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The relation of mandibular laterotrusion with ipsilateral TMJ clicking
Author(s) -
Yang Y.,
Yatabe M.,
Ai M.,
Soneda K.
Publication year - 2001
Publication title -
journal of oral rehabilitation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.991
H-Index - 93
eISSN - 1365-2842
pISSN - 0305-182X
DOI - 10.1046/j.1365-2842.2001.00189.x
Subject(s) - condyle , temporomandibular joint , orthodontics , medicine , mandible (arthropod mouthpart) , anatomy , significant difference , centric relation , dentistry , biology , occlusion , surgery , botany , genus
The purpose of this study was to investigate the association of temporomandibular joint (TMJ) clicking with the types of canine guidance, the tracing patterns of mandibular laterotrusion and, especially, with the movements of the working side condyle. In a young subject group, the movements of left and right mandibular laterotrusion were measured at the incisal and the lateral pole point of the working side condyle. All samples were divided into one of two groups according to the mesial (M) or distal (D) canine guidance. They were also divided into protrusive laterotrusion (PL) or retrusive laterotrusion (RL) groups according to the tracing patterns. The incidence of clicking was 23·8% in all 84 TMJs. There was no significant difference between the M and the D groups. However, clicking occurrence was significantly higher in the RL than in the PL group ( P <0·05). The condyles in clicking joints moved more posterior in ipsilateral laterotrusion than the condyles in non‐clicking joints. The condyles in RL also moved more posterior than those in PL. It is suggested that the posterior movement of the working side condyle in RL has a strong relationship with the internal derangement of the TMJ. However, it is not related to the type of canine guidance.