Is the Temporomandibular Joints’ Reciprocal Clicking Related to the Morphology and Position of the Mandible, as Well as to the Sagittal Position of Lower Incisors?—A Case-Control Study
The number of patients diagnosed with temporomandibular joint (TMJ) internal derangements, who are seeking orthodontic treatment, is increasing. The aim of the study was to assess the relationship between the presence of TMJ reciprocal clicking and the morphology and position of the mandible, and po...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2021-05-01
|
Series: | International Journal of Environmental Research and Public Health |
Subjects: | |
Online Access: | https://www.mdpi.com/1660-4601/18/9/4994 |
id |
doaj-9b6ecb3a41e1417f9d93cd15ff58540c |
---|---|
record_format |
Article |
spelling |
doaj-9b6ecb3a41e1417f9d93cd15ff58540c2021-05-31T23:28:08ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012021-05-01184994499410.3390/ijerph18094994Is the Temporomandibular Joints’ Reciprocal Clicking Related to the Morphology and Position of the Mandible, as Well as to the Sagittal Position of Lower Incisors?—A Case-Control StudyMarcin Derwich0Maria Mitus-Kenig1Elzbieta Pawlowska2ORTODENT, Specialist Orthodontic Private Practice in Grudziadz, 86-300 Grudziadz, PolandDepartment of Experimental Dentistry and Prophylaxis, Medical College, Jagiellonian University in Krakow, 31-008 Krakow, PolandDepartment of Orthodontics, Medical University of Lodz, 90-419 Lodz, PolandThe number of patients diagnosed with temporomandibular joint (TMJ) internal derangements, who are seeking orthodontic treatment, is increasing. The aim of the study was to assess the relationship between the presence of TMJ reciprocal clicking and the morphology and position of the mandible, and position of lower incisors, examined on the lateral cephalograms. Fifty patients diagnosed with reciprocal clicking in at least one of the TMJs and 55 patients with no symptoms of TMJ dysfunction were included in the study. Cephalometric analysis was used for the assessment of: skeletal class, sagittal and vertical position of the mandible, angle of the mandible, inclination of the mandibular ramus and the mandibular corpus, as well as for the assessment of the position of the mandibular incisors. The statistical significance level was set at <i>p</i> = 0.05. There were no statistically significant differences between the examined groups regarding the sagittal and vertical position of the mandible, as well as regarding the sagittal position of the mandibular incisors. Presence of TMJ reciprocal clicking is not associated with the position and the morphology of the mandible, as well as with the sagittal position of the mandibular incisors. Patients with early stages of TMJ internal derangements do not present any significant changes in Cephalometrics. Patients diagnosed with TMJ internal derangements before orthodontic treatment require an interdisciplinary approach to the treatment, including physiotherapy.https://www.mdpi.com/1660-4601/18/9/4994temporomandibular jointreciprocal clickinganterior disc displacement with reductiontemporomandibular joint disordersinternal derangementcephalometry |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Marcin Derwich Maria Mitus-Kenig Elzbieta Pawlowska |
spellingShingle |
Marcin Derwich Maria Mitus-Kenig Elzbieta Pawlowska Is the Temporomandibular Joints’ Reciprocal Clicking Related to the Morphology and Position of the Mandible, as Well as to the Sagittal Position of Lower Incisors?—A Case-Control Study International Journal of Environmental Research and Public Health temporomandibular joint reciprocal clicking anterior disc displacement with reduction temporomandibular joint disorders internal derangement cephalometry |
author_facet |
Marcin Derwich Maria Mitus-Kenig Elzbieta Pawlowska |
author_sort |
Marcin Derwich |
title |
Is the Temporomandibular Joints’ Reciprocal Clicking Related to the Morphology and Position of the Mandible, as Well as to the Sagittal Position of Lower Incisors?—A Case-Control Study |
title_short |
Is the Temporomandibular Joints’ Reciprocal Clicking Related to the Morphology and Position of the Mandible, as Well as to the Sagittal Position of Lower Incisors?—A Case-Control Study |
title_full |
Is the Temporomandibular Joints’ Reciprocal Clicking Related to the Morphology and Position of the Mandible, as Well as to the Sagittal Position of Lower Incisors?—A Case-Control Study |
title_fullStr |
Is the Temporomandibular Joints’ Reciprocal Clicking Related to the Morphology and Position of the Mandible, as Well as to the Sagittal Position of Lower Incisors?—A Case-Control Study |
title_full_unstemmed |
Is the Temporomandibular Joints’ Reciprocal Clicking Related to the Morphology and Position of the Mandible, as Well as to the Sagittal Position of Lower Incisors?—A Case-Control Study |
title_sort |
is the temporomandibular joints’ reciprocal clicking related to the morphology and position of the mandible, as well as to the sagittal position of lower incisors?—a case-control study |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2021-05-01 |
description |
The number of patients diagnosed with temporomandibular joint (TMJ) internal derangements, who are seeking orthodontic treatment, is increasing. The aim of the study was to assess the relationship between the presence of TMJ reciprocal clicking and the morphology and position of the mandible, and position of lower incisors, examined on the lateral cephalograms. Fifty patients diagnosed with reciprocal clicking in at least one of the TMJs and 55 patients with no symptoms of TMJ dysfunction were included in the study. Cephalometric analysis was used for the assessment of: skeletal class, sagittal and vertical position of the mandible, angle of the mandible, inclination of the mandibular ramus and the mandibular corpus, as well as for the assessment of the position of the mandibular incisors. The statistical significance level was set at <i>p</i> = 0.05. There were no statistically significant differences between the examined groups regarding the sagittal and vertical position of the mandible, as well as regarding the sagittal position of the mandibular incisors. Presence of TMJ reciprocal clicking is not associated with the position and the morphology of the mandible, as well as with the sagittal position of the mandibular incisors. Patients with early stages of TMJ internal derangements do not present any significant changes in Cephalometrics. Patients diagnosed with TMJ internal derangements before orthodontic treatment require an interdisciplinary approach to the treatment, including physiotherapy. |
topic |
temporomandibular joint reciprocal clicking anterior disc displacement with reduction temporomandibular joint disorders internal derangement cephalometry |
url |
https://www.mdpi.com/1660-4601/18/9/4994 |
work_keys_str_mv |
AT marcinderwich isthetemporomandibularjointsreciprocalclickingrelatedtothemorphologyandpositionofthemandibleaswellastothesagittalpositionoflowerincisorsacasecontrolstudy AT mariamituskenig isthetemporomandibularjointsreciprocalclickingrelatedtothemorphologyandpositionofthemandibleaswellastothesagittalpositionoflowerincisorsacasecontrolstudy AT elzbietapawlowska isthetemporomandibularjointsreciprocalclickingrelatedtothemorphologyandpositionofthemandibleaswellastothesagittalpositionoflowerincisorsacasecontrolstudy |
_version_ |
1721417413332828160 |