2 research outputs found
Asimetrija mandibule u pacijenata s unilateralnim pomakom diska temporomandibularnoga zgloba potvrÄenog magnetskom rezonancijom
Objectives: The study aimed to determine the relationship between the mandibular asymmetry index according to Kjellberg between patients with painful unilateral anterior disc displacement (DD) and asymptomatic volunteers without disc displacement. Vertical measurements were performed on a panoramic single-image radiograph, and the disc status was confirmed by magnetic resonance imaging (MRI). Material and methods: Two groups of subjects were retrospectively selected, 40 patients (the overall mean age was 35.5 years; 75% female) with temporomandibular disorder symptoms confirmed by RDC/TMD axis I and manual functional analysis. Unilateral DD was determined by MRI. A comparative group of asymptomatic volunteers (20 dental students with a mean age of 23.4 years; 72% female) had the physiological position of the disc determined by MRI. The vertical asymmetry of the condyle was determined by the method of Kjellberg et al. The symmetry of the gonial angle of the mandible was also measured. Results: A comparison of the mean of the asymmetry index between patients (average 90.89Ā±7.08%) and asymptomatic volunteers (mean 95.86Ā±4.44%) showed a statistically significant difference (p=0.0029). There was no difference (p=0.088) in gonial angle symmetry between the patients (mean 96.48Ā±2.96Ā°) and the asymptomatic volunteers (mean 97.52Ā±2.31Ā°). The distribution of the presence of individual DD diagnoses (partial and total displacement with reduction, displacement without reduction) in patients diagnosed with asymmetry of the mandible was without statistical significance (p>0.05). Conclusion: This study actually points to the asymmetry of the mandible as a potential morphological risk of anterior DD.Svrha istraživanja: Cilj istraživanja bio je utvrditi povezanost indeksa asimetrije mandibule prema Kjellbergu izmeÄu pacijenata s bolnim unilateralnim anteriornim pomakom diska i asimptomatskih dobrovoljaca bez pomaka diska. Vertikalna mjerenja obavljena su na ortopatomogramima, a status diska potvrÄen je magnetskom rezonancijom. Materijal i metode: Retrospektivno su odabrane dvije skupine ispitanika od 40 pacijenata (prosjeÄna dob 35,5 godina; 75 % ženskoga spola) sa simptomima temporomandibularnog poremeÄaja potvrÄenima RDC/TMD-om os I i manualnom funkcijskom analizom. Unilateralni pomak diska ustanovljen je magnetskom rezonancijom. Usporednoj skupini asimptomatskih dobrovoljaca (20 studenata stomatologije prosjeÄne dobi 23,4 godine; 72 % ženskoga spola) utvrÄen je fizioloÅ”ki položaj diska magnetskom rezonancijom. Vertikalna asimetrija kondila odreÄena je metodom prema Kjellbergu i suradnicima. Mjerena je i simetrija gonijalnog kuta mandibule. Rezultati: Usporedba prosjeka indeksa asimetrije izmeÄu pacijenata (prosjek 90,89 Ā± 7,08 %) i asimptomatskih dobrovoljaca (prosjek 95,86 Ā± 4,44 %) pokazala je statistiÄki znaÄajnu razliku (p = 0,0029). Nije bilo razlike (p = 0,088) u simetriji gonijalnog kuta izmeÄu pacijenata (prosjeÄno 96,48 Ā± 2,96Ā°) i asimptomatskih dobrovoljaca (prosjeÄno 97,52 Ā± 2,31Ā°). Bez statistiÄke znaÄajnosti (p > 0,05) bila je distribucija prisutnosti pojedinih dijagnoza pomaka diska (djelomiÄni i potpuni pomak s redukcijom, pomak bez redukcije) kod pacijenata kojima je utvrÄena asimetrije mandibule. ZakljuÄak: Ova studija dopuÅ”ta povezivati asimetriju manidbule kao potencijalni morfoloÅ”ki rizik za nastanak anteriornoga pomaka diska
The Asymmetry of the Mandible in Patients with Unilateral Temporomandibular Joint Disc Displacement Confirmed by Magnetic Resonance Imaging
Objectives: The study aimed to determine the relationship between the mandibular asymmetry index according to Kjellberg between patients with painful unilateral anterior disc displacement (DD) and asymptomatic volunteers without disc displacement. Vertical measurements were performed on a panoramic single-image radiograph, and the disc status was confirmed by magnetic resonance imaging (MRI). Material and methods: Two groups of subjects were retrospectively selected, 40 patients (the overall mean age was 35.5 years; 75% female) with temporomandibular disorder symptoms confirmed by RDC/TMD axis I and manual functional analysis. Unilateral DD was determined by MRI. A comparative group of asymptomatic volunteers (20 dental students with a mean age of 23.4 years; 72% female) had the physiological position of the disc determined by MRI. The vertical asymmetry of the condyle was determined by the method of Kjellberg et al. The symmetry of the gonial angle of the mandible was also measured. Results: A comparison of the mean of the asymmetry index between patients (average 90.89Ā±7.08%) and asymptomatic volunteers (mean 95.86Ā±4.44%) showed a statistically significant difference (p=0.0029). There was no difference (p=0.088) in gonial angle symmetry between the patients (mean 96.48Ā±2.96Ā°) and the asymptomatic volunteers (mean 97.52Ā±2.31Ā°). The distribution of the presence of individual DD diagnoses (partial and total displacement with reduction, displacement without reduction) in patients diagnosed with asymmetry of the mandible was without statistical significance (p>0.05). Conclusion: This study actually points to the asymmetry of the mandible as a potential morphological risk of anterior DD