Department of Stomatology, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil.
Department of Orthodontics and Dental Pediatrics, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil.
Braz Oral Res. 2015;29:49. doi: 10.1590/1807-3107BOR-2015.vol29.0049. Epub 2015 Mar 10.
The relationship of mandibular condyle dimensions and its association with unilateral posterior crossbite (UPXB) has been suggested in the literature. The purpose of this prospective study was to evaluate mandibular condyles on the left and right sides and between crossed and non-crossed sides in the sagittal and coronal planes, using cone-beam computed tomography (CBCT). Twenty CBCT images of 40 temporo mandibular joints (TMJs) in individuals in mixed dentition phase, which included 9 males (mean 7.9 years) and 11 females (mean 8.2 years), with unilateral posterior crossbite without premature contacts and functional mandibular shifts and with transverse maxillary deficiency. The criteria for sample exclusion included the presence of painful symptoms, facial trauma history, systemic diseases such as juvenile rheumatoid arthritis, mouth opening limitation (< 40 mm), congenital or genetic anomalies, and skeletal asymmetries that may result in TMJ disorders. Dimensional measurements of the condyles between the right and left sides and crossed and non-crossed sides in sagittal and coronal view were made. There was no significant difference between the measurements of the crossed and non-crossed sides in both sagittal and coronal view. These findings suggest that the presence of unilateral posterior crossbite in children with UPXB did not result in changes between the mandibular condyles in the right and left sides or between the crossed and non-crossed sides in the coronal or sagittal plane.
下颌骨髁突尺寸及其与单侧后牙反合(UPXB)的关系在文献中有相关报道。本前瞻性研究的目的是使用锥形束 CT(CBCT)评估处于混合牙列期的个体的左右两侧以及交叉和非交叉侧的矢状面和冠状面的下颌骨髁突。共纳入 40 例 TMJ 的 20 例 CBCT 图像,这些 TMJ 来自于单侧后牙反合且无早接触和功能性下颌偏斜、伴横向上颌骨不足的个体,其中 9 例为男性(平均年龄 7.9 岁),11 例为女性(平均年龄 8.2 岁)。纳入标准为:无疼痛症状、无面部外伤史、无幼年特发性关节炎等系统性疾病、张口度正常(>40mm)、无先天性或遗传性异常以及可能导致 TMJ 紊乱的骨骼不对称。对矢状面和冠状面的左右侧和交叉与非交叉侧的髁突进行了尺寸测量。在矢状面和冠状面,交叉侧和非交叉侧的测量值之间无显著差异。这些发现表明,单侧后牙反合儿童的 UPXB 并未导致冠状面或矢状面中左右两侧的下颌骨髁突之间或交叉与非交叉侧之间的变化。