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KMID : 1004520130290020163
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Journal of Dental Rehabilitation and Applied Science
2013 Volume.29 No. 2 p.163 ~ p.173
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Radiographic Evaluation of Stiffness of Articular Eminence in the Temporomandibular Joint(TMJ) of Korean Using Dental cone-beam CT
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Oh Sang-Chun
Han Ji-Suk
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Abstract
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When the mandible performs opening movement, the condyle-disk complex conducts sliding movement along the articular eminence. Thus, anatomic configuration of articular eminence is very important to normal movement of TMJ. The purpose of this study was to measure the posterior slope of the articular eminence and evaluate the effect of a pathologic bone change in the condylar head on the stiffness of articular eminence, and compare the differences of the articular eminence slope by gender and age using dental cone-beam CT. As using i-CAT Cone-Beam Computed Tomography, the CT images of 204 TMJs of 102 patients(43 men and 59 women, mean age: 37.7 years) who were diagnosed at Wonkwang University Sanbon Dental Hospital were evaluated. All images were converted into a TMJ analysis mode to observe the continuous sagittal section images and coronal section images of the joints. To observe and assess bone changes in the condyle, three dentists measured the stiffness of the articular eminence on the same images, and when two of the three dentists agreed on their reading, these results were adopted and recorded. The articular eminence slope, considering the condylar anatomic configuration, was measured in three regions, namely, lateral part, central part, and medial part of the condyle. In the cases of a normal condyle(NCBC) and a condyle(CBC) with bone change, the articular eminence slopes were (NCBC) and (CBC) at the medial part, (NCBC) and (CBC) at the central part, and (NCBC) and (CBC) at the lateral part of the condyle. And the articular eminence slope of the condyle with bone change demonstrated less steepness than that of normal condyle (p<0.05). The articular eminence slope showed mediolaterally that it was the steepest at the central, followed by at the medial, and at the lateral (p<0.05). There were no significant differences by the gender and the age (p.0.05).
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KEYWORD
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Temporomandibular Joint of Korean, Dental Cone-beam CT, Stiffness of Articular Eminence, Radiographic Evaluation
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