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Comparison of Morphologic Parameters of Temporomandibular Joint for Asymptomatic Subjects Using the Two-Dimensional and Three-Dimensional Measuring Methods

Identifieur interne : 000284 ( Pmc/Checkpoint ); précédent : 000283; suivant : 000285

Comparison of Morphologic Parameters of Temporomandibular Joint for Asymptomatic Subjects Using the Two-Dimensional and Three-Dimensional Measuring Methods

Auteurs : Yuanli Zhang [République populaire de Chine] ; Xianchao Xu [République populaire de Chine] ; Zhan Liu [République populaire de Chine]

Source :

RBID : PMC:5434231

Abstract

The differences of temporomandibular joint (TMJ) morphologic parameters by using two-dimensional (2D) and three-dimensional (3D) measuring methods were compared. Ten asymptomatic subjects (26.75 ± 4.89 years) were randomly recruited. The 3D models of the maxilla, mandible, and teeth were reconstructed according to cone-beam computed tomography (CBCT) image data. The morphologic parameters of TMJs were measured by the 2D CBCT measuring method (group A) and the 3D reconstruction model measuring method (group B), respectively. The morphologic parameters in each group were assessed by paired samples t-test, and the statistical significance was achieved when p < 0.05. The horizontal condylar angle (HCA), sagittal ramus angle (SRA), medial joint space (MJS), lateral joint space (LJS), superior joint space (SJS), and anterior joint space (AJS) in group A were significantly smaller than those in group B (p < 0.05). The HCA on the left side was significantly smaller than that on the right side in group A (p < 0.05). However, all the morphologic parameters in group B were not significantly different between left and right sides. In conclusion, there were significant differences for the morphologic parameters of TMJ measured on 2D CBCT and 3D models. 3D measuring method should be used for the detection of TMJ morphology in clinical practice.


Url:
DOI: 10.1155/2017/5680708
PubMed: 29065621
PubMed Central: 5434231


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<p>The differences of temporomandibular joint (TMJ) morphologic parameters by using two-dimensional (2D) and three-dimensional (3D) measuring methods were compared. Ten asymptomatic subjects (26.75 ± 4.89 years) were randomly recruited. The 3D models of the maxilla, mandible, and teeth were reconstructed according to cone-beam computed tomography (CBCT) image data. The morphologic parameters of TMJs were measured by the 2D CBCT measuring method (group A) and the 3D reconstruction model measuring method (group B), respectively. The morphologic parameters in each group were assessed by paired samples
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< 0.05. The horizontal condylar angle (HCA), sagittal ramus angle (SRA), medial joint space (MJS), lateral joint space (LJS), superior joint space (SJS), and anterior joint space (AJS) in group A were significantly smaller than those in group B (
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< 0.05). The HCA on the left side was significantly smaller than that on the right side in group A (
<italic>p</italic>
< 0.05). However, all the morphologic parameters in group B were not significantly different between left and right sides. In conclusion, there were significant differences for the morphologic parameters of TMJ measured on 2D CBCT and 3D models. 3D measuring method should be used for the detection of TMJ morphology in clinical practice.</p>
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</author>
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<name sortKey="Jung, B" uniqKey="Jung B">B. Jung</name>
</author>
</analytic>
</biblStruct>
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<analytic>
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<name sortKey="Chen, C C" uniqKey="Chen C">C.-C. Chen</name>
</author>
<author>
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</author>
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<name sortKey="Chiang, H" uniqKey="Chiang H">H. Chiang</name>
</author>
<author>
<name sortKey="Chen, Y J" uniqKey="Chen Y">Y.-J. Chen</name>
</author>
</analytic>
</biblStruct>
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<analytic>
<author>
<name sortKey="Zhang, L Z" uniqKey="Zhang L">L.-Z. Zhang</name>
</author>
<author>
<name sortKey="Meng, S S" uniqKey="Meng S">S.-S. Meng</name>
</author>
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<name sortKey="He, D M" uniqKey="He D">D.-M. He</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="He, J" uniqKey="He J">J. He</name>
</author>
<author>
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</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Healthc Eng</journal-id>
<journal-id journal-id-type="iso-abbrev">J Healthc Eng</journal-id>
<journal-id journal-id-type="publisher-id">JHE</journal-id>
<journal-title-group>
<journal-title>Journal of Healthcare Engineering</journal-title>
</journal-title-group>
<issn pub-type="ppub">2040-2295</issn>
<issn pub-type="epub">2040-2309</issn>
<publisher>
<publisher-name>Hindawi</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">29065621</article-id>
<article-id pub-id-type="pmc">5434231</article-id>
<article-id pub-id-type="doi">10.1155/2017/5680708</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Comparison of Morphologic Parameters of Temporomandibular Joint for Asymptomatic Subjects Using the Two-Dimensional and Three-Dimensional Measuring Methods</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Yuanli</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Xu</surname>
<given-names>Xianchao</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-7336-6685</contrib-id>
<name>
<surname>Liu</surname>
<given-names>Zhan</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1">Provincial Key Lab for Biomechanical Engineering, Sichuan University, Chengdu 610065, China</aff>
<author-notes>
<corresp id="cor1">*Zhan Liu:
<email>bmeliuzhan@163.com</email>
</corresp>
<fn fn-type="other">
<p>Academic Editor: Lizhen Wang</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>2</day>
<month>5</month>
<year>2017</year>
</pub-date>
<volume>2017</volume>
<elocation-id>5680708</elocation-id>
<history>
<date date-type="received">
<day>28</day>
<month>2</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>4</day>
<month>4</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2017 Yuanli Zhang et al.</copyright-statement>
<copyright-year>2017</copyright-year>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>The differences of temporomandibular joint (TMJ) morphologic parameters by using two-dimensional (2D) and three-dimensional (3D) measuring methods were compared. Ten asymptomatic subjects (26.75 ± 4.89 years) were randomly recruited. The 3D models of the maxilla, mandible, and teeth were reconstructed according to cone-beam computed tomography (CBCT) image data. The morphologic parameters of TMJs were measured by the 2D CBCT measuring method (group A) and the 3D reconstruction model measuring method (group B), respectively. The morphologic parameters in each group were assessed by paired samples
<italic>t</italic>
-test, and the statistical significance was achieved when
<italic>p</italic>
< 0.05. The horizontal condylar angle (HCA), sagittal ramus angle (SRA), medial joint space (MJS), lateral joint space (LJS), superior joint space (SJS), and anterior joint space (AJS) in group A were significantly smaller than those in group B (
<italic>p</italic>
< 0.05). The HCA on the left side was significantly smaller than that on the right side in group A (
<italic>p</italic>
< 0.05). However, all the morphologic parameters in group B were not significantly different between left and right sides. In conclusion, there were significant differences for the morphologic parameters of TMJ measured on 2D CBCT and 3D models. 3D measuring method should be used for the detection of TMJ morphology in clinical practice.</p>
</abstract>
<funding-group>
<award-group>
<funding-source>National Natural Science Foundation of China</funding-source>
<award-id>11202143</award-id>
<award-id>31670963</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>The 3D model of an asymptomatic subject: (a) front view and (b) lateral view.</p>
</caption>
<graphic xlink:href="JHE2017-5680708.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>Measurements of the HCA in the horizontal view: (a) on the CBCT images and (b) in the 3D models. HCA: horizontal condylar angle.</p>
</caption>
<graphic xlink:href="JHE2017-5680708.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p>Measurements of the MJS, SJS, LJS, CCA, and CCW in the coronal view: (a and b) on the CBCT images and (c, d, e, and f) in the 3D models. The point O is the midpoint of CCW in part (a). CCA: coronal condylar angle; CCW: coronal condylar width; MJS: medial joint space; LJS: lateral joint space; SJS: superior joint space.</p>
</caption>
<graphic xlink:href="JHE2017-5680708.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float">
<label>Figure 4</label>
<caption>
<p>Measurements of the SRA, PJS, and AJS in the sagittal view: (a) on the CBCT images and (b and c) in the 3D models. SRA: sagittal ramus angle; AJS: anterior joint space; PJS: posterior joint space.</p>
</caption>
<graphic xlink:href="JHE2017-5680708.004"></graphic>
</fig>
<table-wrap id="tab1" orientation="portrait" position="float">
<label>Table 1</label>
<caption>
<p>Mean and standard deviation of the morphologic parameters for the ten asymptomatic subjects measured in 2D CBCT (group A) and 3D model (group B).</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" rowspan="1" colspan="1">Morphologic parameters</th>
<th align="center" rowspan="1" colspan="1">Group A
<break></break>
(
<italic>n</italic>
= 10)</th>
<th align="center" rowspan="1" colspan="1">Group B
<break></break>
(
<italic>n</italic>
= 10)</th>
<th align="center" rowspan="1" colspan="1">
<italic>p</italic>
value</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" rowspan="1" colspan="1">HCA (°)</td>
<td align="center" rowspan="1" colspan="1">12.19 ± 0.57</td>
<td align="center" rowspan="1" colspan="1">12.72 ± 0.23</td>
<td align="center" rowspan="1" colspan="1">0.034
<sup></sup>
</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">CCA (°)</td>
<td align="center" rowspan="1" colspan="1">12.61 ± 0.39</td>
<td align="center" rowspan="1" colspan="1">12.93 ± 0.59</td>
<td align="center" rowspan="1" colspan="1">0.123</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">SRA (°)</td>
<td align="center" rowspan="1" colspan="1">76.68 ± 3.54</td>
<td align="center" rowspan="1" colspan="1">80.37 ± 1.23</td>
<td align="center" rowspan="1" colspan="1">0.012
<sup></sup>
</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">CCW (mm)</td>
<td align="center" rowspan="1" colspan="1">18.21 ± 2.23</td>
<td align="center" rowspan="1" colspan="1">18.54 ± 2.12</td>
<td align="center" rowspan="1" colspan="1">0.607</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">MJS (mm)</td>
<td align="center" rowspan="1" colspan="1">2.30 ± 0.20</td>
<td align="center" rowspan="1" colspan="1">2.81 ± 0.35</td>
<td align="center" rowspan="1" colspan="1">0.002
<sup>∗∗</sup>
</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">LJS (mm)</td>
<td align="center" rowspan="1" colspan="1">2.57 ± 0.19</td>
<td align="center" rowspan="1" colspan="1">3.03 ± 0.53</td>
<td align="center" rowspan="1" colspan="1">0.007
<sup>∗∗</sup>
</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">SJS (mm)</td>
<td align="center" rowspan="1" colspan="1">2.05 ± 0.12</td>
<td align="center" rowspan="1" colspan="1">2.27 ± 0.18</td>
<td align="center" rowspan="1" colspan="1">0.001
<sup>∗∗</sup>
</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">AJS (mm)</td>
<td align="center" rowspan="1" colspan="1">2.47 ± 0.24</td>
<td align="center" rowspan="1" colspan="1">2.77 ± 0.43</td>
<td align="center" rowspan="1" colspan="1">0.039
<sup></sup>
</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">PJS (mm)</td>
<td align="center" rowspan="1" colspan="1">2.53 ± 0.47</td>
<td align="center" rowspan="1" colspan="1">2.62 ± 0.66</td>
<td align="center" rowspan="1" colspan="1">0.601</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Note:
<italic>p</italic>
> 0.05, not significant.
<sup></sup>
Statistically significant difference between group A and group B by paired samples
<italic>t</italic>
-test (
<italic>p</italic>
< 0.05).
<sup>∗∗</sup>
Highly statistically significant difference between group A and group B by paired samples
<italic>t</italic>
-test (
<italic>p</italic>
< 0.01). HCA: horizontal condylar angle; CCA: coronal condylar angle; SRA: sagittal ramus angle; CCW: coronal condylar width; MJS: medial joint space; LJS: lateral joint space; SJS: superior joint space; AJS: anterior joint space; PJS: posterior joint space; 2D: two-dimensional; 3D: three-dimensional.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tab2" orientation="portrait" position="float">
<label>Table 2</label>
<caption>
<p>Mean and standard deviation of the morphologic parameters for the ten asymptomatic subjects on the left and right TMJs.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="center" rowspan="2" colspan="1">Morphologic parameters</th>
<th align="center" colspan="3" rowspan="1">Group A (
<italic>n</italic>
= 10)</th>
<th align="center" colspan="3" rowspan="1">Group B (
<italic>n</italic>
= 10)</th>
</tr>
<tr>
<th align="center" rowspan="1" colspan="1">Left TMJ</th>
<th align="center" rowspan="1" colspan="1">Right TMJ</th>
<th align="center" rowspan="1" colspan="1">
<italic>p</italic>
value</th>
<th align="center" rowspan="1" colspan="1">Left TMJ</th>
<th align="center" rowspan="1" colspan="1">Right TMJ</th>
<th align="center" rowspan="1" colspan="1">
<italic>p</italic>
value</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" rowspan="1" colspan="1">HCA (°)</td>
<td align="center" rowspan="1" colspan="1">11.91 ± 0.55</td>
<td align="center" rowspan="1" colspan="1">12.46 ± 0.74</td>
<td align="center" rowspan="1" colspan="1">
<sup></sup>
</td>
<td align="center" rowspan="1" colspan="1">12.57 ± 0.37</td>
<td align="center" rowspan="1" colspan="1">12.87 ± 0.31</td>
<td align="center" rowspan="1" colspan="1">NS</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">CCA (°)</td>
<td align="center" rowspan="1" colspan="1">12.48 ± 0.55</td>
<td align="center" rowspan="1" colspan="1">12.73 ± 0.51</td>
<td align="center" rowspan="1" colspan="1">NS</td>
<td align="center" rowspan="1" colspan="1">12.91 ± 0.63</td>
<td align="center" rowspan="1" colspan="1">12.95 ± 0.60</td>
<td align="center" rowspan="1" colspan="1">NS</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">SRA (°)</td>
<td align="center" rowspan="1" colspan="1">76.65 ± 3.28</td>
<td align="center" rowspan="1" colspan="1">76.70 ± 3.86</td>
<td align="center" rowspan="1" colspan="1">NS</td>
<td align="center" rowspan="1" colspan="1">80.11 ± 1.52</td>
<td align="center" rowspan="1" colspan="1">80.62 ± 1.30</td>
<td align="center" rowspan="1" colspan="1">NS</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">CCW (mm)</td>
<td align="center" rowspan="1" colspan="1">18.54 ± 2.56</td>
<td align="center" rowspan="1" colspan="1">17.88 ± 2.04</td>
<td align="center" rowspan="1" colspan="1">NS</td>
<td align="center" rowspan="1" colspan="1">18.69 ± 2.05</td>
<td align="center" rowspan="1" colspan="1">18.39 ± 2.28</td>
<td align="center" rowspan="1" colspan="1">NS</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">MJS (mm)</td>
<td align="center" rowspan="1" colspan="1">2.27 ± 0.28</td>
<td align="center" rowspan="1" colspan="1">2.32 ± 0.21</td>
<td align="center" rowspan="1" colspan="1">NS</td>
<td align="center" rowspan="1" colspan="1">2.84 ± 0.50</td>
<td align="center" rowspan="1" colspan="1">2.78 ± 0.46</td>
<td align="center" rowspan="1" colspan="1">NS</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">LJS (mm)</td>
<td align="center" rowspan="1" colspan="1">2.54 ± 0.24</td>
<td align="center" rowspan="1" colspan="1">2.59 ± 0.19</td>
<td align="center" rowspan="1" colspan="1">NS</td>
<td align="center" rowspan="1" colspan="1">3.09 ± 0.77</td>
<td align="center" rowspan="1" colspan="1">2.96 ± 0.47</td>
<td align="center" rowspan="1" colspan="1">NS</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">SJS (mm)</td>
<td align="center" rowspan="1" colspan="1">2.03 ± 0.14</td>
<td align="center" rowspan="1" colspan="1">2.07 ± 0.15</td>
<td align="center" rowspan="1" colspan="1">NS</td>
<td align="center" rowspan="1" colspan="1">2.26 ± 0.19</td>
<td align="center" rowspan="1" colspan="1">2.28 ± 0.18</td>
<td align="center" rowspan="1" colspan="1">NS</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">AJS (mm)</td>
<td align="center" rowspan="1" colspan="1">2.55 ± 0.56</td>
<td align="center" rowspan="1" colspan="1">2.39 ± 0.35</td>
<td align="center" rowspan="1" colspan="1">NS</td>
<td align="center" rowspan="1" colspan="1">2.64 ± 0.65</td>
<td align="center" rowspan="1" colspan="1">2.90 ± 0.48</td>
<td align="center" rowspan="1" colspan="1">NS</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">PJS (mm)</td>
<td align="center" rowspan="1" colspan="1">2.49 ± 0.44</td>
<td align="center" rowspan="1" colspan="1">2.57 ± 0.54</td>
<td align="center" rowspan="1" colspan="1">NS</td>
<td align="center" rowspan="1" colspan="1">2.55 ± 0.82</td>
<td align="center" rowspan="1" colspan="1">2.68 ± 0.61</td>
<td align="center" rowspan="1" colspan="1">NS</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Note: NS: not significant (
<italic>p</italic>
> 0.05).
<sup></sup>
Statistically significant difference between the left and right TMJs by paired samples
<italic>t</italic>
-test (
<italic>p</italic>
< 0.05). HCA: horizontal condylar angle; CCA: coronal condylar angle; SRA: sagittal ramus angle; CCW: coronal condylar width; MJS: medial joint space; LJS: lateral joint space; SJS: superior joint space; AJS: anterior joint space; PJS: posterior joint space.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>République populaire de Chine</li>
</country>
</list>
<tree>
<country name="République populaire de Chine">
<noRegion>
<name sortKey="Zhang, Yuanli" sort="Zhang, Yuanli" uniqKey="Zhang Y" first="Yuanli" last="Zhang">Yuanli Zhang</name>
</noRegion>
<name sortKey="Liu, Zhan" sort="Liu, Zhan" uniqKey="Liu Z" first="Zhan" last="Liu">Zhan Liu</name>
<name sortKey="Xu, Xianchao" sort="Xu, Xianchao" uniqKey="Xu X" first="Xianchao" last="Xu">Xianchao Xu</name>
</country>
</tree>
</affiliations>
</record>

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