The axiolateral temporomandibular view allows for visualization of the articular tubercle, mandibular condyle and fossa and is thus useful to identify structural changes and displaced fractures, as well as assess excursion and joint spaces.
Clinical indications include trauma, the presence of joint noises, trismus and occlusal alterations.
Image technical evaluation
- the TMJ closest to the image receptor should be clearly demonstrated without the superimposition of the opposite TMJ.
- joint is central on the radiograph
- a radiolucent support such as a sponge can be used to help the head maintain position
- this projection can be performed prone, in patients that cannot stand unsupported this will increase patient stability