Volume 20 Issue 11
Nov.  2022
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ZHANG Kai-xiang, XU Jin-cheng. Correlation between condylar anatomical measurement based on digital three-dimensional reconstruction and common symptoms of unilateral temporomandibular joint disorder[J]. Chinese Journal of General Practice, 2022, 20(11): 1856-1859. doi: 10.16766/j.cnki.issn.1674-4152.002719
Citation: ZHANG Kai-xiang, XU Jin-cheng. Correlation between condylar anatomical measurement based on digital three-dimensional reconstruction and common symptoms of unilateral temporomandibular joint disorder[J]. Chinese Journal of General Practice, 2022, 20(11): 1856-1859. doi: 10.16766/j.cnki.issn.1674-4152.002719

Correlation between condylar anatomical measurement based on digital three-dimensional reconstruction and common symptoms of unilateral temporomandibular joint disorder

doi: 10.16766/j.cnki.issn.1674-4152.002719
Funds:

 KJ2021ZD0088

  • Received Date: 2022-06-29
    Available Online: 2022-12-30
  •   Objective  To retrospectively analyzed the correlation between common clinical symptoms of temporomandibular joint disorders (TMD) and condyle morphology by performing 3D reconstruction and anatomical measurement.  Methods  A total of 156 patients who were treated in Department of Stomatology, Bengbu Third People ' s Hospital Affiliated to Bengbu Medical College from June 2020 to September 2021 were divided into experimental group (click group, pain group, and mouth opening limitation group) and control group (no TMD symptom group). The patients were all taken in the Department of Radiology for maxillofacial CT, and three-dimensional reconstruction was performed by Mimics software to obtain the mandibular condyle shape and anatomical measurement was carried out.  Results  Condylar interior-exterior diameter, condylar anteroposterior diameter, condylar anteroposterior angle in the non TMD symptom group were (21.42±1.93) mm, (11.66±1.22) mm, and (105.86±6.67)°, respectively. These three parameters were (21.47±2.38) mm, (10.64±1.10) mm, (97.38±6.76)° in the click group; (21.25±1.04) mm, (12.17±0.81) mm, (104.00±6.73)° in the pain group; (20.48±2.17) mm, (11.55±1.57) mm, (106.79±8.36)° in the mouth opening limitation group. In the patients with joint snapping, the anterior and posterior condylar diameter decreased, and the anterior and posterior condylar angle also decreased. In patients with joint pain, the anteroposterior diameter of the condyle was larger than that of the control group, while the condyle shape of the mouth opening restriction group had no significant difference from that of the control group.  Conclusion  Condylar anatomical measurements are different in TMD patients, suggesting that anatomical measurements may provide a assist for diagnosis of TMD.

     

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