A 3D Evaluation of Condyle Position of Skeletal Class I and III Patients: A Cone-Beam Computed Tomography Technique
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Abstract
Purpose: The present study aims to assess the differences in the condyle position for two skeletal classes using Cone-Beam Computed Tomography (CBCT) reconstructions for both sides and genders.
Materials and Methods: In this cross-sectional descriptive study, the CBCT images of 96 patients (20-60 years) were assessed. The participants were divided according to their Angle malocclusion classifications (Angle Classes I and III). The variables of the Anterior-Posterior position of the Condyle (APC), condylar angle in the axial plane (ACA), the Lateral Position of the Condyle in the axial plane (LPC), the Vertical Position of the Condyle (VPC), condylar angle in coronal dimension (CCA), and the difference of APC and VPC on both sides were measured. The measurements were analyzed using a one‑way ANOVA and Tukey’s post hoc test.
Results: The variables of APC, LPC, ACA, VDC, and the difference of the APC on both sides in the two skeletal classes were similar. The VPC and CCA were greater in Class III than in Class I. All variables representing the 3D position of the condyle were similar in men and women, as well as on the right and left in both skeletal classes, I and III.
Conclusion: Based on the 3D evaluation results of the condylar position, the skeletal classes III and I differed in the VPC and CCA; however, for the rest variables, there were no statistical differences.
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2- Oana Almășan, Andreea Kui, Ioana Duncea, Avram Manea, and Smaranda Buduru, "Temporomandibular joint disk displacements in class II malocclusion and cervical spine alterations: systematic review and report of a hypodivergent case with MRI bone and soft tissue changes." Life, Vol. 12 (No. 6), p. 908, (2022).
3- Shruti Rathi, Rizwan Gilani, Ranjit Kamble, and Sakshi Bhandwalkar, "Temporomandibular Joint Disorder and Airway in Class II Malocclusion: A Review." Cureus, Vol. 14 (No. 10), (2022).
4- Risa Matsubara et al., "Assessment of MRI findings and clinical symptoms in patients with temporomandibular joint disorders." Dentomaxillofacial Radiology, Vol. 47 (No. 4), p. 20170412, (2018).
5- S Cömert Kiliç, N Kiliç, and MA Sümbüllü, "Temporomandibular joint osteoarthritis: cone beam computed tomography findings, clinical features, and correlations." International journal of oral and maxillofacial surgery, Vol. 44 (No. 10), pp. 1268-74, (2015).
6- James R Miller, Jeffrey A Burgess, and Cathy W Critchlow, "Association between mandibular retrognathia and TMJ disorders in adult females." Journal of public health dentistry, Vol. 64 (No. 3), pp. 157-63, (2004).
7- Oana Bida Honey et al., "Accuracy of cone-beam computed tomography imaging of the temporomandibular joint: comparisons with panoramic radiology and linear tomography." American journal of orthodontics and dentofacial orthopedics, Vol. 132 (No. 4), pp. 429-38, (2007).
8- Michael L Hilgers, William C Scarfe, James P Scheetz, and Allan G Farman, "Accuracy of linear temporomandibular joint measurements with cone beam computed tomography and digital cephalometric radiography." American journal of orthodontics and dentofacial orthopedics, Vol. 128 (No. 6), pp. 803-11, (2005).
9- G Petrikowski, "Diagnostic imaging of the temporomandibular joint." Oral Health, Vol. 95 (No. 6), p. 10, (2005).
10- Elluru Venkatesh and Snehal Venkatesh Elluru, "Cone beam computed tomography: basics and applications in dentistry." Journal of istanbul University faculty of Dentistry, Vol. 51 (No. 3 Suppl 1), p. S102, (2017).
11- Genevive L Machado, "CBCT imaging–A boon to orthodontics." The Saudi dental journal, Vol. 27 (No. 1), pp. 12-21, (2015).
12- John B Ludlow, "Dose and risk in dental diagnostic imaging: with emphasis on dosimetry of CBCT." Imaging Science in Dentistry, Vol. 39 (No. 4), pp. 175-84, (2009).
13- John B Ludlow and Marija Ivanovic, "Comparative dosimetry of dental CBCT devices and 64-slice CT for oral and maxillofacial radiology." Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, Vol. 106 (No. 1), pp. 106-14, (2008).
14- Holly L Stewart, Jeffery H Siewerdsen, Brad B Nelson, and Christopher E Kawcak, "Use of cone‐beam computed tomography for advanced imaging of the equine patient." Equine veterinary journal, Vol. 53 (No. 5), pp. 872-85, (2021).
15- John W Ballrick, J Martin Palomo, Edward Ruch, B Douglas Amberman, and Mark G Hans, "Image distortion and spatial resolution of a commercially available cone-beam computed tomography machine." American journal of orthodontics and dentofacial orthopedics, Vol. 134 (No. 4), pp. 573-82, (2008).
16- Maged Sultan Alhammadi, Mona Salah Fayed, and Amr Labib, "Three-dimensional assessment of temporomandibular joints in skeletal Class I, Class II, and Class III malocclusions: cone beam computed tomography analysis." Journal of the World Federation of Orthodontists, Vol. 5 (No. 3), pp. 80-86, (2016).
17- Abbas Ahmed Abdulqader, Liling Ren, Maged Alhammadi, Zainab Abdulkader Abdu, and Abdo Ahmed Saleh Mohamed, "Three-dimensional analysis of temporomandibular joint in Chinese adults with normal occlusion and harmonious skeleton." Oral Radiology, Vol. 36pp. 371-82, (2020).
18- Rajiv Kumar Mishra, Om Prakash Kharbanda, and Rajiv Balachandran, "3D CBCT evaluation of condyle position in skeletal class I & class III growing subjects." Orthodontic Journal of Nepal, Vol. 7 (No. 2), pp. 9-14, (2017).
19- Jessica M Arieta-Miranda, Manuel Silva-Valencia, Carlos Flores-Mir, Ney A Paredes-Sampen, and Luis E Arriola-Guillen, "Spatial analysis of condyle position according to sagittal skeletal relationship, assessed by cone beam computed tomography." Progress in orthodontics, Vol. 14 (No. 1), pp. 1-9, (2013).
20- Saba Ahmed Al-Hadad, Enas Senan ALyafrusee, Abbas Ahmed Abdulqader, Waseem Saleh Al-Gumaei, Rana AAM Al-Mohana, and Liling Ren, "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, Vol. 22 (No. 1), pp. 1-12, (2022).
21- Aslıhan Akbulut and Delal Dara Kılınç, "Evaluation of condyle position in patients with Angle Class I, II, and III malocclusion using cone-beam computed tomography panoramic reconstructions." Oral Radiology, Vol. 35pp. 43-50, (2019).
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| Issue | Vol 11 No 2 (2024) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/fbt.v11i2.15337 | |
| Keywords | ||
| Temporomandibular Joint Skeletal Class I Skeletal Class III Cone-Beam Computed Tomography | ||
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How to Cite
1.
Saeedivahdat A, Babaei T, Ariamanesh N, Monzavi H, Badri P, Nokhbeh A. A 3D Evaluation of Condyle Position of Skeletal Class I and III Patients: A Cone-Beam Computed Tomography Technique. Frontiers Biomed Technol. 2024;11(2):207-214.
