Assessing the Articular Eminence Asymmetry in Dentate, Partially Edentulous and Edentulous patients Using Cone-Beam Ct

Mushtaq Kose Hamza, Abhinethra Mariyappa Shantha, Deepak Timmasandra Ashwathappa, Shobha Rajanna, Arun Khondapura Puttegowda, Mushtaq Kose Hamza, Abhinethra Mariyappa Shantha, Deepak Timmasandra Ashwathappa, Shobha Rajanna, Arun Khondapura Puttegowda

Abstract

Background and objectives: The relationship between the articular eminence (AE) inclination and masticatory system in the biomechanics of temporomandibular joint (TMJ) is defined by the degree with normal values of 30°-60° obtained between the posterior wall of the AE and a horizontal reference plane. The purpose of this study was to assess the asymmetry of the AE in dentate, partially edentulous, and edentulous patients using cone-beam computed tomography (CBCT) imaging and to compare the determined asymmetry in the dentulous with partially and completely edentulous patients.

Materials and methods: CBCT images of 120 TMJ joints in sixty patients were evaluated. AE inclination and height values were traced on the central sagittal slice of right and left TMJ. The patients were grouped as dentate, partially edentulous, and edentulous with an age range of 20-80 years. Statistical analysis included student's paired and independent t-test, analysis of variance, and Tukey's post hoc test, and P < 0.05 was considered statistically significant.

Results: AE inclination revealed highest value in dentate patients (60.98 ± 5.42) followed by partially edentulous (53.40 ± 7.91) and lowest in the edentulous patients (51.43 ± 3.63). P < 0.001 was statistically significant between these groups.

Conclusion: The results obtained in the present study showed steep inclination of AE in dentate followed by partially edentulous and edentulous subjects. No significant differences among the age, gender, and sides were found.

Keywords: Articular eminence; dentate; edentulous.

Conflict of interest statement

There are no conflicts of interest.

Copyright: © 2021 Journal of Pharmacy and Bioallied Sciences.

Figures

Figure 1
Figure 1
Planes and angles in the study
Figure 2
Figure 2
Measured eminence angle and height

References

    1. Sümbüllü MA, Cağlayan F, Akgül HM, Yilmaz AB. Radiological examination of the articular eminence morphology using cone beam CT. Dentomaxillofac Radiol. 2012;41:234–40.
    1. Chiang MT, Li TI, Yeh HW, Su CC, Chiu KC, Chung MP, et al. Evaluation of missing-tooth effect on articular eminence inclination of temporomandibular joint. J Dent Sci. 2015;10:383–7.
    1. Jasinevicius TR, Pyle MA, Lalumandier JA, Nelson S, Kohrs KJ, Türp JC, et al. Asymmetry of the articular eminence in dentate and partially edentulous populations. Cranio. 2006;24:85–94.
    1. Okeson JP. Determinants of occlusal morphology. In: Okeson JP, editor. Management of Temporomandibular Disorders and Occlusion. 5th ed. Chicago: Mosby; 2003. pp. 127–46.
    1. Saione Cruz SA, Sousa Melo SL, De Mel DP, Freitas DQ, Campos PS. Relationship between articular eminence inclination and alterations of the mandibular condyle using CBCT Study. Braz Oral Res. 2017;31:e25.
    1. Csadó K, Márton K, Kivovics P. Anatomical changes in the structure of the temporomandibular joint caused by complete edentulousness. Gerodontology. 2012;29:111–6.
    1. Katsavrias EG. Changes in articular eminence inclination during the craniofacial growth period. Angle Orthod. 2002;72:258–64.
    1. Ash MM, Ramfjord S. Occlusion in operative and restorative dentistry. In: Ash MM, Ramfjord S, editors. Occlusion. 4th ed. Philadelphia: W.B. Saunders Co; 1995. pp. 422–3.
    1. Curtis DA. A comparison of protrusive intra-occlusal records to pantographic tracings. J Prosthet Dent. 1989;62:154–6.
    1. Hinton RJ. Changes in articular eminence morphology with dental function. Am J Phys Anthropol. 1981;54:439–55.
    1. Weinberg LA. Temporomandibular joint function and its effect on concepts of occlusion. J Prosthet Dent. 1976;35:553–66.
    1. İlgüy D, İlgüy M, Fişekçioğlu E, Dölekoğlu S, Ersan N. Articular eminence inclination, height, and condyle morphology on cone beam computed tomography. ScientificWorldJournal. 2014;2014:761714.
    1. Mischkowski RA, Pulsfort R, Ritter L, Neugebauer J, Brochhagen HG, Keeve E, et al. Geometric accuracy of a newly developed cone-beam device for maxillofacial imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104:551–9.
    1. Barghan S, Tetradis S, Mallya S. Application of cone beam computed tomography for assessment of the temporomandibular joints. Aust Dent J. 2012;57(Suppl 1):109–18.
    1. Abdul-Nabi LA, Al-Nakib LH. Flattening of the posterior slope of the articular eminence of completely edentulous patients compared to patients with maintained occlusion in relation to age using computed tomography. J Baghdad Coll Dent. 2015;325:1–6.
    1. Pratik A, Pankaj D, Pankaj M, Piyush T. Evaluation of effect of age and dental status on posterior slope of articular eminence of temporomandibular joint: A comparative radiographic study. Int J Dent Health Sci. 2017;4:49–64.
    1. Ichikawa J, Hara T, Tamatsu Y, Ide Y. Morphological changes in the internal structure of the articular eminence of the temporal bone during growth from deciduous to early mixed dentition. Journal of biomechanics. 2007 Jan 1;40(16):3541–7.
    1. Granados JI. The influence of the loss of teeth and attrition on the articular eminence. J Prosthet Dent. 1979;42:78–85.
    1. Öberg T, Carlsson GE, Fajers CM. The temporomandibular joint. A morphologic study on a human autopsy material. Acta Odontol Scand. 1971;29:349–84.
    1. Moffett BC, Johnson LC, McCabe JB, Askew HC. Articular remodelling in the adult temporomandibular joint. Am J Anat. 1964;115:119–42.
    1. Mongini F. Remodelling of the mandibular condyle in the adult and its relationship to the condition of the dental arches. Acta Anat (Basel) 1972;82:437–53.
    1. Verner FS, Roque-Torres GD, Ramírez-Sotello LR, Devito KL, Almeida SM. Analysis of the correlation between dental arch and articular eminence morphology: A cone beam computed tomography study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017;124:420–31.
    1. Ikai A, Sugisaki M, Young-Sung K, Tanabe H. Morphologic study of the mandibular fossa and the eminence of the temporomandibular joint in relation to the facial structures. Am J Orthod Dentofacial Orthop. 1997;112:634–8.
    1. Reicheneder C, Gedrange T, Baumert U, Faltermeier A, Proff P. Variations in the inclination of the condylar path in children and adults. Angle Orthod. 2009;79:958–63.
    1. Katsavrias EG, Dibbets JM. The growth of articular eminence height during craniofacial growth period. Cranio. 2001;19:13–20.

Source: PubMed

3
Abonnieren