Volume 5, Issue 1 (2-2020)                   J Res Dent Maxillofac Sci 2020, 5(1): 27-33 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Fattahi F, Haghighat S, Babaei N, Aminkhaki Z, Khajavi F, Torabi K. Effect of Centric, Assisted Non-Working, and Unassisted Non-Working Interferences on Temporomandibular Disorders. J Res Dent Maxillofac Sci 2020; 5 (1) :27-33
URL: http://jrdms.dentaliau.ac.ir/article-1-264-en.html
1- Assistant professor , Department of Prosthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
2- Postgraduate student,Pediatric dentistry Dept, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran , saman.h770@yahoo.com
3- Postgraduate student,Pediatric dentistry Dept, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
4- Postgraduate student, Endodontics Dept, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
5- Postgraduate student, Student Research Committee, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract:   (3006 Views)
Background and Aim: Temporomandibular disorder (TMD) is a multifactorial problem caused by many reasons. There is still controversy about the effect of different types of occlusal disorder on TMD. This study was designed to determine the effects of centric and assisted and unassisted non-working interferences on TMD.
Materials and Methods: In this cross-sectional study, 100 dental students, including 64 males and 36 females with the age range of 18 to 24 years old, were examined. Subjects with a history of systemic or muscular diseases and orthodontic treatment were excluded. TMD signs and symptoms including maximum mandibular opening limitation, maximum lateral movement limitation, maximum protrusion limitation, deviation and deflection, joint pain and tenderness, joint sounds, and masticatory muscle tenderness were examined. Subjects were also examined for having centric interferences and eccentric interferences including assisted and unassisted non-working interferences. Data were analyzed using the chi-square test and independent-sample T-test.
Results: Subjects with centric interference had a significantly higher number of clicks (P=0.02), medial pterygoid tenderness (P=0.009), and right medial pterygoid tenderness (P=0.007). We could also find a significantly higher number of clicking in subjects with assisted non-working interference (P=0.002).
Conclusion: The findings of the present study suggest that different types of occlusal interference, specially centric and assisted non-working interferences, can lead to TMD signs and symptoms.
Full-Text [PDF 286 kb]   (1788 Downloads) |   |   Full-Text (HTML)  (917 Views)  

References
1. Pai SA, Poojari SR, Ramachandra K, Bhaskaran S, Jyothi M. Temporomandibular joint disorders - Part I. J Adv Clin Res Insights. 2019 Jan;6(1):6-10. [DOI:10.15713/ins.jcri.248]
2. Barbosa C, Gavinha S, Soares T, Manso MC. Coincidence and Awareness of the Relationship Between Temporomandibular Disorders and Jaw Injury, Orthodontic Treatment, and Third Molar Removal in University Students. J Oral Facial Pain Headache. Summer 2016;30(3):221-7. [DOI:10.11607/ofph.1587] [PMID]
3. Troeltzsch M, Troeltzsch M, Cronin RJ, Brodine AH, Frankenberger R, Messlinger K. Prevalence and association of headaches, temporomandibular joint disorders, and occlusal interferences. J Prosthet Dent. 2011 Jun;105(6):410-7. [DOI:10.1016/S0022-3913(11)60084-X]
4. Zhang J, Jiao K, Zhang M, Zhou T, Liu XD, Yu SB, et al. Occlusal effects on longitudinal bone alterations of the temporomandibular joint. J Dent Res. 2013 Mar;92(3):253-9. [DOI:10.1177/0022034512473482] [PMID] [PMCID]
5. Barbosa GAS, Badaró Filho C dos R, Fonseca RB, Soares CJ, Neves FD, Fernandes Neto A. The role of occlusion and occlusal adjustment on temporomandibular dysfunction. Braz J Oral Sci. 2015 Oct-Dec;3(11):589-94.
6. Young-Kyun K. Temporomandibular Joint Disorder and Occlusal Changes: Case Reports. J Korean Dent Sci. 2018 Jun;11(1):21-31.
7. Cao Y, Xie QF, Li K, Light AR, Fu KY. Experimental occlusal interference induces long-term masticatory muscle hyperalgesia in rats. Pain. 2009 Aug;144(3):287-93. [DOI:10.1016/j.pain.2009.04.029] [PMID]
8. Okeson JP. Management of Temporomandibular Disorders and Occlusion-E-Book: Elsevier Health Sciences; 2019:258.
9. Raustia AM, Pirttiniemi PM, Pyhtinen J. Correlation of occlusal factors and condyle position asymmetry with signs and symptoms of temporomandibular disorders in young adults. Cranio. 1995 Jul;13(3):152-6. [DOI:10.1080/08869634.1995.11678060] [PMID]
10. Pullinger AG, Seligman DA, Gornbein JA. A multiple logistic regression analysis of the risk and relative odds of temporomandibular disorders as a function of common occlusal features. J Dent Res. 1993 Jun;72(6):968-79. [DOI:10.1177/00220345930720061301] [PMID]
11. Dzingutė A, Pileičikienė G, Baltrušaitytė A, Skirbutis G. Evaluation of the relationship between the occlusion parameters and symptoms of the temporomandibular joint disorder. Acta Med Litu. 2017;24(3):167-75. [DOI:10.6001/actamedica.v24i3.3551] [PMID] [PMCID]
12. Dawson PE. Functional Occlusion: From TMJ to Smile Design. St. Louis, MO: Mosby Elsevier, 2006:114-29.
13. Valle-Corotti K, Pinzan A, do Valle CV, Nahás AC, Corotti MV. Assessment of temporomandibular disorder and occlusion in treated class III malocclusion patients. J Appl Oral Sci. 2007 Apr;15(2):110-4. [DOI:10.1590/S1678-77572007000200007] [PMID] [PMCID]
14. Manfredini D, Perinetti G, Guarda-Nardini L. Dental malocclusion is not related to temporomandibular joint clicking: a logistic regression analysis in a patient population. Angle Orthod. 2014 Mar;84(2):310-5. [DOI:10.2319/041613-295.1] [PMID]
15. Ćelić R, Jerolimov V, Knezović-Zlatarić D. The Relationship between Occlusal Interferences and Temporomandibular Disorders. Acta Stomatol Croat. 2003;37(1):47-50.
16. Fujii T. The relationship between the occlusal interference side and the symptomatic side in temporomandibular disorders. J Oral Rehabil. 2003 Mar;30(3):295-300. [DOI:10.1046/j.1365-2842.2003.01032.x] [PMID]
17. Badel T, Marotti M, Krolo I, Kern J, Keros J. Occlusion in patients with temporomandibular joint anterior disk displacement. Acta Clin Croat. 2008 Sep;47(3):129-36.
18. Landi N, Manfredini D, Tognini F, Romagnoli M, Bosco M. Quantification of the relative risk of multiple occlusal variables for muscle disorders of the stomatognathic system. J Prosthet Dent. 2004 Aug;92(2):190-5. [DOI:10.1016/j.prosdent.2004.05.013] [PMID]
19. Haralur SB. Digital evaluation of functional occlusion parameters and their association with temporomandibular disorders. J Clin Diagn Res. 2013 Aug;7(8):1772-5. [DOI:10.7860/JCDR/2013/5602.3307] [PMID] [PMCID]
20. Al-Hadi LA. Prevalence of temporomandibular disorders in relation to some occlusal parameters. J Prosthet Dent. 1993 Oct;70(4):345-50. [DOI:10.1016/0022-3913(93)90220-I]
21. Badel T, Marotti M, Savić Pavičin I, Bašić-Kes V. Temporomandibular disorders and occlusion. Acta Clin Croat. 2012;51(3):419-24.
22. Manfredini D, Peretta R, Guarda-Nardini L, Ferronato G. Predictive value of combined clinically diagnosed bruxism and occlusal features for TMJ pain. Cranio. 2010 Apr;28(2):105-13. [DOI:10.1179/crn.2010.015] [PMID]
23. Okeson JP. Management of Temporomandibular Disorders and Occlusion. Elsevier Health Sciences, 2007:257.
24. Minagi S, Watanabe H, Sato T, Tsuru H. Relationship between balancing-side occlusal contact patterns and temporomandibular joint sounds in humans: proposition of the concept of balancing-side protection. J Craniomandib Disord. 1990 Fall;4(4):251-6.
25. Baba K, Yugami K, Akishige S, Ai M. Immediate effect of occlusal contact pattern in lateral jaw position on the EMG activity in jaw-elevator muscles in humans. Int J Prosthodont. 2000 Nov-Dec;13(6):500-5.
26. Karlsson S, Cho S, Carlsson GE. Changes in mandibular masticatory movements after insertion of nonworking-side interference. J Craniomandib Disord. 1992 Summer;6(3):177-83.

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Journal of Research in Dental and Maxillofacial Sciences

Designed & Developed by: Yektaweb