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Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology
Published on: August 22, 2022
Skeletal pattern in subjects with temporomandibular joint disorders
Oana Cristina Almăşan1, Mihaela Băciuţ, Horea Artimoniu Almăşan
1Department of Prosthetic Dentistry, Faculty of Dentistry, University of Medicine and Pharmacy Iuliu Haţieganu, Cluj-Napoca, Romania.
Archives of Medical Science : AMS
|March 22, 2013
Summary
Malocclusions with midline shift, large overjet, and deep overbite are linked to temporomandibular disorders (TMD). Orthodontic treatment planning for severe malocclusions must consider temporomandibular joint status.
Area of Science:
- Orthodontics
- Craniofacial Biology
- Temporomandibular Joint Disorders
Background:
- Malocclusions are common dental conditions.
- Temporomandibular disorders (TMD) affect the jaw joint and muscles.
- Understanding the craniofacial skeletal patterns associated with TMD in malocclusion patients is crucial.
Purpose of the Study:
- To determine the skeletal patterns in individuals with malocclusions and TMD.
- To investigate the relationship between craniofacial skeletal structures and TMD in malocclusion patients.
Main Methods:
- Sixty-four adult subjects with malocclusions were analyzed.
- Temporomandibular disorders were assessed using the Helkimo Anamnestic Index.
- Lateral cephalograms were used to evaluate skeletal patterns, grouped by sagittal classification (ANB angle).
Main Results:
- Subjects with TMD exhibited a broader midline shift and Wits appraisal across all skeletal classes.
- A larger overjet was observed in the TMD group.
- Frequent TMD symptoms included joint noises, reduced mandibular mobility, muscular pain, and temporomandibular joint (TMJ) pain.
Conclusions:
- The status of the temporomandibular joint (TMJ) is a significant consideration in orthodontic treatment planning for severe malocclusions.
- Specific malocclusion features like midline shift, increased overjet, and deep overbite are associated with TMD signs and symptoms.
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