Susan Ammanna1, Anisha Rodrigues2, N Sridhar Shetty3, Karunakar Shetty4, Dominic Augustine5, Shankargouda Patil5. 1. Assistant Professor, Department of Prosthodontics, Bangalore Institute of Dental Sciences and Hospital, Hosur Main Road, Lakkasandra, Bengaluru, Karnataka, India, Phone: +919986354943, e-mail: susan.ammanna@gmail.com. 2. Department of Prosthodontics, AJ Institute of Dental Sciences, Mangalore, Karnataka, India. 3. Department of Prosthodontics, Centre for Advanced Dentofacial and Stomatognathic Sciences, Mangalore, Karnataka, India. 4. Department of Prosthodontics, Bangalore Institute of Dental Sciences and Hospital, Bengaluru, Karnataka, India. 5. Department of Oral and Maxillofacial Pathology, Faculty of Dental Sciences, MS Ramaiah University of Applied Sciences, Bengaluru, Karnataka, India.
Abstract
BACKGROUND AND OBJECTIVES: The Influence of the loss of teeth on the condylar position and on temporomandibular joint (TMJ) dysfunction syndrome remains a c ontroversial issue. This study analyses the condylar position by means of a tomogram in partially dentate subjects which serves as a guide to predict which of the partially dentate statuses is prone to develop TMJ dysfunction syndrome in personnel without symptoms of the same. METHODOLOGY: Eighty personnel were enrolled in this study consisting of Kennedy's class I, II, III, IV and control to analyze the condylar position by means of a tomogram. In all the five groups TMJ sectional tomogram programmed in a panoramic radiographic machine (PLANMECA PM 2002 CC PROLINE) was taken with the subjects at maximal intercuspal position and rest position. Tomograms were evaluated using linear measurements of the anterior and posterior intra-articular joint spaces on the basis of drawings and tracings. RESULTS: The results of the study revealed a predominance of reduced posterior condylar space in Kennedy's class I and II. A disparity was seen between the maximum intercuspal position and rest position, where the posterior joint space was reduced in the rest position. CONCLUSION: Within the limitations of this study, it has been revealed that in Kennedy's classes I and II, for partially dentate personnel, a posterior displacement of the c ondyles was seen. This predisposition would suggest towards the necessity of restoring the missing dentition in order to maintain the har mony of the stomatognathic system.
BACKGROUND AND OBJECTIVES: The Influence of the loss of teeth on the condylar position and on temporomandibular joint (TMJ) dysfunction syndrome remains a c ontroversial issue. This study analyses the condylar position by means of a tomogram in partially dentate subjects which serves as a guide to predict which of the partially dentate statuses is prone to develop TMJ dysfunction syndrome in personnel without symptoms of the same. METHODOLOGY: Eighty personnel were enrolled in this study consisting of Kennedy's class I, II, III, IV and control to analyze the condylar position by means of a tomogram. In all the five groups TMJ sectional tomogram programmed in a panoramic radiographic machine (PLANMECA PM 2002 CC PROLINE) was taken with the subjects at maximal intercuspal position and rest position. Tomograms were evaluated using linear measurements of the anterior and posterior intra-articular joint spaces on the basis of drawings and tracings. RESULTS: The results of the study revealed a predominance of reduced posterior condylar space in Kennedy's class I and II. A disparity was seen between the maximum intercuspal position and rest position, where the posterior joint space was reduced in the rest position. CONCLUSION: Within the limitations of this study, it has been revealed that in Kennedy's classes I and II, for partially dentate personnel, a posterior displacement of the c ondyles was seen. This predisposition would suggest towards the necessity of restoring the missing dentition in order to maintain the har mony of the stomatognathic system.
Authors: Aleksandra Nitecka-Buchta; Thomas Proba; Paulina Proba; Kamil Stefański; Stefan Baron Journal: Pain Res Manag Date: 2018-02-04 Impact factor: 3.037