Comparative study of the temporomandibular joint space in maximum intercuspation and canine edge-to-edge positions in deep bite and non-deep bite subjects

Citation
S. Minagi et al., Comparative study of the temporomandibular joint space in maximum intercuspation and canine edge-to-edge positions in deep bite and non-deep bite subjects, J ORAL REH, 27(6), 2000, pp. 517-521
Citations number
16
Categorie Soggetti
Dentistry/Oral Surgery & Medicine
Journal title
JOURNAL OF ORAL REHABILITATION
ISSN journal
0305182X → ACNP
Volume
27
Issue
6
Year of publication
2000
Pages
517 - 521
Database
ISI
SICI code
0305-182X(200006)27:6<517:CSOTTJ>2.0.ZU;2-E
Abstract
In order to study the relationship between morphological properties of the TMJ and the mathematically predicted force distribution in the TMJ, the geo metric distribution of the joint space on top of the condylar surfaces was evaluated. Seven deep bite subjects and seven non-deep bite subjects were u sed, and the joint space in the maximum intercuspation and canine edge-to-e dge positions was analysed in each group. Standardized images of the TMJ we re taken with computed tomography (CT) using a mandible positioner. The com parative ratio of joint space (CRJS) between the maximum intercuspation and the canine edge-to-edge positions was calculated and summarized on the map of the mean morphological outline of the condyle. On the balancing-side co ndyle, the CRTS of small value was distributed mainly on the anterior edge of the condyle in the non-deep bite group, whereas, in the deep bite group, it was distributed on the centre of the condyle. On the working-side condy le, the small CRJS was distributed around the lateral pole of the condyle i n the non-deep bite group, whereas, in the deep bite group, it was found ar ound the posterior part of the condyle. The distribution pattern of CRJS on the upper surface of the condyle in the non-deep bite group was consistent with the results of previous studies on mathematical simulation of TMJ loa ding. From the results of this study, it was suggested that the distributio n of mechanical loading on the TMJ in the eccentric mandibular position wou ld be highly affected by the comparative ratio of joint space. As the compa rative ratio of joint space would be highly affected by the condylar positi on, the analysis of the morphology of the TMJ in relation to mechanical joi nt loading, in a future investigation, should be carried out on specific ma ndibular positions in relation to the function of the TMJ to be studied.