Tomographic Evaluation of TMJ Loading Affected by Occlusal Pivots

Hironobu Sato, Shinichi Ukon, Masatsugu Ishikawa, Masafumi Ohki, Hideki Kitamori

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Purpose: The purpose of this study was to clarify the direction and magnitude of condyle displacement during clenching with occlusal pivots. Temporomandibular joint (TMJ) loading and flexibility and the clinical significance of orthopedic appliance therapy are also discussed. Materials and Methods: Participants were 16 volunteers with a mean age of 25.8 years. Maxillary and mandibular flat occlusal devices were fabricated. TMJ tomogram series were taken first with tripod support and then with maxillary clenched anterior pivot support and/or unilateral posterior pivot support. Condyle positions on the TMJ tomograms were analyzed using the digital subtraction technique. Results: When clenching with the anterior pivot, the anterior reference point (A) on the mandibular condyle was translated 0.1 mm posteriorly (P > 0.05) and 0.2 mm superiorly (P < 0.01) from the tripod-support reference point. In the case of the ipsilateral posterior pivot, point A was rotated 1.2 degrees (P < 0.01) and was translated 0.4 mm (P < 0.01) posteriorly and 0.18 mm superiorly (P > 0.05). Conclusion: Condyle displacement during clenching with the anterior and posterior unilateral pivot was found, which supports previous findings. However, the direction and magnitude of the displacement differed from those of previous studies using jaw-tracking devices, and individual values differed greatly among subjects.

Original languageEnglish
Pages (from-to)399-404
Number of pages6
JournalInternational Journal of Prosthodontics
Volume13
Issue number5
Publication statusPublished - Dec 1 2000

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Temporomandibular Joint
Bone and Bones
Subtraction Technique
Mandibular Condyle
Equipment and Supplies
Articular Range of Motion
Jaw
Orthopedics
Volunteers
Direction compound
Therapeutics

All Science Journal Classification (ASJC) codes

  • Oral Surgery

Cite this

Sato, H., Ukon, S., Ishikawa, M., Ohki, M., & Kitamori, H. (2000). Tomographic Evaluation of TMJ Loading Affected by Occlusal Pivots. International Journal of Prosthodontics, 13(5), 399-404.

Tomographic Evaluation of TMJ Loading Affected by Occlusal Pivots. / Sato, Hironobu; Ukon, Shinichi; Ishikawa, Masatsugu; Ohki, Masafumi; Kitamori, Hideki.

In: International Journal of Prosthodontics, Vol. 13, No. 5, 01.12.2000, p. 399-404.

Research output: Contribution to journalArticle

Sato, H, Ukon, S, Ishikawa, M, Ohki, M & Kitamori, H 2000, 'Tomographic Evaluation of TMJ Loading Affected by Occlusal Pivots', International Journal of Prosthodontics, vol. 13, no. 5, pp. 399-404.
Sato H, Ukon S, Ishikawa M, Ohki M, Kitamori H. Tomographic Evaluation of TMJ Loading Affected by Occlusal Pivots. International Journal of Prosthodontics. 2000 Dec 1;13(5):399-404.
Sato, Hironobu ; Ukon, Shinichi ; Ishikawa, Masatsugu ; Ohki, Masafumi ; Kitamori, Hideki. / Tomographic Evaluation of TMJ Loading Affected by Occlusal Pivots. In: International Journal of Prosthodontics. 2000 ; Vol. 13, No. 5. pp. 399-404.
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