• The korean journal of orthodontics
• /
• v.17 no.1
• /
• pp.47-54
• /
• 1987

This study was designed to compare extreme variations in facial growth in order to examine the relationships between the glenoid fossa position and skeletal malocclusions. It was hypothesized that patients with large mandibular plane-sella nasion angles would have a more superior fossa position than patients with small mandibular plane-sella nasion angles. It was also hypothesized that patients with large ANB angles would have a more posterior fossa position than patients with small ANB angle. For this study, the data from lateral roentgenocephaloprams of 72 Females and 72 males aged from 10 to 18 years were used. The results were as follows 1. In the case of large ANB angle, glenoid fossa position was relatively posterior than that of small ANB angle in Female, but it was not significant in male. 2. In the case of large APDI, glenoid fossa position was relatively anterior in female, but it was not significant in male. 3. In the case of large SN-Go Gn angle, glenoid fossa position was relatively superior in both male and female. 4. In the case of large ODI, glenoid fossa position was relatively inferior in both male and female.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.33 no.4
• /
• pp.337-345
• /
• 2011

Purpose: The purpose of this study was to define the relation of the degree of menton deviation and 3-D CT (computerized tomography) measurements of the glenoid fossa and the mandible, which are considered to have an influence on menton deviation. Methods: The CT images were obtained in 60 adults and these were transmitted to a computer and reconstructed using computer software. According to the degree of the menton deviation, which was measured on the posteroanterior cephalogram, the subjects were divided into the menton deviated group (30 adults) and the symmetry group (30 adults). A total of 11 measurements that might have an effect on menton deviation were determined and these were measured in the right and left sides using the function of 3-D measurement in the computer program. The 11 measurements consist of 6 measurements in the glenoid fossa (vertical position of the glenoid fossa and articular eminence, the sagittal position of the glenoid fossa and articular eminence, the depth of the glenoid fossa, and the anterior angle of the glenoid fossa), and 5 measurements in the mandible (ramus length, frontal ramal inclination, lateral ramal inclination, body length, body height). Results: The comparison of the differences between the menton deviated and symmetry groups and correlation analysis on the degree of menton deviation were carried out. The results of comparison of the right and the left difference between the menton deviated and symmetry groups showed that the vertical position and depth of the glenoid fossa were significantly increased in the menton deviated group. Conclusion: The results of the present study show that consideration of the shape and position of the glenoid fossa is necessary for making the diagnosis and administering proper treatment in facial asymmetry patients and especially growing patients.

• The korean journal of orthodontics
• /
• v.25 no.4
• /
• pp.425-432
• /
• 1995

The purposee of this study is to investigate the correlation between the horizontal and vertical discrepancy of facial bones and the horizontal and vertical position of glenoid fossa. For this study, the cephalograms were taken to the adults over 18 of age(96 men and 108women). The cephalograms were divided into three groups according to the ANB angle(below 0.5 degree, 0.5 to 4.0 degree and above 38 degree), and they were divided into three groups according to the SN-MP angle(below 30 degree, 30 to 38 degree and above 38 degree). The following conclusions were obtained : 1. In the horizontal discrepancy of facial bone(ANB), the horiontal position of glenoid fossa(X) was anterior position as the order of Class II, Class I, Cias III. 2. The horizontal position of glenoid fossa(X) showed the significant correlation with ANB and SNB, but not with SNA. 3. In the vertical discrepancy of facial bone(SN-MP), thee less anglee was the greater vertical position of glenoid fossa (X) and was followed by the medium and high angle in order. 4. The vertical position of glenoid fossa(Y) showed thhat the SN-FH was the most significant correlation, and it was followed as the order of SN-FH, SN-MP and SN-OP angle. 5. There was the samllest length of anterior cranial base in the Class III malocclusion.

• The korean journal of orthodontics
• /
• v.47 no.5
• /
• pp.277-288
• /
• 2017

Objective: Treating Class II subdivision malocclusion with asymmetry has been a challenge for orthodontists because of the complicated characteristics of asymmetry. This study aimed to explore the characteristics of dental and skeletal asymmetry in Class II subdivision malocclusion, and to assess the relationship between the condyle-glenoid fossa and first molar. Methods: Cone-beam computed tomographic images of 32 patients with Class II subdivision malocclusion were three-dimensionally reconstructed using the Mimics software. Forty-five anatomic landmarks on the reconstructed structures were selected and 27 linear and angular measurements were performed. Paired-samples t-tests were used to compare the average differences between the Class I and Class II sides; Pearson correlation coefficient (r) was used for analyzing the linear association. Results: The faciolingual crown angulation of the mandibular first molar (p < 0.05), sagittal position of the maxillary and mandibular first molars (p < 0.01), condylar head height (p < 0.01), condylar process height (p < 0.05), and angle of the posterior wall of the articular tubercle and coronal position of the glenoid fossa (p < 0.01) were significantly different between the two sides. The morphology and position of the condyle-glenoid fossa significantly correlated with the three-dimensional changes in the first molar. Conclusions: Asymmetry in the sagittal position of the maxillary and mandibular first molars between the two sides and significant lingual inclination of the mandibular first molar on the Class II side were the dental characteristics of Class II subdivision malocclusion. Condylar morphology and glenoid fossa position asymmetries were the major components of skeletal asymmetry and were well correlated with the three-dimensional position of the first molar.

• Imaging Science in Dentistry
• /
• v.54 no.1
• /
• pp.71-80
• /
• 2024

Purpose: This study aimed to evaluate age-stratified radiographic features in temporomandibular joint osteoarthritis using cone-beam computed tomography. Materials and Methods: In total, 210 joints from 183 patients(144 females, 39 males, ranging from 12 to 88 years old with a mean age of 44.75±19.97 years) diagnosed with temporomandibular joint osteoarthritis were stratified by age. Mandibular condyle position and bony changes (flattening, erosion, osteophytes, subchondral sclerosis, and subchondral pseudocysts in both the condyle and articular eminence, thickening of the glenoid fossa, joint space narrowing, and joint loose bodies) were evaluated through cone-beam computed tomography. After adjusting for sex, the association between age groups and radiographic findings was analyzed using both a multiple regression model and a multinomial logistic regression model(α=0.05). Results: The prevalence of joint space narrowing and protruded condyle position in the glenoid fossa significantly increased with age (P<0.05). The risks of bony changes, including osteophytes and subchondral pseudocysts in the condyle; flattening, erosion, osteophyte, and subchondral sclerosis in the articular eminence; joint loose bodies; and thickening of the glenoid fossa, also significantly rose with increasing age (P<0.05). The number of radiographic findings increased with age; in particular, the increase was more pronounced in the temporal bone than in the mandibular condyle (P<0.05). Conclusion: Increasing age was associated with a higher frequency and greater diversity of bony changes in the temporal bone, as well as a protruded condyle position in the glenoid fossa, resulting in noticeable joint space narrowing in temporomandibular joint osteoarthritis.

• Journal of International Academy of Physical Therapy Research
• /
• v.6 no.1
• /
• pp.824-827
• /
• 2015

The purpose of this study was to investigate the effects of joint position on the distraction distance in patients with adhesive capsulitis of glenohumeral joint. The study was conducted upon 20 adults in their 40's with the findings of adhesive capsulitis of glenohumeral joint. These subjects were subdivided into 3 groups, which were a group with neutral position(n=7), second group with resting position(n=7) and third group with end-range position(n=6). After having the subject wearing sleeveless shirts exposing armpit and lying straight on the plinth, a physical therapist with OMT qualification pulled glenohumeral joint at the Grade III of Kaltenborn-Evjenth traction; and the distance between glenoid fossa and humeral head was measured with ultrasound. Following the application of traction, the group with resting position($.67{\pm}0.29$) exhibited the longest distance between humeral head and glenoid fossa, and it was followed by neutral position($.50{\pm}0.25$) and end-range position($.35{\pm}.21$) in this order. From the comparison of these groups, there was no significant difference in distraction distance between resting position and neutral position; and there was again no significant difference in distraction distance between end-range position and neutral position. However, there was a significant difference in distraction distance between end-range position and resting position(p<.05). Upon application of the Grade III of Kaltenborn-Evjenth traction, it was evident that the distance between humeral head and glenoid fossa can be varied depending on the location of the joint.

• The korean journal of orthodontics
• /
• v.22 no.2 s.37
• /
• pp.475-481
• /
• 1992

The purpose of this study was to examine the displacement of glenoid fossa during growth, and to investigate the relationship between the displacement of glenoid fossa and mandible. Pretreatment and posttreatment lateral cephalograms of 41 patients (male : 13, female : 28) were obtained from the orthodontic clinics of Wonkwang university hospital and were analized in terms of the position of articulare and mandible and statistically. The obtained results were as follows, 1. Aritculare was displaced posteriorly and inferioly during craniofacial growth and development. 2. The more posteriorly articulare displaced, the less anteriorly pogonion displaced, but the more inferiorly menton displancd. 3. The more posteriorly or inferiorly articulare was located, the more inferiorly menton displaced, and the more posteriorly articulare was located posteriorly, the less cant of the mandibular plane.

• Journal of Oral Medicine and Pain
• /
• v.23 no.1
• /
• pp.45-55
• /
• 1998

The author assessed the sagittal relationships between glenoid fossa of the temporal bone and mandibular condyle from lateral transcranial views of 74 TMJ with disc displacement and 16 TMJ with normal disc-condyle complex by the magnetic resonance image findings. All the subjects were female and also in their 3rd decades. The disc displacement group was subdivided into anterior disc displacement with reduction (ADWR) group and anterior disc displacement without reduction (ADWOR) group. The anterior, superior, and posterior joint spaces as well as anterior/posterior (A/P) ratio of the space at the closed jaw position and vertical and horizontal components of the condyle position relative to the articular eminence at the open jaw position were measured from all the subjects and the data were compared among groups. The result were as follows : 1. The mean posterior joint space of ADWR group was smaller than ADWOR group, but there were no significant differences in anterior and superior joint spaces between two groups. 2. There showed a tendency of higher A/P ratio in ADWR group which meant the condyle of ADWR was likely to take posteriorly displaced position. 3. There were higher proportion of neutral condylar position in glenoid fossa in normal group, but higher proportion of posterior condylar position in ADWR group. 4. There were no significant differences in the degree of condyle-fossa concentricity among groups.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
• /
• v.8 no.1
• /
• pp.43-47
• /
• 1978

The purpose of this study was to investigate the normal range of condylar movement of normal adults. The author has observed roentgenographic images of four serial positions of condylar head taken by modified transcranail lateral oblique projection. The serial positions are centric occlusion, rest position, 1 inch open position and maximal open position. The results were obtained as follow; 1. Inter-incisal distance was 46.85㎜ in maximal open position. 2. The length between the deepest point of glenoid fossa and summit of condylar head in rest position was wider than that in centric occlusion by 0.8㎜. 3. In 1 inch open position, condylar head moved forward from the standard line in 12.64㎜ of horizontal direction and moved downwards from the standard line in 1.84㎜ of vertical direction. 4. In maximal open position, condylar head moved forward from the standard line in 19.06㎜ of horizontal direction and moved downwards from thestanard line in 0.4㎜ of vertical direction. 5. In centric occlusion, the width between glenoid fossa and margin of condylar head was greater in the posterior portion than in the anterior portion by 0.4㎜. 6. Except for the estimated figures of 1 inch open position, all of the estimated figures was greater in male than in female.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
• /
• v.13 no.1
• /
• pp.7-15
• /
• 1983

The purpose of this study was to investigate the radiographic images of the condylar head in clinically normal subjects and the TMJ patients using standardized projection technique. 45 subjects who have not clinical evidence of TMJ problems and 96 patients who have the clinical evidence of TMJ problems were evaluated, but the patients who had fracture, trauma and tumor on TMJ area were discluded in this study. For the evaluation of radiographic images, the author has observed the condylar head positions in closed mouth and 2.54㎝ open mouth position taken by the standardized transcranial oblique lateral projection technique. The results were as follows: 1. In closed mouth position, the crest of condylar head took relatively posterior position to the deepest point of the glenoid fossa in 8.9 % of the normals and in 26.6% of TMJ patients. 2. In 2.54㎝ open mouth position, condylar head took relatively posterior position to the articular eminence in 2.2% of TMJ patients and 39.6% of the normals. 3. In open mouth position, the horizontal distance from the deepest point of the glenoid fossa to the condyla head was 13.96㎜ in the normals and 10.68㎜ in TMJ patients. 4. The distance of true movement of condyalr head was 13.49㎜ in the normals and l0.27㎜ in TMJ patients. 5. The deviation of mandible in TMJ patients was slightly greater than that of the normals.