SINIF I VE SINIF II, 1 ADOLESAN DÖNEMİ BİREYLERDE MAKSİMUM AĞIZ AÇILIM MESAFESİNİN KARŞILAŞTIRILMASI

Bu çalışmada amaç, Angle sınıf I ve Anglesınıf II bölüm 1 kapanışlı, herhangi bir temporomandibuler eklem TME problemi bulunmayan adolesan dönemdeki toplam 78 bireyde maksimum ağ›z aç›kl›ğ› mesafesini değerlendirmektir. Tüm bireylerin klinik muayeneleri yap›ld› ve maksimum ağ›z aç›l›m mesafesinin iskeletsel ölçümlerle ilişkisini tespit etmek amac›yla sefalometrik radyografiler al›nd›. Maksimum ağ›z aç›l›m mesafesi klinikte milimetrik bir cetvel yard›m› ile ölçüldü. Lateral sefalometrik radyografiler üzerinde iskeletsel ölçümler değerlendirildi. Gruplar aras› karş›laşt›rmalarda t-testi kullan›ld›. Ayr›ca Pearson korelasyon analizi kullan›ld›. Angle s›n›f I vakalarda maksimum ağ›z aç›l›m mesafesi Angle s›n›f II bölüm 1 vakalara göre daha yüksek bulundu 47.77 ± 4.69 vs 45.36 ± 5.02 mm, p

Anahtar Kelimeler:

Maksimum ağız açılımı, alt çene morfolojisi, malokluzyon

Comparison of Maximum Mouth Opening Capacity in Class I and Class II Division 1 Adolescents

The aim of the present study was to determinethe maximum mouth opening capacity in seventyeight Angle Class I and Angle Class II, 1 subjectswho were non-orthodontically treated and symptom-free of any temporomandibular joint TMJ dysfunctions. A standardized clinical examinationand cephalometric evaluations were performed.Maximal mouth opening were measured by using amillimetric ruler. Skeletal structure of the groupswere analysed with the lateral cephalograms.Differences among the groups were evaluated usingt-test. Pearson correlation analysis was used for thecorrelation analysis. Angle Class I subjects hadhigher levels of maximum mouth opening capacitythan subjects with Angle Class II,1 47.77 ± 4.69 vs45.36 ± 5.02 mm, p

Keywords:

Maximum mouth opening capacity, mandibular morphology, malocclusion,

PDF

___

Okeson JP. Management of Temporo- mandibular Disorders and Occlusion. 4th ed. Chicago: Mosby Co; 1998; p. 93-108.
Ramfjord S,Ash MM. Occlusion. Philadelphia: WB Saunders Co; 1983; p. 90-125.
Henrikson T, Ekberg EC, Nilner M. Symptoms and signs of temporomandibular disor- ders in girls with normal occlusion and Class II ma- locclusion. Acta Odontol Scand 1997; 55: 229-35.
İşeri H. Temporomandibuler eklem bozuk- lukları, malokluzyon ve ortodontik tedavi. Türk Ortodonti Derg 1992; 5: 66-71.
McNeil C, Mohl ND, Rugh JD. Temporomandibular disorders: diagnosis, manage- ment, education and research. J Am Dent Assoc 1990; 120: 253-8.
Westling L, Helkimo E. Maximum jaw ope- ning capacity in adolescents in relation to general joint mobility. J Oral Rehabil 1992; 9: 485-94.
Slavicek R. Clinical and instrumental func- tional analysis for diagnosis and treatment planning Part 5 Axiography. J Clin Orthod 1988; 22: 656-67.
Moyers RE. Analysis of the orofacial and jaw musculature. In: Moyers RE(Ed) Handbook of Orthodontics. Chicago: Year Book Medical Publishers, Inc, 1988; p. 50-65.
Choi YS, Yun KI, Kim SG. Long-term results of different condylotomy designs for the ma- nagement of temporomandibular joint disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 93: 132-7.
Kinzinger GS, Roth A, Gulden N, Bucker A, Diedrich PR. Effects of orthodontic treatment with fixed functional orthopaedic appliances on the disc-condyle relationship in the temporomandibular joint: a magnetic resonance imaging study (Part II). Dentomaxillofac Radiol 2006; 35: 347-56.
Kinzinger G, Gulden N, Roth A, Diedrich P. Disc-condyle relationships during Class II treat- ment with the Functional Mandibular Advancer (FMA). J Orofac Orthop 2006; 67: 356-75.
Ricketts RM. Abnormal function of the TMJ. Am J Orthod 1955; 41: 435-41.
Kirveskari P, Alanen P. Association between tooth loss and TMJ dysfunction. J Oral Rehabil 1985; 12: 189-94.
McLaughlin R. Malocclusion and the tem- poromandibular joint-an historical perspective. Angle Orthod 1988; 2: 185-91.
Abd Al-Hadi L. Prevalence of temporo- mandibular disorders in relation to some occlusal parameters. J Prosthet Dent 1993; 70: 345-50.
Seligman DA, Pullinger AG. The role of intercuspal occlusal relationship in temporo- mandibular disorders: a review. J Craniomandib Disord 1991; 5: 96-106.
Lieberman MA, Gazit E, Fuchs C, Lilos P. Mandibular dysfunction in 10-18 year old school children as related to morphological malocclusion. J Oral Rehabil 1985; 12: 209-14.
Pullinger AG, Seligman DA. Overbite and overjet characteristics of refined diagnostic groups of temporomandibular disorder patients. Am J Orthod Dentofacial Orthop 1991; 100: 401-15.
Arat M, Üner O, Gazilerli Ü. Angle Klas I, Klas II, Klas III anomalilerin dağılımı. A. Ü. Diş Hek Fak Derg 1975; 2: 1-12.
Fukui T, Tsuruta M, Murata K, Wakimoto Y, Tokiwa H, Kuwahara Y. Correlation between facial morphology, mouth opening ability and condylar movement during opening-closing jaw movements in female adults with normal occlusion. Eur J Orthod 2002; 24: 327-36.
Lewis R, Buschang P, Throckmorton G. Sex differences in mandibular movements during opening and closing. Am J Orthod Dentofacial Orthop 2001; 120: 294-303.
Muto T, Kanazawa M. Linear and angular measurements of the mandible during maximal mouth opening. J Oral Maxillofac Surg 1996; 54: 970-4.
Bolt KJ, Orchardson R. Relationship between mouth opening force and facial skeletal dimension in human females. Arch Oral Biol 1986; 31: 789-93.
Dijkstra PU, Hof AL, Stegenga B, Bont GM. Influence of mandibular length on mouth ope- ning. J Oral Rehabil 1999; 26: 117-22.
Zimmer B, Jager A, Kubein-Meesenburg D. Comparison of normal TMJ function in Class I,II,III individuals. Eur J Orthod 1991; 13: 27-34.
Küçükkeleş N, Aras K, Ünlü B. Aksiyograf uygulaması ve asemptomatik bireylerde normal aksiyografik kayıtlar. Türk Ortodonti Derg 1996; 9: 63-70.
Erbay E, Keskin C, Erbay Ş, Marşan G, Güner D. Class I, Class II-1, Class III maloklüzyon- lu çocuklarda TME fonksiyonlarının karşılaştırılması. Türk Ortodonti Derg 2003; 16: 9- 22.