Research Article
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Comparison of Temporomandibular Joint Space and Articular Eminence Inclination in Various Skeletal Anomalies

Year 2024, , 133 - 144, 31.08.2024
https://doi.org/10.69601/meandrosmdj.1485120

Abstract

Aim: This study aims to compare the values of joint spaces and articular eminence inclinations in individuals with various skeletal anomalies.
Materials and Methods: A total of 60 individuals with Class I (n=20), Class II (n=20), and Class III (n=20) anomalies were included in the study, and their cone-beam computed tomography images were utilized. In each individual, the axial sectional joint spaces, including the articular disc, were calculated three-dimensionally using computer software for both the right and left condyles. Additionally, the articular eminence inclinations of both the right and left sides were measured for each individual. The obtained data were statistically compared among groups using one-way analysis of variance and within groups for the right and left values using paired t-tests (p<0.05).
Results: No statistically significant differences were observed in terms of the volume values of interclass and intraclass (right-left condylar) joint space. Individuals with Class II malocclusion exhibited a statistically significant difference in articular eminence inclination between the right and left sides (p=0.032). Among the groups, it was observed that individuals with Class III malocclusion had a statistically significant difference in articular eminence values compared to the other classes (p=0.007).
Conclusion: Individuals with skeletal anomalies were found to have symmetric joint space volume for both right and left sides. Significant differences were detected between the left and right articular inclinations in individuals with Class II malocclusion.

References

  • 1. Okeson J. Management of Temporomandibular Disorders and Occlusion. 8th ed. St. Louis, MO: Elsevier Health Science; 2023.
  • 2. Ishibashi H, Takenoshita Y, Ishibashi K, Oka M. Age-related changes in the human mandibular condyle: a morphologic, radiologic, and histologic study. J Oral Maxillofac Surg. 1995 Sep;53(9):1016-23.
  • 3. 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 Sep;114(3):328-36.
  • 4. Kurusu A, Horiuchi M, Soma K. Relationship between occlusal force and mandibular condyle morphology evaluated by limited cone-beam computed tomography. Angle Orthod. 2009 Nov;79(6):1063-9.
  • 5. 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 Mar;91(3):200-6.
  • 6. Seren E, Akan H, Toller MO, Akyar S. An evaluation of the condylar position of the temporomandibular joint by computerized tomography in Class III malocclusions: a preliminary study. Am J Orthod Dentofacial Orthop. 1994 May;105(5):483-8.
  • 7. Zhou D, Hu M, Liang D, Zhao G, Liu A. Relationship between fossa-condylar position, meniscus position, and morphologic change in patients with Class II and III malocclusion. Chin J Dent Res. 1999;2(1):45-9.
  • 8. Fernández Sanromán J, Gómez González JM, Alonso del Hoyo J. Relationship between condylar position, dentofacial deformity, and temporomandibular joint dysfunction: an MRI and CT prospective study. J Cranio Maxillofac Surg. 1998 Feb;26(1):35-42.
  • 9. Cohlmia JT, Ghosh J, Sinha PK, Nanda RS, Currier GF. Tomographic assessment of temporomandibular joints in patients with malocclusion. Angle Orthod. 1996 Feb;66(1):27-35.
  • 10. Vitral RWF, Telles CS, Fraga MR, de Oliveira RSMF, 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 Jul;126(1):48-52.
  • 11. Gianelly AA, Petras JC, Boffa J. Condylar position and Class II deep-bite, no-overjet malocclusions. Am J Orthod Dentofacial Orthop. 1989 Nov;96(5):428-32.
  • 12. Al-Hadad SA, ALyafrusee ES, Abdulqader AA, Al-Gumaei WS, Al-Mohana RAAM, Ren L. Comprehensive three-dimensional positional and morphological assessment of the temporomandibular joint in skeletal Class II patients with mandibular retrognathism in different vertical skeletal patterns. BMC Oral Health. 2022 Apr 21;22(1):149.
  • 13. Ricketts RM. Variations of the temporomandibular joint as revealed by cephalometric laminagraphy. Am J Orthod. 1950 Dec;36(12):877-98.
  • 14. Tecco S, Saccucci M, Nucera R, Polimeni A, Pagnoni M, Cordasco G, et al. Condylar volume and surface in Caucasian young adult subjects. BMC Med Imaging. 2010 Aug 20;10:28.
  • 15. Krisjane Z, Urtane I, Krumina G, Bieza A, Zepa K, Rogovska I. Condylar and mandibular morphological criteria in the 2D and 3D MSCT imaging for patients with Class II division 1 subdivision malocclusion. Stomatologija. 2007;9(3):67-71.
  • 16. Mackie T, Al Turkestani N, Bianchi J, Li T, Ruellas A, Gurgel M, et al. Quantitative bone imaging biomarkers and joint space analysis of the articular fossa in temporomandibular joint osteoarthritis using artificial intelligence models. Front Dent Med. 2022 May 13;3:1007011.
  • 17. Lee YH, Hong IK, An JS. Anterior joint space narrowing in patients with temporomandibular disorder. J Orofac Orthop. 2019 May;80(3):116-27.
  • 18. Panmekiate S, Petersson A, Akerman S. Angulation and prominence of the posterior slope of the eminence of the temporomandibular joint in relation to disc position. Dentomaxillofac Radiol. 1991 Nov;20(4):205-8.
  • 19. Scarfe WC, Farman AG. What is cone-beam CT and how does it work? Dent Clin North Am. 2008 Oct;52(4):707-30.
  • 20. Tsiklakis K, Donta C, Gavala S, Karayianni K, Kamenopoulou V, Hourdakis CJ. Dose reduction in maxillofacial imaging using low dose cone beam CT. Eur J Radiol. 2005 Dec;56(3):413-7.
  • 21. Ahmad M, Hollender L, Anderson Q, Kartha K, Ohrbach R, Truelove EL, et al. Research diagnostic criteria for temporomandibular disorders (RDC/TMD): development of image analysis criteria and examiner reliability for image analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Jun;107(6):844-60.
  • 22. Nicolielo LFP, Van Dessel J, Shaheen E, Letelier C, Codari M, Politis C, et al. Validation of a novel imaging approach using multi-slice CT and cone-beam CT to follow-up on condylar remodeling after bimaxillary surgery. Int J Oral Sci. 2017 Sep 11;9(3):139-44.
  • 23. Kamburoğlu K. Use of dentomaxillofacial cone beam computed tomography in dentistry. World J Radiol. 2015 Jun 28;7(6):128-30.
  • 24. Koç A, Sezgin ÖS, Kayıpmaz S. Comparing different planimetric methods on volumetric estimations by using cone beam computed tomography. Radiol Med. 2020 Apr;125(4):398-405.
  • 25. Sezgin ÖS, Kayıpmaz S, Sahin B. The effect of slice thickness on the assessment of bone defect volumes by the Cavalieri principle using cone beam computed tomography. J Digit Imaging. 2013 Feb;26(1):115-8.
  • 26. Martins E, Silva JC, Pires CA, Ponces-Ramalhão MJF, Lopes JD. Coronal joint spaces of the temporomandibular joint: systematic review and meta-analysis. J Clin Exp Dent. 2015 Jul;7(3):e435-40.
  • 27. Crawford SD. Condylar axis position, as determined by the occlusion and measured by the CPI instrument, and signs and symptoms of temporomandibular dysfunction. Angle Orthod. 1999 Apr;69(2):103-15.
  • 28. Hidaka O, Adachi S, Takada K. The difference in condylar position between centric relation and centric occlusion in pretreatment Japanese orthodontic patients. Angle Orthod. 2002 Aug;72(4):295-301.
  • 29. Song J, Cheng M, Qian Y, Chu F. Cone-beam CT evaluation of temporomandibular joint in permanent dentition according to Angle’s classification. Oral Radiol. 2020 Jul;36(3):261-6.
  • 30. Noh KJ, Baik HS, Han SS, Jang W, Choi YJ. Differences in mandibular condyle and glenoid fossa morphology in relation to vertical and sagittal skeletal patterns: a cone-beam computed tomography study. Korean J Orthod. 2021 Mar 25;51(2):126-34.
  • 31. Husson AH, Burhan AS, Hajeer MY, Nawaya FR. Evaluation of the dimensional changes in the mandible, condyles, and the temporomandibular joint following skeletal class III treatment with chin cup and bonded maxillary bite block using low-dose computed tomography: a single-center, randomized controlled trial. F1000Res. 2023 Feb 21;12:264.
  • 32. Khwanda MA, Burhan AS, Hajeer MY, Ajaj MA, Parker S, Nawaya FR, et al. Three-dimensional assessment of the temporomandibular joint changes following reversed twin block therapy of patients with skeletal class III malocclusion in conjunction with the photobiomodulation therapy: a randomized controlled clinical trial. Cureus. 2022 Jun 13;14(6):e25897.
  • 33. Zheng J, Zhang Y, Wu Q, Xiao H, Li F. Three-dimensional spatial analysis of the temporomandibular joint in adult patients with Class II division 2 malocclusion before and after orthodontic treatment: a retrospective study. BMC Oral Health. 2023 Dec 3;23(1):477.
  • 34. John ZAS, Shrivastav SS, Kamble R, Jaiswal E, Dhande R. Three-dimensional comparative evaluation of articular disc position and other temporomandibular joint morphology in Class II horizontal and vertical cases with Class I malocclusion. Angle Orthod. 2020 Sep;90(5):707-14.
  • 35. Kiliç SC, Kiliç N, Güven F, Sumbullu MA. Is magnetic resonance imaging or cone beam computed tomography alone adequate for the radiological diagnosis of symptomatic temporomandibular joint osteoarthritis? A retrospective study. Int J Oral Maxillofac Surg. 2023 Jul 19;S0901-5027(23)00104-2.
  • 36. Katsavrias EG. Changes in articular eminence inclination during the craniofacial growth period. Angle Orthod. 2002 Jun;72(3):258-64.
  • 37. Kariminasab N, Dalili Kajan Z, Hajian-Tilaki A. The correlation between morphologic characteristics of condyle and glenoid fossa with different sagittal patterns of jaw assessed by cone-beam computed tomography. Turk J Orthod. 2022 Dec;35(4):268-75.
  • 38. Kuyumcu A, Oktay H. Iskeletsel Sınıf I, Sınıf II ve Sınıf III ilişkiye sahip bireylerde artiküler eminens eğiminin incelenmesi [thesis]. Erzurum, Turkey: Atatürk University Institute of Health Sciences, Department of Orthodontics; 2007.
Year 2024, , 133 - 144, 31.08.2024
https://doi.org/10.69601/meandrosmdj.1485120

Abstract

References

  • 1. Okeson J. Management of Temporomandibular Disorders and Occlusion. 8th ed. St. Louis, MO: Elsevier Health Science; 2023.
  • 2. Ishibashi H, Takenoshita Y, Ishibashi K, Oka M. Age-related changes in the human mandibular condyle: a morphologic, radiologic, and histologic study. J Oral Maxillofac Surg. 1995 Sep;53(9):1016-23.
  • 3. 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 Sep;114(3):328-36.
  • 4. Kurusu A, Horiuchi M, Soma K. Relationship between occlusal force and mandibular condyle morphology evaluated by limited cone-beam computed tomography. Angle Orthod. 2009 Nov;79(6):1063-9.
  • 5. 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 Mar;91(3):200-6.
  • 6. Seren E, Akan H, Toller MO, Akyar S. An evaluation of the condylar position of the temporomandibular joint by computerized tomography in Class III malocclusions: a preliminary study. Am J Orthod Dentofacial Orthop. 1994 May;105(5):483-8.
  • 7. Zhou D, Hu M, Liang D, Zhao G, Liu A. Relationship between fossa-condylar position, meniscus position, and morphologic change in patients with Class II and III malocclusion. Chin J Dent Res. 1999;2(1):45-9.
  • 8. Fernández Sanromán J, Gómez González JM, Alonso del Hoyo J. Relationship between condylar position, dentofacial deformity, and temporomandibular joint dysfunction: an MRI and CT prospective study. J Cranio Maxillofac Surg. 1998 Feb;26(1):35-42.
  • 9. Cohlmia JT, Ghosh J, Sinha PK, Nanda RS, Currier GF. Tomographic assessment of temporomandibular joints in patients with malocclusion. Angle Orthod. 1996 Feb;66(1):27-35.
  • 10. Vitral RWF, Telles CS, Fraga MR, de Oliveira RSMF, 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 Jul;126(1):48-52.
  • 11. Gianelly AA, Petras JC, Boffa J. Condylar position and Class II deep-bite, no-overjet malocclusions. Am J Orthod Dentofacial Orthop. 1989 Nov;96(5):428-32.
  • 12. Al-Hadad SA, ALyafrusee ES, Abdulqader AA, Al-Gumaei WS, Al-Mohana RAAM, Ren L. Comprehensive three-dimensional positional and morphological assessment of the temporomandibular joint in skeletal Class II patients with mandibular retrognathism in different vertical skeletal patterns. BMC Oral Health. 2022 Apr 21;22(1):149.
  • 13. Ricketts RM. Variations of the temporomandibular joint as revealed by cephalometric laminagraphy. Am J Orthod. 1950 Dec;36(12):877-98.
  • 14. Tecco S, Saccucci M, Nucera R, Polimeni A, Pagnoni M, Cordasco G, et al. Condylar volume and surface in Caucasian young adult subjects. BMC Med Imaging. 2010 Aug 20;10:28.
  • 15. Krisjane Z, Urtane I, Krumina G, Bieza A, Zepa K, Rogovska I. Condylar and mandibular morphological criteria in the 2D and 3D MSCT imaging for patients with Class II division 1 subdivision malocclusion. Stomatologija. 2007;9(3):67-71.
  • 16. Mackie T, Al Turkestani N, Bianchi J, Li T, Ruellas A, Gurgel M, et al. Quantitative bone imaging biomarkers and joint space analysis of the articular fossa in temporomandibular joint osteoarthritis using artificial intelligence models. Front Dent Med. 2022 May 13;3:1007011.
  • 17. Lee YH, Hong IK, An JS. Anterior joint space narrowing in patients with temporomandibular disorder. J Orofac Orthop. 2019 May;80(3):116-27.
  • 18. Panmekiate S, Petersson A, Akerman S. Angulation and prominence of the posterior slope of the eminence of the temporomandibular joint in relation to disc position. Dentomaxillofac Radiol. 1991 Nov;20(4):205-8.
  • 19. Scarfe WC, Farman AG. What is cone-beam CT and how does it work? Dent Clin North Am. 2008 Oct;52(4):707-30.
  • 20. Tsiklakis K, Donta C, Gavala S, Karayianni K, Kamenopoulou V, Hourdakis CJ. Dose reduction in maxillofacial imaging using low dose cone beam CT. Eur J Radiol. 2005 Dec;56(3):413-7.
  • 21. Ahmad M, Hollender L, Anderson Q, Kartha K, Ohrbach R, Truelove EL, et al. Research diagnostic criteria for temporomandibular disorders (RDC/TMD): development of image analysis criteria and examiner reliability for image analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Jun;107(6):844-60.
  • 22. Nicolielo LFP, Van Dessel J, Shaheen E, Letelier C, Codari M, Politis C, et al. Validation of a novel imaging approach using multi-slice CT and cone-beam CT to follow-up on condylar remodeling after bimaxillary surgery. Int J Oral Sci. 2017 Sep 11;9(3):139-44.
  • 23. Kamburoğlu K. Use of dentomaxillofacial cone beam computed tomography in dentistry. World J Radiol. 2015 Jun 28;7(6):128-30.
  • 24. Koç A, Sezgin ÖS, Kayıpmaz S. Comparing different planimetric methods on volumetric estimations by using cone beam computed tomography. Radiol Med. 2020 Apr;125(4):398-405.
  • 25. Sezgin ÖS, Kayıpmaz S, Sahin B. The effect of slice thickness on the assessment of bone defect volumes by the Cavalieri principle using cone beam computed tomography. J Digit Imaging. 2013 Feb;26(1):115-8.
  • 26. Martins E, Silva JC, Pires CA, Ponces-Ramalhão MJF, Lopes JD. Coronal joint spaces of the temporomandibular joint: systematic review and meta-analysis. J Clin Exp Dent. 2015 Jul;7(3):e435-40.
  • 27. Crawford SD. Condylar axis position, as determined by the occlusion and measured by the CPI instrument, and signs and symptoms of temporomandibular dysfunction. Angle Orthod. 1999 Apr;69(2):103-15.
  • 28. Hidaka O, Adachi S, Takada K. The difference in condylar position between centric relation and centric occlusion in pretreatment Japanese orthodontic patients. Angle Orthod. 2002 Aug;72(4):295-301.
  • 29. Song J, Cheng M, Qian Y, Chu F. Cone-beam CT evaluation of temporomandibular joint in permanent dentition according to Angle’s classification. Oral Radiol. 2020 Jul;36(3):261-6.
  • 30. Noh KJ, Baik HS, Han SS, Jang W, Choi YJ. Differences in mandibular condyle and glenoid fossa morphology in relation to vertical and sagittal skeletal patterns: a cone-beam computed tomography study. Korean J Orthod. 2021 Mar 25;51(2):126-34.
  • 31. Husson AH, Burhan AS, Hajeer MY, Nawaya FR. Evaluation of the dimensional changes in the mandible, condyles, and the temporomandibular joint following skeletal class III treatment with chin cup and bonded maxillary bite block using low-dose computed tomography: a single-center, randomized controlled trial. F1000Res. 2023 Feb 21;12:264.
  • 32. Khwanda MA, Burhan AS, Hajeer MY, Ajaj MA, Parker S, Nawaya FR, et al. Three-dimensional assessment of the temporomandibular joint changes following reversed twin block therapy of patients with skeletal class III malocclusion in conjunction with the photobiomodulation therapy: a randomized controlled clinical trial. Cureus. 2022 Jun 13;14(6):e25897.
  • 33. Zheng J, Zhang Y, Wu Q, Xiao H, Li F. Three-dimensional spatial analysis of the temporomandibular joint in adult patients with Class II division 2 malocclusion before and after orthodontic treatment: a retrospective study. BMC Oral Health. 2023 Dec 3;23(1):477.
  • 34. John ZAS, Shrivastav SS, Kamble R, Jaiswal E, Dhande R. Three-dimensional comparative evaluation of articular disc position and other temporomandibular joint morphology in Class II horizontal and vertical cases with Class I malocclusion. Angle Orthod. 2020 Sep;90(5):707-14.
  • 35. Kiliç SC, Kiliç N, Güven F, Sumbullu MA. Is magnetic resonance imaging or cone beam computed tomography alone adequate for the radiological diagnosis of symptomatic temporomandibular joint osteoarthritis? A retrospective study. Int J Oral Maxillofac Surg. 2023 Jul 19;S0901-5027(23)00104-2.
  • 36. Katsavrias EG. Changes in articular eminence inclination during the craniofacial growth period. Angle Orthod. 2002 Jun;72(3):258-64.
  • 37. Kariminasab N, Dalili Kajan Z, Hajian-Tilaki A. The correlation between morphologic characteristics of condyle and glenoid fossa with different sagittal patterns of jaw assessed by cone-beam computed tomography. Turk J Orthod. 2022 Dec;35(4):268-75.
  • 38. Kuyumcu A, Oktay H. Iskeletsel Sınıf I, Sınıf II ve Sınıf III ilişkiye sahip bireylerde artiküler eminens eğiminin incelenmesi [thesis]. Erzurum, Turkey: Atatürk University Institute of Health Sciences, Department of Orthodontics; 2007.
There are 38 citations in total.

Details

Primary Language English
Subjects Dentistry (Other)
Journal Section Research Article
Authors

Sema Kaya 0000-0002-6306-3901

Murat Tunca 0000-0002-9157-9390

Early Pub Date August 28, 2024
Publication Date August 31, 2024
Submission Date May 16, 2024
Acceptance Date August 9, 2024
Published in Issue Year 2024

Cite

EndNote Kaya S, Tunca M (August 1, 2024) Comparison of Temporomandibular Joint Space and Articular Eminence Inclination in Various Skeletal Anomalies. Meandros Medical And Dental Journal 25 2 133–144.