The relationship between retruded contact position and intercuspal position in patients with TMJ osteoarthritis

Cranio. 2003 Oct;21(4):240-7. doi: 10.1080/08869634.2003.11746257.

Abstract

This study was conducted to investigate the relationship between posterior mandibular excursion movement and temporomandibular joint osteoarthntis (TMJ OA) in 25 orthodontic patients with Angle Class I and Class II, using a six degrees-of-freedom measuring device and helical computed tomography. There were significant differences found in three-dimensional length, antero-posterior, absolute latero-medial and supero-inferior incisal, and condylar intercuspal position (IP)-retruded contact position (RCP) slides between bilateral, unilateral, and no condylar bone change groups. With respect to the types of condylar bone change, there were significant differences found in three-dimensional length, antero-postenor, and absolute latero-medial condylar IP-RCP slides between flattening, erosion and osteophyte groups. These results suggest that large three-dimensional, not only incisal but also condylar, IP-RCP slides might be related to the uni-/bilaterality and kind of TMJ pathosis, which might make such slides useful as clinical indices of TMJ OA.

MeSH terms

  • Adult
  • Centric Relation
  • Dental Occlusion, Centric
  • Female
  • Humans
  • Jaw Relation Record
  • Male
  • Malocclusion / complications
  • Malocclusion / physiopathology*
  • Mandible / physiopathology*
  • Mandibular Condyle / diagnostic imaging
  • Mandibular Condyle / pathology*
  • Movement
  • Osteoarthritis / complications
  • Osteoarthritis / diagnostic imaging
  • Osteoarthritis / physiopathology*
  • Reproducibility of Results
  • Statistics, Nonparametric
  • Temporomandibular Joint Disorders / complications
  • Temporomandibular Joint Disorders / diagnostic imaging
  • Temporomandibular Joint Disorders / physiopathology*
  • Tomography, Spiral Computed