scholarly journals A Tomographic Study of the Mandibular Condyle Position in Partially Edentulous Population

2015 ◽  
Vol 16 (1) ◽  
pp. 68-73 ◽  
Author(s):  
Susan Ammanna ◽  
Anisha Rodrigues ◽  
N Sridhar Shetty ◽  
Karunakar Shetty
Keyword(s):  
Mandibular Condyle ◽  
Joint Space ◽  
Class I ◽  
Linear Measurements ◽  
Posterior Displacement ◽  
Stomatognathic System ◽  
Rest Position ◽  
Condyle Position ◽  
Condylar Position ◽  
Partially Dentate

ABSTRACT Background and objectives The influence of the loss of teeth on the condylar position and on temporomandibular joint (TMJ) dysfunction syndrome remains a controversial issue. This study analyses the condylar position by means of a tomogram in partially dentate subjects which serves as a guide to predict which of the partially dentate statuses is prone to develop TMJ dysfunction syndrome in personnel without symptoms of the same. Methodology Eighty personnel were enrolled in this study consisting of Kennedy's class I, II, III, IV and control to analyze the condylar position by means of a tomogram. In all the five groups TMJ sectional tomogram programmed in a panoramic radiographic machine (PLANMECA PM 2002 CC PROLINE) was taken with the subjects at maximal intercuspal position and rest position. Tomograms were evaluated using linear measurements of the anterior and posterior intra-articular joint spaces on the basis of drawings and tracings. Results The results of the study revealed a predominance of reduced posterior condylar space in Kennedy's class I and II. A disparity was seen between the maximum intercuspal position and rest position, where the posterior joint space was reduced in the rest position. Conclusion Within the limitations of this study, it has been revealed that in Kennedy's classes I and II, for partially dentate personnel, a posterior displacement of the condyles was seen. This predisposition would suggest towards the necessity of restoring the missing dentition in order to maintain the harmony of the stomatognathic system. How to cite this article Ammanna S, Rodrigues A, Shetty NS, Shetty K, Augustine D, Patil S. A Tomographic Study of the Mandibular Condyle Position in Partially Edentulous Population. J Contemp Dent Pract 2015;16(1):68-73.

Changes in The Temporomandibular Joint after Occlusal Deprogramming

2020 ◽  
pp. 1-21
Author(s):  
Rohit Kulshrestha ◽  
Keyword(s):  
Controlled Trial ◽  
Arthroscopic Surgery ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Signs And Symptoms ◽  
Joint Space ◽  
Pharmacological Intervention ◽  
Occlusal Splints ◽  
Condylar Position ◽  
Surgery Education

Common signs and symptoms of TMD include masticatory muscle pain, TMJ sounds, limited mouth opening, and deviations in mandibular movements. Treatment generally involves some combination of occlusal splints, physiotherapy, relaxation therapy, pharmacological intervention, arthroscopic surgery, education, and behavioural counselling. One randomized controlled trial indicated that an occlusal deprogramming splint is more effective than other methods in treating TMD, although another study produced contradictory results. Measurements of the radiographic joint space a radiolucent area between the mandibular condyle and the temporal bone were introduced by Ricketts to describe condylar position. The clinical significance of condyle-fossa relationships in the TMJ is controversial, but several studies have suggested an association between eccentric condylar position and TMD. This chapter describes key changes in the condyle-fossa relationship after the use of an occlusal deprogramming splint in patients with TMD.

scholarly journals 3D CBCT Evaluation of Condyle Position in Skeletal Class I & Class III Growing Subjects

2018 ◽  
Vol 7 (2) ◽  
pp. 9-14
Author(s):  
Rajiv Kumar Mishra ◽  
Om Prakash Kharbanda ◽  
Rajiv Balachandran
Keyword(s):  
Three Dimensional ◽  
T Test ◽  
Class I ◽  
Class Iii ◽  
Skeletal Class ◽  
Significant Difference ◽  
Condyle Position ◽  
Condylar Position ◽  
And Function ◽  
Cbct Analysis

Introduction: Evaluation of temporo-mandibular joint (TMJ) anatomy and function is an essential part of orthodontic diagnosis and treatment planning. It has been hypothesized that dental and skeletal malocclusions alter the functional loading of TMJ which can affect joint morphology.Objective: Three dimensional (3D) evaluation of condylar position using CBCT in skeletal Class I and Class III growing subjects.Materials & Method: CBCT images of ten growing skeletal Class I & ten Class III patients in the age range of 7-14 years were analyzed. 3D condylar position were evaluated representing antero-posterior, vertical, laterolateral position of condyle, axial condylar angle and coronal condylar angles which were measured in axial, coronal and sagittal sections using Dolphin Imaging software. Antero-posterior and vertical difference of right and left condyle were measured in axial and coronal sections respectively.Result: Paired t-Test revealed no significant difference between right and left sides of condyle in skeletal Class I as well as Class III subjects. Independent t-test and Mann-Whitney U test showed no significant difference between position of condyle in ClassI and Class III subjects.Conclusion: 3D CBCT analysis shows no significant difference in condylar position of skeletal Class I and Class III subjects.

Evaluation of TMJ by conventional transcranial radiography and indirect digitized images to determine condylar position in primary dentition

2004 ◽  
Vol 28 (3) ◽  
pp. 233-237 ◽  
Author(s):  
Luciano José Pereira ◽  
Leonardo Rigoldi Bonjardim ◽  
Paula Midori Castelo ◽  
Francisco Haiter Neto ◽  
Maria Beatriz Duarte Gavião
Keyword(s):  
Conventional Radiography ◽  
Joint Space ◽  
Primary Dentition ◽  
Brightness Contrast ◽  
Sign Test ◽  
Diagnostic Quality ◽  
Significant Difference ◽  
Condyle Position ◽  
Condylar Position ◽  
Digitized Images

The aim of this study was to evaluate temporomandibular joint radiographs of children in primary dentition, obtained by conventional transcranial radiography, indirect digitization, digitized images using 3D and brightness/contrast tools. Condyle position was also determined measuring anterior, superior and posterior joint space. The X-Ray machine GE-1000 and the head positioner Accurad 200 were used. Radiographs were digitized using a scanner with transparency and registered in Adobe Photoshop 5.0. Images were evaluated by four examiners as follows: 0 – unacceptably quality; 1 – poorly diagnostic quality; 2 – optimal visualization quality. Articular space was measured using a digital caliper.A significant difference (Sign Test) was found between conventional radiography and the remaining modalities (Conventional/ Unenhanced p<0.001; Conventional/3D p<0.001; Conventional/Brightness and Contrast p=0.017). The mean distance of anterior, superior and posterior regions was 2.2(0.5, 3.5(0.9 and 3.9(1.2mm, respectively. Conventional and brightness/contrast digitized radiographs showed higher diagnostic quality. The posterior joint space was larger than the anterior one, demonstrating anterior condylar position.

scholarly journals Spatial analysis of mandibular condyles in patients with temporomandibular disorders and normal controls using cone beam computed tomography

2017 ◽  
Vol 11 (01) ◽  
pp. 099-105 ◽  
Author(s):  
Natheer Hashim Al-Rawi ◽  
Asmaa Tahseen Uthman ◽  
Sahar M. Sodeify
Keyword(s):  
Computed Tomography ◽  
Temporomandibular Joint ◽  
Cone Beam Computed Tomography ◽  
Joint Space ◽  
Cone Beam ◽  
Control Group ◽  
Articular Eminence ◽  
Linear Measurements ◽  
Condylar Position ◽  
Normal Controls

ABSTRACT Objectives: The aim of the study is to investigate the condylar position and its relation to articular eminence and axial condylar angle in temporomandibular joint disorder (TMD) patients and in normal controls using cone beam computed tomography (CBCT). Materials and Methods: CBCT temporomandibular joint (TMJ) images of 70 participants (38 males and 32 females, mean age 26.4 years) were analyzed. They were divided into control group (including 35 subjects) and study group (including 35 subjects). Linear measurements of joint space and condyle determined the condylar position of each TMJ. Articular eminence height and inclination were also measured with axial condylar angle to determine its relation to condylar position. Independent and paired sample t-test was applied to compare between the groups and TMJ sides of the same group at significance level of 0.05. Results: Statistical significant differences were found between males and females of both groups regarding superior joint space (SJS), lateral joint space, A-P, and M-L condyle distance (P < 0.05). SJS, medial joint space (MJS), and eminence angle were greater (P < 0.01) in male's joints with TMD with flatter axial condylar angle (P < 0.05), when compared with normal TMJ counterpart. Females TMJs showed significantly higher values of MJS of affected side when compared with normal counterpart with flatter axial condylar angle (P < 0.05). Conclusion: Superior and MJS parameters were the ones that showed significant differences between affected and nonaffected joints. The mean axial condylar angle was smaller in joints with abnormal TMJ. This indicates that the condyles of the affected joints may rotate inward.

Radiographic changes in the temporomandibular joint related to medication in rheumatic diseases

2021 ◽  
pp. 20200557
Author(s):  
Gamze Şirin ◽  
Mehmet Amuk
Keyword(s):  
Temporomandibular Joint ◽  
Rheumatic Diseases ◽  
Mandibular Condyle ◽  
Joint Space ◽  
Immunosuppressive Drugs ◽  
Subchondral Cyst ◽  
Condyle Position ◽  
Interexaminer Reliability ◽  
Student’S T ◽  
Radiographic Changes

Objectives: The purpose of this study was to assess radiographical changes on temporomandibular joint (TMJ) in relation the autoimmune rheumatic diseases and the medicines that treat this diseases with cone beam computed tomography(CBCT). Methods: 65 people with rheumatoid diseases were included in the study and divided into five subgroups according to drugs they used. Condyle height (CH), anteroposterior dimension (APD), mesiolateral dimension (MLD) and superior joint space (SJS) were measured in order to evaluate mandibular condyle dimensions. Further, were evaluated in terms of osteoarthritic changes such as erosion, flattening, osteophyte and subchondral cyst in the mandibular condyle. TMJ measurements were compared between study-control groups and subgroups by using Student’s t-test, Mann-Whitney-U test, one-way analysis of variance (ANOVA) and Kruskal-Wallis test. The association between osteoarthritic features, rheumatoid status was tested by using χ2 test. Observers were blinded to all groups. Cohen κ values (0853–0945) and Spearman’s correlation coefficient (0.959–0.997) indicated high interexaminer reliability. Results: Condylar dimentions were significantly lower in CH and SJS in rheumatic diseases group (p < 0.001), however APD (p = 0,681) and MLD (p = 0,757) was not different significantly. Osteoarthritic changes such as erosion (p < 0.001), flattening (p = 0.005), osteophyte (p = 0.001) and subchondral cyst (p = 0.001) were significantly higher in the patient group. None of the parameters were different significantly according to subgroups determined according to drugs used(p > 0.05). Conclusions: Degenerative changes may cause decrease in condyle size and changes in condyle position. It is a process that can continue despite the use of antirheumatic or immunosuppressive drugs. All of these can become the source of possible TMJ problems.

scholarly journals Temporomandibular Joint Osseous Morphology of Class I and Class II Malocclusions in the Normal Skeletal Pattern: A Cone-Beam Computed Tomography Study

Diagnostics ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 541
Author(s):  
Xiao-Chuan Fan ◽  
Lin-Sha Ma ◽  
Li Chen ◽  
Diwakar Singh ◽  
Xiaohui Rausch-Fan ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Temporomandibular Joint ◽  
Cone Beam Computed Tomography ◽  
Class Ii ◽  
Class I ◽  
Cone Beam ◽  
Glenoid Fossa ◽  
Linear Measurements ◽  
Significant Difference ◽  
Skeletal Pattern

(1) Background—The aim of the present study was to evaluate the correlation between the temporomandibular joint (TMJ) osseous morphology of normal skeletal pattern individuals with different dental malocclusions by using cone-beam computed tomography (CBCT). (2) Methods—The CBCT images of bilateral TMJs in 67 subjects with skeletal class I and average mandibular angle (26 males and 41 females, age range 20–49 years) were evaluated in this study. The subjects were divided into class I, class II division 1, and class II division 2 according to the molar relationship and retroclination of the maxillary incisors. Angular and linear measurements of TMJ were evaluated and the differences between the groups were statistically analyzed. (3) Results—Intragroup comparisons showed statistical differences for articular eminence inclination, the width of the glenoid fossa, the ratio of the width of the glenoid fossa to the depth of the glenoid fossa, the condylar angle, and the intercondylar angle between the malocclusion groups. The measurements of the glenoid fossa shape showed no significant difference between the left and right sides. Females showed more differences in the morphological parameters of TMJ between the three malocclusion groups than the males. (4) Conclusion—The present study revealed differences in the TMJ osseous morphology between dental class I and class II malocclusions in the normal skeletal pattern.

scholarly journals Prevalencia del Síndrome de Combinación y sus factores asociados en la Clínica de la Facultad de Odontología de la Universidad de Cuenca, periodo 2015-2016

2020 ◽  
Vol 12 (1) ◽  
pp. 25-29
Author(s):  
Brian Andrés García Orellana ◽  
María de Lourdes León Vintimilla ◽  
Martha Alejandra Cornejo Córdova ◽  
Verónica Cecibel Chamba Montaño
Keyword(s):  
Risk Factors ◽  
Complete Denture ◽  
Class I ◽  
Correlational Study ◽  
Pathological Changes ◽  
Cross Sectional ◽  
Partial Denture ◽  
Stomatognathic System ◽  
Edentulous Patients ◽  
Edentulous Jaw

BACKGROUND: The set of pathological changes in the stomatognathic system in the presence of a total maxillary prosthesis and a removable partial mandibular prosthesis has been described as the Combi-nation Syndrome. The main purpose of this study was to determine its prevalence and if features such as age, sex or type of mandibular edentulism are associated with the syndrome in the patients of the Odon-tologic Clinic of the of Faculty of Dentistry, Universidad de Cuenca during the academic period 2015-2016. METhODS: Cuantitative, cross sectional descriptive and correlational study. The sample consisted of 312 edentulous patients. The diagnosis of the syndrome in this study was determined by the presence of a minimum of three associated signs. We determine the prevalence of combiantion syndrome and the association between sex, age and edentulism type and combination syndrome. RESUlTS: The prevalence of combination syndrome is 21.8%. Adults 60 years or older (1.8 times higher probability) and patients who suffer from Kennedy class I partial edentulism (3.6 times higher probability than other types of edentulism), have a higher probability for developing the syndrome. CONClUSiON: The prevalence of CS was 21.8%, age and suffering from Kennedy class I partial edentulism should be considered as risk factors for developing the syndrome. KEYWORDS: PARTIAL DENTURE, COMPLETE DENTURE, PREVALENCE, EDENTULOUS JAW.

scholarly journals Treatment of the mandibular shift in an adult woman and the diagnostic value of joint space index: a case report

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Kai Xia ◽  
Wentian Sun ◽  
Liyuan Yu ◽  
Xinqi Huang ◽  
Zhihe Zhao ◽  
...  
Keyword(s):  
Cone Beam Ct ◽  
Joint Space ◽  
Diagnostic Value ◽  
Outcome Evaluation ◽  
Case Presentation ◽  
Arch Form ◽  
Before And After ◽  
Condyle Position ◽  
Diagnostic Approaches ◽  
Skeletal Asymmetry

Abstract Background Mandibular deviations are common clinical complaints. The orthodontic or orthognathic treatment of mandibular deviations is tricky because a comprehensive diagnosis, especially a functional one, is difficult to make. A inaccurate diagnosis may lead to a compromised and unstable treatment outcome. Case presentation This article describes the diagnosis and treatment of a woman with a mandibular deviation and facial skeletal asymmetry. By eliminating the disharmony of the arch form with elastics and bite turbos, her esthetic and functional outcomes improved. Cone-beam CT (CBCT) and Joint Space Index (JSI) analyses served as the diagnostic approaches and outcome evaluation methods before and after treatment. Conclusions A condyle position displacement could be an indication of functional deviation. JSI analysis is a quantitative and convenient choice to compare condyle relative positions.

scholarly journals Cone Beam Computed Tomography 3D Reconstruction of the Mandibular Condyle

2008 ◽  
Vol 78 (5) ◽  
pp. 880-888 ◽  
Author(s):  
Brian Schlueter ◽  
Ki Beom Kim ◽  
Donald Oliver ◽  
Gus Sortiropoulos
Keyword(s):  
Computed Tomography ◽  
Soft Tissue ◽  
3D Reconstruction ◽  
Cone Beam Computed Tomography ◽  
Three Dimensional ◽  
Mandibular Condyle ◽  
Cone Beam ◽  
Low Density ◽  
Mineral Density ◽  
Linear Measurements

Abstract Objective: To determine the ideal window level and width needed for cone beam computed three-dimensional (3D) reconstruction of the condyle. Materials and Methods: Linear dimensions were measured with a digital caliper to assess the anatomic truth for 50 dry human mandibular condyles. Condyles were scanned with the i-CAT cone beam computed tomography (CBCT) and 3D-models were reconstructed. Three linear three-dimensional measurements were made on each of the 50 condyles at 8 different Hounsfield unit (HU) windows. These measurements were compared with the anatomic truth. Volumetric measurements were also completed on all 50 condyles, at 23 different window levels, to define the volumetric distribution of bone mineral density (BMD) within the condyle. Results: Significant differences were found in two of the three linear measurement groups at and below the recommended viewing window for osseous structures. The most accurate measurements were made within the soft tissue range for HU window levels. Volumetric distribution measurements revealed that the condyles were mostly comprised of low-density bone, and that condyles exhibiting significant changes in linear measurements were shown to have higher percentages of low-density bone than those condyles with little change from the anatomic truth. Conclusions: CBCT assessment of the mandibular condyle, using the 3D reconstruction, is most accurate when accomplished at density levels below that recommended for osseous examination. However, utilizing lower window levels which extend into the soft tissue range, may compromise one's capacity to view the bony topography.

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