Correlations of temporomandibular joint morphology and position using cone-beam computed tomography and dynamic functional analysis in orthodontic patients: A cross-sectional study
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective: To correlate temporomandibular joint (TMJ) morphology and position with cone-beam computed tomography (CBCT) images, Joint Vibration Analysis (JVA), and Jaw Tracker (JT) to develop a radiation-free, dynamic method for screening and monitoring the TMJ in orthodontic patients. Methods: A total of 236 orthodontic patients without symptoms of TMJ disorders who had undergone CBCT were selected for the JVA and JT tests in this cross-sectional study. TMJ position and morphology were measured using a three-dimensional analysis software. JT measurements involved six opening–closing cycles, and JVA measurements were performed using a metronome to guide the mouth opening–closing movements of the patients. The correlations among the three measuring devices were evaluated. Results: Abnormalities in condylar surface morphology affected the mandibular range of motion. The cut-off value results show that when various measurement groups are within a certain range, abnormalities may be observed in morphology (area under the curve, 0.81; P < 0.001). A 300/< 300 Hz ratio ≥ 0.09 suggested abnormal morphology (P < 0.05). Correlations were observed among the maximum opening velocity, maximum vertical opening position, and joint spaces in the JT measurements. Correlations were also observed between the > 300/< 300 Hz ratio, median frequency, total integral, integral < 300 Hz, and peak frequency with joint spaces in the JVA measurements. Conclusions: JT and JVA may serve as rapid, non-invasive, and radiation-free dynamic diagnostic tools for monitoring and screening TMJ abnormalities before and during orthodontic treatment.
Abstract
Objective: To correlate temporomandibular joint (TMJ) morphology and position with cone-beam computed tomography (CBCT) images, Joint Vibration Analysis (JVA), and Jaw Tracker (JT) to develop a radiation-free, dynamic method for screening and monitoring the TMJ in orthodontic patients. Methods: A total of 236 orthodontic patients without symptoms of TMJ disorders who had undergone CBCT were selected for the JVA and JT tests in this cross-sectional study. TMJ position and morphology were measured using a three-dimensional analysis software. JT measurements involved six opening–closing cycles, and JVA measurements were performed using a metronome to guide the mouth opening–closing movements of the patients. The correlations among the three measuring devices were evaluated. Results: Abnormalities in condylar surface morphology affected the mandibular range of motion. The cut-off value results show that when various measurement groups are within a certain range, abnormalities may be observed in morphology (area under the curve, 0.81; P < 0.001). A 300/< 300 Hz ratio ≥ 0.09 suggested abnormal morphology (P < 0.05). Correlations were observed among the maximum opening velocity, maximum vertical opening position, and joint spaces in the JT measurements. Correlations were also observed between the > 300/< 300 Hz ratio, median frequency, total integral, integral < 300 Hz, and peak frequency with joint spaces in the JVA measurements. Conclusions: JT and JVA may serve as rapid, non-invasive, and radiation-free dynamic diagnostic tools for monitoring and screening TMJ abnormalities before and during orthodontic treatment.
참고문헌 (32)
- Adèrn B, "Prevalence of temporomandibular dysfunction and pain in adult general practice patients", Acta Odontol Scand, 72, pp.585~590 (2014)[DOI]
- de Leeuw R, "Orofacial pain: guidelines for assessment, diagnosis, and management" (2013), Quintessence Publishing Co
- Talaat W, "CBCT analysis of bony changes associated with temporomandibular disorders", Cranio, 34, pp.88~94 (2016)[DOI]
- Kandasamy S, "TMD and orthodontics: a clinical guide for the orthodontist" (2015), Springer
- 2.0.Co;2,
- Fernández-González FJ, "Influence of orthodontic treatment on temporomandibular disorders. A systematic review", J Clin Exp Dent, 7, pp.e320~e327 (2015)[DOI]
- Leite RA, "Relationship between temporomandibular disorders and orthodontic treatment : a literature review", Dental Press J Orthod, 18, pp.150~157 (2013)[DOI]
- Wyatt WE, "Preventing adverse effects on the temporomandibular joint through orthodontic treatment", Am J Orthod Dentofacial Orthop, 91, pp.493~499 (1987)[DOI]
- Derwich M, "Interdisciplinary approach to the temporomandibular joint osteoarthritis-review of the literature", Medicina(Kaunas), 56, pp.225~ (2020)[DOI]
- Radke JC, "TMJ symptoms reduce chewing amplitude and velocity, and increase variability", Cranio, 37, pp.12~19 (2019)[DOI]
- Huang ZS, "Characteristics of temporomandibular joint vibrations in anterior disk displacement with reduction in adults", Cranio, 29, pp.276~283 (2011)[DOI]
- Sutter B, "The complementary diagnostic relationship between jaw tracking and MR Imaging", Adv Dent Tech, pp.12067~ (2020)
- Celic R, "Relationship of slightly limited mandibular movements to temporomandibular disorders", Braz Dent J, 15, pp.151~154 (2004)[DOI]
- Look JO, "Reliability and validity of Axis I of the research Diagnostic Criteria For Temporomandibular Disorders(RDC", TMD)with proposed revisions, 2010, pp.37, 744~759
- Schiffman E, "Diagnostic Criteria for Temporomandibular Disorders(DC", TMD)for Clinical and Research Applications : recommendations of the International RDC, J Oral Facial Pain Headache, pp.2014, 28[DOI]
- Woodford SC, "Measurement of normal and pathological mandibular and temporomandibular joint kinematics : a systematic review", J Biomech, 111, pp.109994~ (2020)[DOI]
- Barão VA, "Effect of occlusal splint treatment on the temperature of different muscles in patients with TMD", J Prosthodont Res, 55, pp.19~23 (2011)[DOI]
- Matsubara R, "Assessment of MRI findings and clinical symptoms in patients with temporomandibular joint disorders", Dentomaxillofac Radiol, 47, pp.20170412~ (2018)[DOI]
- Jeon KJ, "Quantitative analysis of the mouth opening movement of temporomandibular joint disorder patients according to disc position using computer vision : a pilot study", Quant Imaging Med Surg, 12, pp.1909~1918 (2022)[DOI]
- Henderson SE, "Decreased temporomandibular joint range of motion in a model of early osteoarthritis in the rabbit", J Oral Maxillofac Surg, 73, pp.1695~1705 (2015)[DOI]
- Cömert Kiliç S, "Temporomandibular joint osteoarthritis : cone beam computed tomography findings, clinical features, and correlations", Int J Oral Maxillofac Surg, 44, pp.1268~1274 (2015)[DOI]
- Lee YH, "Anterior joint space narrowing in patients with temporomandibular disorder", J Orofac Orthop, 80, pp.116~127 (2019)[DOI]
- Muto T, "The relationship between maximal jaw opening and size of skeleton : a cephalometric study", J Oral Rehabil, 23, pp.22~24 (1996)[DOI]
- Dijkstra PU, "Temporomandibular joint mobility assessment : a comparison between four methods", J Oral Rehabil, 22, pp.439~444 (1995)[DOI]
- Fukui T, "Correlation between facial morphology, mouth opening ability, and condylar movement during opening-closing jaw movements in female adults with normal occlusion", Eur J Orthod, 24, pp.327~336 (2002)[DOI]
- Tamimi DF, "Specialty imaging: temporomandibular joint" (2016), Elsevier
- Liu ZJ, "A comparative electromyographic study of the lateral pterygoid muscle and arthrography in patients with temporomandibular joint disturbance syndrome sounds", J Prosthet Dent, 62, pp.229~233 (1989)[DOI]
- Gage JP, "Collagen biosynthesis related to temporomandibular joint clicking in childhood", J Prosthet Dent, 53, pp.714~717 (1985)[DOI]
- Čimić S, "Influence of occlusal interference on the mandibular condylar position", Acta Stomatol Croat, 50, pp.116~121 (2016)[DOI]
- Harris MD, "Factors influencing condylar position after the bilateral sagittal split osteotomy fixed with bicortical screws", J Oral Maxillofac Surg, 57, pp.650~654 (1999)
- Schellhas KP, "Temporomandibular joint inflammation : comparison of MR fast scanning with T1-and T2-weighted imaging techniques", AJR Am J Roentgenol, 153, pp.93~98 (1989)[DOI]
- Oberg T, "The temporomandibular joint. A morphologic study on a human autopsy material", Acta Odontol Scand, 29, pp.349~384 (1971)[DOI]