Skip to main content

Advertisement

SpringerLink
Log in

Evaluation of condyle position in patients with Angle Class I, II, and III malocclusion using cone-beam computed tomography panoramic reconstructions

  • Original Article
  • Published:
Oral Radiology Aims and scope Submit manuscript

Abstract

Objectives

This study was performed to compare the positions of the right and left condyles between male and female patients with different Angle malocclusions using cone-beam computed tomography (CBCT) panoramic reconstructions.

Methods

The CBCT images of 60 patients (age of 18–37 years) were retrospectively evaluated. The patients were divided according to their Angle malocclusion classifications (Angle Classes I, II, and III). The condyle-to-eminence, condyle-to-fossa, and condyle-to-meatus distances were measured digitally using i-CAT software.

Results

The left and right condyle-to-fossa distances were the most variable parameters among the Angle classes. The right condyle-to-eminence and right condyle-to-fossa distances were significantly different among the classes. Male patients seemed to have a greater condyle-to-fossa distance on the right side in both the Class I and III groups. The mean distance from the condyle to eminence, condyle to fossa, and condyle to meatus on the right side was the greatest in the Angle Class II group.

Conclusions

In all three types of malocclusion (Angle Classes I, II, and III), the condyles on both the right and left sides were not exactly symmetric or centrally located within the glenoid fossa. This work emphasizes the differences in the condyle position between male and female patients. Furthermore, the symmetry and centricity of the condyles are not dependent on the patient’s sex or type of malocclusion.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Merigue LF, Conti AC, Oltramari-Navarro PVP, Navarro RDL, Almedia MRD. Tomographic evaluation of the temporomandibular joint in malocclusion subjects: condylar morphology and position. Braz Oral Res. 2016;30(1).

  2. Arieta-Miranda JM, Silva-Valencia M, Flores-Mir C, Paredes-Sampen NA, Arriola-Guillen LE. Spatial analysis of condyle position according to sagittal skeletal relationship, assessed by cone beam computed tomography. Prog Orthod. 2013;14(1):36.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Ganugapanta VR, Ponnada SR, Gaddam KPR, Perumalla K, Khan I, Mohammed NA. Computed tomographic evaluation of condylar symmetry and condyle–fossa relationship of the temporomandibular joint in subjects with normal occlusion and malocclusion: a comparative study. J Clin Diagn Res. 2017;11(2):ZC29–Z33.

    PubMed  PubMed Central  Google Scholar 

  4. Al-Saleh MA, Punithakumar K, Lagravere M, Boulanger P, Jaremko JL, Major PW. Three-dimensional assessment of temporomandibular joint using MRI-CBCT image registration. PLoS One. 2017;12(1):e0169555.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Kim HO, Lee W, Kook YA, Kim Y. Comparison of the condyle–fossa relationship between skeletal class III malocclusion patients with and without asymmetry: a retrospective three-dimensional cone-beam computed tomography study. Korean J Orthod. 2013;43(5):209–17.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Paknahad M, Shahidi S. Association between mandibular condylar position and clinical dysfunction index. J Craniomaxillofac Surg. 2015;43(4):432–6.

    Article  PubMed  Google Scholar 

  7. Ricketts RM. Variations of the temporomandibular joint as revealed by cephalometric laminagraphy. Am J Orthod. 1950;36(12):877–98.

    Article  PubMed  Google Scholar 

  8. Katzberg RW. Temporomandibular joint imaging. Radiology. 1989;170(2):297–307.

    Article  PubMed  Google Scholar 

  9. Kahl B, Fischbach R, Gerlach KL. Temporomandibular joint morphology in children after treatment of condylar fractures with functional appliance therapy: a follow-up study us computed tomography. Dentomaxillofac Radiol. 1995;24(1):37–45.

    Article  PubMed  Google Scholar 

  10. Farman AG, Scarfe WC. The basics of maxillofacial cone beam computed tomography. Semin Orthod. 2009;15(1):2–13.

    Article  Google Scholar 

  11. Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc. 2006;72(1):75–80.

    PubMed  Google Scholar 

  12. 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(3):437–53.

    Article  Google Scholar 

  13. Mongini F. Dental abrasion as a factor in remodeling of the mandibular condyle. Acta Anat (Basel). 1975;92(2):292–300.

    Article  Google Scholar 

  14. 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(3):337–46.

    Article  PubMed  Google Scholar 

  15. Rodrigues AF, Fraga MR, Vitral RWF. 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(2):192–8.

    Article  PubMed  Google Scholar 

  16. Rodrigues AF, Fraga MR, Vitral RWF. 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(2):199–206.

    Article  PubMed  Google Scholar 

  17. Pullinger AG, Solberg WK, Hollender L, Petersson A. Relationship of mandibular condylar position to dental occlusion factors in an asymptomatic population. Am J Orthod Dentofacial Orthop. 1987;91(3):200–6.

    Article  PubMed  Google Scholar 

  18. Incesu L, Taşkaya-Yılmaz N, Öğütcen-Toller M, Uzun E. Relationship of condylar position to disc position and morphology. Eur J Radiol. 2004;51(3):269–73.

    Article  PubMed  Google Scholar 

  19. Matsumoto MA, Bolognese AM. Bone morphology of the temporomandibular joint and its relation to dental occlusion. Braz Dent J. 1995;6(2):115–22.

    PubMed  Google Scholar 

  20. Cohlmia JT, Ghosh J, Sinha PK, Nanda RS, Currier GF. Tomographic assessment of temporomandibular joints in patients with malocclusion. Angle Orthod. 1996;66(1):27–36.

    PubMed  Google Scholar 

  21. Fraga MR, Rodrigues AF, Ribeiro LC, da Silva Campos MJ, Vitral RWF. Anteroposterior condylar position: a comparative study between subjects with normal occlusion and patients with Class I, Class II Division 1, and Class III malocclusions. Med Sci Monit. 2013;19:903–7.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Vitral RWF, de Souza Telles C, Fraga MR, de Oliveira RSMF., Tanaka OM. Computed tomography evaluation of temporomandibular joint alterations in patients with class II division 1 subdivision malocclusions: condyle–fossa relationship. Am J Orthod Dentofacial Orthop. 2004;126(1):48–52.

    Article  PubMed  Google Scholar 

  23. Vitral RWF, 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(1):18–24.

    Article  PubMed  Google Scholar 

  24. Ricketts RM. Various conditions of the temporomandibular joint as revealed by cephalometric laminagraphy. Angle Orthod. 1952;22(2):98–115.

    Google Scholar 

  25. Williamson EH, Evans DL, Barton WA, Williams BH. The effect of bite plane use on terminal hinge axis location. Angle Orthod. 1977;47(1):25–33.

    PubMed  Google Scholar 

  26. Pullinger AG, Seligman DA, John MT, Harkins S. Multifactorial modeling of temporomandibular anatomic and orthopedic relationships in normal versus undifferentiated disk displacement joints. J Prosthet Dent. 2002;87(3):289–97.

    Article  PubMed  Google Scholar 

  27. Mah JK, Huang JC, Choo H. Practical applications of cone-beam computed tomography in orthodontics. J Am Dent Assoc. 2010;141:7S–13S.

    Article  PubMed  Google Scholar 

  28. Hodges RJ, Atchison KA, White SC. Impact of cone-beam computed tomography on orthodontic diagnosis and treatment planning. Am J Orthod Dentofacial Orthop. 2013;143(5):665–74.

    Article  PubMed  Google Scholar 

  29. Barghan S, Merrill R, Tetradis S. Cone beam computed tomography imaging in the evaluation of the temporomandibular joint. Tex Dent J. 2012;129(3):289–302.

    PubMed  Google Scholar 

  30. Kaur A, Natt AS, Mehra SK, Maheshwari K, Singh G. Improved visualization and assessment of condylar position in the glenoid fossa for different occlusions: a CBCT study. J Contemp Dent Pract. 2016;17(8):679–86.

    Article  PubMed  Google Scholar 

  31. 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(4):551–9.

    Article  PubMed  Google Scholar 

  32. Caruso S, Storti E, Nota A, Ehsani S, Gatto R. Temporomandibular joint anatomy assessed by CBCT images. Biomed Res Int. 2017;2916953.

  33. Al-Rawi NH, Uthman AT, Sodeify SM. Spatial analysis of mandibular condyles in patients with temporomandibular disorders and normal controls using cone beam computed tomography. Eur J Dent. 2017;11(1):99–105.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Istanbul Medipol University, Atatürk Blv. No. 27, Unkapanı, Fatih, 34083, Istanbul, Turkey

    Aslıhan Akbulut

  2. Department of Orthodontics, Faculty of Dentistry, Istanbul Medipol University, Atatürk Blv. No. 27, Unkapanı, Fatih, 34083, Istanbul, Turkey

    Delal Dara Kılınç

Authors
  1. Aslıhan Akbulut
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Delal Dara Kılınç
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Delal Dara Kılınç.

Ethics declarations

Conflict of interest

Aslıhan Akbulut and Delal Dara Kılınç declare that they have no conflict of interest.

Human rights statements

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later versions.

Informed consent

Informed consent was obtained from all patients for being included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Akbulut, A., Kılınç, D.D. Evaluation of condyle position in patients with Angle Class I, II, and III malocclusion using cone-beam computed tomography panoramic reconstructions. Oral Radiol 35, 43–50 (2019). https://doi.org/10.1007/s11282-018-0326-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11282-018-0326-z

Keywords

Search

Navigation