Relationships Between Anterior and Condylar Guidance - Comparison by CBCT and Electronic Axiography

NCT05637372 | Completed

• 1 other identifier: NKBBN/1043/2021-2022-SCGA
• Study Type: observational
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the following study was to investigate the existence of a statistically significant correlation between the incisal features (incisal guidance angle, interincisal angle, overbite, overjet), temporomandibular joint (TMJ) morphology and its function. The hypothesis was: I. The protrusive movement of the mandible does correlate with the TMJ anatomy. II. The protrusive movement of the mandible does not correlate with the incisal features. III. The position and relationship of upper and lower permanent incisors do not have a direct and significant effect on the TMJ morphology in young adults.

Conditions

Temporomandibular Joint Disorders; Occlusion

Outcome Measures

Primary Outcomes (4)

• Sagittal condylar guidance angle during protrusion

  recorded with axiograph

  evaluated within 24h from baseline visit

• Vertical height of the temporomandibular joint fossa

  measured on Cone Beam Computed Tomography

  evaluated within 24h from baseline visit

• Sagittal condylar guidance angle on Cone Beam Computed Tomography

  conducted in 4 variants of measurements

  evaluated within 24h from baseline visit

• Features of the incisors

  incisal guidance angle, interincisal angle, overjet, overbite measured on Cone Beam Computed Tomography

  evaluated within 24h from baseline visit

Study Arms (1)

Study group

Patients without any disorders and diseases in age range ensuring full temporomandibular joint development.

Radiation: CBCT

Interventions

CBCT RADIATION

CBCT scan

Study group

Eligibility Criteria

• Age: 20 Years - 24 Years
• Sex: all
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

primary care clinic

You may qualify if:

• years old

You may not qualify if:

• history of trauma, orthodontic treatment or temporomandibular disorders

Sponsors & Collaborators

• Medical University of Gdansk: lead

Study Sites (1)

Dental Sense Medicover

Gdansk, Pomeranian Voivodeship, 80-283, Poland

Location

Related Publications (6)

• Prasad KD, Shah N, Hegde C. A clinico-radiographic analysis of sagittal condylar guidance determined by protrusive interocclusal registration and panoramic radiographic images in humans. Contemp Clin Dent. 2012 Oct;3(4):383-7. doi: 10.4103/0976-237X.107419.

  PMID: 23633793 BACKGROUND

• Shreshta P, Jain V, Bhalla A, Pruthi G. A comparative study to measure the condylar guidance by the radiographic and clinical methods. J Adv Prosthodont. 2012 Aug;4(3):153-7. doi: 10.4047/jap.2012.4.3.153. Epub 2012 Aug 28.

  PMID: 22977723 BACKGROUND

• Dawson PE. Determining the determinants of occlusion. Int J Periodontics Restorative Dent. 1983;3(6):8-21. No abstract available.

  PMID: 6584415 BACKGROUND

• Han S, Shin SM, Choi YS, Kim SY, Ko CC, Kim YI. Morphometric analysis for evaluating the relation between incisal guidance angle, occlusal plane angle, and functional temporomandibular joint shape variation. Acta Odontol Scand. 2018 May;76(4):287-293. doi: 10.1080/00016357.2017.1420227. Epub 2018 Jan 11.

  PMID: 29322857 BACKGROUND

• Luca, L.; Manfredini, D.; Arveda, N.; Rossi, L.; Siciliani, G. A Cone-Beam Computerized Tomography Assessment of the Relationship between Upper Incisors Inclination and Articular Eminence Features in Orthodontically Untreated Patients with Different Facial Type. J World Fed Orthod 2016, 5 (2), 56-63. https://doi.org/10.1016/j.ejwf.2016.05.001

  BACKGROUND

• Manfredini D, Lombardo L, Siciliani G. Temporomandibular disorders and dental occlusion. A systematic review of association studies: end of an era? J Oral Rehabil. 2017 Nov;44(11):908-923. doi: 10.1111/joor.12531. Epub 2017 Jul 2.

  PMID: 28600812 BACKGROUND

MeSH Terms

Conditions

Temporomandibular Joint Disorders; Bites and Stings

Condition Hierarchy (Ancestors)

Craniomandibular Disorders; Mandibular Diseases; Jaw Diseases; Musculoskeletal Diseases; Joint Diseases; Muscular Diseases; Stomatognathic Diseases; Poisoning; Chemically-Induced Disorders; Wounds and Injuries

Study Officials

• Łukasz Lassmann, DDS

  Dental Sense Medicover, 80-283 Gdańsk, Poland

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctor

Study Record Dates

• First Submitted: November 15, 2022
• First Posted: December 5, 2022
• Study Start: July 20, 2022
• Primary Completion: August 19, 2022
• Study Completion: October 20, 2022
• Last Updated: December 5, 2022

Record last verified: 2022-11

Data Sharing

• IPD Sharing: Will not share

Locations

PL (1)