Skip to main content
Erschienen in: Oral Radiology 1/2019

21.03.2018 | Original Article

Evaluation of condyle position in patients with Angle Class I, II, and III malocclusion using cone-beam computed tomography panoramic reconstructions

verfasst von: Aslıhan Akbulut, Delal Dara Kılınç

Erschienen in: Oral Radiology | Ausgabe 1/2019

Einloggen, um Zugang zu erhalten

Abstract

Objectives

This study was performed to compare the positions of the right and left condyles between male and female patients with different Angle malocclusions using cone-beam computed tomography (CBCT) panoramic reconstructions.

Methods

The CBCT images of 60 patients (age of 18–37 years) were retrospectively evaluated. The patients were divided according to their Angle malocclusion classifications (Angle Classes I, II, and III). The condyle-to-eminence, condyle-to-fossa, and condyle-to-meatus distances were measured digitally using i-CAT software.

Results

The left and right condyle-to-fossa distances were the most variable parameters among the Angle classes. The right condyle-to-eminence and right condyle-to-fossa distances were significantly different among the classes. Male patients seemed to have a greater condyle-to-fossa distance on the right side in both the Class I and III groups. The mean distance from the condyle to eminence, condyle to fossa, and condyle to meatus on the right side was the greatest in the Angle Class II group.

Conclusions

In all three types of malocclusion (Angle Classes I, II, and III), the condyles on both the right and left sides were not exactly symmetric or centrally located within the glenoid fossa. This work emphasizes the differences in the condyle position between male and female patients. Furthermore, the symmetry and centricity of the condyles are not dependent on the patient’s sex or type of malocclusion.
Literatur
1.
Zurück zum Zitat Merigue LF, Conti AC, Oltramari-Navarro PVP, Navarro RDL, Almedia MRD. Tomographic evaluation of the temporomandibular joint in malocclusion subjects: condylar morphology and position. Braz Oral Res. 2016;30(1). Merigue LF, Conti AC, Oltramari-Navarro PVP, Navarro RDL, Almedia MRD. Tomographic evaluation of the temporomandibular joint in malocclusion subjects: condylar morphology and position. Braz Oral Res. 2016;30(1).
2.
Zurück zum Zitat Arieta-Miranda JM, Silva-Valencia M, Flores-Mir C, Paredes-Sampen NA, Arriola-Guillen LE. Spatial analysis of condyle position according to sagittal skeletal relationship, assessed by cone beam computed tomography. Prog Orthod. 2013;14(1):36.CrossRefPubMedPubMedCentral Arieta-Miranda JM, Silva-Valencia M, Flores-Mir C, Paredes-Sampen NA, Arriola-Guillen LE. Spatial analysis of condyle position according to sagittal skeletal relationship, assessed by cone beam computed tomography. Prog Orthod. 2013;14(1):36.CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Ganugapanta VR, Ponnada SR, Gaddam KPR, Perumalla K, Khan I, Mohammed NA. Computed tomographic evaluation of condylar symmetry and condyle–fossa relationship of the temporomandibular joint in subjects with normal occlusion and malocclusion: a comparative study. J Clin Diagn Res. 2017;11(2):ZC29–Z33.PubMedPubMedCentral Ganugapanta VR, Ponnada SR, Gaddam KPR, Perumalla K, Khan I, Mohammed NA. Computed tomographic evaluation of condylar symmetry and condyle–fossa relationship of the temporomandibular joint in subjects with normal occlusion and malocclusion: a comparative study. J Clin Diagn Res. 2017;11(2):ZC29–Z33.PubMedPubMedCentral
4.
Zurück zum Zitat Al-Saleh MA, Punithakumar K, Lagravere M, Boulanger P, Jaremko JL, Major PW. Three-dimensional assessment of temporomandibular joint using MRI-CBCT image registration. PLoS One. 2017;12(1):e0169555.CrossRefPubMedPubMedCentral Al-Saleh MA, Punithakumar K, Lagravere M, Boulanger P, Jaremko JL, Major PW. Three-dimensional assessment of temporomandibular joint using MRI-CBCT image registration. PLoS One. 2017;12(1):e0169555.CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Kim HO, Lee W, Kook YA, Kim Y. Comparison of the condyle–fossa relationship between skeletal class III malocclusion patients with and without asymmetry: a retrospective three-dimensional cone-beam computed tomography study. Korean J Orthod. 2013;43(5):209–17.CrossRefPubMedPubMedCentral Kim HO, Lee W, Kook YA, Kim Y. Comparison of the condyle–fossa relationship between skeletal class III malocclusion patients with and without asymmetry: a retrospective three-dimensional cone-beam computed tomography study. Korean J Orthod. 2013;43(5):209–17.CrossRefPubMedPubMedCentral
6.
Zurück zum Zitat Paknahad M, Shahidi S. Association between mandibular condylar position and clinical dysfunction index. J Craniomaxillofac Surg. 2015;43(4):432–6.CrossRefPubMed Paknahad M, Shahidi S. Association between mandibular condylar position and clinical dysfunction index. J Craniomaxillofac Surg. 2015;43(4):432–6.CrossRefPubMed
7.
Zurück zum Zitat Ricketts RM. Variations of the temporomandibular joint as revealed by cephalometric laminagraphy. Am J Orthod. 1950;36(12):877–98.CrossRefPubMed Ricketts RM. Variations of the temporomandibular joint as revealed by cephalometric laminagraphy. Am J Orthod. 1950;36(12):877–98.CrossRefPubMed
9.
Zurück zum Zitat Kahl B, Fischbach R, Gerlach KL. Temporomandibular joint morphology in children after treatment of condylar fractures with functional appliance therapy: a follow-up study us computed tomography. Dentomaxillofac Radiol. 1995;24(1):37–45.CrossRefPubMed Kahl B, Fischbach R, Gerlach KL. Temporomandibular joint morphology in children after treatment of condylar fractures with functional appliance therapy: a follow-up study us computed tomography. Dentomaxillofac Radiol. 1995;24(1):37–45.CrossRefPubMed
10.
Zurück zum Zitat Farman AG, Scarfe WC. The basics of maxillofacial cone beam computed tomography. Semin Orthod. 2009;15(1):2–13.CrossRef Farman AG, Scarfe WC. The basics of maxillofacial cone beam computed tomography. Semin Orthod. 2009;15(1):2–13.CrossRef
11.
Zurück zum Zitat Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc. 2006;72(1):75–80.PubMed Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc. 2006;72(1):75–80.PubMed
12.
Zurück zum Zitat Mongini F. Remodelling of the mandibular condyle in the adult and its relationship to the condition of the dental arches. Acta Anat (Basel). 1972;82(3):437–53.CrossRef Mongini F. Remodelling of the mandibular condyle in the adult and its relationship to the condition of the dental arches. Acta Anat (Basel). 1972;82(3):437–53.CrossRef
13.
Zurück zum Zitat Mongini F. Dental abrasion as a factor in remodeling of the mandibular condyle. Acta Anat (Basel). 1975;92(2):292–300.CrossRef Mongini F. Dental abrasion as a factor in remodeling of the mandibular condyle. Acta Anat (Basel). 1975;92(2):292–300.CrossRef
14.
Zurück zum Zitat 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(3):337–46.CrossRefPubMed 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(3):337–46.CrossRefPubMed
15.
Zurück zum Zitat Rodrigues AF, Fraga MR, Vitral RWF. 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(2):192–8.CrossRefPubMed Rodrigues AF, Fraga MR, Vitral RWF. 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(2):192–8.CrossRefPubMed
16.
Zurück zum Zitat Rodrigues AF, Fraga MR, Vitral RWF. 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(2):199–206.CrossRefPubMed Rodrigues AF, Fraga MR, Vitral RWF. 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(2):199–206.CrossRefPubMed
17.
Zurück zum Zitat 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(3):200–6.CrossRefPubMed 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(3):200–6.CrossRefPubMed
18.
Zurück zum Zitat Incesu L, Taşkaya-Yılmaz N, Öğütcen-Toller M, Uzun E. Relationship of condylar position to disc position and morphology. Eur J Radiol. 2004;51(3):269–73.CrossRefPubMed Incesu L, Taşkaya-Yılmaz N, Öğütcen-Toller M, Uzun E. Relationship of condylar position to disc position and morphology. Eur J Radiol. 2004;51(3):269–73.CrossRefPubMed
19.
Zurück zum Zitat Matsumoto MA, Bolognese AM. Bone morphology of the temporomandibular joint and its relation to dental occlusion. Braz Dent J. 1995;6(2):115–22.PubMed Matsumoto MA, Bolognese AM. Bone morphology of the temporomandibular joint and its relation to dental occlusion. Braz Dent J. 1995;6(2):115–22.PubMed
20.
Zurück zum Zitat Cohlmia JT, Ghosh J, Sinha PK, Nanda RS, Currier GF. Tomographic assessment of temporomandibular joints in patients with malocclusion. Angle Orthod. 1996;66(1):27–36.PubMed Cohlmia JT, Ghosh J, Sinha PK, Nanda RS, Currier GF. Tomographic assessment of temporomandibular joints in patients with malocclusion. Angle Orthod. 1996;66(1):27–36.PubMed
21.
Zurück zum Zitat Fraga MR, Rodrigues AF, Ribeiro LC, da Silva Campos MJ, Vitral RWF. Anteroposterior condylar position: a comparative study between subjects with normal occlusion and patients with Class I, Class II Division 1, and Class III malocclusions. Med Sci Monit. 2013;19:903–7.CrossRefPubMedPubMedCentral Fraga MR, Rodrigues AF, Ribeiro LC, da Silva Campos MJ, Vitral RWF. Anteroposterior condylar position: a comparative study between subjects with normal occlusion and patients with Class I, Class II Division 1, and Class III malocclusions. Med Sci Monit. 2013;19:903–7.CrossRefPubMedPubMedCentral
22.
Zurück zum Zitat Vitral RWF, de Souza Telles C, 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;126(1):48–52.CrossRefPubMed Vitral RWF, de Souza Telles C, 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;126(1):48–52.CrossRefPubMed
23.
Zurück zum Zitat Vitral RWF, 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(1):18–24.CrossRefPubMed Vitral RWF, 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(1):18–24.CrossRefPubMed
24.
Zurück zum Zitat Ricketts RM. Various conditions of the temporomandibular joint as revealed by cephalometric laminagraphy. Angle Orthod. 1952;22(2):98–115. Ricketts RM. Various conditions of the temporomandibular joint as revealed by cephalometric laminagraphy. Angle Orthod. 1952;22(2):98–115.
25.
Zurück zum Zitat Williamson EH, Evans DL, Barton WA, Williams BH. The effect of bite plane use on terminal hinge axis location. Angle Orthod. 1977;47(1):25–33.PubMed Williamson EH, Evans DL, Barton WA, Williams BH. The effect of bite plane use on terminal hinge axis location. Angle Orthod. 1977;47(1):25–33.PubMed
26.
Zurück zum Zitat Pullinger AG, Seligman DA, John MT, Harkins S. Multifactorial modeling of temporomandibular anatomic and orthopedic relationships in normal versus undifferentiated disk displacement joints. J Prosthet Dent. 2002;87(3):289–97.CrossRefPubMed Pullinger AG, Seligman DA, John MT, Harkins S. Multifactorial modeling of temporomandibular anatomic and orthopedic relationships in normal versus undifferentiated disk displacement joints. J Prosthet Dent. 2002;87(3):289–97.CrossRefPubMed
27.
Zurück zum Zitat Mah JK, Huang JC, Choo H. Practical applications of cone-beam computed tomography in orthodontics. J Am Dent Assoc. 2010;141:7S–13S.CrossRefPubMed Mah JK, Huang JC, Choo H. Practical applications of cone-beam computed tomography in orthodontics. J Am Dent Assoc. 2010;141:7S–13S.CrossRefPubMed
28.
Zurück zum Zitat Hodges RJ, Atchison KA, White SC. Impact of cone-beam computed tomography on orthodontic diagnosis and treatment planning. Am J Orthod Dentofacial Orthop. 2013;143(5):665–74.CrossRefPubMed Hodges RJ, Atchison KA, White SC. Impact of cone-beam computed tomography on orthodontic diagnosis and treatment planning. Am J Orthod Dentofacial Orthop. 2013;143(5):665–74.CrossRefPubMed
29.
Zurück zum Zitat Barghan S, Merrill R, Tetradis S. Cone beam computed tomography imaging in the evaluation of the temporomandibular joint. Tex Dent J. 2012;129(3):289–302.PubMed Barghan S, Merrill R, Tetradis S. Cone beam computed tomography imaging in the evaluation of the temporomandibular joint. Tex Dent J. 2012;129(3):289–302.PubMed
30.
Zurück zum Zitat Kaur A, Natt AS, Mehra SK, Maheshwari K, Singh G. Improved visualization and assessment of condylar position in the glenoid fossa for different occlusions: a CBCT study. J Contemp Dent Pract. 2016;17(8):679–86.CrossRefPubMed Kaur A, Natt AS, Mehra SK, Maheshwari K, Singh G. Improved visualization and assessment of condylar position in the glenoid fossa for different occlusions: a CBCT study. J Contemp Dent Pract. 2016;17(8):679–86.CrossRefPubMed
31.
Zurück zum Zitat Mischkowski RA, Pulsfort R, Ritter L, Neugebauer J, Brochhagen HG, Keeve E, et al. Geometric accuracy of a newly developed cone-beam device for maxillofacial imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104(4):551–9.CrossRefPubMed Mischkowski RA, Pulsfort R, Ritter L, Neugebauer J, Brochhagen HG, Keeve E, et al. Geometric accuracy of a newly developed cone-beam device for maxillofacial imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104(4):551–9.CrossRefPubMed
32.
Zurück zum Zitat Caruso S, Storti E, Nota A, Ehsani S, Gatto R. Temporomandibular joint anatomy assessed by CBCT images. Biomed Res Int. 2017;2916953. Caruso S, Storti E, Nota A, Ehsani S, Gatto R. Temporomandibular joint anatomy assessed by CBCT images. Biomed Res Int. 2017;2916953.
33.
Zurück zum Zitat Al-Rawi NH, Uthman AT, Sodeify SM. Spatial analysis of mandibular condyles in patients with temporomandibular disorders and normal controls using cone beam computed tomography. Eur J Dent. 2017;11(1):99–105.CrossRefPubMedPubMedCentral Al-Rawi NH, Uthman AT, Sodeify SM. Spatial analysis of mandibular condyles in patients with temporomandibular disorders and normal controls using cone beam computed tomography. Eur J Dent. 2017;11(1):99–105.CrossRefPubMedPubMedCentral
Metadaten
Titel
Evaluation of condyle position in patients with Angle Class I, II, and III malocclusion using cone-beam computed tomography panoramic reconstructions
verfasst von
Aslıhan Akbulut
Delal Dara Kılınç
Publikationsdatum
21.03.2018
Verlag
Springer Singapore
Erschienen in
Oral Radiology / Ausgabe 1/2019
Print ISSN: 0911-6028
Elektronische ISSN: 1613-9674
DOI
https://doi.org/10.1007/s11282-018-0326-z

Weitere Artikel der Ausgabe 1/2019

Oral Radiology 1/2019 Zur Ausgabe

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.