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Correlation between condylar position and different sagittal skeletal facial types

Zusammenhang zwischen Kondylenposition und sagittalen skelettalen Strukturmustern im Gesicht

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Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie Aims and scope Submit manuscript

Abstract

Objective

Condylar position may play a key role in the stability of orthodontic treatment of patients presenting with different skeletal patterns. The aim of the present study was to assess via cone beam computed tomography (CBCT) correlations between condylar position and sagittal skeletal relationship.

Patients and methods

Condylar positions in CBCT images of 20 patients presenting with a Class I skeletal pattern, 20 with a Class II skeletal pattern, and 20 with a Class III skeletal pattern were evaluated retrospectively. The χ 2 test was used to assess the correlation between condylar position and sagittal skeletal relationships.

Results

The condyles were anteriorly positioned in patients with Class II skeletal pattern in comparison with those with Class I and III skeletal patterns. No significant differences in condylar position between Class I and Class III subjects were detected.

Conclusion

A significant correlation between condylar position and sagittal skeletal patterns was observed in the present study. This relationship should be considered when planning and carrying out the appropriate orthodontic treatment for temporomandibular anomalies.

Zusammenfassung

Ziel

Die Kondylenposition kann hinsichtlich der Stabilität einer kieferorthopädischen Behandlung bei Patienten mit unterschiedlichen skelettalen Klassen eine Schlüsselrolle einnehmen. Ziel der vorliegenden Studie war es, anhand von digitalen Volumentomographien (DVT) mögliche Korrelationen zwischen der Lage der Kondylen und den fazialen sagittalen Skelettstrukturen zu untersuchen.

Patienten und Methoden

Die Kondylenpositionen von 20 Klasse-I-, 20 Klasse-II- und 20 Klasse-III-Patienten wurden anhand von DVT-Aufnahmen retrospektiv evaluiert. Zur Ermittlung des Zusammenhangs zwischen Kondylenposition und sagittalen Skelettbeziehungen wurde der χ 2 Test verwendet.

Ergebnisse

Im Vergleich mit Klasse-I- und -III-Patienten zeigte sich bei Klasse-II-Patienten eine anteriore Kondylenposition. Keine signifikanten Unterschiede hinsichtlich der Kondylenposition waren zwischen Klasse-I- und Klasse-III-Patienten zu finden.

Schlussfolgerung

Zwischen der Kondylenposition und sagittalen skelettalen Mustern bzw. Typen ließ sich in der vorgestellten Studie ein signifikanter Zusammenhang beobachten. Diese Beziehung sollte bei der Planung und Durchführung der angemessenen kieferorthopädischen Behandlung temporomandibulärer Anomalien berücksichtigt werden.

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Acknowledgments

The authors thank the Vice-Chancellery of Shiraz University of Medical Sciences for supporting this research (Grant #9211). This manuscript is based on the thesis by Dr. Hajar Abbaszade. The authors would like to thank Dr. Amalsaleh for her suggestions and providing English language editing of this manuscript and Dr. Vosoughi for help in statistical analyses.

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Authors and Affiliations

  1. Prevention of Oral and Dental Disease Research Center, Dental School, Shiraz University of Medical Sciences, Shiraz, Iran

    Maryam Paknahad (Assistant Professor Dr.)

  2. Oral Radiology Department, Biomaterial Research Center, Dental School, Shiraz University of Medical Sciences, Shiraz, Iran

    Shoaleh Shahidi

  3. Dental School, Shiraz University of Medical Sciences, Shiraz, Iran

    Hajar Abbaszade

  4. Oral Radiology Department, Shiraz Dental School, Shiraz University of Medical Sciences, Ghasrodasht Street, Shiraz, 7144833586, Iran

    Maryam Paknahad (Assistant Professor Dr.)

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  1. Maryam Paknahad
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Correspondence to Maryam Paknahad.

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M Paknahad, S. Shahidi, and H. Abbaszade state that there are no conflicts of interest.

The accompanying manuscript does not include studies on humans or animals.

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Assistant Professor Dr. Maryam Paknahad.

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Paknahad, M., Shahidi, S. & Abbaszade, H. Correlation between condylar position and different sagittal skeletal facial types. J Orofac Orthop 77, 350–356 (2016). https://doi.org/10.1007/s00056-016-0039-z

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