Radiographic evaluation of temporomandibular joint in patients with posterior direct restorations

Relevance. The process of tooth wear and direct restorations can progress and cause dysfunction of the temporomandibular joint (TMJ), the assessment of which is quite effective using cone beam computed tomography (CBCT).The aim is to study of the morphological parameters of the condyles and their re...

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Main Authors: I. N. Bagdasarova, A. A. Gevorkyan, O. V. Pilshchikova, N. N. Fedotova, A. S. Karnaeva, L. A. Kozhevnikova, V. M. Slonova
Format: Article
Language:Russian
Published: LLC "Endo Press" 2020-03-01
Series:Эндодонтия Today
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Online Access:https://www.endodont.ru/jour/article/view/227
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author I. N. Bagdasarova
A. A. Gevorkyan
O. V. Pilshchikova
N. N. Fedotova
A. S. Karnaeva
L. A. Kozhevnikova
V. M. Slonova
author_facet I. N. Bagdasarova
A. A. Gevorkyan
O. V. Pilshchikova
N. N. Fedotova
A. S. Karnaeva
L. A. Kozhevnikova
V. M. Slonova
author_sort I. N. Bagdasarova
collection DOAJ
description Relevance. The process of tooth wear and direct restorations can progress and cause dysfunction of the temporomandibular joint (TMJ), the assessment of which is quite effective using cone beam computed tomography (CBCT).The aim is to study of the morphological parameters of the condyles and their relationship with the articular fossa of the TMJ using CBCT in patients with direct restorations in the masticatory region of the upper and lower jaws.Materials and methods. We studied 26 CBCT (18 women and 8 men) with a ratio of teeth with I class, without clinical symptoms and not undergoing orthodontic treatment, with an average age of 45.6 years. TMJ was evaluated by angular and linear parameters on three sections. Results. The entire space was larger on the right than on the left, however, this difference was only statistically significant for the superior and posterior spaces. The center of the condyle was shifted anteriorly more to the left than to the right, and also, the head of the condylar process had a more inclined anteriorly to the left than to the right. At coronal sections, the medial-lateral angulation was the same for both sides, as well as the distance from the center of the condyle to the mid-sagittal plane. Conclusions. The features and the absence of clinical symptoms showed potential changes in TMJ on CBCT in patients with direct restorations that have been functioning for more than two years.
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spelling doaj-art-c177601145ce4cfbbb1031b755c7a2652025-08-20T02:58:53ZrusLLC "Endo Press"Эндодонтия Today1683-29811726-72422020-03-011743710.36377/1683-2981-2019-17-4-3-7227Radiographic evaluation of temporomandibular joint in patients with posterior direct restorationsI. N. Bagdasarova0A. A. Gevorkyan1O. V. Pilshchikova2N. N. Fedotova3A. S. Karnaeva4L. A. Kozhevnikova5V. M. Slonova6Department of Therapeutic Dentistry Federal State Autonomous Educational Institution of Higher Education Peoples Friendship University of Russia (RUDN University), Medical InstituteDepartment of Therapeutic Dentistry Federal State Autonomous Educational Institution of Higher Education Peoples Friendship University of Russia (RUDN University), Medical InstituteDepartment of Therapeutic Dentistry Federal State Autonomous Educational Institution of Higher Education Peoples Friendship University of Russia (RUDN University), Medical InstituteDepartment of Therapeutic Dentistry Federal State Autonomous Educational Institution of Higher Education Peoples Friendship University of Russia (RUDN University), Medical InstituteDepartment of Therapeutic Dentistry Federal State Autonomous Educational Institution of Higher Education Peoples Friendship University of Russia (RUDN University), Medical InstituteDepartment of Therapeutic Dentistry Federal State Autonomous Educational Institution of Higher Education Peoples Friendship University of Russia (RUDN University), Medical InstituteDepartment of Therapeutic Dentistry Federal State Autonomous Educational Institution of Higher Education Peoples Friendship University of Russia (RUDN University), Medical InstituteRelevance. The process of tooth wear and direct restorations can progress and cause dysfunction of the temporomandibular joint (TMJ), the assessment of which is quite effective using cone beam computed tomography (CBCT).The aim is to study of the morphological parameters of the condyles and their relationship with the articular fossa of the TMJ using CBCT in patients with direct restorations in the masticatory region of the upper and lower jaws.Materials and methods. We studied 26 CBCT (18 women and 8 men) with a ratio of teeth with I class, without clinical symptoms and not undergoing orthodontic treatment, with an average age of 45.6 years. TMJ was evaluated by angular and linear parameters on three sections. Results. The entire space was larger on the right than on the left, however, this difference was only statistically significant for the superior and posterior spaces. The center of the condyle was shifted anteriorly more to the left than to the right, and also, the head of the condylar process had a more inclined anteriorly to the left than to the right. At coronal sections, the medial-lateral angulation was the same for both sides, as well as the distance from the center of the condyle to the mid-sagittal plane. Conclusions. The features and the absence of clinical symptoms showed potential changes in TMJ on CBCT in patients with direct restorations that have been functioning for more than two years.https://www.endodont.ru/jour/article/view/227tmj, cbct, direct restorations, indirect restorations
spellingShingle I. N. Bagdasarova
A. A. Gevorkyan
O. V. Pilshchikova
N. N. Fedotova
A. S. Karnaeva
L. A. Kozhevnikova
V. M. Slonova
Radiographic evaluation of temporomandibular joint in patients with posterior direct restorations
Эндодонтия Today
tmj, cbct, direct restorations, indirect restorations
title Radiographic evaluation of temporomandibular joint in patients with posterior direct restorations
title_full Radiographic evaluation of temporomandibular joint in patients with posterior direct restorations
title_fullStr Radiographic evaluation of temporomandibular joint in patients with posterior direct restorations
title_full_unstemmed Radiographic evaluation of temporomandibular joint in patients with posterior direct restorations
title_short Radiographic evaluation of temporomandibular joint in patients with posterior direct restorations
title_sort radiographic evaluation of temporomandibular joint in patients with posterior direct restorations
topic tmj, cbct, direct restorations, indirect restorations
url https://www.endodont.ru/jour/article/view/227
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