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Abstract
The literature reports contradictory findings concerning the relationship between
structural hard-tissue changes and internal derangement of the temporomandibular joint.
Therefore, an analysis was undertaken of radiographs, including arthrograms of 128
patients with internal derangement in the form of anterior displacement of the disk.
Structural hard-tissue changes were seen in one half of the patients with anterior
disk displacement without reduction but very seldom in patients showing anterior disk
displacement with reduction. Structural hard-tissue changes were always found in joints
with perforation of the disk. Thus, structural hard-tissue changes occurred predominantly
in patients with advanced internal derangement and may be interpreted as signs of
progression of the disease.
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© 1985 Published by Elsevier Inc.
