Yıl: 2020 Cilt: 14 Sayı: 3 Sayfa Aralığı: 185 - 191 Metin Dili: İngilizce DOI: 10.2399/ana.20.821964 İndeks Tarihi: 07-10-2021

Angular measurements of the mandible in adults with temporomandibular joint disorders: a CBCT study

Öz:
Objectives: Temporomandibular disorder (TMD) is a degenerative musculoskeletal disease of unknown etiology, associatedwith morphological and functional deformities. The present study aimed to evaluate the angular parameters of the mandiblein TMD patients with cone-beam computed tomography (CBCT) and to compare with healthy controls. Methods: A total of 107 patients (54 in the TMD group and 53 in the control group) were included in the study. Ten angularmeasurements including right and left sides and 4 different length measurements were evaluated on CBCT images of bothgroups to eliminate individual differences. The differences between the two groups were examined using the significance testor Mann-Whitney U test. Multiple linear regression analysis was used for a detailed examination of the relationship betweenparameters. Results: The upper face width was significantly higher in the TMD group (p=0.004). After correcting for the upper face widthvalue, there was a significant difference between the groups in terms of the right β angle values (p=0.001). The other differences were not significant (p>0.05). Conclusion: The decrease in the right β angle in the TMD group can be interpreted as a result of the mechanical effect ofmasticatory muscle hyperactivity on the angular properties of the mandible in these patients.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Piccin CF, Pozzebon D, Scapini F, Corrêa EC. Craniocervical posture in patients with obstructive sleep apnea. Int Arch Otorhinolaryngol 2016;20:189–95.
  • 2. Joy TE, Tanuja S, Pillai RR, Dhas Manchil PR, Raveendranathan R. Assessment of craniocervical posture in TMJ disorders using lateral radiographic view: a cross-sectional study. Cranio 2019:1–7. doi:10.1080/08869634.2019.1665227
  • 3. Bhat S. Etiology of temporomandibular disorders: the journey so far. International Dentistry SA 2010;12:88–92.
  • 4. Murphy MK, MacBarb RF, Wong ME, Athanasiou KA. Temporomandibular disorders: a review of etiology, clinical management, and tissue engineering strategies. Int J Oral Maxillofac Implants 2013;28:393–414.
  • 5. Wieckiewicz M, Boening K, Wiland P, Shiau YY, ParadowskaStolarz A. Reported concepts for the treatment modalities and pain management of temporomandibular disorders. J Headache Pain 2015;16:106.
  • 6. Ferreira FM, Cézar Simamoto-Júnior P, Soares CJ, Ramos A, Fernandes-Neto AJ. Effect of occlusal splints on the stress distribution on the temporomandibular joint disc. Braz Dent J 2017;28:324– 9.
  • 7. Liu MQ, Lei J, Han JH, Yap AU, Fu KY. Metrical analysis of disccondyle relation with different splint treatment positions in patients with TMJ disc displacement. J Appl Oral Sci 2017;25:483–9.
  • 8. Shokri A, Zarch HH, Hafezmaleki F, Khamechi R, Amini P, Ramezani L. Comparative assessment of condylar position in patients with temporomandibular disorder (TMD) and asymptomatic patients using cone-beam computed tomography. Dent Med Probl 2019;56:81–7
  • 9. Dhaka P, Mathur E, Sareen M, Baghla P, Modi A, Sobti P. Age and gender estimation from mandible using lateral cephalogram. CHRISMED Journal of Health and Research. 2015;36:208–11.
  • 10. Amin WM. Osteometric assessment of various mandibular morphological traits for sexual dimorphism in jordanians by discriminant function analysis. International Journal of Morphology 2018;36:642– 50.
  • 11. Naikmasur VG, Shrivastava R, Mutalik S. Determination of sex in South Indians and immigrant Tibetans from cephalometric analysis and discriminant functions. Forensic Sci Int 2010;197:122.e1–6.
  • 12. Wangai L, Mandela P, Butt F. Horizontal angle of inclination of the mandibular condyle in a Kenyan population. Anatomy Journal of Africa 2012;1:46–9.
  • 13. Vinay G, Mangala Gowri S, Anbalagan J. Sex determination of human mandible using metrical parameters. J Clin Diagn Res 2013;7:2671–3.
  • 14. Mahakkanukrauh P, Sinthubua A, Prasitwattanaseree S, Ruengdit S, Singsuwan P, Praneatpolgrang S, Duangto P. Craniometric study for sex determination in a Thai population. Anat Cell Biol 2015;48: 275–83.
  • 15. Lövgren A, Österlund C, Ilgunas A, Lampa E, Hellström F. A high prevalence of TMD is related to somatic awareness and pain intensity among healthy dental students. Acta Odontol Scand 2018;76:387– 93.
  • 16. Stegenga B, de Bont LG, Boering G. Osteoarthrosis as the cause of craniomandibular pain and dysfunction: a unifying concept. J Oral Maxillofac Surg 1989;47:249–56.
  • 17. Ismail F, Eisenburger M, Lange K, Schneller T, Schwabe L, Strempel J, Stiesch M. Identification of psychological comorbidity in TMD-patients. Cranio 2016;34:182–7.
  • 18. Tanaka E, Detamore MS, Mercuri LG. Degenerative disorders of the temporomandibular joint: etiology, diagnosis, and treatment. J Dent Res 2008;87:296–307.
  • 19. Takano Y, Moriwake Y, Tohno Y, Minami T, Tohno S, Utsumi M, Yamada M, Okazaki Y, Yamamoto K. Age-related changes of elements in the human articular disk of the temporomandibular joint. Biol Trace Elem Res 1999;67:269–76.
  • 20. Tanaka E, Sasaki A, Tahmina K, Yamaguchi K, Mori Y, Tanne K. Mechanical properties of human articular disk and its influence on TMJ loading studied with the finite element method. J Oral Rehabil 2001;28:273–9.
  • 21. Acar M, Alkan SB, Tolu I, Arslan FZ, Caglan F, Vermez H, Sasmaz S, Okutan S. Morphometric analysis of mandibula with MDCT method in Turkish population. Asian Journal of Biomedical and Pharmaceutical Sciences 2017;7(62):13–5.
  • 22. Sapanci I, fiahin HO, Do¤an Ö. Investigation of relationship between age and gender with mandibular parameters: a retrospective study. Selcuk Dental Journal 2019;6:328–34.
  • 23. Kim YH, Kang SJ, Sun H. Cephalometric angular measurements of the mandible using three-dimensional computed tomography scans in Koreans. Arch Plast Surg 2016;43:32–7.
  • 24. Sella-Tunis T, Pokhojaev A, Sarig R, O’Higgins P, May H. Human mandibular shape is associated with masticatory muscle force. Sci Rep 2018;8:6042.
  • 25. Michael LA. Jaws revisited: Costen’s syndrome. Ann Otol Rhinol Laryngol 1997;106:820–2.
  • 26. Reade PC. An approach to the management of temporomandibular joint pain-dysfunction syndrome. J Prosthet Dent 1984;51:91–6.
  • 27. Hsieh YJ, Darvann TA, Hermann NV, Larsen P, Liao YF, Kreiborg S. Three-dimensional assessment of facial morphology in children and adolescents with juvenile idiopathic arthritis and moderate to severe TMJ involvement using 3D surface scans. Clin Oral Investig 2020;24:799–807.
  • 28. Demant S, Hermann NV, Darvann TA, Zak M, Schatz H, Larsen P, Kreiborg S. 3D analysis of facial asymmetry in subjects with juvenile idiopathic arthritis. Rheumatology (Oxford) 2011;50:586–92.
APA SERTEL MEYVACI S, GÖLLER BULUT D, ÖZTÜRK KOÇAK A, Ankarali H (2020). Angular measurements of the mandible in adults with temporomandibular joint disorders: a CBCT study. , 185 - 191. 10.2399/ana.20.821964
Chicago SERTEL MEYVACI SEDA,GÖLLER BULUT Duygu,ÖZTÜRK KOÇAK AYŞE TUĞÇE,Ankarali Handan Angular measurements of the mandible in adults with temporomandibular joint disorders: a CBCT study. (2020): 185 - 191. 10.2399/ana.20.821964
MLA SERTEL MEYVACI SEDA,GÖLLER BULUT Duygu,ÖZTÜRK KOÇAK AYŞE TUĞÇE,Ankarali Handan Angular measurements of the mandible in adults with temporomandibular joint disorders: a CBCT study. , 2020, ss.185 - 191. 10.2399/ana.20.821964
AMA SERTEL MEYVACI S,GÖLLER BULUT D,ÖZTÜRK KOÇAK A,Ankarali H Angular measurements of the mandible in adults with temporomandibular joint disorders: a CBCT study. . 2020; 185 - 191. 10.2399/ana.20.821964
Vancouver SERTEL MEYVACI S,GÖLLER BULUT D,ÖZTÜRK KOÇAK A,Ankarali H Angular measurements of the mandible in adults with temporomandibular joint disorders: a CBCT study. . 2020; 185 - 191. 10.2399/ana.20.821964
IEEE SERTEL MEYVACI S,GÖLLER BULUT D,ÖZTÜRK KOÇAK A,Ankarali H "Angular measurements of the mandible in adults with temporomandibular joint disorders: a CBCT study." , ss.185 - 191, 2020. 10.2399/ana.20.821964
ISNAD SERTEL MEYVACI, SEDA vd. "Angular measurements of the mandible in adults with temporomandibular joint disorders: a CBCT study". (2020), 185-191. https://doi.org/10.2399/ana.20.821964
APA SERTEL MEYVACI S, GÖLLER BULUT D, ÖZTÜRK KOÇAK A, Ankarali H (2020). Angular measurements of the mandible in adults with temporomandibular joint disorders: a CBCT study. Anatomy, 14(3), 185 - 191. 10.2399/ana.20.821964
Chicago SERTEL MEYVACI SEDA,GÖLLER BULUT Duygu,ÖZTÜRK KOÇAK AYŞE TUĞÇE,Ankarali Handan Angular measurements of the mandible in adults with temporomandibular joint disorders: a CBCT study. Anatomy 14, no.3 (2020): 185 - 191. 10.2399/ana.20.821964
MLA SERTEL MEYVACI SEDA,GÖLLER BULUT Duygu,ÖZTÜRK KOÇAK AYŞE TUĞÇE,Ankarali Handan Angular measurements of the mandible in adults with temporomandibular joint disorders: a CBCT study. Anatomy, vol.14, no.3, 2020, ss.185 - 191. 10.2399/ana.20.821964
AMA SERTEL MEYVACI S,GÖLLER BULUT D,ÖZTÜRK KOÇAK A,Ankarali H Angular measurements of the mandible in adults with temporomandibular joint disorders: a CBCT study. Anatomy. 2020; 14(3): 185 - 191. 10.2399/ana.20.821964
Vancouver SERTEL MEYVACI S,GÖLLER BULUT D,ÖZTÜRK KOÇAK A,Ankarali H Angular measurements of the mandible in adults with temporomandibular joint disorders: a CBCT study. Anatomy. 2020; 14(3): 185 - 191. 10.2399/ana.20.821964
IEEE SERTEL MEYVACI S,GÖLLER BULUT D,ÖZTÜRK KOÇAK A,Ankarali H "Angular measurements of the mandible in adults with temporomandibular joint disorders: a CBCT study." Anatomy, 14, ss.185 - 191, 2020. 10.2399/ana.20.821964
ISNAD SERTEL MEYVACI, SEDA vd. "Angular measurements of the mandible in adults with temporomandibular joint disorders: a CBCT study". Anatomy 14/3 (2020), 185-191. https://doi.org/10.2399/ana.20.821964