Effects of fixed functional appliance treatment on the temporomandibular joint

Am J Orthod Dentofacial Orthop. 2008 Jun;133(6):809-14. doi: 10.1016/j.ajodo.2006.07.035.


Introduction: In this study, we tested the hypothesis that fixed functional appliance treatment in a group of Class II Division 1 patients with mandibular retrusion changes the condyle position in the glenoid fossa.

Methods: Transverse computed tomography images were taken of the temporomandibular joint region in 60 children with Class II Division 1 malocclusion. Thirty randomly selected patients were treated with a fixed functional orthodontic appliance (Forsus nitinol flat-spring, 3M Unitek Corp, Monrovia, Calif) for 7 months; another 30 patients without treatment were used as controls. Computed tomography images taken at the beginning and end of fixed functional appliance treatment were used for estimating the condyle-glenoid fossa relationship, including the volumes of condyle, glenoid fossa, and anterior and posterior joint spaces.

Results: Although the volumes of the condyle and glenoid fossa increased more in the study group than in the control group, the differences were not statistically significant. However, statistically significant differences were found between the groups in the volumes of the anterior and posterior joint spaces (P < 0.05).

Conclusions: When the volumes of the anterior and posterior joint spaces changed, the condyle was more posteriorly positioned in the glenoid fossa in the study group than in the control group.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Cephalometry
  • Child
  • Female
  • Humans
  • Male
  • Malocclusion, Angle Class II / pathology*
  • Malocclusion, Angle Class II / therapy
  • Mandibular Condyle / diagnostic imaging
  • Mandibular Condyle / pathology
  • Orthodontic Appliances, Functional / adverse effects*
  • Orthodontics, Interceptive / adverse effects*
  • Orthodontics, Interceptive / instrumentation*
  • Retrognathia / diagnostic imaging
  • Retrognathia / pathology
  • Statistics, Nonparametric
  • Temporal Bone / diagnostic imaging
  • Temporomandibular Joint / diagnostic imaging
  • Temporomandibular Joint / pathology
  • Temporomandibular Joint Disorders / diagnostic imaging
  • Temporomandibular Joint Disorders / etiology*
  • Temporomandibular Joint Disorders / pathology
  • Tomography, Spiral Computed