Research Article
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Is Bruxism an Influential Factor on Mandibular Condyle Morphology?

Year 2024, Volume: 14 Issue: 4, 1034 - 1041, 29.12.2024
https://doi.org/10.33808/clinexphealthsci.1461620

Abstract

Objectives: The objective of this study is to assess condyle morphology through panoramic radiographs and investigate the impact of variables such as bruxism, age, gender, education level, chewing habits, and income level on the morphology of the condyle.
Methods: Condyle morphology was assessed across four categories (bird's beak, diagonal diamond, crooked fingers, and oval) in panoramic radiographs featuring 200 patients in this study. Bruxism, age, gender, education level, chewing habits, and income level were classified based on the responses provided in the questionnaires by the individuals in the study.
Results: Among the 100 bruxist patients, 3 exhibited awake, 41 displayed sleep, and 56 manifested both awake and sleep bruxism. Significant differences were observed in the morphology of the left condyle (p < .05). In the 26-40 age group, there was an increase in the appearance of bird's beak, diagonal diamond, and crooked fingers, while the oval condyle's appearance decreased (p < .05). Males showed a greater prevalence of bird beak appearance (p < .05). A rise in education level correlated with increased occurrences of bird beak, diagonal diamond, and crooked finger appearances (p < .05). In the presence of bruxism, there was a statistically higher prevalence of bird's beak and diagonal diamond-shaped condyles (p < .05).
Conclusion: The outcomes of this study on condyle morphology are influenced by bruxism, age, gender, and education level. Individuals experiencing both awake and sleep bruxism exhibit a more pronounced impact on condyle morphology. To ascertain a genuine causal relationship, prospective cohort studies are imperative.

Ethical Statement

This study was approved by Ethics Committee of Necmettin Erbakan University, Noninvasive Clinic Ethics Committee (Approval date: 2022; Number: 2022/168)

Supporting Institution

The authors received no financial support for the research.

References

  • Lewis EL, Dolwick MF, Abramowicz S, Reeder SL. Contemporary imaging of the temporomandibular joint. Dent Clin North Am. 2008;52(4):875-890. DOI: 10.1016/j.cden.2008.06.001.
  • Okeson JP. Management of temporomandibular disorders and occlusion. 7th ed. United States: Mosby Elsevier Health Sciences; 2019.
  • Manfredini D, Lobbezoo F. Relationship between bruxism and temporomandibular disorders: A systematic review of literature from 1998 to 2008. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109(6):e26-e50. DOI: 10.1016/j.tripleo.2010.02.013.
  • Lobbezoo F, Ahlberg J, Glaros A, Kato T, Koyano K, Lavigne G, De Leeuw R, Manfredini D, Svensson P, Winocur E. Bruxism defined and graded: An international consensus. J Oral Rehabil. 2013;40(1):2-4. DOI: 10.1111/joor.12011.
  • Padmaja Satheeswarakumar L, Elenjickal TJ, Ram SKM, Thangasamy K. Assessment of mandibular surface area changes in bruxers versus controls on panoramic radiographic Images: A case control study. Open Dent J. 2018;12:753-761. DOI: 10.2174/1745017901814010753.
  • Lavigne GJ, Huynh N, Kato T, Okura K, Adachi K, Yao D, Sessle B. Genesis of sleep bruxism: Motor and autonomic-cardiac interactions. Arch Oral Biol. 2007;52(4):381-384. DOI: 10.1016/j.archoralbio.2006.11.017.
  • Sjöholm T, Lehtinen I, Helenius H. Masseter muscle activity in diagnosed sleep bruxists compared with non‐symptomatic controls. J Sleep Res. 1995;4(1):48-55. DOI: 10.1111/j.1365-2869.1995.tb00150.x.
  • Singh B, Kumar NR, Balan A, Nishan M, Haris PS, Jinisha M, Denny CD. Evaluation of normal morphology of mandibular condyle: A radiographic survey. J Clin Imaging Sci. 2020;10:51. DOI: 10.25259/JCIS_84_2020.
  • Shaikh AH, Ahmed S, Ahmed AR, Das G, Taqi M, Nisar S, Khan O. Assessment of radiographic morphology of mandibular condyles: A radiographic study. Folia Morphol (Warsz). 2022;81(2):481-486. DOI: 10.5603/FM.a2021.0049.
  • Odabaş B, Arslan SG. Temporomandibular eklem anatomisi ve rahatsızlıkları. Dicle Tıp Dergisi 2008;35(1):77-85.(Turkish)
  • Regidor E, Barrio G, de la Fuente L, Domingo A, Rodriguez C, Alonso J. Association between educational level and health related quality of life in Spanish adults. J Epidemiol Community Health 1999;53(2):75-82. DOI: 10.1136/jech.53.2.75
  • Al-Saedi AIL, Riad A, Al-Jasim NH, Bahaa A. A panoramic study of the morphology of mandibular condyle in a sample of population from Basrah city. Int J Morphol. 2020;38(6):1707-1712.
  • Sateia M. International classification of sleep disorders. Chest 2014;146(5):1387-1394. DOI: 10.1378/chest.14-0970.
  • Koyano K, Tsukiyama Y, Ichiki R, Kuwata T. Assessment of bruxism in the clinic. J Oral Rehabil. 2008;35(7):495-508. DOI: 10.1111/j.1365-2842.2008.01880.x.
  • Sonal V, Sandeep P, Kapil G, Christine R. Evaluation of condylar morphology using panoramic radiography. J Adv Clin Res Insights 2016;3(1):5-8. DOI: 10.15713/ins.jcri.94.
  • Lobbezzoo F, Van Der Zaag J, Van Selms M, Hamburger H, Naeije M. Principles for the management of bruxism. J Oral Rehabil. 2008;35(7):509-523. DOI: 10.1111/j.1365-2842.2008.01853.x.
  • Koyano K, Tsukiyama Y, Ichiki R, Kuwata T. Assessment of bruxism in the clinic. J Oral Rehabil. 2008;35(7):495-508. DOI: 10.1111/j.1365-2842.2008.01880.x.
  • Rompré P, Daigle-Landry D, Guitard F, Montplaisir J, Lavigne GJ. Identification of a sleep bruxism subgroup with a higher risk of pain. J Dent Res. 2007;86(9):837-842. DOI: 10.1177/154405910708600906.
  • Pintado MR, Anderson GC, DeLong R, Douglas W. Variation in tooth wear in young adults over a two-year period. J Prosthet Dent. 1997;77(3):313-320. DOI: 10.1016/s0022-3913(97)70189-6.
  • Mathew AL, Sholapurkar AA, Pai K. Condylar changes and its association with age, TMD, and dentition status: A cross-sectional study. Int J Dent. 2011;2011(1):413639. DOI: 10.1155/2011/413639.
  • Derwich M, Mitus-Kenig M, Pawlowska E, Health P. Morphology of the temporomandibular joints regarding the presence of osteoarthritic changes. Int J Environ Res Public Health 2020;17(8):2923. DOI: 10.3390/ijerph17082923.
  • Nagaraj T, Nigam H, Santosh H, Gogula S, Sumana C, Sahu P. Morphological variations of the coronoid process, condyle and sigmoid notch as an adjunct in personal identification. J Med Radiol Pathol Surg. 2017;4(2):1-5.
  • Sahithi D, Reddy S, Teja DD, Koneru J, Praveen KNS, Sruthi R. Reveal the concealed–Morphological variations of the coronoid process, condyle and sigmoid notch in personal identification. Egypt J Forensic Sci. 2016;6(2):108-113. DOI: 10.1016/j.ejfs.2015.11.003.
  • Oliveira-Santos C, Bernardo RT, Capelozza A. Mandibular condyle morphology on panoramic radiographs of asymptomatic temporomandibular joints. Int J Dent. 2009;8(3): 114-118.
  • Anisuzzaman MM, Khan SR, Khan MTI, Abdullah MK, Afrin A. Evaluation of mandibular condylar morphology by orthopantomogram in Bangladeshi population. Update Dental College Journal 2019;9(1):29-31. DOI: 10.3329/updcj.v9i1.41203.
  • Ferreira LA, Grossmann E, Januzzi E, Paula MVQD, Carvalho ACP. Diagnosis of temporomandibular joint disorders: Indication of imaging exams. Braz J Otorhinolaryngol. 2016;82(03):341-352. DOI: 10.1016/j.bjorl.2015.06.010.
  • Pharoah M, Petrikowski G. Imaging temporomandibular joint disorders. Oral Maxillofac Surg Clin North Am. 2001;13(4):623-638. DOI: 10.1016/S1042-3699(20)30113-8.
  • Maqbool S, Wani BA, Chalkoo AH, Sharma P. Morphological assessment of variations of condylar head and sigmoid notch on orthopantomograms of Kashmiri population. Int J Recent Sci Res. 2018;9(10):29162-29165.
  • Gindha GS, Singh T, Sood K, Maharana S. Amorphometric study of condyloid process of dry human mandible for sexing from its shape. MOJ Anat. Physiol. 2017;3(2):58–62. DOI: 10.15406/mojap.2017.03.00087.
  • Ashwinirani S, Nair B, Rajmane Y, Kamala K. Morphological variations of condylar process and sigmoid notch using Orthopantomograms in Western part of Maharashtra population. Int J Appl Dent Sci. 2018;2:3.
  • Tang TLP. Income and quality of life: Does the love of money make a difference?. J Bus Ethics 2007;72(4):375-393.
  • Robotham D, Julian C. Stress and the higher education student: A critical review of the literature. J Furth High Educ. 2006;30(02):107-117.
  • Chaudhary S, Srivastava D, Jaetli V, Tirth A. Evaluation of condylar morphology using panoramic radiography in normal adult population. Int J Sci Study 2015;2(11):164-168.
  • Halicioglu K, Celikoglu M, Büyük SK, Sekerci AE, Candirli C. Effects of early unilateral mandibular first molar extraction on condylar and ramal vertical asymmetry. Clin Oral Investig. 2014;8(02):178-183. DOI: 10.4103/1305-7456.130595.
  • Tao J, Wu J, Zhang X. Mandibular condylar morphology for bruxers with different grinding patterns. Cranio 2016;34(4):219-226. DOI: 10.1179/2151090315Y.0000000023.
  • Mortazavi N, Tabatabaei AH, Mohammadi M, Rajabi A. Is bruxism associated with temporomandibular joint disorders? A systematic review and meta-analysis. Evid Based Dent. 2023;24(3):144. DOI: 10.1038/s41432-023-00911-6.
Year 2024, Volume: 14 Issue: 4, 1034 - 1041, 29.12.2024
https://doi.org/10.33808/clinexphealthsci.1461620

Abstract

Ethical Statement

Gerekli Etik Kurul Onayı 2022/168 Karar sayısı ile Necmettin Erbakan Üniversitesi Diş Hekimliği İlaç ve Tıbbi Cihaz Dışı Araştırmalar Etik Kurulu'ndan alınmıştır.

References

  • Lewis EL, Dolwick MF, Abramowicz S, Reeder SL. Contemporary imaging of the temporomandibular joint. Dent Clin North Am. 2008;52(4):875-890. DOI: 10.1016/j.cden.2008.06.001.
  • Okeson JP. Management of temporomandibular disorders and occlusion. 7th ed. United States: Mosby Elsevier Health Sciences; 2019.
  • Manfredini D, Lobbezoo F. Relationship between bruxism and temporomandibular disorders: A systematic review of literature from 1998 to 2008. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109(6):e26-e50. DOI: 10.1016/j.tripleo.2010.02.013.
  • Lobbezoo F, Ahlberg J, Glaros A, Kato T, Koyano K, Lavigne G, De Leeuw R, Manfredini D, Svensson P, Winocur E. Bruxism defined and graded: An international consensus. J Oral Rehabil. 2013;40(1):2-4. DOI: 10.1111/joor.12011.
  • Padmaja Satheeswarakumar L, Elenjickal TJ, Ram SKM, Thangasamy K. Assessment of mandibular surface area changes in bruxers versus controls on panoramic radiographic Images: A case control study. Open Dent J. 2018;12:753-761. DOI: 10.2174/1745017901814010753.
  • Lavigne GJ, Huynh N, Kato T, Okura K, Adachi K, Yao D, Sessle B. Genesis of sleep bruxism: Motor and autonomic-cardiac interactions. Arch Oral Biol. 2007;52(4):381-384. DOI: 10.1016/j.archoralbio.2006.11.017.
  • Sjöholm T, Lehtinen I, Helenius H. Masseter muscle activity in diagnosed sleep bruxists compared with non‐symptomatic controls. J Sleep Res. 1995;4(1):48-55. DOI: 10.1111/j.1365-2869.1995.tb00150.x.
  • Singh B, Kumar NR, Balan A, Nishan M, Haris PS, Jinisha M, Denny CD. Evaluation of normal morphology of mandibular condyle: A radiographic survey. J Clin Imaging Sci. 2020;10:51. DOI: 10.25259/JCIS_84_2020.
  • Shaikh AH, Ahmed S, Ahmed AR, Das G, Taqi M, Nisar S, Khan O. Assessment of radiographic morphology of mandibular condyles: A radiographic study. Folia Morphol (Warsz). 2022;81(2):481-486. DOI: 10.5603/FM.a2021.0049.
  • Odabaş B, Arslan SG. Temporomandibular eklem anatomisi ve rahatsızlıkları. Dicle Tıp Dergisi 2008;35(1):77-85.(Turkish)
  • Regidor E, Barrio G, de la Fuente L, Domingo A, Rodriguez C, Alonso J. Association between educational level and health related quality of life in Spanish adults. J Epidemiol Community Health 1999;53(2):75-82. DOI: 10.1136/jech.53.2.75
  • Al-Saedi AIL, Riad A, Al-Jasim NH, Bahaa A. A panoramic study of the morphology of mandibular condyle in a sample of population from Basrah city. Int J Morphol. 2020;38(6):1707-1712.
  • Sateia M. International classification of sleep disorders. Chest 2014;146(5):1387-1394. DOI: 10.1378/chest.14-0970.
  • Koyano K, Tsukiyama Y, Ichiki R, Kuwata T. Assessment of bruxism in the clinic. J Oral Rehabil. 2008;35(7):495-508. DOI: 10.1111/j.1365-2842.2008.01880.x.
  • Sonal V, Sandeep P, Kapil G, Christine R. Evaluation of condylar morphology using panoramic radiography. J Adv Clin Res Insights 2016;3(1):5-8. DOI: 10.15713/ins.jcri.94.
  • Lobbezzoo F, Van Der Zaag J, Van Selms M, Hamburger H, Naeije M. Principles for the management of bruxism. J Oral Rehabil. 2008;35(7):509-523. DOI: 10.1111/j.1365-2842.2008.01853.x.
  • Koyano K, Tsukiyama Y, Ichiki R, Kuwata T. Assessment of bruxism in the clinic. J Oral Rehabil. 2008;35(7):495-508. DOI: 10.1111/j.1365-2842.2008.01880.x.
  • Rompré P, Daigle-Landry D, Guitard F, Montplaisir J, Lavigne GJ. Identification of a sleep bruxism subgroup with a higher risk of pain. J Dent Res. 2007;86(9):837-842. DOI: 10.1177/154405910708600906.
  • Pintado MR, Anderson GC, DeLong R, Douglas W. Variation in tooth wear in young adults over a two-year period. J Prosthet Dent. 1997;77(3):313-320. DOI: 10.1016/s0022-3913(97)70189-6.
  • Mathew AL, Sholapurkar AA, Pai K. Condylar changes and its association with age, TMD, and dentition status: A cross-sectional study. Int J Dent. 2011;2011(1):413639. DOI: 10.1155/2011/413639.
  • Derwich M, Mitus-Kenig M, Pawlowska E, Health P. Morphology of the temporomandibular joints regarding the presence of osteoarthritic changes. Int J Environ Res Public Health 2020;17(8):2923. DOI: 10.3390/ijerph17082923.
  • Nagaraj T, Nigam H, Santosh H, Gogula S, Sumana C, Sahu P. Morphological variations of the coronoid process, condyle and sigmoid notch as an adjunct in personal identification. J Med Radiol Pathol Surg. 2017;4(2):1-5.
  • Sahithi D, Reddy S, Teja DD, Koneru J, Praveen KNS, Sruthi R. Reveal the concealed–Morphological variations of the coronoid process, condyle and sigmoid notch in personal identification. Egypt J Forensic Sci. 2016;6(2):108-113. DOI: 10.1016/j.ejfs.2015.11.003.
  • Oliveira-Santos C, Bernardo RT, Capelozza A. Mandibular condyle morphology on panoramic radiographs of asymptomatic temporomandibular joints. Int J Dent. 2009;8(3): 114-118.
  • Anisuzzaman MM, Khan SR, Khan MTI, Abdullah MK, Afrin A. Evaluation of mandibular condylar morphology by orthopantomogram in Bangladeshi population. Update Dental College Journal 2019;9(1):29-31. DOI: 10.3329/updcj.v9i1.41203.
  • Ferreira LA, Grossmann E, Januzzi E, Paula MVQD, Carvalho ACP. Diagnosis of temporomandibular joint disorders: Indication of imaging exams. Braz J Otorhinolaryngol. 2016;82(03):341-352. DOI: 10.1016/j.bjorl.2015.06.010.
  • Pharoah M, Petrikowski G. Imaging temporomandibular joint disorders. Oral Maxillofac Surg Clin North Am. 2001;13(4):623-638. DOI: 10.1016/S1042-3699(20)30113-8.
  • Maqbool S, Wani BA, Chalkoo AH, Sharma P. Morphological assessment of variations of condylar head and sigmoid notch on orthopantomograms of Kashmiri population. Int J Recent Sci Res. 2018;9(10):29162-29165.
  • Gindha GS, Singh T, Sood K, Maharana S. Amorphometric study of condyloid process of dry human mandible for sexing from its shape. MOJ Anat. Physiol. 2017;3(2):58–62. DOI: 10.15406/mojap.2017.03.00087.
  • Ashwinirani S, Nair B, Rajmane Y, Kamala K. Morphological variations of condylar process and sigmoid notch using Orthopantomograms in Western part of Maharashtra population. Int J Appl Dent Sci. 2018;2:3.
  • Tang TLP. Income and quality of life: Does the love of money make a difference?. J Bus Ethics 2007;72(4):375-393.
  • Robotham D, Julian C. Stress and the higher education student: A critical review of the literature. J Furth High Educ. 2006;30(02):107-117.
  • Chaudhary S, Srivastava D, Jaetli V, Tirth A. Evaluation of condylar morphology using panoramic radiography in normal adult population. Int J Sci Study 2015;2(11):164-168.
  • Halicioglu K, Celikoglu M, Büyük SK, Sekerci AE, Candirli C. Effects of early unilateral mandibular first molar extraction on condylar and ramal vertical asymmetry. Clin Oral Investig. 2014;8(02):178-183. DOI: 10.4103/1305-7456.130595.
  • Tao J, Wu J, Zhang X. Mandibular condylar morphology for bruxers with different grinding patterns. Cranio 2016;34(4):219-226. DOI: 10.1179/2151090315Y.0000000023.
  • Mortazavi N, Tabatabaei AH, Mohammadi M, Rajabi A. Is bruxism associated with temporomandibular joint disorders? A systematic review and meta-analysis. Evid Based Dent. 2023;24(3):144. DOI: 10.1038/s41432-023-00911-6.
There are 36 citations in total.

Details

Primary Language English
Subjects Oral and Maxillofacial Radiology
Journal Section Articles
Authors

Güldane Mağat 0000-0003-4418-174X

Sultan Uzun 0000-0003-3743-055X

Publication Date December 29, 2024
Submission Date May 7, 2024
Acceptance Date November 27, 2024
Published in Issue Year 2024 Volume: 14 Issue: 4

Cite

APA Mağat, G., & Uzun, S. (2024). Is Bruxism an Influential Factor on Mandibular Condyle Morphology?. Clinical and Experimental Health Sciences, 14(4), 1034-1041. https://doi.org/10.33808/clinexphealthsci.1461620
AMA Mağat G, Uzun S. Is Bruxism an Influential Factor on Mandibular Condyle Morphology?. Clinical and Experimental Health Sciences. December 2024;14(4):1034-1041. doi:10.33808/clinexphealthsci.1461620
Chicago Mağat, Güldane, and Sultan Uzun. “Is Bruxism an Influential Factor on Mandibular Condyle Morphology?”. Clinical and Experimental Health Sciences 14, no. 4 (December 2024): 1034-41. https://doi.org/10.33808/clinexphealthsci.1461620.
EndNote Mağat G, Uzun S (December 1, 2024) Is Bruxism an Influential Factor on Mandibular Condyle Morphology?. Clinical and Experimental Health Sciences 14 4 1034–1041.
IEEE G. Mağat and S. Uzun, “Is Bruxism an Influential Factor on Mandibular Condyle Morphology?”, Clinical and Experimental Health Sciences, vol. 14, no. 4, pp. 1034–1041, 2024, doi: 10.33808/clinexphealthsci.1461620.
ISNAD Mağat, Güldane - Uzun, Sultan. “Is Bruxism an Influential Factor on Mandibular Condyle Morphology?”. Clinical and Experimental Health Sciences 14/4 (December 2024), 1034-1041. https://doi.org/10.33808/clinexphealthsci.1461620.
JAMA Mağat G, Uzun S. Is Bruxism an Influential Factor on Mandibular Condyle Morphology?. Clinical and Experimental Health Sciences. 2024;14:1034–1041.
MLA Mağat, Güldane and Sultan Uzun. “Is Bruxism an Influential Factor on Mandibular Condyle Morphology?”. Clinical and Experimental Health Sciences, vol. 14, no. 4, 2024, pp. 1034-41, doi:10.33808/clinexphealthsci.1461620.
Vancouver Mağat G, Uzun S. Is Bruxism an Influential Factor on Mandibular Condyle Morphology?. Clinical and Experimental Health Sciences. 2024;14(4):1034-41.

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