Condylar distraction according to facial biotypes in orthodontic patients
Keywords:
centric dental occlusion, centric relation, mandibular condyle, orthodonticsAbstract
Introduction: during closure, it is common for an interference or premature point to occur between the maxilla and the mandible, causing the latter to slip from its centric relation to maximum intercuspation. This movement, known as centric slippage, causes distraction of the condyle. Each facial biotype presents a certain degree of condylar distraction.
Objective: to estimate the frequency of condylar distraction greater than 2 mm in the vertical plane, according to the facial biotype.
Methods: a cross-sectional and descriptive study was carried out in a universe of 74 patients from January to February 2022. The variables studied were sex and facial biotype. The percentage was used as a summary measure of information. Ethical principles for scientific research on human beings were respected.
Results: 36 patients (48.64 %) had distraction records of 2 mm or more; 47.22 % were dolichofacial; 16.67 % mesofacial, and 36.11 % brachyfacial. Condylar distraction was more frequent in females.
Conclusions: almost half of the people studied presented condylar distraction greater than 2 mm; but it was more frequent in those with a dolichofacial biotype and female sex, followed by brachyfacial and mesofacial patients. The study provided evidence on the importance of centered articulator mounting to obtain the condylar position indicator, and consequently define the diagnosis and treatment for each patient, according to their facial biotype.
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Venegas C, Farfán C, Fuentes R. Posiciones mandibulares de referencia clínica. Una descripción narrativa. Int. J. Odontostomat. [Internet]. Jun 2021 [citado 2 Mar 2022];15(2):387-96. Disponible en: https://www.scielo.cl/pdf/ijodontos/v15n2/0718-381X-ijodontos-15-02-387.pdf
Gregoret J, Tuber E, Escobar LH, Matos da Fonseca A. Ortodoncia y cirugía ortognática: diagnóstico y planificación. 2da ed. Medellín: Amolca; 2014.
Maldonado-Moreno JA, Lombard-Romero L, Gutiérrez-Camacho C, Canseco-Jiménez JF, Cuairán-Ruidíaz V. Evaluación de dos técnicas para el registro de relación céntrica mandibular: arco gótico versus céntrica de poder. Rev. Odont. Mex [Internet]. Mar 2015 [citado 2 Mar 2022];19(1):15-26. Disponible en: https://www.scielo.org.mx/pdf/rom/v19n1/v19n1a3.pdf
Abraham AP, Veeravalli PT. A positional analyzer for measuring centric slide. J Indian Prosthodont Soc [Internet]. Dic 2012 [citado 2 Mar 2022];12(4):216-21. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3508101/pdf/13191_2012_Article_130.pdf
Jiménez-Silva A, Tobar-Reyes J, Vivanco-Coke S, Pastén-Castro E, Palomino-Montenegro H. Centric relation–intercuspal position discrepancy and its relationship with temporomandibular disorders. A systematic review. Acta Odontol Scand [Internet]. Oct 2017 [citado 2 Mar 2022];75(7):463-74. Disponible en: https://padrechampagnat.cl/pdf/Centric%20relation%20intercuspal%20position%20discrepancy%20and%20its%20relationship%20with%20temporomandibular%20disorders%20A%20systematic%20review.pdf
Rojas-Gutiérrez P, Murayama N, Ondarza-Rovira R, Justus-Doczis R, García-López S. Análisis del desplazamiento condilar y dental a través de un registro interoclusal previo y posterior al uso de guarda oclusal en pacientes sintomáticos articulares. Rev Mex Ortodon [Internet]. Dic 2014 [citado 2 Mar 2022];2(4):228-35. Disponible en: https://www.medigraphic.com/pdfs/ortodoncia/mo-2014/mo144c.pdf
Pangrazio-Kulbersh V, Poggio V, Kulbersh R, Kaczynski R. Condylar distraction effects of two-phase functional appliance/edgewise therapy versus one-phase gnathologically based edgewise therapy. Seminars in Orthodontics [Internet]. Jun 2003 [citado 2 Mar 2022];9(2):128-39. Disponible en: https://www.academia.edu/download/50493210/sodo.2003.3403320161122-23991-2n4uhf.pdf
Moreno-Galeote I. Diferencia en la posición condilar entre relación céntrica y máxima intercuspidación después de tratamiento con férula de desprogramación [Internet]. Madrid: Universidad Autónoma de Madrid; 2017 [citado 2 Mar 2022]. Disponible en: https://repositorio.uam.es/bitstream/handle/10486/680360/moreno_galeote_inmaculada.pdf?sequence=1&isAllowed=y
Utt TW, Meyers CE, Wierzba TF, Hondrum SO. A three-dimensional comparison of condylar position changes between centric relation and centric occlusion using the mandibular position indicator. Am J Orthod Dentofacial Orthop [Internet]. Mar 1995 [citado 2 Mar 2022];107(3):298-308. Disponible en: https://moscow.sci-hub.se/1401/b3cd1e98a1964ac6e965854a1cab696a/utt1995.pdf
Inda-Velázquez KL, Gutiérrez-Rojo JF, Gutiérrez-Villaseñor J. Relación del biotipo facial determinado con el VERT y el patrón de crecimiento facial. Oral [Internet]. Dic 2019 [citado 2 Mar 2022];20(64):1762-5. Disponible en: https://www.medigraphic.com/pdfs/oral/ora-2019/ora1964e.pdf
Schulz-Rosales R, Núñez-Guerrero M, Cerda-Peralta B, Rivera-Rothgaenger M, Ponce de León E, López-Garrido J, et al. Características esqueletales para la determinación cualitativa del biotipo facial en telerradiografía lateral: Estudio Piloto. Rev. Clin. Periodoncia Implantol. Rehabil. Oral [Internet]. Dic 2018 [citado 2 Mar 2022];11(3):164-6. Disponible en: https://www.scielo.cl/pdf/piro/v11n3/0719-0107-piro-11-03-164.pdf
Osorno-Escareño C, Sánchez-Galán JL, Núñez-Martínez JM, Huitzil-Muñoz E, Sáenz-Martínez LP, Ensaldo-Carrasco E, et al. Biotipo facial y su relación con la máxima fuerza de mordida. Oral [Internet]. Dic 2019 [citado 2 Mar 2022];20(64):1758-61. Disponible en: https://www.medigraphic.com/pdfs/oral/ora-2019/ora1964d.pdf
Ruiz-Ramírez M, Calegari-Ayala J, Aira MF. Frecuencia del biotipofacial que presentan pacientes del post grado de Ortodoncia de la universidad autónoma del Paraguay en el periodo 2009 al 2017. Paraguay Oral Research [Internet]. 2018 [citado 2 Mar 2022];7(1):33-8. Disponible en: https://docs.bvsalud.org/biblioref/2019/10/914041/frecuencia-del-biotipofacial-que-presentan-pacientes-del-posgra_1KR3QSz.pdf
Vargas-Troncoso MJ. Estudio comparativo de dos métodos cefalométricos para la determinación del biotipo facial, Vert de Ricketts y Vert modificado, en pacientes clase III esqueletal severa con compromiso mandibular [Internet]. Santiago: Universidad de Chile; 2011 [citado 2 Mar2022]. Disponible en: https://repositorio.uchile.cl/bitstream/handle/2250/133629/Estudio-comparativo-de-dos-m%C3%A9todos-cefalom%C3%A9tricos-para-la-determinaci%C3%B3n-del-biotipo-facial-,%20-Vert-de-Ricketts.pdf?sequence=1
Corporación Panadent. Instrucciones CPI (IPC) - III: Indicador de Posición Condilar (IPC) [Internet]. Colton: Corporación Panadent; 2017 [citado 28 May 2022]. Disponible en: https://panadent.com/Instructions/Spanish/L-CPI-III-SP-REV-1-CPI-III-System.pdf
Asociación Médica Mundial. Declaración de Helsinki de la AMM. Principios éticos para las investigaciones médicas en seres humanos. Ratificada en la 64ª Asamblea General, Fortaleza, Brasil, octubre 2013. Helsinki: 18ª Asamblea Mundial; 1964 [citado 2 Mar 2022]. Disponible en: http://www.anmat.gov.ar/comunicados/HELSINSKI_2013.pdf
Girardot RA. Comparison of condylar position in hyperdivergent and hypodivergent facial skeletal types. Angle Orthod [Internet]. Ago 2001 [citado 9 Jun 2022];71(4):240-6. Disponible en: https://meridian.allenpress.com/angle-orthodontist/article/71/4/240/57667/Comparison-of-Condylar-Position-in-Hyperdivergent
Ponces MJ, Tavares JP, Dias-Lopes J, Pinhão-Ferreira A. Comparison of condylar displacement between three biotypological facial groups by using mounted models and a mandibular position indicator. Korean J Orthod [Internet]. Nov 2014 [citado 9 Jun 2022];44(6):312-9. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4250665/pdf/kjod-44-312.pdf
Pullinger AG, Seligman DA, Solberg WK. Temporomandibular disorders. Part I: Functional status, dentomorphologic features, and sex differences in a nonpatient population. J Prosthet Dent [Internet]. Jul 1988 [citado 9 Jun 2022];59(2):228-35. Disponible en: https://sci-hub.se/10.1016/0022-3913(88)90019-4
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