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Is the Temporomandibular Joints’ Reciprocal Clicking Related to the Morphology and Position of the Mandible, as Well as to the Sagittal Position of Lower Incisors?—A Case-Control Study

Author

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  • Marcin Derwich

    (ORTODENT, Specialist Orthodontic Private Practice in Grudziadz, 86-300 Grudziadz, Poland)

  • Maria Mitus-Kenig

    (Department of Experimental Dentistry and Prophylaxis, Medical College, Jagiellonian University in Krakow, 31-008 Krakow, Poland)

  • Elzbieta Pawlowska

    (Department of Orthodontics, Medical University of Lodz, 90-419 Lodz, Poland)

Abstract

The number of patients diagnosed with temporomandibular joint (TMJ) internal derangements, who are seeking orthodontic treatment, is increasing. The aim of the study was to assess the relationship between the presence of TMJ reciprocal clicking and the morphology and position of the mandible, and position of lower incisors, examined on the lateral cephalograms. Fifty patients diagnosed with reciprocal clicking in at least one of the TMJs and 55 patients with no symptoms of TMJ dysfunction were included in the study. Cephalometric analysis was used for the assessment of: skeletal class, sagittal and vertical position of the mandible, angle of the mandible, inclination of the mandibular ramus and the mandibular corpus, as well as for the assessment of the position of the mandibular incisors. The statistical significance level was set at p = 0.05. There were no statistically significant differences between the examined groups regarding the sagittal and vertical position of the mandible, as well as regarding the sagittal position of the mandibular incisors. Presence of TMJ reciprocal clicking is not associated with the position and the morphology of the mandible, as well as with the sagittal position of the mandibular incisors. Patients with early stages of TMJ internal derangements do not present any significant changes in Cephalometrics. Patients diagnosed with TMJ internal derangements before orthodontic treatment require an interdisciplinary approach to the treatment, including physiotherapy.

Suggested Citation

  • Marcin Derwich & Maria Mitus-Kenig & Elzbieta Pawlowska, 2021. "Is the Temporomandibular Joints’ Reciprocal Clicking Related to the Morphology and Position of the Mandible, as Well as to the Sagittal Position of Lower Incisors?—A Case-Control Study," IJERPH, MDPI, vol. 18(9), pages 1-14, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4994-:d:550607
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    References listed on IDEAS

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    1. Marcin Derwich & Maria Mitus-Kenig & Elzbieta Pawlowska, 2020. "Temporomandibular Joints’ Morphology and Osteoarthritic Changes in Cone-Beam Computed Tomography Images in Patients with and without Reciprocal Clicking—A Case Control Study," IJERPH, MDPI, vol. 17(10), pages 1-17, May.
    2. Marcin Derwich & Maria Mitus-Kenig & Elzbieta Pawlowska, 2020. "Morphology of the Temporomandibular Joints Regarding the Presence of Osteoarthritic Changes," IJERPH, MDPI, vol. 17(8), pages 1-14, April.
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    1. Marcin Derwich & Maria Mitus-Kenig & Elzbieta Pawlowska, 2020. "Temporomandibular Joints’ Morphology and Osteoarthritic Changes in Cone-Beam Computed Tomography Images in Patients with and without Reciprocal Clicking—A Case Control Study," IJERPH, MDPI, vol. 17(10), pages 1-17, May.

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