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Faculty of Dentistry
Document Details
Document Type
:
Article In Journal
Document Title
:
Maxillomandibular Relationship in TMD
Maxillomandibular Relationship in TMD
Document Language
:
English
Abstract
:
This study assessed the maxillomandibular relationship in temporomandibular disorders (TMD) patients, before and after short-term, flat plane bite plate therapy. It was of interest to determine the incidence and degree of mandibular deviation in a group of TMD patients and whether the mandible would shift to the midline and consequently affect reported symptoms. Seventeen female and three male subjects (age range 19-60) were included in the study. Thirteen subjects were diagnosed with myofascial pain while seven were diagnosed as exhibiting disk displacement with reduction (Research Diagnostic Criteria). After taking impressions for these subjects, casts were fabricated and mounted. Maxillomandibular relationship was evaluated by the Denar entric Check system (Anaheim, CA). The maxillary and mandibular labial frena were used as a reference to evaluate mandibular shift. Symptom questionnaires were used to assess temporomandibular joint pain and clicking. All subjects exhibited deviation (12 subjects to the right and 8 subjects to the left) prior to bite plate therapy. After flat plane bite plate therapy, the mandibular position of all subjects shifted toward the labial frenum midline position. Based on the Binomial test, the shift was significant (p<0.001). Measurements on the Centric Check system showed a significant movement of both condyles in the anterio-posterior plane as well as the verticalplane. There was also significant reduction in TMJ pain and clicking (p<0.01). The results support the hypothesis that the balanced position of the mandible is with frena aligned. When occlusal obstructions are eliminated, the mandible will drift to this position.
ISSN
:
0
Journal Name
:
J Can Dent Assoc.
Volume
:
21
Issue Number
:
3
Publishing Year
:
2003 AH
2003 AD
Article Type
:
Article
Added Date
:
Thursday, December 6, 2007
Researchers
Researcher Name (Arabic)
Researcher Name (English)
Researcher Type
Dr Grade
Email
خالد زواوي
zwawi, khalid
Investigator
Doctorate
kzawawi@kau.edu.sa
Files
File Name
Type
Description
Maxillomandibular Relationship in TMD.pdf
pdf
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