EVALUATION OF CONDYLAR

MORPHOLOGY VARIATIONS SEEN IN

TMJ DISORDERS USING CBCT AND
3D STEREOLITHOGRAPHY PRINTS:A
COMPARATIVE STUDY
BY:
Y.SATISH
 AIM

 The purpose of this study is to evaluate the morphological changes of condyle

in patients with temporomandibular joint disorders using CBCT and
STEREOLITHOGRAPHY 3D PRINTS.
OBJECTIVES

 To assess the morphological changes of condyle in patients with

temporomandibular joint disorders.
 To compare the accuracy finding between CBCT AND
STEREOLITHOGRAPHY 3D PRINTS.
 To validate recommendations for 3D prints in assessing temporomandibular
disorders.
Inclusion criteria:

 20 patients clinically diagnosed with TMD based on Classification System

Used for Diagnosing Temporomandibular Disorders by okeson i.e., 5 per group
will be selected.
 40 apparently healthy subjects not having any diseases of TMJ will be
selected.

Exclusion criteria:
 Patients who have undergone treatment or undergoing treatment for TMJ
disorders will be excluded from the study.
MATERIALS AND METHODS

 A Total of 25 patients with temporomandibular joint disorders and 10

patients as normal group were taken from our department of oral
medicine and radiology at MNR DENTAL COLLEGE and imaged
using CBCT and data recorded in AXIAL, CORONAL, SAGITTAL
planes.
 Patients with temporomandibular joint disorders are divided 5 per each
group.
 TMD’s diagnosis is done based on clinical and radiographic findings.
 Recorded DICOM data is sent for 3D with 40 micron resolution to
MEDAPT.
 Print is compared with CBCT findings in axial, coronal, sagittal planes.
DISCUSSION

 An attempt is made in the present study using 30 subjects to pinpoint one of

the etiological cause in a complex disease of TMD.
 Even though the sample size is small & further study using a large
sample is necessary for the recommendations to be considered an attempt is
being made to find out distribution of pterygoid plate dimensions and its
effects on symptoms.
 Following results in the present section shows how the symptoms in TMD have
a direct effect on the pathological changes observed using CBCT.
 Symptoms v/s causes

 An attempt was made to understand the significance of symptoms in terms of space, shape,
cortication distance traveled by condyle, the position of condyle apart from variations in the
dimensions of pterygoid plates.
 There is a positive correlation between signs and symptoms observed in space and dimensions of
pterygoid plates. It is interesting to observe there was a statistical significance of (P-value - 0.048)
in the measurements of space in coronal section in the medial pole whereas in the sagittal plane
there was no such relevant observation.
 The mean values were significant in medial measurements in coronal section (P-value - 0.041)
and anterior measurements in sagittal section (P-value – 0.021)
 There was a statistical significance in the difference in the measurements between affected and
nonaffected signs in terms of spacing in coronal and sagittal planes.
 There is an effect in the medial space in the coronal plane and anterior space in the sagittal plane.
 The possible explanation for the above observation can be correlated to the actions of the muscles
and its attachments.
 Further studies over space distribution symptoms and muscular attachments will help us better in
correlating the present findings.
 Our results are evident to prove a complex disorder of TMD has a direct correlation over
symptoms and its dimensions.
 TMD on the affected side showed to have discrepancies of the pterygoid plate (medial and lateral)
possible explanation could be due to the activity of muscles but further EMG studies of individual
muscles and dimensions of the plate with large sample size are essential to put the hypothesis.
CONCLUSION

1. Dimensions of pterygoid plates from a direct effect on TMD and can be used as
diagnostic signs.
2. Describing in the space (anterior in sagittal plane and medial in coronal plane) can be
used as
diagnostics signs.
3. Dimensional variations of medial pterygoid plates as an evident in TMD’s
4. Muscular actions and dimensional changes of pterygoid plate may have done
correlations
5. CBCT proves to be best diagnostic tool in assessing TMJ apparatus as well as pterygoid
plates.
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