends on the exposure parameters, mainly the exposure time,
and the field of view. It allows detailed control during instrumentation and
injection of various agents including contrast media.
• Contrast media for arthrography The administered contrast medium should
have a high concentration of iodine (300 mg iodine/mL)
PATIENT PREPARATION:

• Arthrography must be performed under highly antiseptic conditions. For


detailed information about patient preparation and measures to take before
and after the examination to prevent infection and other complications
Single-contrast arthrography
• For conventional single-contrast arthrography, only one contrast
medium is used, i.e., high attenuating iodine contrast media.
Double-contrast technique requires a combination of high- and
low-attenuating contrast media, it is complicated to perform,
require longer exposure time and operator experience; therefore,
the technique is rarely utilized

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