Are Signs of Degenerative Joint Disease Associated With Chin Deviation?

Duong, Tran Duy Thuy; Jinnavanich, Sermsak; Chen, Min-Chi; Ko, Ellen Wen-Ching; Chen, Yu-Ray; Huang, Chiung Shing

doi:10.1016/j.joms.2020.03.019

Cited by 5 publications

(6 citation statements)

References 47 publications

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“…Most researchers agree that severe skeletal and dental class II malocclusions, particularly those coexisting with a severely retrognathic mandible, as well as bony open bite patients (hypodivergent patients) characterized by a steep mandibular plane, are more likely to develop radiographically detectable degenerative changes [11,38,39,42]. This correlation is also observed in patients with skeletal class III malocclusions exhibiting a mandibular shift (chin deviation > 3 mm) [41]. This view is consistent with most previous studies that evaluated degenerative changes in the temporomandibular joint using conventional tomography or pantomographic radiographs [36,[66][67][68].…”

Section: Discussionmentioning

confidence: 93%

“…This results in impaired synthesis and distribution of extracellular matrix and degradation of hyaluronic acid along with increased free radical activity in the TMJ, which is gradually covered by degenerative changes [64,65]. Analyses of the results of studies conducted in recent years support this theory [11,38,39,41].…”

Section: Discussionmentioning

confidence: 97%

“…Of the 33 papers included in the review, only 6 articles addressed the association of degenerative changes in the TMJ, diagnosed by CBCT, with maxillofacial morphology and malocclusion [11,[38][39][40][41][42]. These studies were published between 2012 and 2021 and included patient populations from various countries: Brazil [40], China [38], Latvia [11], Taiwan [41], South Korea, [39], and the USA [42]. Sample sizes ranged from 83 [38] to 273 [40] patients.…”

Section: Cbct Assessed Degenerative Changes In Thementioning

confidence: 99%

“…Tran Duy et al [41] in a homogeneous study group (women with skeletal class III defect with chin deviation) evaluated the presence of degenerative changes in the TMJ by CBCT independently in three projections according to an individually prepared scale scored from 0 to 20. The volume of the condyle was also investigated, and a correlation of the results with chin deviation was assessed.…”

Section: Cbct Assessed Degenerative Changes In Thementioning

confidence: 99%

“…( [11,38,39], major maxillofacial defects including class III malocclusion [11,41], or a hypodivergent profile with high mandibular plane angle [38,42]. Due to the high variability of the study groups in the articles evaluated in this subsection, it is not possible to directly compare the findings with each other.…”

Section: Inclusion Criteriamentioning

confidence: 99%

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Assessment of the Morphology and Degenerative Changes in the Temporomandibular Joint Using CBCT according to the Orthodontic Approach: A Scoping Review

Dygas

Szarmach

Radej

2022

BioMed Research International

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Background. Available knowledge about disorders of temporomandibular joint structures and their association with orthodontic variables are still lacking. Objectives. This article is aimed at to identifying studies and presenting current information on the relationship between morphology diversity and the occurrence of degenerative changes in structures of the temporomandibular joint (TMJ) assessed by cone-beam computed tomography (CBCT) in the context of craniofacial morphology and malocclusion. Search Methods. The review was conducted by analyzing the PubMed (including Medline), Cochrane Library, Web of Science, and Scopus electronic databases up to November 2021 using two different comprehensive search strategies based on keywords as well as additional manual searches. Eligibility Criteria. Selection of the literature was carried out according to the PRISMA-ScR checklist. Methodological quality of the selected studies was evaluated using JBI Critical Appraisal Tool. Results. The electronic databases search revealed 3331 records. After applying the eligibility criteria and JBI assessment, a total of 33 studies were extracted and selected to the study. The review was divided into 4 parts, in which the following correlations were assessed in terms of orthodontic variables: TMJ degenerative changes, joint space and condylar position, condylar shape, TMJ articular eminence, and fossa. Conclusions. Skeletal and dental class II malocclusion with a retrognathic mandible, a hypodivergent skeletal pattern with a steep mandibular plane, and significant lateral mandibular displacement can be risk factors for developing radiographically detectable degenerative changes. Patients with skeletal and dental class III malocclusion as well as a hyperdivergent skeletal pattern may be at greater risk of TMD occurrence compared with other groups. Further studies are necessary to clarify the relationship between the position of the condylar processes and the presence of degenerative changes in the temporomandibular joints among orthodontic patients.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 97%

Section: Cbct Assessed Degenerative Changes In Thementioning

confidence: 99%

Section: Cbct Assessed Degenerative Changes In Thementioning

confidence: 99%

Section: Inclusion Criteriamentioning

confidence: 99%

See 3 more Smart Citations

Assessment of the Morphology and Degenerative Changes in the Temporomandibular Joint Using CBCT according to the Orthodontic Approach: A Scoping Review

Dygas

Szarmach

Radej

2022

BioMed Research International

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What is the image appearance of juvenile idiopathic arthritis in MRI, CT, and CBCT of TMJ? A systematic review

et al. 2022

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What is the correlation between Juvenile Idiopathic Arthritis and the image appearance of MRI, CT, and CBCT findings in TMJ? A systematic review

Hara

Pinto

Brasil

et al. 2022

Preprint

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Objective: To investigate the relation of the appearance of signs in the MRI, cone-beam computed tomography (CBCT), and conventional computed tomography (CT) images of TMJ from patients with JIA using conducting a systematic review.Materials and methods: Electronic searches in PubMed, Embase, Web of Science, Scopus, Lilacs, and The Cochrane Library were conducted to identify studies investigating JIA and imaging findings. Inclusion criteria were: original articles studies based on humans and systematic reviews, studies enrolling patients with less than 18 years with diagnostic of JIA, use of ILAR criteria and one type of image exam (MRI, CBCT, or CT), and papers in the English language.Results: Six studies fulfill the eligibility criteria: four used MRI and two CBCT and all analyzed imaging findings in pathological TMJ with JIA. The results showed that enhancement of the synovial membrane, condylar erosions, and flattening are the most prevalent imaging findings of JIA.Conclusion: MRI exams are more specific in anomaly detection in TMJ in comparison to CBCT and CT. Also, the results must be correlated to clinical signs to provide a correct diagnosis.Clinical Relevance: This study indicates the most prevalent imaginological signs of JIA to provide early and correct diagnosis for the disease.

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Are Signs of Degenerative Joint Disease Associated With Chin Deviation?

Cited by 5 publications

References 47 publications

Assessment of the Morphology and Degenerative Changes in the Temporomandibular Joint Using CBCT according to the Orthodontic Approach: A Scoping Review

Assessment of the Morphology and Degenerative Changes in the Temporomandibular Joint Using CBCT according to the Orthodontic Approach: A Scoping Review

What is the image appearance of juvenile idiopathic arthritis in MRI, CT, and CBCT of TMJ? A systematic review

What is the correlation between Juvenile Idiopathic Arthritis and the image appearance of MRI, CT, and CBCT findings in TMJ? A systematic review

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