Radej Ilona, Dargiewicz Ewelina, Sawczuk-Siemieniuk Magdalena, Ferrando Cascales Raúl, Ferrando Cascales Álvaro, Agustín-Panadero Rubén, Szarmach Izabela
Department of Orthodontics, Medical University of Białystok, ul. Waszyngtona 15A, 15-274 Białystok, Poland.
Faculty of Health Sciences, San Antonio de Murcia Catholic University (UCAM), 30107 Murcia, Spain.
J Clin Med. 2023 Jan 15;12(2):689. doi: 10.3390/jcm12020689.
Available knowledge about malocclusion and cephalometric variables and their connection with an increased risk of condylar displacement (CD) is scarce. This article aims to present current information on the relationship between centric relation-maximum intercuspal position discrepancies and maxillofacial morphology and malocclusion in patients seeking orthodontic treatment as well as to identify those who require expanded diagnostic evaluation for this disorder.
This review analyzed the PubMed, Cochrane Library, Web of Science, and Scopus electronic databases up to February 2022. Keywords and additional manual searches were performed. Literature selection was based the PRISMA-ScR checklist. The JBI Critical Appraisal Tool assessed the methodological quality of included studies.
The databases search provided 2321 studies. A total of 10 studies were included in this review after eligibility criteria and JBI assessment. This review was separated into five parts that evaluated CD correlations depending on the following: maxillofacial structure in different vertical and sagittal skeletal patterns, vertical, horizontal, and transverse malocclusions.
A hyperdivergent facial skeletal structure is a risk factor for increased CD, particularly in the vertical dimension. The condylar processes are usually displaced in a posteroinferior direction. Further studies are warranted to elucidate the relationship among remaining skeletal and dental malocclusions and the occurrence of CD.
关于错颌畸形、头影测量变量及其与髁突移位（CD）风险增加之间联系的现有知识匮乏。本文旨在介绍寻求正畸治疗患者的正中关系-最大牙尖交错位差异与颌面形态及错颌畸形之间关系的当前信息，并确定那些需要针对该病症进行扩展诊断评估的患者。
本综述分析了截至2022年2月的PubMed、Cochrane图书馆、科学网和Scopus电子数据库。进行了关键词搜索和额外的手动搜索。文献选择基于PRISMA-ScR清单。JBI批判性评估工具评估了纳入研究的方法学质量。
数据库搜索提供了2321项研究。经过纳入标准和JBI评估后，本综述共纳入10项研究。本综述分为五个部分，根据以下内容评估CD的相关性：不同垂直和矢状骨骼模式下的颌面结构、垂直、水平和横向错颌畸形。
高角型面部骨骼结构是CD增加的危险因素，尤其是在垂直维度上。髁突通常向后下方向移位。有必要进一步研究以阐明其余骨骼和牙齿错颌畸形与CD发生之间的关系。
