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Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie

Published in:

01-09-2016 | Original Article

Correlation between condylar position and different sagittal skeletal facial types

Authors: Maryam Paknahad, Shoaleh Shahidi, Hajar Abbaszade

Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Issue 5/2016

Abstract

Objective

Condylar position may play a key role in the stability of orthodontic treatment of patients presenting with different skeletal patterns. The aim of the present study was to assess via cone beam computed tomography (CBCT) correlations between condylar position and sagittal skeletal relationship.

Patients and methods

Condylar positions in CBCT images of 20 patients presenting with a Class I skeletal pattern, 20 with a Class II skeletal pattern, and 20 with a Class III skeletal pattern were evaluated retrospectively. The χ ² test was used to assess the correlation between condylar position and sagittal skeletal relationships.

Results

The condyles were anteriorly positioned in patients with Class II skeletal pattern in comparison with those with Class I and III skeletal patterns. No significant differences in condylar position between Class I and Class III subjects were detected.

Conclusion

A significant correlation between condylar position and sagittal skeletal patterns was observed in the present study. This relationship should be considered when planning and carrying out the appropriate orthodontic treatment for temporomandibular anomalies.

Agarwal V, Sharma R, Jain S, Jain S, Chaturvedi S (2014) A comparative tomographic analysis of condyle–fossa relationship in Class I normal and skeletal Class III vertically grower males in Indore population. Indian J Contemp Dent 2:125–130CrossRef

Arieta-Miranda JM, Silva-Valencia M, Flores-Mir C, Paredes-Sampen NA, Arriola-Guillen LE (2013) Spatial analysis of condyle position according to sagittal skeletal relationship, assessed by cone beam computed tomography. Prog Orthod 14:36CrossRefPubMedPubMedCentral

Barghan S, Tetradis S, Mallya S (2012) Application of cone beam computed tomography for assessment of the temporomandibular joints. Aust Dent J 57:109–118CrossRefPubMed

Burke G, Major P, Glover K, Prasad N (1998) Correlations between condylar characteristics and facial morphology in Class II preadolescent patients. Am J Orthod Dentofac Orthop 114:328–336CrossRef

Burley M (1961) An examination of the relation between the radiographic appearance of the temporomandibular joint and some features of the occlusion. Br Dent J 110:195–200

Chaukse A, Jain S, Dubey R, Maurya R, Shukla C, Sthapak A (2015) Computed tomographic analysis of condyle-fossa relationship in skeletal class I and skeletal class II vertically growing males. J Orthod Res 3:170

Cho B-H, Jung Y-H (2012) Osteoarthritic changes and condylar positioning of the temporomandibular joint in Korean children and adolescents. Imaging Sci Dent 42:169–174CrossRefPubMedPubMedCentral

Cohlmia JT, Ghosh J, Sinha PK, Nanda RS, Currier GF (1996) Tomographic assessment of temporomandibular joints in patients with malocclusion. Angle Orthod 66:27–36PubMed

Dorier M, Cimasoni G (1965) Variations in the mandibular angle and mandibular condyle angle due to dental abrasion and tooth loss. Schweizerische Monatsschrift für Zahnheilkunde Revue mensuelle suisse d’odonto stomatologie SSO 75:201

10.

Droel R, Isaacson RJ (1972) Some relationships between the glenoid fossa position and various skeletal discrepancies. Am J Orthod 61:64–78CrossRefPubMed

11.

Gateno J, Anderson PB, Xia JJ, Horng JC, Teichgraeber JF, Liebschner MA (2004) A comparative assessment of mandibular condylar position in patients with anterior disc displacement of the temporomandibular joint. J Oral Maxillofac Surg 62:39–43CrossRefPubMed

12.

Gianelly AA, Ruben MP, Risinger R (1970) Effect of experimentally altered occlusal vertical dimension on temporomandibular articulation. J Prosthet Dent 24:629–635CrossRefPubMed

13.

Girardot RA Jr (2001) Comparison of condylar position in hyperdivergent and hypodivergent facial skeletal types. Angle Orthod 71:240–246PubMed

14.

Granados JI (1979) The influence of the loss of teeth and attrition on the articular eminence. J Prosthet Dent 42:78–85CrossRefPubMed

15.

Hilgers ML, Scarfe WC, Scheetz JP, Farman AG (2005) Accuracy of linear temporomandibular joint measurements with cone beam computed tomography and digital cephalometric radiography. Am J Orthod Dentofac Orthop 128:803–811CrossRef

16.

Hinton RJ (1981) Changes in articular eminence morphology with dental function. Am J Phys Anthropol 54:439–455CrossRefPubMed

17.

Honey OB, Scarfe WC, Hilgers MJ, Klueber K, Silveira AM, Haskell BS et al (2007) Accuracy of cone-beam computed tomography imaging of the temporomandibular joint: comparisons with panoramic radiology and linear tomography. Am J Orthod Dentofac Orthop 132:429–438CrossRef

18.

Ikeda K, Kawamura A (2009) Assessment of optimal condylar position with limited cone-beam computed tomography. Am J Orthod Dentofac Orthop 135:495–501CrossRef

19.

Ikeda K, Kawamura A (2013) Disc displacement and changes in condylar position. Dentomaxillofac Radiol 42:84227642CrossRefPubMedPubMedCentral

20.

Ikeda K, Kawamura A, Ikeda R (2011) Assessment of optimal condylar position in the coronal and axial planes with limited cone-beam computed tomography. J Prosthodont 20:432–438CrossRefPubMed

21.

Incesu L, Taşkaya-Yılmaz N, Öğütcen-Toller M, Uzun E (2004) Relationship of condylar position to disc position and morphology. Eur J Radiol 51:269–273CrossRefPubMed

22.

Isaacson JR, Isaacson RJ, Speidel TM, Worms FW (1971) Extreme variation in vertical facial growth and associated variation in skeletal and dental relations. Angle Orthod 41:219–229PubMed

23.

Ishibashi H, Takenoshita Y, Ishibashi K, Oka M (1995) Age-related changes in the human mandibular condyle: a morphologic, radiologic, and histologic study. J Oral Maxillofac Surg 53:1016–1023CrossRefPubMed

24.

Jasinevicius T, Pyle M, Nelson S, Lalumandier J, Kohrs K, Sawyer D (2006) Relationship of degenerative changes of the temporomandibular joint (TMJ) with the angle of eminentia. J Oral Rehabil 33:638–645CrossRefPubMed

25.

Kandasamy S, Boeddinghaus R, Kruger E (2013) Condylar position assessed by magnetic resonance imaging after various bite position registrations. Am J Orthod Dentofac Orthop 144:512–517CrossRef

26.

Katsavrias EG, Halazonetis DJ (2005) Condyle and fossa shape in Class II and Class III skeletal patterns: a morphometric tomographic study. Am J Orthod Dentofac Orthop 128:337–346CrossRef

27.

Kikuchi K, Takeuchi S, Tanaka E, Shibaguchi T, Tanne K (2003) Association between condylar position, joint morphology and craniofacial morphology in orthodontic patients without temporomandibular joint disorders. J Oral Rehabil 30:1070–1075CrossRefPubMed

28.

Krisjane Z, Urtane I, Krumina G, Zepa K (2009) Three-dimensional evaluation of TMJ parameters in Class II and Class III patients. Stomatologija 11:32–36PubMed

29.

Kurusu A, Horiuchi M, Soma K (2009) Relationship between occlusal force and mandibular condyle morphology: evaluated by limited cone-beam computed tomography. Angle Orthod 79:1063–1069CrossRefPubMed

30.

Lingchen D, Qiang Z, Meiyu T, Chao H, Xuetao C, Qing L (2014) Comparative study of the condylar positions in different sagittal skeletal facial types with cone-beam computed tomography. West China J Stomatol 32:382–385

31.

Logsdon L, Chaconas S (1975) Laminographic evaluation of temporomandibular joint. J Dent Res 54:184CrossRef

32.

Lorenzoni DC, Bolognese AM, Garib DG, Guedes FR, Sant’Anna EF (2012) Cone-beam computed tomography and radiographs in dentistry: aspects related to radiation dose. Int J Dent 2012:1–10CrossRef

33.

Ludlow JB, Laster WS, See M, Bailey LTJ, Hershey HG (2007) Accuracy of measurements of mandibular anatomy in cone beam computed tomography images. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103:534–542CrossRefPubMed

34.

Major PW, Kinniburgh RD, Nebbe B, Prasad NG, Glover KE (2002) Tomographic assessment of temporomandibular joint osseous articular surface contour and spatial relationships associated with disc displacement and disc length. Am J Orthod Dentofac Orthop 121:152–161CrossRef

35.

Matsumoto M, Bolognese AM (1995) Bone morphology of the temporomandibular joint and its relation to dental occlusion. Braz Dent J 6:115–122PubMed

36.

Mongini F (1968) Changes in the temporo-mandibular joint in partial edentulism. Minerva Stomatol 17:850PubMed

37.

Mongini F (1975) Dental abrasion as a factor in remodeling of the mandibular condyle. Cells Tissues Organs 92:292–300CrossRef

38.

O’Ryan F, Epker BN (1984) Temporomandibular joint function and morphology: observations on the spectra of normalcy. Oral Surg Oral Med Oral Pathol 58:272–279CrossRefPubMed

39.

Okur A, Ozkiris M, Kapusuz Z, Karaçavus S, Saydam L (2012) Characteristics of articular fossa and condyle in patients with temporomandibular joint complaint. Eur Rev Med Pharmacol Sci 16:2131–2135PubMed

40.

Ozkan A, Altug HA, Sencimen M, Senel B (2012) Evaluation of articular eminence morphology and inclination in TMJ internal derangement patients with MRI. Int J Morphol 30:740–744CrossRef

41.

Paknahad M, Shahidi S (2015) Association between mandibular condylar position and clinical dysfunction index. J Cranio Maxillofac Surg 43:432–436CrossRef

42.

Park I-Y, Kim J-H, Park Y-H (2015) Three-dimensional cone-beam computed tomography based comparison of condylar position and morphology according to the vertical skeletal pattern. Korean J Orthod 45:66–73CrossRefPubMedPubMedCentral

43.

Pullinger A, Hollender L (1986) Variation in condyle–fossa relationships according to different methods of evaluation in tomograms. Oral Surg Oral Med Oral Pathol 62:719–727CrossRefPubMed

44.

Pullinger AG, Hollender L, Solberg WK, Petersson A (1985) A tomographic study of mandibular condyle position in an asymptomatic population. J Prosth Dent 53:706–713CrossRef

45.

Pullinger AG, Solberg WK, Hollender L, Petersson A (1987) Relationship of mandibular condylar position to dental occlusion factors in an asymptomatic population. Am J Orthod Dentofac Orthop 91:200–206CrossRef

46.

Ricketts RM (1952) Various conditions of the temporomandibular joint as revealed by cephalometric laminagraphy. Angle Orthod 22:98–115

47.

Rodrigues AF, Fraga MR, Vitral RWF (2009) Computed tomography evaluation of the temporomandibular joint in Class II Division 1 and Class III malocclusion patients: condylar symmetry and condyle–fossa relationship. Am J Orthod Dentofac Orthop 136:199–206CrossRef

48.

Saccucci M, D’Attilio M, Rodolfino D, Festa F, Polimeni A, Tecco S (2012) Condylar volume and condylar area in class I, class II and class III young adult subjects. Head Face Med 8:34CrossRefPubMedPubMedCentral

49.

Sanromán JF, Gonzalez JG, Del Hoyo JA (1998) Relationship between condylar position, dentofacial deformity and temporomandibular joint dysfunction: an MRI and CT prospective study. J Cranio Maxillofac Surg 26:35–42CrossRef

50.

Scapino RP (1983) Histopathology associated with malposition of the human temporomandibular joint disc. Oral Surg Oral Med Oral Pathol 55:382–397CrossRefPubMed

51.

Schlueter B, Kim KB, Oliver D, Sortiropoulos G (2008) Cone beam computed tomography 3D reconstruction of the mandibular condyle. Angle Orthod 78:880–888CrossRefPubMed

52.

Seren E, Akan H, Toller MO, Akyar S (1994) An evaluation of the condylar position of the temporomandibular joint by computerized tomography in Class III malocclusions: a preliminary study. Am J Orthod Dentofac Orthop 105:483–488CrossRef

53.

Serra M, Gaviao M (2006) Evaluation of condylar position from transcranial projections in primary dentition. Dentomaxillofac Radiol 35:110–116CrossRefPubMed

54.

Seward F (1976) Tooth attrition and the temporomandibular joint. Angle Orthod 46:162–170PubMed

55.

Shahidi S, Vojdani M, Paknahad M (2013) Correlation between articular eminence steepness measured with cone-beam computed tomography and clinical dysfunction index in patients with temporomandibular joint dysfunction. Oral Surg Oral Med Oral Pathol Oral Radiol 116:91–97CrossRefPubMed

56.

Su N, Liu Y, Yang X, Luo Z, Shi Z (2014) Correlation between bony changes measured with cone beam computed tomography and clinical dysfunction index in patients with temporomandibular joint osteoarthritis. J Cranio Maxillofac Surg 42:1402–1407CrossRef

57.

Sümbüllü M, Cağlayan F, Akgül H, Yilmaz A (2012) Radiological examination of the articular eminence morphology using cone beam CT. Dentomaxillofac Radiol 41:234–240CrossRefPubMedPubMedCentral

58.

Tanne K, Tanaka E, Sakuda M (1994) Stress distributions in the TMJ during clenching in patients with vertical discrepancies of the craniofacial complex. J Orofac Pain 9:153–160

59.

Tizianobaccetti D, Antoninoantonini M, Lorenzofranchi D, Marcotonti M, Isabellatollaro M (1997) Glenoid fossa position in different facial types: a cephalometric study. Br J Orthod 24:55–59CrossRef

60.

Vitral RWF, da Silva Campos MJ, Rodrigues AF, Fraga MR (2011) Temporomandibular joint and normal occlusion: is there anything singular about it? A computed tomographic evaluation. Am J Orthod Dentofac Orthop 140:18–24CrossRef

61.

Vitral RWF, de Souza Telles C, Fraga MR, de Oliveira RSMF, Tanaka OM (2004) Computed tomography evaluation of temporomandibular joint alterations in patients with class II division 1 subdivision malocclusions: condyle–fossa relationship. Am J Orthod Dentofac Orthop 126:48–52CrossRef

62.

Wedel A, Carlsson G, Sagne S (1978) Temporomandibular joint morphology in a medieval skull material. Swed Dent J 2:177PubMed

63.

Willems NM, Mulder L, Langenbach GE, Grünheid T, Zentner A, van Eijden TM (2007) Age-related changes in microarchitecture and mineralization of cancellous bone in the porcine mandibular condyle. J Struct Biol 158:421–427CrossRefPubMed

64.

Wish-Baratz S, Hershkovitz I, Arensburg B, Latimer B, Jellema LM (1996) Size and location of the human temporomandibular joint. Am J Phys Anthropol 101:387–400CrossRefPubMed

65.

Wu C-K, Hsu J-T, Shen Y-W, Chen J-H, Shen W-C, Fuh L-J (2012) Assessments of inclinations of the mandibular fossa by computed tomography in an Asian population. Clin Oral Invest 16:443–450CrossRef

66.

Paknahad M, Shahidi S, Iranpour S, Mirhadi S, Paknahad M (2015) Cone-beam computed tomographic assessment of mandibular condylar position in patients with temporomandibular Joint dysfunction and in healthy subjects. Int J dent 2015:1–6CrossRef

Title: Correlation between condylar position and different sagittal skeletal facial types
Authors: Maryam Paknahad
Shoaleh Shahidi
Hajar Abbaszade
Publication date: 01-09-2016
Publisher: Springer Berlin Heidelberg
Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Issue 5/2016
Print ISSN: 1434-5293
Electronic ISSN: 1615-6714
DOI: https://doi.org/10.1007/s00056-016-0039-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Correlation between condylar position and different sagittal skeletal facial types

Abstract

Objective

Patients and methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objective

Patients and methods

Results

Conclusion

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