Temporomandibular joint disc position and configuration in children with functional unilateral posterior crossbite: A magnetic resonance imaging evaluation

Temporomandibular joint disc position and configuration in children with functional unilateral posterior crossbite: A magnetic resonance imaging evaluation

Autor Pellizoni, SEP Google Scholar
Salioni, MAC Google Scholar
Juliano, Y. Google Scholar
Guimaraes, A. S. Google Scholar
Alonso, L. G. Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Univ Santo Amaro
Resumo Introduction: Epidemiological studies have suggested an association between unilateral posterior crossbite (UPXB) and temporomanclibular joint disc displacement. the purpose of this prospective study was to investigate articular disc positioning and its configuration in children with functional UPXB malocclusions and their counterparts with normal occlusions by using magnetic resonance imaging. Methods: the study sample included 9 girls and 6 boys (mean age, 9.3 years; SD, 2.1) with complete UPXB involving 3 or more posterior teeth and functional shift from centric relation to intercuspal position (patient group). the control group consisted of 10 girls and 6 boys (mean age, 9.6 years; SD, 2.1) with normal occlusion. All participants had no signs or symptoms of temporomandibular disorder. Sagittal and frontal magnetic resonance images of the temporomandibular joint with the jaw in closed and open positions were made bilaterally. Three investigators independently interpreted the magnetic resonance images. Results: No intergroup or intragroup differences regarding sex were found, and only 1 subject with articular derangement (disc displacement without reduction associated with disc distortion-folded disc) was found (patient group, same side of crossbite). Conclusions: These findings suggest that temporomandibular joint derangements and functional UPXB are independent occurrences, or that the magnitude of such derangements is still not normally detected by magnetic resonance imaging in children in this age range. Another explanation for posterior crossbite not being reflected in disc displacement is the potential compensatory asymmetrical condyle growth or articular fossa remodeling that can hold the articular disc in position.
Idioma Inglês
Data de publicação 2006-06-01
Publicado em American Journal of Orthodontics and Dentofacial Orthopedics. St Louis: Mosby, Inc, v. 129, n. 6, p. 785-793, 2006.
ISSN 0889-5406 (Sherpa/Romeo, fator de impacto)
Publicador Mosby, Inc
Extensão 785-793
Fonte http://dx.doi.org/10.1016/j.ajodo.2006.02.007
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000238322000019
Endereço permanente http://repositorio.unifesp.br/handle/11600/28943

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