Maxillofac Plast Reconstr Surg.  2021;43(1):21. 10.1186/s40902-021-00307-5.

Temporomandibular joint morphology in Korean using cone-beam computed tomography: influence of age and gender

Affiliations
  • 1Department of Orthodontics, Dental Center, Chung-Ang University Hospital, Seoul, Republic of Korea.
  • 2Department of Oral & Maxillofacial Surgery, Chung-Ang University College of Medicine, Seoul, Republic of Korea.
  • 3R&D Center, Medyssey Co, Ltd., Jecheon, Republic of Korea.
  • 4Department of Oral & Maxillofacial Surgery, Dental Center, Chung-Ang University Hospital, 224-1 Heukseok-dong, Dongjak-gu, Seoul, Republic of Korea

Abstract


Objectives
The purpose of this study was to investigate the condylar morphology and position of Koreans using cone-beam computed tomography (CBCT) images. Analyzing the mean values of this study with reference to left and right sides, gender, and age will help to understand the size of the condyle and glenoid fossa, condylar morphology, and temporomandibular joint (TMJ) symmetry for establishing the standard temporomandibular joint structures of Koreans and then design the standard temporomandibular joint prosthesis for Koreans.
Results
There was no significant result in the condyle size, condyle axis angle, joint space, fossa depth, and mandibular body size between the left and right sides (p > 0.05). On the other hand, the mediolateral width of the condyle and mandibular body size show significantly different with the gender (P < 0.05). Also, significant differences were found in condyle size, joint space, fossa depth, and mandibular body size according to age groups (P < 0.05).
Conclusions
Condylar position and morphology vary according to side, age, and gender. The results of this study are expected to help in customizing a treatment for the patients who need TMJ reconstruction by predicting the TMJ morphology according to age and gender and design the standard temporomandibular joint prosthesis for the Koreans.

Keyword

Condyle morphology; Temporomandibular joint; Cone-beam computed tomography; TMJ prosthesis
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