The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
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Comparison of the condyle-fossa relationship between skeletal class III malocclusion patients with and without asymmetry: a retrospective three-dimensional cone-beam computed tomograpy study

  • Kim, Hyoun Oak (Department of Orthodontics, Graduate School of Clinical Dental Science, The Catholic University of Korea) ;
  • Lee, Won (Department of Oral and Maxillofacial Surgery, Dental Clinic, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Kook, Yoon-Ah (Department of Orthodontics, Graduate School of Clinical Dental Science, The Catholic University of Korea) ;
  • Kim, Yoonji (Department of Orthodontics, Graduate School of Clinical Dental Science, The Catholic University of Korea)
  • Received : 2013.06.05
  • Accepted : 2013.09.10
  • Published : 2013.10.25
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Abstract

Objective: This study investigated whether temporomandibular joint (TMJ) condyle-fossa relationships are bilaterally symmetric in class III malocclusion patients with and without asymmetry and compared to those with normal occlusion. The hypothesis was a difference in condyle-fossa relationships exists in asymmetric patients. Methods: Group 1 comprised 40 Korean normal occlusion subjects. Groups 2 and 3 comprised patients diagnosed with skeletal class III malocclusion, who were grouped according to the presence of mandibular asymmetry: Group 2 included symmetric mandibles, while group 3 included asymmetric mandibles. Pretreatment three-dimensional cone-beam computed tomography (3D CBCT) images were obtained. Right- and left-sided TMJ spaces in groups 1 and 2 or deviated and non-deviated sides in group 3 were evaluated, and the axial condylar angle was compared. Results: The TMJ spaces demonstrated no significant bilateral differences in any group. Only group 3 had slightly narrower superior spaces (p < 0.001). The axial condylar angles between group 1 and 2 were not significant. However, group 3 showed a statistically significant bilateral difference (p < 0.001); toward the deviated side, the axial condylar angle was steeper. Conclusions: Even in the asymmetric group, the TMJ spaces were similar between deviated and non-deviated sides, indicating a bilateral condyle-fossa relationship in patients with asymmetry that may be as symmetrical as that in patients with symmetry. However, the axial condylar angle had bilateral differences only in asymmetric groups. The mean TMJ space value and the bilateral difference may be used for evaluating condyle-fossa relationships with CBCT.

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References

  1. Katsavrias EG, Halazonetis DJ. Condyle and fossa shape in Class II and Class III skeletal patterns: a morphometric tomographic study. Am J Orthod Dentofacial Orthop 2005;128:337-46. https://doi.org/10.1016/j.ajodo.2004.05.024
  2. Ahn SJ, Lee SP, Nahm DS. Relationship between temporomandibular joint internal derangement and facial asymmetry in women. Am J Orthod Dentofacial Orthop 2005;128:583-91. https://doi.org/10.1016/j.ajodo.2004.06.038
  3. Byun ES, Ahn SJ, Kim TW. Relationship between internal derangement of the temporomandibular joint and dentofacial morphology in women with anterior open bite. Am J Orthod Dentofacial Orthop 2005;128:87-95. https://doi.org/10.1016/j.ajodo.2004.01.028
  4. Vitral RW, da Silva Campos MJ, Rodrigues AF, Fraga MR. Temporomandibular joint and normal occlusion: Is there anything singular about it? A computed tomographic evaluation. Am J Orthod Dentofacial Orthop 2011;140:18-24. https://doi.org/10.1016/j.ajodo.2009.07.030
  5. Rodrigues AF, Fraga MR, Vitral RW. Computed tomography evaluation of the temporomandibular joint in Class I malocclusion patients: condylar symmetry and condyle-fossa relationship. Am J Orthod Dentofacial Orthop 2009;136:192-8. https://doi.org/10.1016/j.ajodo.2007.07.032
  6. Pullinger AG, Solberg WK, Hollender L, Petersson A. Relationship of mandibular condylar position to dental occlusion factors in an asymptomatic population. Am J Orthod Dentofacial Orthop 1987; 91:200-6. https://doi.org/10.1016/0889-5406(87)90447-1
  7. Cohlmia JT, Ghosh J, Sinha PK, Nanda RS, Currier GF. Tomographic assessment of temporomandibular joints in patients with malocclusion. Angle Orthod 1996;66:27-35.
  8. Vitral RW, Telles Cde S, Fraga MR, de Oliveira RS, Tanaka OM. Computed tomography evaluation of temporomandibular joint alterations in patients with class II division 1 subdivision malocclusions: condyle-fossa relationship. Am J Orthod Dentofacial Orthop 2004;126:48-52. https://doi.org/10.1016/j.ajodo.2003.06.012
  9. Zuckerberg Al, Yaster M. Chapter 26. Anesthesia for orthopedic surgery. In: Davis PJ, Cladis FP, Motoyama EK, Smith RM, eds. Smith's anesthesia for infants and children. 8th ed. Philadelphia: Elsevier Mosby; 2011. p. 842-69.
  10. Rodrigues AF, Fraga MR, Vitral RW. 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 Dentofacial Orthop 2009;136:199-206. https://doi.org/10.1016/j.ajodo.2007.07.033
  11. Pandis N, Karpac J, Trevino R, Williams B. A radiographic study of condyle position at various depths of cut in dry skulls with axially corrected lateral tomograms. Am J Orthod Dentofacial Orthop 1991; 100:116-22. https://doi.org/10.1016/S0889-5406(05)81518-5
  12. Burke G, Major P, Glover K, Prasad N. Correlations between condylar characteristics and facial morphology in Class II preadolescent patients. Am J Orthod Dentofacial Orthop 1998;114:328-36. https://doi.org/10.1016/S0889-5406(98)70216-1
  13. Lee W, Park JU. Three-dimensional evaluation of positional change of the condyle after mandibular setback by means of bilateral sagittal split ramus osteotomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:305-9. https://doi.org/10.1067/moe.2002.126452
  14. Hilgers ML, Scarfe WC, Scheetz JP, Farman AG. Accuracy of linear temporomandibular joint measurements with cone beam computed tomography and digital cephalometric radiography. Am J Orthod Dentofacial Orthop 2005;128:803-11. https://doi.org/10.1016/j.ajodo.2005.08.034
  15. Librizzi ZT, Tadinada AS, Valiyaparambil JV, Lurie AG, Mallya SM. Cone-beam computed tomography to detect erosions of the temporomandibular joint: Effect of field of view and voxel size on diagnostic efficacy and effective dose. Am J Orthod Dentofacial Orthop 2011;140:e25-30. https://doi.org/10.1016/j.ajodo.2011.03.012
  16. Kim YI, Cho BH, Jung YH, Son WS, Park SB. Conebeam computerized tomography evaluation of condylar changes and stability following twojaw surgery: Le Fort I osteotomy and mandibular setback surgery with rigid fixation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;111:681-7. https://doi.org/10.1016/j.tripleo.2010.08.001
  17. Kook YA, Kim Y. Evaluation of facial asymmetry with three-dimensional cone-beam computed tomography. J Clin Orthod 2011;45:112-5; quiz 92.
  18. Park JU, Kook YA, Kim Y. Assessment of asymmetry in a normal occlusion sample and asymmetric patients with three-dimensional cone beam computed tomography: a study for a transverse reference plane. Angle Orthod 2012;82:860-7. https://doi.org/10.2319/102911-668.1
  19. Blackwood HJ. Pathology of the temporomandibular joint. J Am Dent Assoc 1969;79:118-24. https://doi.org/10.14219/jada.archive.1969.0217
  20. Westesson PL, Bifano JA, Tallents RH, Hatala MP. Increased horizontal angle of the mandibular condyle in abnormal temporomandibular joints. A magnetic resonance imaging study. Oral Surg Oral Med Oral Pathol 1991;72:359-63. https://doi.org/10.1016/0030-4220(91)90233-3
  21. Ueki K, Nakagawa K, Takatsuka S, Shimada M, Marukawa K, Takazakura D, et al. Temporomandibular joint morphology and disc position in skeletal class III patients. J Craniomaxillofac Surg 2000;28:362-8. https://doi.org/10.1054/jcms.2000.0181
  22. Ahn SJ, Lee SJ, Kim TW. Orthodontic effects on dentofacial morphology in women with bilateral TMJ disk displacement. Angle Orthod 2007;77:288-95. https://doi.org/10.2319/0003-3219(2007)077[0288:OEODMI]2.0.CO;2

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