Farklı malokluzyonlarda temporomandibular eklem pozisyonlarının değerlendirilmesi

Temporomandibular eklem, alt çeneyi temporal kemiğe bağlayan sekonder bir eklemdir. Temporomandibular eklem değerlendirilmesinde panoramik filmler, transkraniyal filmler gibi geleneksel radyografik görüntüleme, geleneksel tomografi, manyetik rezonans görüntüleme, ultrasonografi, artrografi veya konik ışınlı bilgisayarlı tomografi görüntüleri kullanılabilmektedir. Temporomandibular eklem şekli, pozisyonu ve okluzyon arasındaki ilişkiyi değerlendiren birçok çalışma yapılmasına rağmen bu ilişki net olarak ortaya konamamış ve okluzyonun eklem morfolojisine ve pozisyonuna etkisi tam olarak anlaşılamamıştır. Bu derlemenin amacı farklı malokluzyonlarda temporomandibular eklem pozisyonunu ve şeklini inceleyen çalışmaları değerlendirmektir.

Anahtar Kelimeler:

Malokluzyon, Mandibular Kondil, Oklüzyon, Diş, Ortodonti, Remodelling, Temporomandibular Eklem

Evaluation of temporomandibular joint positions in different malocclusions

Temporomandibular joint is a secondary joint that connects mandible to temporal bone. Conventional radiographic imaging such as panoramic or transcranial radiographs, conventional tomography, magnetic resonance imaging, ultrasonography, artrography or cone beam computed tomography can be used for the evaluation of the temporomandibular joint. Although several studies have been done, relationship between the temporomandibular joint shape and position and occlusion could not be defined clearly, and the effect of occlusion to the morphology and position of the temporomandibular joint has not been fully understood. The aim of this review was to discuss the studies that have examined the temporomandibular joint position and shape in different malocclusions.

Keywords:

Malocclusion, Mandibular Condyle, Occlusion, Dental, Orthodontics, Remodelling, Temporomandibular Joint,

PDF

___

Fanghänel J, Gedrange T. On the development, morphology and function of the temporomandibular joint in the light of the orofacial system. Ann Anat 2007;189:314-9.
Wessely MA, Young MF. Magnetic resonance imaging of the temporomandibular joint. Clinical Chiropractic 2008;11:37-44.
Palacios E, Bell KA. Magnetic resonance of the temporomandibular joint: clinical considerations, radiography, management. Stuttgart: G. Thieme Verlag; 1990.
Dawson PE. A classification system for occlusions that relates maximal intecuspation to the position and condition of the temporomandibular joints. J Prosthet Dent 1996;75:60-6.
Manfredini D, Guarda-Nardini L. Ultrasonography of the temporomandibular joint: a literature review. Int J Oral Maxillofac Surg 2009;38:1229-36.
Hilgers ML, Scarfe WC, Scheetz JP, Farman AG. Accuracy of linear temporomandibular joint measurements with cone beam computed tomography and digital cephalometric radiography. Am J Orthod Dentofacial Orthop 2005;128:803-11.
Blackwood HJJ. Cellular remodelling in articular tissue. J Dent Res 1966;45:480-9.
Folke LE, Stallard RE. Condylar adaptation to a change in intermaxillary relationship. J Periodontal Res 1966;1:79-89.
McNamara JA Jr., Carlson DS. Quantitative analysis of temporomandibular joint adaptations to protrusive function. Am J Orthod 1979;76:593-611.
Woodside DG, Metaxas A, Altuna G. The Influence of functional appliance therapy on glenoid fossa remodeling. Am J Orthod Dentofacial Orthop 1987;92:181-98.
Vitral RW, Fraga MR, de Oliveira RS, de Andrade Vitral JC. Temporomandibular joint alterations after correction of a unilateral posterior crossbite in a mixed-dentition patient: a computed tomography study. Am J Orthod Dentofacial Orthop 2007;132:395-9.
Mongini F. Dental abrasion as a factor in remodeling of the mandibular condyle. Acta Anat (Basel) 1975;92:292-300.
Wedel A, Carlsson GE, Sagne S. Temporomandibular joint morphology in a medieval skull material. Swed Dent J 1978;2:177-87.
Matsumoto MA, Bolognese AM. Bone morphology of the temporomandibular joint and its relation to dental occlusion. Braz Dent J 1995;6:115-22.
Myers DR, Barenie JT, Bell RA, Williamson EH. Condylar position in children with functional posterior crossbites: before and after crossbite correction. Pediatr Dent 1980;2:190-4.
Mongini F. Influence of function on temporomandibular joint remodeling and degenerative disease. Dent Clin North Am 1983;27:479-94.
Mongini F, Schmid W. Treatment of mandibular asymmetries during growth. A longitudinal study. Eur J Orthod 1987;9:51-67.
O'Byrn BL, Sadowsky C, Schneider B, BeGole EA. An evaluation of mandibular asymmetry in adults with unilateral posterior crossbite. Am J Orthod Dentofacial Orthop 1995;107:394-400.
Schudy FF. Treatment of adult midline deviation by condylar repositioning. J Clin Orthod 1996;30:343-7.
Cohlmia JT, Ghosh J, Sinha PK, Nanda RS, Currier GF. Tomographic assessment of temporomandibular joints in patients with malocclusion. Angle Orthod 1996;66:27-35.
Vitral RWF, de Souza Telles C. Computed tomography evaluation of temporomandibular joint alterations in class II Division 1 subdivision patients: condylar symmetry. Am J Orthod Dentofac Orthop 2002;121:369-75.
Rodrigues AF, Fraga MR, Vitral RW. 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;136:199-206.
Vitral RW, 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;140:18-24.
Rodrigues AF, Fraga MR, Vitral RW. Computed tomography evaluation of the temporomandibular joint in Class I malocclusion patients: condylar symmetry and condyle-fossa relationship. Am J Orthod Dentofacial Orthop 2009;136:192-8.
Vitral RW, Telles Cde S, Fraga MR, de Oliveira RS, Tanaka OM. Computed tomography evaluation of temporomandibular joint alterations in patients with class II division 1 subdivision malocclusions: condylefossa relationship. Am J Orthod Dentofacial Orthop 2004;126:48-52.
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;128:337-46.
Seren E, Akan H, Toller MO, Akyar S. An evaluation of the condylar position of the temporomandibular joint by computerized tomography in Class III malocclusions: a preliminary study. Am J Orthod Dentofacial Orthop 1994;105:483-8.
Katsavrias EG. Morphology of the temporomandibular joint in subjects with Class II Division 2 malocclusions. Am J Orthod Dentofacial Orthop 2006;129:470-8.
Wohlberg V, Schwahn C, Gesch D, Meyer G, Kocher T, Bernhardt O. The association between anterior crossbite, deep bite and temporomandibular joint morphology validated by magnetic resonance imaging in an adult non-patient group. Ann Anat 2012;194:339-44.
Motoyoshi M, Inoue K, Kiuchi K, Ohya M, Nakajima A, Aramoto T, et al. Relationships of condylar path angle with malocclusion and temporomandibular joint disturbances. J Nihon Univ Sch Dent 1993;35:43-8.
Koak JY, Kim KN, Heo SJ. A study on the mandibular movement of anterior openbite patients. J Oral Rehabil 2000;27:817-22.
Darendeliler N, Dincer M, Soylu R. The biomechanical relationship between incisor and condylar guidances in deep bite and normal cases. J Oral Rehabil 2004;31:430-7.