It was concluded that there is no evidence to support the use of plain radiography in the diagnosis of joint erosions and osteophytes. It is reasonable to conclude that plain film can only be used to diagnose extensive lesions. Panoramic tomography
The distortion brought about by panoramic imaging decreases its overall reliability. Data concluded from a systematic review showed that only extensive erosions and large osteophytes can be detected by panoramic imaging. Computerised tomography (CT)
Studies have shown that tomography of the TMJ provided supplementary information that supersedes what is obtainable from clinical examination alone. However, the issues lies in the fact that it is impossible to determine whether certain patient groups would benefit more or less from a radiographic examination.The main indications of CT and CBCT examinations are to assess the bony components of the TMJ, specifically the location and extent of any abnormalities present.The introduction of cone beam computed tomography (CBCT) imaging allowed a lower radiation dose to patients, in comparison to conventional CT. Hintze et al. compared CBCT and CT techniques and their ability to detect morphological TMJ changes. No significant difference was concluded in terms of their diagnostic accuracy. Magnetic resonance imaging (MRI)
MRI is the optimal choice for the imaging of soft tissues surrounding the TMJ. It allows three-dimensional evaluation of the axial, coronal and sagittal plane.
This is shown later on when Giselle marries that girls father, who had her from a previous marriage, thus becoming a stepmother herself. As Giselle is a sweet and caring woman, she makes a good wife and stepmother. However, it is notable that during much of that film, Giselle was more of an older sister figure than a maternal figure to that little girl. In the movie Nanny McPhee a group of children worry that their father will remarry, believing from their fairy tales that all stepmothers are an "evil breed." Although they help their father marry again to help keep the family together, their soon-to-be stepmother is very cruel, as they suspected. When the wedding to her is called off, the father decides to marry the much kinder scullery maid, causing one child to comment that the evil stepmother personification does not apply to her. Stepmother relationships are often examined in soap operas. An example of this is the long-running rivalry between Victoria Lord Banks and stepmother Dorian Lord on the American soap opera One Life to Live. In contrast to many other Disney-related media, the animated series Phineas and Ferb features a stepfamily in which both parents get along well with their three children (avoiding the normal tropes of evil stepparents). In television, Drake & Josh features a stepfamily in which both parents usually get along well with their three children.