دورية أكاديمية
أعرض في EDS

Temporomandibular joint disc position and shape in patients submitted to two protocols of rapid maxillary expansion and face mask therapy: A randomized clinical trial.

التفاصيل البيبلوغرافية
العنوان: Temporomandibular joint disc position and shape in patients submitted to two protocols of rapid maxillary expansion and face mask therapy: A randomized clinical trial.
المؤلفون: Tagawa DT; Graduate Program in Medicine (Clinical Radiology), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.; Department of Orthodontics, Universidade Santa Cecília, Santos, Brazil., Wolosker AMB; Graduate Program in Medicine (Clinical Radiology), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil., Florez BM; Department of Orthodontics, Universidade Santa Cecília, Santos, Brazil., Dominguez GC; Department of Orthodontics, Universidade de São Paulo (USP), São Paulo, Brazil., Yamashita HK; Graduate Program in Medicine (Clinical Radiology), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil., Aidar LAA; Department of Orthodontics, Universidade Santa Cecília, Santos, Brazil., Junior HC; Graduate Program in Medicine (Clinical Radiology), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.
المصدر: Orthodontics & craniofacial research [Orthod Craniofac Res] 2024 Aug; Vol. 27 (4), pp. 615-625. Date of Electronic Publication: 2024 Mar 08.
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: Blackwell Munksgaard Country of Publication: England NLM ID: 101144387 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1601-6343 (Electronic) Linking ISSN: 16016335 NLM ISO Abbreviation: Orthod Craniofac Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford, UK : Blackwell Munksgaard, c2002-
مواضيع طبية MeSH: Palatal Expansion Technique*/instrumentation , Temporomandibular Joint Disc*/diagnostic imaging , Temporomandibular Joint Disc*/pathology , Extraoral Traction Appliances* , Malocclusion, Angle Class III*/therapy, Humans ; Male ; Female ; Adolescent ; Child ; Prospective Studies ; Magnetic Resonance Imaging ; Cephalometry ; Treatment Outcome ; Follow-Up Studies
مستخلص: Objective: The objective of this prospective study was to assess possible changes in the position and shape of the temporomandibular joint (TMJ) articular disc in patients treated with two protocols of rapid maxillary expansion (RME) and face mask (FM) therapy.
Methods: A sample of 88 patients with Class III or Class III subdivision malocclusions, aged between 6 and 13 years, were consecutively selected and divided into three groups (G): G1-34 patients were treated with RME, followed by FM therapy; G2-34 patients were treated using RME according to modified alternate rapid maxillary expansion and constriction (ALT-RAMEC) protocol, followed by FM therapy. These treated groups were randomly (1:1 allocation ratio) distributed according to the two treatment protocols. G3 - Control Group - 20 untreated patients were followed. Magnetic resonance imaging (MRI) TMJs were obtained before (T1) and after (T2) a treatment period or follow-up. McNemar test, Fisher's exact test and intra- and inter-observer concordance (K) were performed (p ≤ .05).
Results: There were no statistically significant differences in the baseline cephalometric variables at T1 between the groups. There were statistically significant differences between the groups (p < .001) in relation to the disc shape in T1, since G1 (8 TMJs -11.76%) presented higher occurrences of altered forms in comparison with G2 (no changes). No significant differences were observed in disc position CM and OM (G1 - p > .999; G2 - p = .063; G3 - p = .500) and shape (G1 - p > 0.999; G2 - p = .250; G3 - not calculable), between T1 × T2, in any of the groups studied.
Conclusion: The two treatment protocols did not have adverse effects on the position and shape of the TMJ disc, in a short-term evaluation.
(© 2024 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
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معلومات مُعتمدة: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
فهرسة مساهمة: Keywords: Angle Class III; magnetic resonance imaging; malocclusion; palatal expansion technique; temporomandibular joint
تواريخ الأحداث: Date Created: 20240308 Date Completed: 20240703 Latest Revision: 20240703
رمز التحديث: 20240703
DOI: 10.1111/ocr.12777
PMID: 38456750
قاعدة البيانات: MEDLINE
الوصف
تدمد:1601-6343
DOI:10.1111/ocr.12777