The aim was to compare normal overjet versus large overjet cases with clinically healthy temporomandibular joints (TMJ); to establish normative data regarding the difference between condylar positions in centric occlusion (CO) and maximum intercuspation (MI) and deflective CO contacts. Two study groups of normal overjet and large overjet cases consisted each of 33 subjects with no detectable clinical signs of temporomandibular disorder (TMD). CO-MI differences were recorded using the SAM Mandibular Position Indicator. Deflective contacts were examined on models mounted in CO. There was a significant difference between groups in the vertical (P = 0.030) and transverse (P = 0.008) range of movement from CO to MI, but not in the antero-posterior direction. There were no differences in the location of deflective contacts. Results of this study showed that patients with increased overjet show some differences compared with normal overjet patients, even in the non-patients. Further research on TMD patients is needed to find out about the role these features play in the aetiology and treatment of temporomandibular disorder (TMD). This study indicates that the clinician should be paying special attention to the TMJ status of patients with a large overjet.
To compare normal overbite, deep bite and open bite cases with clinically healthy temporomandibular joints (TMJ) regarding the difference between condylar positions in centric relation (CR) and habitual or centric occlusion (CO), condylar paths and radiographic findings of condylar appearance in order to establish normative data. Three study groups of normal overbite, deep bite and open bite cases consisted each of 30 subjects with no detectable clinical signs of temporomandibular disorder. The CR-CO differences and axiographic tracings were recorded using the School Artikulator of Mack (SAM) diagnostic system. Condylar shape was evaluated on panoramic radiographs. The CR-CO differences were greater in the vertical plane in open bite cases, and direction of movements from CR to CO showed great variability. Open bite cases had significantly shorter condylar paths. Radiographic findings exhibited that 23% of the total sample showed evidence of erosion and 83% evidence of flattening of condyles. The erosion rates were higher in the open bite group, but flattening was seen more often in the deep bite group. Results of this study showed that open bite cases show larger vertical CR-CO slides and, shorter protrusion paths than normal and deep overbite cases. The radiographic appearance of condyles in non-patients may also differ significantly according to vertical incisor guidance type. Deep bite cases demonstrated a higher incidence of condylar flattening. This study indicates that the clinician should be paying special attention to the TMJ status of open bite patients.
Compared to both control groups, the preoperative periodontal condition of the surgery patients was less acceptable than in the orthodontically treated patients, whereas subjects without braces presented the most ideal hygienic conditions. In the short term, the decompensation process prior to mandibular setback surgery did not affect periodontal structures significantly, and the current study did not find any negative effects of early postoperative relapse forces on the mandibular incisor area.
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