Does the horizontal condylar angle have a relationship to temporomandibular joint osteoarthritis and condylar position? A cone-beam computed tomography study


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PAMUKÇU U., Tetik H., PEKER İ., ALTUNKAYNAK B., Zafersoy Akarslan Z.

Folia morphologica, cilt.81, sa.3, ss.723-731, 2022 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 81 Sayı: 3
  • Basım Tarihi: 2022
  • Doi Numarası: 10.5603/fm.a2021.0075
  • Dergi Adı: Folia morphologica
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.723-731
  • Anahtar Kelimeler: condylar position, cone-beam computed tomography, horizontal condylar angle, temporomandibular joint osteoarthritis
  • Lokman Hekim Üniversitesi Adresli: Hayır

Özet

BACKGROUND: The aim of the study was to evaluate the relationship between the horizontal condylar angle (HCA), temporomandibular joint osteoarthritis (TMJ OA), and condylar position on cone-beam computed tomography (CBCT) images. MATERIALS AND METHODS: Based on TMJ OA, joints were classified as affected and the unaffected. According to the OA condition of their joints, three groups of patients were formed: control group (n = 159, 41.1%), unilateral group (n = 121, 31.3%), and bilateral group (n = 107, 27.6%). In total, the HCAs of 774 TMJs of 387 patients were measured and their condylar positions were determined as concentric (n = 184, 23.8%), posterior (n = 338, 43.7%), and anterior (n = 252, 32.5%). RESULTS: The mean HCA of the bilateral group (22.7 ± 7.6°) was greater than those in both the control (19.5 ± 6.4°) and the unilateral (20.5 ± 6.5°) groups (p < 0.05). However, the difference was not statistically significant between the control and unilateral group (p > 0.05). In total patients, unlike the unilateral group, the affected joints had a greater mean HCA than the unaffected joints (p < 0.05). The mean HCAs of the joints according to the condylar position were as concentric: 20.6 ± 6.7°, posterior: 21.1 ± 7.8°, and anterior: 20.2 ± 7.9° (p > 0.05). CONCLUSIONS: While the HCA increased in the presence of TMJ OA, no relationship was found between HCA and three different condylar positions.