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Reproducibility of Centric Relation Techniques by means of Condyle Position Analysis

Identifieur interne : 007103 ( Ncbi/Merge ); précédent : 007102; suivant : 007104

Reproducibility of Centric Relation Techniques by means of Condyle Position Analysis

Auteurs : Nikolina Holen Galekovi [Croatie] ; Vesna Fugoši [Croatie] ; Vedrana Braut [Croatie] ; Robert Eli [Croatie]

Source :

RBID : PMC:5506257

Abstract

Purpose

The aim of this study was to determine the reproducibility of clinical centric relation (CR) registration techniques (bimanual manipulation, chin point guidance and Roth's method) by means of condyle position analysis.

Material and methods

Thirty two fully dentate asymptomatic subjects (16 female and 16 male) with normal occlusal relations (Angle class I) participated in the study (mean age, 22.6 ± 4.7 years). The mandibular position indicator (MPI) was used to analyze the three-dimensional (anteroposterior (ΔX), superoinferior (ΔZ), mediolateral (ΔY)) condylar shift generated by the difference between the centric relation position (CR) and the maximal intercuspation position (MI) observed in dental arches.

Results

The mean value and standard deviation of three-dimensional condylar shift of the tested clinical CR techniques was 0.19 ± 0.34 mm. Significant differences within the tested clinical CR registration techniques were found for anteroposterior condylar shift on the right side posterior (Δ Xrp; P ≤ 0.012); and superoinferior condylar shift on the left side inferior (Δ Zli; P ≤ 0.011), whereas between the tested CR registration techniques were found for anteroposterior shift on the right side posterior (ΔXrp, P ≤ 0.037) and superoinferior shift on the right side inferior (ΔZri, P ≤ 0.004), on the left side inferior (ΔZli, P ≤ 0.005) and on the left side superior (ΔZls, P ≤ 0.007).

Conclusion

Bimanual manipulation, chin point guidance and Roth's method are clinical CR registration techniques of equal accuracy and reproducibility in asymptomatic subjects with normal occlusal relationship.


Url:
DOI: 10.15644/asc51/1/2
PubMed: 28740266
PubMed Central: 5506257

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PMC:5506257

Le document en format XML

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<nlm:aff id="aff2">Department of Prosthodontics, Medical Faculty, University of Rijeka, Kresimirova 40, 51000 Rijeka,
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<country xml:lang="fr">Croatie</country>
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<sec>
<title>Purpose</title>
<p>The aim of this study was to determine the reproducibility of clinical centric relation (CR) registration techniques (bimanual manipulation, chin point guidance and Roth's method) by means of condyle position analysis.</p>
</sec>
<sec>
<title>Material and methods</title>
<p>Thirty two fully dentate asymptomatic subjects (16 female and 16 male) with normal occlusal relations (Angle class I) participated in the study (mean age, 22.6 ± 4.7 years). The mandibular position indicator (MPI) was used to analyze the three-dimensional (anteroposterior (ΔX), superoinferior (ΔZ), mediolateral (ΔY)) condylar shift generated by the difference between the centric relation position (CR) and the maximal intercuspation position (MI) observed in dental arches.</p>
</sec>
<sec>
<title>Results</title>
<p>The mean value and standard deviation of three-dimensional condylar shift of the tested clinical CR techniques was 0.19 ± 0.34 mm. Significant differences
<italic>within</italic>
the tested clinical CR registration techniques were found for anteroposterior condylar shift on the right side posterior (Δ Xrp; P ≤ 0.012); and superoinferior condylar shift on the left side inferior (Δ Zli; P ≤ 0.011), whereas
<italic>between</italic>
the tested CR registration techniques were found for anteroposterior shift on the right side posterior (ΔXrp, P ≤ 0.037) and superoinferior shift on the right side inferior (ΔZri, P ≤ 0.004), on the left side inferior (ΔZli, P ≤ 0.005) and on the left side superior (ΔZls, P ≤ 0.007).</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Bimanual manipulation, chin point guidance and Roth's method are clinical CR registration techniques of equal accuracy and reproducibility in asymptomatic subjects with normal occlusal relationship.</p>
</sec>
</div>
</front>
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<journal-id journal-id-type="nlm-ta">Acta Stomatol Croat</journal-id>
<journal-id journal-id-type="iso-abbrev">Acta Stomatol Croat</journal-id>
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<article-title>Reproducibility of Centric Relation Techniques by means of Condyle Position Analysis</article-title>
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<name>
<surname>Galeković</surname>
<given-names>Nikolina Holen</given-names>
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<sup>1</sup>
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Health Center Zagreb Zapad, Albaharijeva 5, 10000 Zagreb,
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Department of Prosthodontics, Medical Faculty, University of Rijeka, Kresimirova 40, 51000 Rijeka,
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Department of Removable Prosthodontics, School of Dental Medicine, University of Zagreb, Ivana Gundulića 5, 10000 Zagreb,
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<author-notes>
<corresp id="cor1">Corresponding author:
Assoc. Prof. Robert Ćelić, PhD,
University of Zagreb School of Dental Medicine
Department of Removable Prosthodontics,
Gundulićeva 5, 10 000 Zagreb, Croatia,

<email xlink:href="celic@sfzg.hr">celic@sfzg.hr</email>
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<copyright-statement>All rights reserved. Printed in Croatia. Copyright 2016: University of Zagreb School of Dental Medicine; Croatian Dental Society - Croatian Medical Association. The full text of articles published in this journal can be used free of charge for personal and educational purposes while respecting the copyright of the authors and publishers. For commercial purposes no part of this journal may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information and retrieval system, without the written permission of the publisher.</copyright-statement>
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<abstract>
<sec>
<title>Purpose</title>
<p>The aim of this study was to determine the reproducibility of clinical centric relation (CR) registration techniques (bimanual manipulation, chin point guidance and Roth's method) by means of condyle position analysis.</p>
</sec>
<sec>
<title>Material and methods</title>
<p>Thirty two fully dentate asymptomatic subjects (16 female and 16 male) with normal occlusal relations (Angle class I) participated in the study (mean age, 22.6 ± 4.7 years). The mandibular position indicator (MPI) was used to analyze the three-dimensional (anteroposterior (ΔX), superoinferior (ΔZ), mediolateral (ΔY)) condylar shift generated by the difference between the centric relation position (CR) and the maximal intercuspation position (MI) observed in dental arches.</p>
</sec>
<sec>
<title>Results</title>
<p>The mean value and standard deviation of three-dimensional condylar shift of the tested clinical CR techniques was 0.19 ± 0.34 mm. Significant differences
<italic>within</italic>
the tested clinical CR registration techniques were found for anteroposterior condylar shift on the right side posterior (Δ Xrp; P ≤ 0.012); and superoinferior condylar shift on the left side inferior (Δ Zli; P ≤ 0.011), whereas
<italic>between</italic>
the tested CR registration techniques were found for anteroposterior shift on the right side posterior (ΔXrp, P ≤ 0.037) and superoinferior shift on the right side inferior (ΔZri, P ≤ 0.004), on the left side inferior (ΔZli, P ≤ 0.005) and on the left side superior (ΔZls, P ≤ 0.007).</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Bimanual manipulation, chin point guidance and Roth's method are clinical CR registration techniques of equal accuracy and reproducibility in asymptomatic subjects with normal occlusal relationship.</p>
</sec>
</abstract>
<kwd-group kwd-group-type="author">
<title>Key words: </title>
<kwd>Dental Occlusion</kwd>
<kwd>Centric Relation</kwd>
<kwd>Mandibular Condyle</kwd>
<kwd>Bimanual Manipulation</kwd>
<kwd>Chin Point Guidance</kwd>
<kwd>Roth's Method</kwd>
<kwd>Mandibular Position Indicator</kwd>
</kwd-group>
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