CBCT Measurement and Analysis of TMJ Morphology and Position in Low Angle Adolescents with Different Sagittal Facial Types

doi:10.13701/j.cnki.kqyxyj.2024.01.013

Abstract

Abstract: Objective: To investigate the difference of TMJ morphology and position in low angle adolescent patients with different sagittal skeletal surface types, and to explore the relationship between TMJ and craniofacial skeletal types. Methods: Twenty patients with low angle of skeletal class Ⅰ, Ⅱ, and Ⅲ aged 11-16 years were selected as the study group, and 20 patients with average angle of skeletal class Ⅰ were selected as the control group. The CBCT images were imported into Invivo5.2 software to obtain lateral cephalic and bilateral joint images, and the data were measured and investigated by statistical methods. Results: (1) There were significant negative correlations between FH-MP and condylar long axis diameter and condylar width in class Ⅰ low angle group, joint space in class Ⅱ low angle group and glenoid fossa depth in class Ⅲ low angle group. (2) Compared with the control group, the anterior joint space (P=0.022) in class Ⅰ low angle group and glenoid fossa depth (P=0.027) in class Ⅱ low angle group were significantly larger, and the articular eminence inclination (P=0.017) and horizontal condylar angle (P=0.016) in class Ⅲ low angle group were significantly smaller. (3) The condylar angle and articular eminence inclination (P<0.05) in class Ⅰ low angle group, mesial joint space (P≤0.01) in class Ⅱ low angle group, and condylar angle (P<0.01) in class Ⅲ low angle group showed that the right side was smaller than the left side. Conclusion: There are significant differences in the condyle shape, symmetry, and joint space of TMJ in adolescent patients with low angle of sagittal surface. Attention should be paid to the condyle growth status in orthodontic treatment, so as to achieve long-term stable treatment effect after orthodontic treatment.

Key words: cone-beam computed tomography, temporomandibular joint, sagittal skeletal pattern, adolescent, low angle

YU Xin, ZUO Zhigang, YANG Ziliang, WANG Hanping, ZHAO Yanhong, WANG Yue. CBCT Measurement and Analysis of TMJ Morphology and Position in Low Angle Adolescents with Different Sagittal Facial Types[J]. Journal of Oral Science Research, 2024, 40(1): 66-72.

References

[1] 秦泗佳,梁昀曈,侯欣怡,等.颞下颌关节面与周围骨性结构关系的研究[J].解剖学研究,2023,45(3):269-272.
[2] Alimanovic D, Pedersen TK, Matzen LH, et al. Comparing clinical and radiological manifestations of adolescent idiopathic condylar resorption and juvenile idiopathic arthritis in the temporomandibular joint [J]. J Oral Maxillofac Surg, 2021, 79(4):774-785.
[3] 纳扎莱诺·巴塞提.修复与正颌正畸的垂直空间[M].陈江,张思慧.译.沈阳:辽宁科学技术出版社,2020.72-73.
[4] 冯靖雯,刘奕.正畸治疗中对颞下颌关节紊乱病的防治策略[J].中国实用口腔科杂志,2023,16(2):143-146.
[5] Pullinger A, Hollender L. Variation in condyle-fossa relationships according to different methods of evaluation in tomograms [J]. Oral Surg Oral Med Oral Pathol, 1986, 62(6):719-727.
[6] Iwaszenko S, Munk J, Baron S, et al. New method for analysis of the temporomandibular joint using cone beam computed tomography [J]. Sensors (Basel), 2021, 21(9):3070.
[7] Marpaung C, van Selms MKA, Lobbezoo F. Temporomandibular joint anterior disc displacement with reduction in a young population: Prevalence and risk indicators [J]. Int J Paediatr Dent, 2019, 29(1):66-73.
[8] Macrì M, Murmura G, Scarano A, et al. Prevalence of temporomandibular disorders and its association with malocclusion in children: A transversal study [J]. Front Public Health, 2022, 10:860833.
[9] 王博.应用CBCT研究不同矢状骨面型患者颞下颌关节三维骨性结构[D].大连医科大学,2022.
[10] 周境,刘怡.不同垂直骨面型骨性Ⅱ类青少年女性颞下颌关节锥形束CT测量分析[J].北京大学学报(医学版),2021,53(1):109-119.
[11] 李羚毓.不同垂直骨面型的骨性Ⅲ类成年患者颞下颌关节形态的差异性研究[D].宁夏医科大学,2022.
[12] Michelotti A, Rongo R, D'Antò V, et al. Occlusion, orthodontics and temporomandibular disorders: Cutting edge of the current evidence [J]. J World Fed Orthod, 2020, 9(3S):S15-S18.
[13] De Stefano AA, Guercio-Monaco E, Hernández-Andara A, et al. Association between temporomandibular joint disc position evaluated by magnetic resonance imaging and mandibular condyle inclination evaluated by computed tomography [J]. J Oral Rehabil, 2020, 47(6):743-749.
[14] Ayyıldız E, Orhan M, Bahşil, et al. Morphometric evaluation of the temporomandibular joint on cone-beam computed tomography [J]. Surg Radiol Anat, 2021, 43(6):975-996.
[15] 韩晓利,肖丹娜.成年女性骨性Ⅱ类不同垂直骨面型患者TMJ结构特征CBCT研究[J].继续医学教育,2019,33(1):59-62.
[16] 郑慧云,刘志超,王慧明.偏侧咀嚼对颞下颌关节结构的影响及其与颞下颌关节紊乱的关系[J].浙江大学学报(医学版),2023,52(3):386-393.
[17] Friedrich RE, Christ G, Scheuer HT, et al. Relationships of reference points, planes and skull symmetry on posterior-anterior cephalograms in healthy young adults [J]. In Vivo, 2021, 35(4):2227-2237.
[18] 郑嘉婧,张玥英,吴秋月,等.骨性Ⅱ类安氏Ⅱ类2分类患者颞下颌关节的三维空间的 CBCT分析研究[J].实用口腔医学杂志,2023,39(2):210-217.
[19] Song J, Cheng M, Qian Y, et al. Cone-beam CT evaluation of temporomandibular joint in permanent dentition according to Angle’s classification [J]. Oral Radiol, 2020, 36(3):261-266.
[20] Lin M, Xu Y, Wu H, et al. Comparative cone-beam computed tomography evaluation of temporomandibular joint position and morphology in female patients with skeletal class Ⅱ malocclusion [J]. J Int Med Res, 2019, 48(2):1-12.