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SINIF II BOLUM 1 MALOKLUZYONLU BİREYLERDE FONKSİYONEL ORTOPEDİK TEDAVİ ETKİLERİNİN AKSİYOGRAFİK VE SEFALOMETRİK YÖNTEMLERLE İNCELENMESİ

AXIOGRAPHIC AND CEPHALOMETRIC INVESTIGATION OF THE EFFECTS OF THE FUNCTIONAL ORTHOPEDIC THERAPY IN PATIENTS WITH CLASS II DIVISION 1 MALOCCLUSION

Journal Name:

  • Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 2011

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Purpose: The aim of this study was to examine the changes in the cranio-facial structures caused by the functional orthopedic treatment with activator on the individuals with Class II division 1 malocclusion, and to determine its effects on the functions and movement biomechanics of temporomandibular joint. Materials and Methods: The study group consisted of 44 individuals at the pubertal growth spurt, who had skeletal Class II Division 1 malocclusion and no temporomandibular dysfunction symptoms. Of these individuals, 23 were female with an average chronological age of 11.2 years ± 9 months and 21 were male with an average chronological age of 12.9 years ± 8 months. The individuals included in the study were divided into two groups, one being the treatment group of 24 individuals and the other being the control group of 20 individuals, and they were evaluated and observed for 10 months. The material of the study consisted of pre- and post-process lateral cephalometric films and axiographic condylar pathway tracings which were taken before the process and in the 2nd, 4th, 6th and 8th months of the process and finally after the process. Skeletal, dento-alveolar and soft tissue measurements were carried out on lateral cephalometric films, while opening-closing and protrusion length, opening-closing and protrusion angle and opening-closing and protrusion depth measurements were carried out on the axiographic condylar pathway tracings. Also, the maximum opening capacity of the mouth of the individuals was measured. Results: With the analysis of lateral cephalometric records, statistically significant differences were determined between treatment and control groups related improvements of inter¬maxillary relationship or growth. Statistical evaluation of axiographic datasets and maximal opening capacity of the mouth showed also significant time-dependent differences in treatment group, cause of therapautic effects of treatment mechanics on related structures. Conclusion: As a result of the functional orthopedic treatment by the activator, the relation between jaws improved depending on the changes in skeletal, dento-alveolar and soft tissues, and adaptive changes appeared in temporomandibular joint functions.
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Abstract (Original Language): 
Amaç: Bu çalışmada, Sınıf II bölüm 1 maloklüzyonlu bireylerde aktivatör ile yapılan fonksiyonel ortopedik tedavinin, kranio-fasiyal yapılarda meydana getirdiği değişikliklerin incelenmesi ve temporomandibuler eklem fonksiyonları ve hareket biyomekaniği üzerine etkilerinin belirlenmesi amaçlandı. Gereç ve Yöntem: İskeletsel Sınıf II bölüm 1 maloklüzyona sahip, temporomandibuler eklem disfonksiyonu belirtisi göstermeyen ve pubertal büyüme atılımı başlamış, kronolojik yaş ortalamaları 11.2 yıl ± 9 ay olan 23 kız ve 12.9 yıl ± 8 ay olan 21 erkek birey incelendi. Araştırma kapsamına alınan bireyler, 24 kişilik tedavi ve 20 kişilik kontrol gruplarına ayrıldı ve 10 ay süresince değerlendirildi. Araştırmamızın materyalini, bu bireylerden uygulama öncesi ve sonrası elde edilen lateral sefalometrik filmler ve uygulama öncesi, 2. ay, 4. ay, 6. ay, 8. ay ve uygulama sonunda alınan aksiyografik kondiler hareket kayıtları oluşturdu. Lateral sefalometrik filmler üzerinde iskeletsel, dento-alveoler ve yumuşak doku ölçümleri yapılırken, aksiyografik kondiler hareket kayıtları üzerinde açma-kapama ve protrüzyon uzunluğu, açma-kapama ve protrüzyon açısı, açma-kapama ve protrüzyon derinliği ölçümleri yapıldı. Hastalardan ayrıca maksimum ağız açma mesafesi kaydı alındı. Bulgular: Lateral sefalometrik filmler üzerinde yapılan incelemelerde, tedavi ve kontrol grupları arasında çeneler arasındaki ilişkilerin düzelmesine veya büyüme etkilerine bağlı olarak istatistiksel olarak anlamlı farklılıkların ortaya çıktığı belirlendi. Aksiyografik veriler ve maksimum ağız hareket ölçümleri incelendiğinde ise, tedavi grubunda zaman faktörü ile ilişkili olarak ilgili yapılarda tedaviye bağlı ortaya çıkan değişimler sonucunda yine istatistiksel olarak anlamlı değişiklerin meydana geldiği tespit edildi. Sonuç: Aktivatör ile yapılan fonksiyonel tedavi sonucunda iskeletsel, dento-alveoler ve yumuşak dokularda meydana gelen değişimlere bağlı olarak çeneler arası ilişkinin düzeldiği ve temporomandibuler eklem fonksiyonlarında adaptif değişikliklerin ortaya çıktığı belirlenmiştir
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PDF icon arastirmax-sinif-ii-bolum-1-malokluzyonlu-bireylerde-fonksiyonel-ortopedik-tedavi-etkilerinin-aksiyografik-sefalometrik-yontemlerle-incelenmesi.pdf
  • 3
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  • Turkish

REFERENCES

References: 

1. Rakosi T, Jonas I, Graber TM. Color atlas of Medicine: Orthodontic-Diagnosis. New York: Thieme Medical Publishers Inc., 1993:6
2. Enlow DH, Hans MG. Essentials of facial growth. Philadelphia: WB Saunders Company, 1996:4
Atatürk
Univ
. Diş Hek. Fak. Derg.
J Dent Fac Atatürk Uni
Cilt:21, Sayı: 3, Yıl: 2011, Sayfa: 196-212
DAGSUYU, BAYDAŞ
3. Graber TM, Rakosi T, Petrovic AG. Dentofacial orthopedics with functional appliances. St. Louis: Mosby -Year Book, Inc., 1997; Chapter 8.
4. Carels C, van der Linden FP. Concepts on functional appliances' mode of action. Am J Orthod Dentofacial Orthop 1987; 92: 162-168.
5. Bishara SE, Ziaja RR. Functional appliances: a review. Am J Orthod Dentofacial Orthop 1989; 95: 250-258.
6. Aelbers CM, Dermaut LR. Orthopedics in orthodontics: Part I, Fiction or reality-- a review of the literature. Am J Orthod Dentofacial Orthop
1996; 110: 513-519.
7. Dermaut LR, Aelbers CM. Orthopedics in orthodontics: Fiction or reality. A review of the literature--Part II. Am J Orthod Dentofacial Orthop
1996; 110: 667-671.
8. Barton S, Cook PA. Predicting functional appliance treatment outcome in Class II malocclusions - a review. Am J Orthod Dentofacial Orthop 1997;
112: 282-286.
9. Woodside DG. Do functional appliances have an orthopedic effect? Am J Orthod Dentofacial Orthop
1998; 113: 11-14.
10. Chen JY, Will LA, Niederman R. Analysis of efficacy of functional appliances on mandibular growth. Am J Orthod Dentofacial Orthop 2002; 122: 470-476.
11. Okeson JP. Management of temporomandibular disorders and occlusion. St. Louis: Mosby, Inc.
1998
12. Grave KC, Brown T. Skeletal ossification and the adolescent growth spurt.Am J Orthod 1976; 69:
611-619.
13. Wirth CG, Mack HK, Ohlrogge H Axiograph III
MANUAL. München: SAM Prazisionstechnik Gmbh.
14. Houston WJ. The analysis of errors in orthodontic measurements. Am J Orthod 1983; 83: 382-390.
15. Buschang PH, Tanguay R, Demirjian A, LaPalme L, Turkewicz J. Mathematical models of longitudinal mandibular growth for children with normal and untreated Class II, division 1 malocclusion. Eur J
Orthod 1988; 10: 227-234.
16. Williams S, Melsen B. The interplay between sagittal and vertical growth factors. An implant study of activator treatment. Am J Orthod 1982;
81: 327-332.
17. Freunthaller P. Cephalometric observations in Class II, division 1 malocclusions treated with the activator. Angle Orthod 1967; 37: 18-25.
18. Harvold EP, Vargervik K. Morphogenetic response to activator treatment. Am J Orthod 1971; 60:
478-490.
19. Ahlgren J, Laurin C. Late results of activator-treatment: a cephalometric study. Br J Orthod
1976; 3: 181-187.
20. Pancherz H. A cephalometric analysis of skeletal and dental changes contributing to Class II correction in activator treatment. Am J Orthod
1984; 85: 125-134.
21. Vargervik K, Harvold EP. Response to activator treatment in Class II malocclusions. Am J Orthod
1985; 88: 242-251.
22. Jakobsson SO, Paulin G. The influence of activator treatment on skeletal growth in Angle Class II: 1 cases. A roentgenocephalometric study. Eur J
Orthod 1990; 12: 174-184.
23. Reey RW, Eastwood A. The passive activator: case selection, treatment response, and corrective mechanics. Am J Orthod 1978; 73: 378-409.
24. Luder HU. Effects of activator treatment--evidence for the occurrence of two different types of reaction. Eur J Orthod 1981; 3: 205-222.
25. Williams S, Melsen B. Condylar development and mandibular rotation and displacement during activator treatment. An implant study. Am J Orthod
1982; 81: 322-326.
26. Birkebaek L, Melsen B, Terp S. A laminagraphic study of the alterations in the temporo-mandibular joint following activator treatment. Eur J Orthod
1984; 6: 257-266.
27. Hamano Y, Ahlgren J. A cephalometric study of the construction bite of the activator. Eur J Orthod
1987; 9: 305-313.
28. Tümer N, Gultan AS. Comparison of the effects of monoblock and twin-block appliances on the skeletal and dentoalveolar structures. Am J Orthod Dentofacial Orthop 1999; 116: 460-468.
29. Haralabakis NB, Halazonetis DJ, Sifakakis IB. Activator versus cervical headgear: superimpositional cephalometric comparison. Am J Orthod Dentofacial Orthop 2003; 123: 296-305.
30. Wieslander L, Lagerstrom L. The effect of activator treatment on class II malocclusions. Am J Orthod
1979; 75: 20-26.
210
Atatürk
Univ
. Diş Hek. Fak. Derg.
J Dent Fac Atatürk Uni
Cilt:21, Sayı: 3, Yıl: 2011, Sayfa: 196-212
DAGSUYU, BAYDAŞ
31. Cohen AM. A study of class II division 1 malocclusions treated by the Andresen appliance.
Br J Orthod 1981; 8: 159-163.
32. Calvert FJ. An assessment of Andresen therapy on class II division 1 malocclusion. Br J Orthod 1982;
9: 149-153.
33. McNamara JA. An experimental study of increased vertical dimension in growing face. Am J Orthod
1977; 71; 382-395.
34. Rowe TK, Carlson DS. The effect of bite-opening appliances on mandibular rotational growth and remodeling in the rhesus monkey (Macaca mulatta). Am J Orthod Dentofacial Orthop 1990; 98: 544-549.
35. Forsberg CM, Odenrick L. Skeletal and soft tissue response to activator treatment. Eur J Orthod
1981; 3: 247-253.
36. Lux CJ, Rubel J, Starke J, Conradt C, Stellzig PA, Komposch PG. Effects of early activator treatment in patients with class II malocclusion evaluated by thin-plate spline analysis. Angle Orthod 2001; 71:
120-126.
37. Mongini F. Relationship between the temporomandibular joint and pantographic tracings of mandibular movements. J Prosthet
Dent. 1980; 43: 331-337.
38. Mongini F, Capurso U. Factors influencing the pantographic tracing of mandibular border movements. J Prosthet Dent 1982; 48: 585-498.
39.
Prösche
l PA, Morneburg T. Investigation of a possible relationship between kinematic points and condylar attachments of the lateral ligaments. J
Oral Rehabil 2000; 27: 166-174.
40. Palla S, Krebs M, Gallo LM. Jaw tracking and temporomandibular joint animation. In: Science and Practice of Occlusion. McNeill C, ed. Quintissence Publishing Co; 1997: 365-378.
41. Slavicek R. Clinical and instrumental functional analysis for diagnosis and treatment planning. Part 5. Axiography. J Clin Orthod 1988; 22: 656-667.
42. Widman DJ. Functional and morphologic considerations of the articular eminence. Angle
Orthod 1988; 58: 221-236.
43. Zimmer B, Jager A, Kubein-Meessenburg D. Comparision of 'normal' TMJ-function in Class I, II, and III individuals. Eur J Orthod 1991; 13: 27-34.
44. Theusner J, Plesh O, Curtis DA, Hutton JE. Axiographic tracings of temporomandibular joint movements. J Prosthet Dent 1993; 69: 209-215.
45. Piehslinger E, Celar A, Futter K, Slavicek R. Orthopedic jaw movement observations. Part I: Determination and analysis of the length of protrusion. Cranio 1993; 11: 113-117.
46. Piehslinger E, Celar RM, Horejs T, Slavicek R. Orthopedic jaw movement observations. Part II: The rotational capacity of the mandible. Cranio
1993; 11: 206-210.
47. Matsumoto A, Celar RM, Celar A, Sato S, Suzuki Y, Slavicek R. An analysis of hinge axis translation and rotation during opening and closing in dentulous and edentulous subjects. Cranio 1995;
13: 238-241.
48.
Küçükkele
ş N, Aras K, Unlü B. Aksiyograf uygulaması ve asemptomatik bireylerde normal aksiyografik kayıtlar. Türk Ortodonti Dergisi 1996;
9: 63-70.
49. Mauderli AP, Lundeen HC, Loughner B. Condylar movement recordings for analyzing TMJ derangements. J Craniomandib Disord 1988; 2:
119-127.
50. Piehslinger E, Schimmerl S, Celar A, Crowley C, Imhof H. Comparison of magnetic resonance tomography with computerized axiography in diagnosis of temporomandibular joint disorders. Int
J Oral Maxillofac Surg 1995; 24: 13-19.
51. Harper RP, Schneiderman E. Condylar movement and centric relation in patients with internal derangement of the temporomandibular joint. J Prosthet Dent 1996; 75: 67-71.
52. Ozawa S, Tanne K. Diagnostic accuracy of sagittal condylar movement patterns for identifying internal derangement of the temporomandibular
joint. J Orofac Pain 1997; 11: 222-231.
53. Gsellmann B, Schmid-Schwap M, Piehslinger E, Slavicek R. Lengths of condylar pathways measured with computerized axiography (CADIAX) and occlusal index in patients and volunteers. J
Oral Rehabil 1998; 25: 146-152.
54. Bernhardt O, Schwahn B, Meyer G. Craniomandibular disorders--comparative
investigation
s with clinical examination and electronic axiography. Anat Anz 1999; 181: 51-53.
211
Atatürk
Univ
. Diş Hek. Fak. Derg.
J Dent Fac Atatürk Uni
Cilt:21, Sayı: 3, Yıl: 2011, Sayfa: 196-212
DAGSUYU, BAYDAŞ
55. Parlett K, Paesani D, Tallents RH, Hatala MA. Temporomandibular joint axiography and MRI findings: a comparative study. J Prosthet Dent
1993; 70: 521-531.
56. Travers KH, Buschang PH, Hayasaki H, Throckmorton GS. Associations between incisor and mandibular condylar movements during maximum mouth opening in humans. Arch Oral
Biol 2000; 45: 267-275.
57. Lewis RP, Buschang PH, Throckmorton GS. Sex differences in mandibular movements during opening and closing. Am J Orthod Dentofacial
Orthop 2001; 120: 294-303.
58. Woodside DG, Metaxas A, Altuna G. The influence of functional appliance therapy on glenoid fossa remodeling. Am J Orthod Dentofacial Orthop 1987;
92: 181-198.
59. Copray JC, Dibbets JM, Kantomaa T. The role of condylar cartilage in the development of the temporomandibular joint. Angle Orthod 1988; 58:
369-380.
60. Dibbets JM, van der Weele LT. Flattened condylar projection in children: reflection of seasonal
growth? Eur J Orthod 1991; 13: 161-165.
61. Voudouris JC, Kuftinec MM. Improved clinical use of Twin-block and Herbst as a result of radiating viscoelastic tissue forces on the condyle and fossa in treatment and long-term retention: growth relativity. Am J Orthod Dentofacial Orthop 2000; 117: 247-266.
62. Fukui T, Tsuruta M, Murata K, Wakimoto Y, Tokiwa H, Kuwahara Y. Correlation between facial morphology, mouth opening ability, and condylar movement during opening-closing jaw movements in female adults with normal occlusion. Eur J
Orthod 2002; 24: 327-336.

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