EVALUATION OF THE EFFECT OF SURGICALLY ASSISTED RAPID MAXILLARY EXPANSION ON TEMPOROMANDIBULAR JOINT DISC POSITION WITH MAGNETIC RESONANCE IMAGING*
Year 2021,
Volume: 24 Issue: 4, 318 - 325, 03.01.2022
Murat Kaya
,
M.fatih Şentürk
,
Yavuz Fındık
Abstract
Objective: To evaluate, by magnetic resonance ımaging (MRI), the effects of surgically assisted rapid maxillary expansion (SARME) on the temporomandibular joint (TMJ) disc position.
Methods: Patients with maxillary transversial discrepeancies treated SARME analyzed prospectively. The magnetic resonance imaging assessments of the TMJ were obtained before SARME operation and after expansion process. Retention period, gender and presence of wisdom teeth were the predictor variables. Disc position index (DPI) values were calculated and analyzed as an outcome variable.
Results: The study included 13 subjects (4 male, 9 female) with a mean age of 19.5±2.3 years. After treatment there was excess changing position seen in three articular disc relative the condyle in three patient. Retention period, gender and presence of wisdom teeth were not significantly effected TMJ disc in terms of DPI values in mouth opened or closed position (p> 0.05).
Conclusion: According to our study TMJ disc position was not effected significantly by SARME (p > 0.05).
Supporting Institution
Süleyman Demirel Üniversitesi Bilimsel Araştırma Projeleri Koordinasyon Birimi
Project Number
4684-DU1-16
Thanks
We are grateful to “İstatistik Dünyası” for their statistical assistance and Radiology Department of Medicine and Dentistry Faculty of Suleyman Demirel University for their radiological assessments and Anesthesiology Department of Suleyman Demirel University Dentistry Faculty for their assistance in general anesthesia.
References
- Referans 1. da Silva Filho OG, Boas MC, CapelozzaFilho L. Rapid maxillary expansion in the primary and mixed dentitions: a cephalometric evaluation. Am J Orthod Dentofacial Orthop 1991;100(2):171-9.
- Referans 2. Suri L, Taneja P. Surgically assisted rapid palatal expansion: a literature review. Am J Orthod Dentofacial Orthop 2008;133(2):290-302.
- Referans 3. Tasaki MM, Westesson PL. MR imaging of the temporomandibular joint: diagnosis accuracy with sagittal and coronal images. Radiology 1993;186(3):723-9.
- Referans 4. Torres D, Lopes J, Magno MB, Maia LC, Normando D, Leão PB; Effects of rapid maxillary expansion on temporomandibular joints:A systematic review. Angle Orthod 2020;90(3):442–456.
- Referans 5. Vargas Pereira MR. Quantitative Auswertungen bildgebender Verfahren und Entwicklulng einer neuen metrischen Analyse für Kiefergelenkstrukturen im Magnet resonanz-tomogramm (thesis). Kiel, Germany:University of Kiel:1997.
- Referans 6. Pancherz H, Ruf S, Thomalske-Faubert C. Mandibular articular disc position changes during Herbst treatment: a prospective longitudinal MRI study. Am J Orthod Dentofac Orthop 1999;116(2):207-14.
- Referans 7. Huang GJ, Leresche L, Critchlow CW, Martin MD, Drangsholt MT. Risk factors for diagnostic subgroups of painful temporomandibular disorders (TMD). J Dent Res 2002;81(4):284-8.
- Referans 8. Laskin DM, Ryan WA, Greene CS. Incidence of temporomandibular symptoms in patients with major skeletal malocclusions: a survey of oral and maxillofacial surgery training programs. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1986;61(6):537-41.
- Referans 9. Kerstens HC, Tuinzing DB, van der Kwast WA.Temporomandibular joint symptoms in orthognathic surgery. J Craniomaxillofac Sur. 1989;17(5):215-8.
- Referans 10. Link JJ, Nickerson JW Jr. Temporomandibular joint internal derangements in an orthognathic surgery population. Int J Adult Orthod Orthognath Surg 1992;7(3):161-9.
- Referans 11. Ueki K, Marukawa K, Shimada M, Yoshida K, Hashiba Y, Shimizu C, et al. Condylar and disc positions after intraoral vertical ramus osteotomy with and without a Le Fort I osteotomy. Int J Oral Maxillofac Surg 2007;36(3):207-13.
- Referans 12. Ueki K, Marukawa K, Shimada M, Hashiba Y, Nakgawa K, Yamamoto E. Condylar and disc positions after sagittal split ramus osteotomy with and without Le Fort I osteotomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103(3):342-8. ,
- Referans 13. Ueki K, Marukawa K,Nakagawa K,Yamamoto E. Condylar and temporomandibular joint disc positions after mandibular osteotomy for prognathism. J Oral Maxillofac Surg 2002;60(12):1424-32.
- Referans 14. Altuğ-Ataç AT, Karasu HA, Aytaç D. Surgically assisted rapid maxillary expansion compared with orthopedic rapid maxillary expansion. Angle Orthod 2006;76(3):353-9.
- Referans 15. Bretos JL, Pereira MD, Gomes HC, Toyama Hino C, Ferreira LM. Sagittal and vertical maxillary effects after surgically assisted rapid maxillary expansion (SARME) using Haas and hyrax expanders. J Craniofac Surg 2007;18(6):1322-6.
- Referans 16. Gunbay T, Akay MC, Gunbay S, Aras A, Koyuncu BO, Sezer B. Transpalatal distraction using boneborne distractor: clinical observations and dental and skeletal changes. J Oral Maxillofac Surg 2008;66(12):2503-14.
- Referans 17. Iodice G, Bocchino T, Casadei M, Baldi D, Robiony M. Evaluations of sagittal and vertical changes induced by surgically assisted rapid palatal expansion. J Craniofac Surg2013;24(4):1210-4.
- Referans 18. Oliveira TFM, Pereira-Filho VA, Gabrielli MFR, Gonçales ES, Santos-Pinto A. Effects of surgically assisted rapid maxillary expansion on mandibular position: a three dimensional study. Prog Orthod 2017;18(1):22-27.
- Referans 19. Parhiz A, Schepers S, Lambrichts I, Vrielinck L, Sun Y, Politis C. Lateral cephalometry changes after SARPE. Int J Oral Maxillofac Surg 2011;40(7):662-71.
- Referans 20. Kılıç E, Kilic B, Kurt G, Sakin C, Alkan A. Effects of surgically assisted rapid palatal expansion with and without pterygomaxillary disjunction on dental and skeletal structures: a retrospective review. Oral Surg Oral Med Oral Pathol Oral Radiol 2013;115(2):167-74.
- Referans 21. Ferraro-Bezerra M, Tavares RN, de Medeiros JR, Nogueira AS, Avelar RL, StudartSoares EC. Effects of pterygomaxillary separation on skeletal and dental changes after surgically assisted rapid maxillary expansion: a single-center, double-blind, randomized clinical trial. J Oral Maxillofac Surg 2018;76(4):844-53.
Year 2021,
Volume: 24 Issue: 4, 318 - 325, 03.01.2022
Murat Kaya
,
M.fatih Şentürk
,
Yavuz Fındık
Project Number
4684-DU1-16
References
- Referans 1. da Silva Filho OG, Boas MC, CapelozzaFilho L. Rapid maxillary expansion in the primary and mixed dentitions: a cephalometric evaluation. Am J Orthod Dentofacial Orthop 1991;100(2):171-9.
- Referans 2. Suri L, Taneja P. Surgically assisted rapid palatal expansion: a literature review. Am J Orthod Dentofacial Orthop 2008;133(2):290-302.
- Referans 3. Tasaki MM, Westesson PL. MR imaging of the temporomandibular joint: diagnosis accuracy with sagittal and coronal images. Radiology 1993;186(3):723-9.
- Referans 4. Torres D, Lopes J, Magno MB, Maia LC, Normando D, Leão PB; Effects of rapid maxillary expansion on temporomandibular joints:A systematic review. Angle Orthod 2020;90(3):442–456.
- Referans 5. Vargas Pereira MR. Quantitative Auswertungen bildgebender Verfahren und Entwicklulng einer neuen metrischen Analyse für Kiefergelenkstrukturen im Magnet resonanz-tomogramm (thesis). Kiel, Germany:University of Kiel:1997.
- Referans 6. Pancherz H, Ruf S, Thomalske-Faubert C. Mandibular articular disc position changes during Herbst treatment: a prospective longitudinal MRI study. Am J Orthod Dentofac Orthop 1999;116(2):207-14.
- Referans 7. Huang GJ, Leresche L, Critchlow CW, Martin MD, Drangsholt MT. Risk factors for diagnostic subgroups of painful temporomandibular disorders (TMD). J Dent Res 2002;81(4):284-8.
- Referans 8. Laskin DM, Ryan WA, Greene CS. Incidence of temporomandibular symptoms in patients with major skeletal malocclusions: a survey of oral and maxillofacial surgery training programs. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1986;61(6):537-41.
- Referans 9. Kerstens HC, Tuinzing DB, van der Kwast WA.Temporomandibular joint symptoms in orthognathic surgery. J Craniomaxillofac Sur. 1989;17(5):215-8.
- Referans 10. Link JJ, Nickerson JW Jr. Temporomandibular joint internal derangements in an orthognathic surgery population. Int J Adult Orthod Orthognath Surg 1992;7(3):161-9.
- Referans 11. Ueki K, Marukawa K, Shimada M, Yoshida K, Hashiba Y, Shimizu C, et al. Condylar and disc positions after intraoral vertical ramus osteotomy with and without a Le Fort I osteotomy. Int J Oral Maxillofac Surg 2007;36(3):207-13.
- Referans 12. Ueki K, Marukawa K, Shimada M, Hashiba Y, Nakgawa K, Yamamoto E. Condylar and disc positions after sagittal split ramus osteotomy with and without Le Fort I osteotomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103(3):342-8. ,
- Referans 13. Ueki K, Marukawa K,Nakagawa K,Yamamoto E. Condylar and temporomandibular joint disc positions after mandibular osteotomy for prognathism. J Oral Maxillofac Surg 2002;60(12):1424-32.
- Referans 14. Altuğ-Ataç AT, Karasu HA, Aytaç D. Surgically assisted rapid maxillary expansion compared with orthopedic rapid maxillary expansion. Angle Orthod 2006;76(3):353-9.
- Referans 15. Bretos JL, Pereira MD, Gomes HC, Toyama Hino C, Ferreira LM. Sagittal and vertical maxillary effects after surgically assisted rapid maxillary expansion (SARME) using Haas and hyrax expanders. J Craniofac Surg 2007;18(6):1322-6.
- Referans 16. Gunbay T, Akay MC, Gunbay S, Aras A, Koyuncu BO, Sezer B. Transpalatal distraction using boneborne distractor: clinical observations and dental and skeletal changes. J Oral Maxillofac Surg 2008;66(12):2503-14.
- Referans 17. Iodice G, Bocchino T, Casadei M, Baldi D, Robiony M. Evaluations of sagittal and vertical changes induced by surgically assisted rapid palatal expansion. J Craniofac Surg2013;24(4):1210-4.
- Referans 18. Oliveira TFM, Pereira-Filho VA, Gabrielli MFR, Gonçales ES, Santos-Pinto A. Effects of surgically assisted rapid maxillary expansion on mandibular position: a three dimensional study. Prog Orthod 2017;18(1):22-27.
- Referans 19. Parhiz A, Schepers S, Lambrichts I, Vrielinck L, Sun Y, Politis C. Lateral cephalometry changes after SARPE. Int J Oral Maxillofac Surg 2011;40(7):662-71.
- Referans 20. Kılıç E, Kilic B, Kurt G, Sakin C, Alkan A. Effects of surgically assisted rapid palatal expansion with and without pterygomaxillary disjunction on dental and skeletal structures: a retrospective review. Oral Surg Oral Med Oral Pathol Oral Radiol 2013;115(2):167-74.
- Referans 21. Ferraro-Bezerra M, Tavares RN, de Medeiros JR, Nogueira AS, Avelar RL, StudartSoares EC. Effects of pterygomaxillary separation on skeletal and dental changes after surgically assisted rapid maxillary expansion: a single-center, double-blind, randomized clinical trial. J Oral Maxillofac Surg 2018;76(4):844-53.