Sagittal position of the temporomandibular joint disc after treatment with an activator: an MRI study
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Published:
Mar 19, 2018
Keywords:
Temporomandibular joint; Magnetic resonance imaging; Activator; Class II
Main Article Content
Abstract
Background: The relation of cause and effect between orthodontic treatment and joint dysfunction, especially disc displacement, is not proved yet. The orthodontic treatment that imposes stress on the temporomandibular joint is the mandibular advance to correct the classes II by mandibular retrognathia. The study aimed to explore the effect of mandibular advancement using rigid activator associated with extra-oral forces on the sagittal position of temporomandibular joint (TMJ) disc.
Methods: 63 children, 10.6 +/- 1 years old with class II and mandibular retrognathia were selected from primary schools. An imaging magnetic resonance exploration (MRI) was performed on 126 TMJ before treatment (t1) and one year after treatment (t2) .The data were analyzed by the Statistical Package for the Social Sciences (SPSS).The error risk α was 5%. The Friedman’s Chi2 Test for paired data was used. The difference p was considered significant if p<.05.
Results: At t2, the discs generally occupied a more anterior position remaining within the bounds of normality and 5 of them have presented a displacement.
Conclusion: Overall, after one year of mandibular advancement, the discs have maintained a normal position.
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Sagittal position of the temporomandibular joint disc after treatment with an activator: an MRI study. (2018). Medical Technologies Journal, 2(1), 140-149. https://doi.org/10.26415/2572-004X-vol2iss1p140-149
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Health sciences
How to Cite
Sagittal position of the temporomandibular joint disc after treatment with an activator: an MRI study. (2018). Medical Technologies Journal, 2(1), 140-149. https://doi.org/10.26415/2572-004X-vol2iss1p140-149
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References
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2. Aelbers CMF, Dermaut LR. Orthopedics in orthodontics -Part I .Fiction gold reality. A Review of J Orthod Dentofacial Orthop literature. Am J Orthod Dent facial Orthop.1996; 110: 513-9. https://doi.org/10.1016/S0889-5406(96)70058-6
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5. Pfeiffer JP.The class II malocclusion: differential diagnosis and clinical implementation of activators, extra oral traction and fixed appliances. Am J Orthod.1975 J; 68: 499-544.
6. Woodside DG, Metaxas A, Altuna G. The effect of functional appliance therapy in modeling glenoid fossa.Am J Orthod. 1983; 83: 460-468. https://doi.org/10.1016/S0002-9416(83)90244-0
7. Petrovic AG, Stutzmann JJ. Effects on the rat mandible of chin-cup appliance and kind of partial or full immobilization.Proc Finn Dent Soc 1991; 87: 85-91. PMid:2057493
8. Ruf S, S Baltromejus, Pancherz H. Effective condylar growth and chin position in activator treatment: cephalomatric roentgenographyic studie.Angle Orthod. 2001; 71: 4-11. PMid:11211297
9. Shen G, Ali Darendaliler M. Adaptive remodeling of condylar cartilage from chondrogenesis to osteogenesis. Rev Orthop Dento Faciale 2008; 42: 89-104. https://doi.org/10.1051/odf:20084210089
10. Rabie A, M Tsai, Hägg U, Du Xi, Chou BW. The Correlation of Replicating Cells and Osteogenesis in the condyle During Stepwise Advancement. Angle Orthod 2003; 73: 457-465. PMid:12940568
11. Buthiau D, J. Dichamp, Goudot P. MRI of the temporomandibular joint. (96p) Vigot ed.Paris 1994.
12. Foucart JM, Pharaboz C, Goasdoué P, Pajoni D. Atlas of anatomy in maxillofacial imaging: scanner and MRI.Encycl.Med.Chr, 1996 22-010-of-50.
13. Felizardo R, Bidange G, B and Boyer al. Encycl.Med.Chir magnetic resonance imaging, 2006, 22-010-D-40
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15. Foucart J-M, Felizardo R, Pizelle C. Indications of radiological examinations in orthodontics Orthod.Fr. 2012; 83: 59-72. https://doi.org/10.1051/orthodfr/2012001 PMid:22455651
16. Mc.Namara JA. Orthodontic treatment and temporomandibular disorders . Oral surg Oral Med Oral Pathol. Oral Radiol Endod.1997; 83: 107-117. https://doi.org/10.1016/S1079-2104(97)90100-1
17. Kim MR, Graber TM, Viana AM.Orthodontics and temporomandibular disorders. A meta-analysis. Am J Ortho Dentofacial Orthop 2002; 121: 438-446. https://doi.org/10.1067/mod.2002.121665
18. Chabre C. Analysis of changes caused by an activator and combining with extra oral forces.Thesis Doct.Sci.Odontol.Paris VII.1987.
19.Lautrou A .Effects of directional forces associated with activator. Thesis Doct.Sci.Odont Paris V .1993.
20. Shannon M., Palacios E., Valvassori GE, Reed CF. MR of the normal temporomandibular joint. In: Magnetic resonance of the temporomandibular joint. Clinical considerations. Radiography Management. New York .Reed Cf Editors.1990.
21. Drace JE, Enzmann DR. Defining the normal temporomandibular joint: closed, open partially, open mouth and MR imaging of asymptomatic subjects.Radiology 1990; 177: 67-71
https://doi.org/10.1148/radiology.177.1.2399340
PMid:2399340
22. Franco AA, Yamzshita HK, Lederman HM and al. Fränkel appliance therapy and the temporomandibular disc: A prospective magnetic resonance study. Am J Orthod Dentofacial Orthop 2002; 121: 447-57. https://doi.org/10.1067/mod.2002.122241 PMid:12045762
23. Pancherz H, Ruf S, Taumalske-Faubert C. Mandibular articular disc changes position during Herbst treatment: A prospective longitudinal MRI study. Am J Dentofacial Orthop 1999; 116: 207-214. https://doi.org/10.1016/S0889-5406(99)70219-2
24. Foucart JM, Pajoni D, Carpentier P, Pharaboz C. MRI study of disc behavior in children treated by mandibular advancement. Orthod.Fr 1998; 69: 79-91. PMid:9643037
25. Bourzgui F, Sebbar M, Nadour A, Hamza M. Prevalence of cranio-mandibular dysfunction during orthodontic treatment. Int Orthod 2010; 8: 386-398. https://doi.org/10.1016/j.ortho.2010.09.006 PMid:21093399
26. Wyatt WE. Preventing adverse effects on the TMJ trough orthodontic treatment. Am J Orthod Dentofacial Orthop.1987, 91: 493-499.
https://doi.org/10.1016/0889-5406(87)90006-0
27. Egermark I, Thilander B. Temporomandibular disorders with special reference to orthodontic treatment: an assessment from childhood to adulthood. Am J Orthod Dentofacial Orthop 1992; 101 (1): 28-34.
https://doi.org/10.1016/0889-5406(92)70078-O
28. Decker A, Deffrennes D, Guillaumot G, Kohaut JC. Rôle of orthodontics in the genesis, treatment and prevention of craniomandibular dysfunction. Orthop Dentofacial Rev 1993; 27: 433-45
https://doi.org/10.1051/odf/1993039
29. Marguelles-Bonnet RE, Carpentier P, Yung JP, Defresnnes D, Pharaboz C. Clinical diagnosis Compared with Findings of magnetic resonance imaging in 242 patients with internal derangement of TMJ. J Orofacial Pain 1995; 9: 242-253.
30. Watted N, E Witt, Kenn W. The temporomandibular joint ad the disk condyle relationship after functional orthopedic treatment: a magnetic resonance study.Eur of J Orthod 2001; 23: 683-693. https://doi.org/10.1093/ejo/23.6.683
31. Wadhawan N, Kumar S, Kumar Kharbanda OP and al. temporomandibular joint adaptations following two-stage therapy: an MRI study.Orthod Craniofac Res 2008; 11: 235 -250. https://doi.org/10.1111/j.1601-6343.2008.00436.x PMid:18950321
32. Silverstein R, S Dunn, Binder R.MRI assessment of the temporomandibular joint with the use of projective geometry Oral surg oral med oral pathol and maxillofac radiol 1994; (77) 5: 523-530
33. Vargas Pereira MR. Quantitative Methods and Development Evaluations of a new metric analysis for jaw Joint structures in the magnetic resonance tomogram (master's thesis), Germany; Univ. Kiel; 1997
34. Aidar LA, Dominguez GC, Yamashita HK, and al. Changes in temporomandibular joint disc position and form Following Herbst and fixed orthodontic treatment. Angle Orthod 2010; 80: 843-852. https://doi.org/10.2319/093009-545.1 PMid:20578854
35. Ruf S, Wüsten B, Pancherz H. Tempromandibular joined effects of activator treatment: a prospective longitudinal magnetic resonance imaging and clinical study. Angle Orthod 2002; 72: 527-540. PMid:12518944
36. Kinzinger GSM, Roth A, N and Gulden and al. Effects of orthodontic treatment with fixed functional orthopedic appliances on the disc-condyle relationship in the temporomandibular joint: a magnetic resonance imaging study (PARTII). Dentomaxillofac Radiol 2006; 35: 347-356.
https://doi.org/10.1259/dmfr/70972585
37. Patti A. Class II and TMJ. In: Treatment of class II from prevention to surgery. Int.Quintessence; 2010: 409-446.
38. Chavan SJ, Bhad WA, Doshi UH. Comparison of temporomandibular joint changes in Twin Block and Bionator appliance therapy: a magnetic resonance imaging study. Prog Orthod. 2014 October 1; 15: 57.
https://doi.org/10.1186/s40510-014-0057-6 PMid:25329768 PMCid:PMC4181700
39. Michelotti A, Iodice G. The role of orthodontics in temporomandibular disorders. Journal of Oral Rehabilitation 2010; 37: 411-429. https://doi.org/10.1111/j.1365-2842.2010.02087.x PMid:20406353
2. Aelbers CMF, Dermaut LR. Orthopedics in orthodontics -Part I .Fiction gold reality. A Review of J Orthod Dentofacial Orthop literature. Am J Orthod Dent facial Orthop.1996; 110: 513-9. https://doi.org/10.1016/S0889-5406(96)70058-6
3. Ioannidou-Marathiotou J, Papadopoulos Ma. Mode of action of functional appliances. Evidence Clinique.Preuves. Orthod. Fr. 2005; 76: 111-126. https://doi.org/10.1051/orthodfr/200576111 PMid:20939994
4. Darendeliler MA. Validity of randomized clinical trials for evaluation of treatment outcomes of class II.Orthod.Fr 2007.78: 303-315.
5. Pfeiffer JP.The class II malocclusion: differential diagnosis and clinical implementation of activators, extra oral traction and fixed appliances. Am J Orthod.1975 J; 68: 499-544.
6. Woodside DG, Metaxas A, Altuna G. The effect of functional appliance therapy in modeling glenoid fossa.Am J Orthod. 1983; 83: 460-468. https://doi.org/10.1016/S0002-9416(83)90244-0
7. Petrovic AG, Stutzmann JJ. Effects on the rat mandible of chin-cup appliance and kind of partial or full immobilization.Proc Finn Dent Soc 1991; 87: 85-91. PMid:2057493
8. Ruf S, S Baltromejus, Pancherz H. Effective condylar growth and chin position in activator treatment: cephalomatric roentgenographyic studie.Angle Orthod. 2001; 71: 4-11. PMid:11211297
9. Shen G, Ali Darendaliler M. Adaptive remodeling of condylar cartilage from chondrogenesis to osteogenesis. Rev Orthop Dento Faciale 2008; 42: 89-104. https://doi.org/10.1051/odf:20084210089
10. Rabie A, M Tsai, Hägg U, Du Xi, Chou BW. The Correlation of Replicating Cells and Osteogenesis in the condyle During Stepwise Advancement. Angle Orthod 2003; 73: 457-465. PMid:12940568
11. Buthiau D, J. Dichamp, Goudot P. MRI of the temporomandibular joint. (96p) Vigot ed.Paris 1994.
12. Foucart JM, Pharaboz C, Goasdoué P, Pajoni D. Atlas of anatomy in maxillofacial imaging: scanner and MRI.Encycl.Med.Chr, 1996 22-010-of-50.
13. Felizardo R, Bidange G, B and Boyer al. Encycl.Med.Chir magnetic resonance imaging, 2006, 22-010-D-40
14. Emshoff R, Rudisch A, K and Innerhofer al. Magnetic Resonance Imaging Findings of temporomandibular joint internal derangement in without a clinical diagnosis of temporomandibular disorder. Journal of Oral Rehabilitation 2002; 29: 516-522. https://doi.org/10.1046/j.1365-2842.2002.00883.x PMid:12071918
15. Foucart J-M, Felizardo R, Pizelle C. Indications of radiological examinations in orthodontics Orthod.Fr. 2012; 83: 59-72. https://doi.org/10.1051/orthodfr/2012001 PMid:22455651
16. Mc.Namara JA. Orthodontic treatment and temporomandibular disorders . Oral surg Oral Med Oral Pathol. Oral Radiol Endod.1997; 83: 107-117. https://doi.org/10.1016/S1079-2104(97)90100-1
17. Kim MR, Graber TM, Viana AM.Orthodontics and temporomandibular disorders. A meta-analysis. Am J Ortho Dentofacial Orthop 2002; 121: 438-446. https://doi.org/10.1067/mod.2002.121665
18. Chabre C. Analysis of changes caused by an activator and combining with extra oral forces.Thesis Doct.Sci.Odontol.Paris VII.1987.
19.Lautrou A .Effects of directional forces associated with activator. Thesis Doct.Sci.Odont Paris V .1993.
20. Shannon M., Palacios E., Valvassori GE, Reed CF. MR of the normal temporomandibular joint. In: Magnetic resonance of the temporomandibular joint. Clinical considerations. Radiography Management. New York .Reed Cf Editors.1990.
21. Drace JE, Enzmann DR. Defining the normal temporomandibular joint: closed, open partially, open mouth and MR imaging of asymptomatic subjects.Radiology 1990; 177: 67-71
https://doi.org/10.1148/radiology.177.1.2399340
PMid:2399340
22. Franco AA, Yamzshita HK, Lederman HM and al. Fränkel appliance therapy and the temporomandibular disc: A prospective magnetic resonance study. Am J Orthod Dentofacial Orthop 2002; 121: 447-57. https://doi.org/10.1067/mod.2002.122241 PMid:12045762
23. Pancherz H, Ruf S, Taumalske-Faubert C. Mandibular articular disc changes position during Herbst treatment: A prospective longitudinal MRI study. Am J Dentofacial Orthop 1999; 116: 207-214. https://doi.org/10.1016/S0889-5406(99)70219-2
24. Foucart JM, Pajoni D, Carpentier P, Pharaboz C. MRI study of disc behavior in children treated by mandibular advancement. Orthod.Fr 1998; 69: 79-91. PMid:9643037
25. Bourzgui F, Sebbar M, Nadour A, Hamza M. Prevalence of cranio-mandibular dysfunction during orthodontic treatment. Int Orthod 2010; 8: 386-398. https://doi.org/10.1016/j.ortho.2010.09.006 PMid:21093399
26. Wyatt WE. Preventing adverse effects on the TMJ trough orthodontic treatment. Am J Orthod Dentofacial Orthop.1987, 91: 493-499.
https://doi.org/10.1016/0889-5406(87)90006-0
27. Egermark I, Thilander B. Temporomandibular disorders with special reference to orthodontic treatment: an assessment from childhood to adulthood. Am J Orthod Dentofacial Orthop 1992; 101 (1): 28-34.
https://doi.org/10.1016/0889-5406(92)70078-O
28. Decker A, Deffrennes D, Guillaumot G, Kohaut JC. Rôle of orthodontics in the genesis, treatment and prevention of craniomandibular dysfunction. Orthop Dentofacial Rev 1993; 27: 433-45
https://doi.org/10.1051/odf/1993039
29. Marguelles-Bonnet RE, Carpentier P, Yung JP, Defresnnes D, Pharaboz C. Clinical diagnosis Compared with Findings of magnetic resonance imaging in 242 patients with internal derangement of TMJ. J Orofacial Pain 1995; 9: 242-253.
30. Watted N, E Witt, Kenn W. The temporomandibular joint ad the disk condyle relationship after functional orthopedic treatment: a magnetic resonance study.Eur of J Orthod 2001; 23: 683-693. https://doi.org/10.1093/ejo/23.6.683
31. Wadhawan N, Kumar S, Kumar Kharbanda OP and al. temporomandibular joint adaptations following two-stage therapy: an MRI study.Orthod Craniofac Res 2008; 11: 235 -250. https://doi.org/10.1111/j.1601-6343.2008.00436.x PMid:18950321
32. Silverstein R, S Dunn, Binder R.MRI assessment of the temporomandibular joint with the use of projective geometry Oral surg oral med oral pathol and maxillofac radiol 1994; (77) 5: 523-530
33. Vargas Pereira MR. Quantitative Methods and Development Evaluations of a new metric analysis for jaw Joint structures in the magnetic resonance tomogram (master's thesis), Germany; Univ. Kiel; 1997
34. Aidar LA, Dominguez GC, Yamashita HK, and al. Changes in temporomandibular joint disc position and form Following Herbst and fixed orthodontic treatment. Angle Orthod 2010; 80: 843-852. https://doi.org/10.2319/093009-545.1 PMid:20578854
35. Ruf S, Wüsten B, Pancherz H. Tempromandibular joined effects of activator treatment: a prospective longitudinal magnetic resonance imaging and clinical study. Angle Orthod 2002; 72: 527-540. PMid:12518944
36. Kinzinger GSM, Roth A, N and Gulden and al. Effects of orthodontic treatment with fixed functional orthopedic appliances on the disc-condyle relationship in the temporomandibular joint: a magnetic resonance imaging study (PARTII). Dentomaxillofac Radiol 2006; 35: 347-356.
https://doi.org/10.1259/dmfr/70972585
37. Patti A. Class II and TMJ. In: Treatment of class II from prevention to surgery. Int.Quintessence; 2010: 409-446.
38. Chavan SJ, Bhad WA, Doshi UH. Comparison of temporomandibular joint changes in Twin Block and Bionator appliance therapy: a magnetic resonance imaging study. Prog Orthod. 2014 October 1; 15: 57.
https://doi.org/10.1186/s40510-014-0057-6 PMid:25329768 PMCid:PMC4181700
39. Michelotti A, Iodice G. The role of orthodontics in temporomandibular disorders. Journal of Oral Rehabilitation 2010; 37: 411-429. https://doi.org/10.1111/j.1365-2842.2010.02087.x PMid:20406353