Vasegh Zahra, Safi Yaser, Dalaei Kazem, Hosseinzadeh Mehdi, Tayari Nasim
Department of Oral and Maxillofacial Radiology, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Orthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Dent. 2024 Dec 27;2024:5895594. doi: 10.1155/ijod/5895594. eCollection 2024.
The aim of this comparative observational study is to evaluate and compare the size and position of the condyle among male and female patients with different skeletal patterns in the anterior-posterior dimension using cone beam computed tomography (CBCT) images. CBCT images of 120 patients, all prepared for other treatment purposes under the same conditions, were included in the study. The patients were classified into three groups-class I, class II, and class III-based on ANB angles and Wits analysis. The size of the condyle was measured in terms of width, height, and length. The position of the condyle was assessed by measuring the superior joint space (SS), anterior joint space (AS), and posterior joint space (PS) on the right and left sides separately. The measurements and results were analyzed using analysis of covariance (ANCOVA) and Bonferroni analysis. A statistical significance level of < 0.05 was considered. The study found no statistically significant differences in the size of the SS and AS ( = 0.481 and = 0.392, respectively) across different skeletal patterns. However, the size of the PS was significantly greater in class I subjects compared to class III subjects ( = 0.015). There were no statistically significant differences in condyle height and width among the different skeletal patterns ( = 0.367 and = 0.720, respectively). In contrast, condyle length was statistically significant in class II individuals ( = 0.002) and was the lowest among the other skeletal pattern groups. Based on the results obtained, class I individuals have lower PS values compared to class III individuals. Additionally, class II individuals have shorter condyle lengths compared to those in class III and class I.
这项比较性观察研究的目的是使用锥形束计算机断层扫描(CBCT)图像,评估和比较不同骨骼类型的男性和女性患者髁突在前后维度上的大小和位置。该研究纳入了120例患者的CBCT图像,所有患者均在相同条件下因其他治疗目的而进行了检查。根据ANB角和Wits分析,将患者分为三组:I类、II类和III类。髁突的大小通过宽度、高度和长度来测量。通过分别测量左右两侧的上关节间隙(SS)、前关节间隙(AS)和后关节间隙(PS)来评估髁突的位置。测量结果使用协方差分析(ANCOVA)和Bonferroni分析进行分析。统计学显著性水平设定为<0.05。研究发现,不同骨骼类型之间,SS和AS的大小没有统计学显著差异(分别为=0.481和=0.392)。然而,与III类受试者相比,I类受试者的PS大小显著更大(=0.015)。不同骨骼类型之间,髁突高度和宽度没有统计学显著差异(分别为=0.367和=0.720)。相比之下,II类个体的髁突长度具有统计学显著性(=0.002),且在其他骨骼类型组中是最短的。根据所得结果,I类个体的PS值低于III类个体。此外,与III类和I类个体相比,II类个体的髁突长度较短。