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The study of facial morphology in patients with vertical growth pattern (hyperdivergent) lacking or showing temporomandibular disorders symptoms - 24/05/20

Doi : 10.1016/j.jormas.2019.10.001 
Vahid Mollabashi a , Ali Heidari b , Hosna Ebrahimi Zadeh c, , Maryam Seyed Tabib d
a Department of Orthodontics, Dental Research Center, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran 
b Department of Oral and Maxillofacial Surgery, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran 
c Department of Restorative and Cosmetic Dentistry, School of Dentistry, Shahid Behesti University of Medical Sciences, Tehran, Iran 
d Department of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran 

Corresponding author.

Abstract

Aim

According to the large number of studies, there seems to be a significant relation between hyperdivergence growth pattern and temporomandibular disorders. However, it is not clearly scrutinized which morphological factors can contribute to the development of temporomandibular disorders. The aim of this study was to investigate the relation between some skeletal and facial morphologic features of hyperdivergent facial growth pattern patients and temporomandibular disorders.

Materials and Methods

This case-control study was performed on a population of 50 patients including 25 patients with temporomandibular disorder and 25 non- temporomandibular disorder individuals aged between 15–30 years with hyperdivergent growth pattern (Frankfurt Mandibualr plane angle between 28 and 35 degree). Two groups of symptomatic and asymptomatic patients (case and control) were matched for age and gender. In order to evaluate the skeletal and dental variables, lateral cephalometries was taken and traced after obtaining written consent from the patients. The measured variables were A point to Nasion to B point, Frankfurt plane to Nasion to Pogonion, Nasion to A point to Pogonion, Sella to Gnathion to Frankfurt plan, Articular point to Gonion-Menton, Sella to Articular point to Gonion, Palatal plane to Mandibular plane, and Articular point to Gonion angles. The intervals of Basion to Nasion, Sella to Basion, Gonion to Menton, and amounts of Anterior facial height meas, Upper Anterior facial height ratio to Lower Anterior facial height, posterior facial height, overjet, and overbite Data were analyzed by Chi2 test, t-test, and multivariate test.

Results

According to the descriptive statistics, the age of the control and case groups averaged 21.12±1.99 and 21.63±1.58 years respectively. Among the people referred to the dental school, the frequency of males and females in the control and case groups were 6, 7 and 19, 18 respectively. The results of t-test and multivariate tests indicated significant differences between the two variables of overbite and mandibular length.

Conclusion

The present study revealed increased overbite (dental feature) and mandibular length (skeletal feature) is more likely to be associated with a higher risk of temporomandibular disorders joint disease in patients with hyperdivergent facial growth pattern.

Clinical significance

Treatment of the deep bite condition can be helpful in improving temporomandibular disorder.

Le texte complet de cet article est disponible en PDF.

Keywords : Hyperdivergence, Temporomandibular disorders, Lateral Cephalometry


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Vol 121 - N° 3

P. 233-237 - juin 2020 Retour au numéro
Article précédent Article précédent
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