Linear measurement of condyles in edentulous patients with Kennedy classification based on panoramic radiographs

Study at Ulin General Hospital and Gusti Hasan Aman Oral and Dental Hospital Banjarmasin

  • Diandra Imanuella Faculty of Dentistry, Lambung Mangkurat University, Banjarmasin, Indonesia, 70236
  • Norlaila Sarifah Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Lambung Mangkurat University, Banjarmasin, Indonesia 70236 http://orcid.org/0000-0002-9937-2714
  • Muhammad Yanuar Ichrom Nahzi Department of Conservative Dentistry, Faculty of Dentistry, Lambung Mangkurat University, Banjarmasin, Indonesia, 70236
  • Raden Harry Dharmawan Setyawardhana Lambung Mangkurat University
  • Irnamanda Dwipura Yakin Hasbullah Department of Public Dental Health, Faculty of Dentistry, Lambung Mangkurat University, Banjarmasin, Indonesia, 70236

Abstract

Objectives: This research is aimed to determine the value of linear measurement of the condyle position in partial edentulous patients of Kennedy classification based on panoramic radiographs at Ulin General Hospital and Gusti Hasan Aman Oral and Dental Hospital.
Materials and Methods: This research is a descriptive-analytic study with a cross-sectional study design. The population used in the study is a digital panoramic radiograph from the Radiology Installation of Ulin General Hospital and Gusti Hasan Aman Oral and Dental Hospital from January 2018 - January 2024 database. Condyle linear measurement landmarks used are anterior joint space, superior joint space, and posterior joint space, according to the research of Ikeda and Kawamura (2013).
Results: The results showed that the largest AJS value is the Kennedy Class I and the smallest is the Kennedy Class IV. The largest SJS value is the Kennedy class III and the smallest is the Kennedy class IV. The largest PJS value is Kennedy class II and the smallest is Kennedy class I. Based on gender, men's joint space value is bigger than women's. However, a significant difference was found in the PJS value of Kennedy class I patients, whose value for men is smaller than that of women.
Conclusion: The condyle linear measurement of partially edentulous patients based on Kennedy classification Class I, II, III, IV has an abnormal condyle position and has experienced disc displacement with reduction.

Author Biographies

Diandra Imanuella, Faculty of Dentistry, Lambung Mangkurat University, Banjarmasin, Indonesia, 70236
Undergraduate Preclinical Dentistry Program
Norlaila Sarifah, Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Lambung Mangkurat University, Banjarmasin, Indonesia 70236
Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Lambung Mangkurat University, Indonesia, 70236
Muhammad Yanuar Ichrom Nahzi, Department of Conservative Dentistry, Faculty of Dentistry, Lambung Mangkurat University, Banjarmasin, Indonesia, 70236
Staff
Raden Harry Dharmawan Setyawardhana, Lambung Mangkurat University
Department of Public Dental Health, Faculty of Dentistry, Lambung Mangkurat University, Indonesia
Irnamanda Dwipura Yakin Hasbullah, Department of Public Dental Health, Faculty of Dentistry, Lambung Mangkurat University, Banjarmasin, Indonesia, 70236
Staff

References

Anshary MF, Cholil, Arya IW. Gambaran Pola Kehilangan Gigi Sebagian pada Masyarakat Desa Guntung Ujung Kabupaten Banjar. Dentino J Kedokt Gigi. 2014;2(2):138–43.
Patel JY, Vohra MY, Mohammed J. Assessment of Partially Edentulous Patients Based on Kennedy’s Classification and Its Relation With Gender Predilection. Int J Sci Study. 2014;2(6):32–6.
Kemenkes RI. Laporan Nasional Hasil Riset Kesehatan Dasar (Riskesdas) Indonesia tahun 2018. Riset Kesehatan Dasar 2018; 2018. p.182.
Puspitasari GA, Damayanti L, Kusumadewi A. Pola Kehilangan Gigi berdasarkan Klasifikasi Kennedy serta Penyebab Utama Kehilangan Gigi pada Rahang Atas atau Rahang Bawah Usia Dewasa Muda. J Kedokt Gigi Univ Padjajaran. 2022;34(3):216–25.
Rangarajan V, Padmanabhan T V. Textbook of Prosthodontics-E Book. Elsevier Health Sciences; 2017.
Amanda Putri J, Labaron I. Gambaran Status Nutrisi Pada Pasien dengan Kehilangan Gigi Sebagian Sesuai Klasifikasi Kennedy :Kajian Pada RSGM FKG Usakti (Penelitian). J Kedokt Gigi Terpadu. 2021;2(2):26–32.
Lai S, Damayanti L, Wulansari D. Gangguan Sendi Temporomandibula Akibat Ruang Edentulous pada Usia Dewasa Muda. Padjadjaran J Dent Res Students. 2023;7(1):13–8.
Gabriela Andreas N, Rikmasari R, Sumarsongko T. Temporomandibular Joint Disorders Diagnosis in Edentulous Patients Based on DC-TMD Axis I. J Heal Dent Sci. 2022;2(1):97–110.
Ainani H, Arifin R, Wardani IK. Description Of Partially Edentulous Pattern Among Patients At Rsgmp Gusti Hasan Aman In Banjarmasin. Dentino J Kedokt Gigi. 6(1):100–5.
Shofi N, Sukmana BI. Deskripsi Kasus Temporomandibular Disorder pada Pasiendi RSUD Ulin Banjarmasin Bulan Juni – Agustus 2013 Tinjauan Berdasarkan Jenis Kelamin, Etiologi, dan Klasifikasi. DENTINO J Kedokt Gigi. 2014;2(1):70–3.
Anjani KG, Nurrachman AS, Rahman FUA, Firman RN. Bentuk dan posisi kondilus sebagai marker pada Temporomandibular Disorder (TMD) melalui radiografi panoramik. J Radiol Dentomaksilofasial Indones. 2020;4(3):91–100.
Ikeda K, Kawamura A. Disc displacement and changes in condylar position. Dentomaxillofacial Radiol. 2013;42(3):11–7.
Naralan ME, Cakir B, Orhan K. The utilization of decision trees on orthopantomographic and lateral panoramic graphs for the diagnosis of unilateral anterior disc displacement of the temporomandibular joint. BMC Oral Health [Internet]. 2024;24(1):1–15.
Iswani R, Arnelisa K. Variasi Posisi Kondilus Mandibula Pada Pasien Maloklusi Kelas I Angle Dilihat Dari Radiografi Panoramik. 2020;9(1):115–25.
Shu J, Li A, Ma H, Shao B, Chong DYR, Liu Z. The Effects Of The Size And Strength Of Food On Jaw Motion And Temporomandibular Joints. Med Eng Phys [Internet]. 2023;116(24):103989.
Sritara S, Matsumoto Y, Lou Y, Qi J, Aida J, Ono T. Association Between The Temporomandibular Joint Morphology And Chewing Pattern. Diagnostics. 2023;13(13):1–14.
Jurt A, Lee JY, Gallo LM, Colombo V. Influence Of Bolus Size And Chewing Side On Temporomandibular Joint Intra-Articular Space During Mastication. Med Eng Phys [Internet]. 2020;86:41–6.
Pacek E, Walter MH. Anterior Occlusion In Shortened Dental Arches. Clin Oral Investig [Internet]. 2022;26(4):3487–92.
Hashii K, Tomida M, Yamashita S. Influence Of Changing The Chewing Region On Mandibular Movement. Aust Dent J. 2009;54(1):38–44.
Iwashita H, Tsukiyama Y, Kori H, Kuwatsuru R, Yamasaki Y, Koyano K. Comparative Cross-Sectional Study Of Masticatory Performance And Mastication Predominance For Patients With Missing Posterior Teeth. J Prosthodont Res. 2014;58(4):223–9.
Jiang H, Li C, Wang Z, Cao J, Shi X, Ma J, et al. Assessment Of Osseous Morphology Of Temporomandibular Joint In Asymptomatic Participants With Chewing-Side Preference. J Oral Rehabil. 2015;42(2):105–12.
Mangkat Y, Wowor VNS, Mayulu N. Pola Kehilangan Gigi Pada Masyarakat Desa Roong Kecamatan Tondano Barat Minahasa Induk. E-Gigi. 2015;3(2):508–14.
Chairunnisa R, Harahap R. The Increasing Risk Of Temporomandibular Disorder And Articular Eminence Inclination Due To Tooth Loss. Padjadjaran J Dent. 2022;34(2):154.
Okeson JP. Management Of Temporomandibular Disorders And Occlusion-E-Book. Elsevier Health Sciences; 2019.
Al-Rawi NH, Uthman AT, Sodeify SM. Spatial Analysis Of Mandibular Condyles In Patients With Temporomandibular Disorders And Normal Controls Using Cone Beam Computed Tomography. Eur J Dent. 2017;11(1):99–105.
Mazzetto MO, Veneziam GC, Magri LV, Nasr MK, Paiva AF, Paiva G. Evaluation Of The Condylar Position In Subjects With Signs And Symptoms Of Functional Disorders Of The Temporomandibular Joint Through Images Made With Cone Beam Computed Tomography On The Sagittal Plane. Brazilian Dent Sci. 2014;17(2):77–82.
Ahmed J, Sujir N, Shenoy N, Binnal A, Ongole R. Morphological Assessment Of Tmj Spaces, Mandibular Condyle, And Glenoid Fossa Using Cone Beam Computed Tomography (Cbct): A Retrospective Analysis. Indian J Radiol Imaging. 2021;31(1):78–85.
De Pontes MLC, Melo SLS, Bento PM, Campos PSF, De Melo DP. Correlation Between Temporomandibular Joint Morphometric Measurements And Gender, Disk Position, And Condylar Position. Oral Surg Oral Med Oral Pathol Oral Radiol. 2019;128(5):538–42.
Lubsen CC, Hansson TL, Nordström BB, Solberg WK. Histomorphometry Of Age And Sex Changes In Mandibular Condyles Of Young Human Adults. Arch Oral Biol. 1987;32(10):729–33.
Hinton RJ. Relationships Between Mandibular Joint Size And Craniofacial Size In Human Groups. Arch Oral Biol. 1983;28(1):37–43.
Noman NA, Aladimi AA, Alkadasi BA, Alraawi MA, Al-Iryani GM, Shaabi FI, et al. Social Habits And Other Risk Factors That Cause Tooth Loss: An Associative Study Conducted In Taiz Governorate, Yemen. J Contemp Dent Pract. 2019;20(4):428–33.
Setiawati T, Robbihi HI, Dewi TK. Hubungan Usia Dan Jenis Kelamin Dengan Periodontitis Pada Lansia Puskesmas Pabuarantumpeng Tangerang. Jdht J Dent Hyg Ther. 2022;3(1):43–8.
Shubita M. Evaluation Of Partial Edentulism Based On Kennedy’s Classification And Its Relation With Age And Gender. Pakistan Oral Dent J. 2015;35(4):750–2.
Agustina EM, Hamzah Z, Cholid Z. Potential Number Of Tooth Losses In Clicking, Popping And Crepitation Of Temporomandibular Disorders (Tmd) In Elderly. J Dentomaxillofacial Sci. 2020;5(3):185–90.
Hu YK, Yang C, Xie QY. Changes In Disc Status In The Reducing And Nonreducing Anterior Disc Displacement Of Temporomandibular Joint: A Longitudinal Retrospective Study. Sci Rep [Internet]. 2016;6(May):1–11.
Khabadze Z, Mordanov O, Davreshyan G, Balashova M, Prokopenko A, Gracheva A, Et Al. Degenerative Changes In The Temporomandibular Joint In Elderly Patients With Posterior Edentulous Maxilla And Mandibula According To Cone-Beam Computed Tomography Data. Open Dent J. 2021;15(1):191–5.
Görürgöz C, İçen M, Kurt MH, Aksoy S, Bakırarar B. Degenerative Changes Of The Mandibular Condyle In Relation To The Temporomandibular Joint Space , Gender And Age : A Multicenter Cbct Study. Dent Med Probl. 2023;60(1):127–35.
Tabatabaei S, Paknahad M, Poostforoosh M. The Effect Of Tooth Loss On The Temporomandibular Joint Space: A Cbct Study. Clin Exp Dent Res. 2024;10(1):1–7.
Yu W, Jeon Hh, Kim S, Dayo A, Mupparapu M, Boucher NS. Correlation Between Tmj Space Alteration And Disc Displacement: A Retrospective Cbct And Mri Study. Diagnostics. 2023;14(1):44.
Hasanah U, Chairunnisa R. Hubungan Jumlah Dan Kuadran Kehilangan Gigi Dengan Tingkat Keparahan Gangguan Sendi Temporomandibula Pasien Rsgm Usu. J Ilm Pannmed (Pharmacist, Anal Nurse, Nutr Midwivery, Environ Dent. 2019;12(3):232–7.
Pramanik F, Firman RN, Sam B. Differences Of Temporomandibular Joint Condyle Morphology With And Without Clicking Using Digital Panoramic Radiograph. Padjadjaran J Dent. 2016;28(3):159–64.
Reissmann D, Anderson G, Heydecke G, Schiffman E. Effect Of Shortened Dental Arch On Temporomandibular Joint Intra-Articular Disorders. J Oral Facial Pain Headache. 2018;32(3):329–37.
Lassmann Ł, Nowak Z, Orthlieb Jd, Żółtowska A. Complicated Relationships Between Anterior And Condylar Guidance And Their Clinical Implications—Comparison By Cone Beam Computed Tomography And Electronic Axiography—An Observational Cohort Cross-Sectional Study. Life. 2023;13(2):335.
Safira Isnaeni R, Patria A, Renita Silvana I. Relationship Of One Side Chewing Habits To Temporomandibular Joint Disorders Occurrence. J Heal Dent Sci. 2022;02(2):279–302.
Lee YH, Hong IK, An JS. Anterior Joint Space Narrowing In Patients With Temporomandibular Disorder. J Orofac Orthop. 2019;80(3):116–27.
Putri MS, Pramanik F, Epsilawati L. Descriptions Of Condyle Head Position In Digital Panoramic Radiograph Of Clicking And Nonclicking Patients At Rsgm Unpad Dental Radiology Installation. Dentino J Kedokt Gigi Jurnal Kedokt Gigi [Internet]. 2019;4(2):210–3.
Panchbhai As. Temporomandibular Joint Space. Indian J Oral Heal Res. 2017;3(2):47–56.
Arıkan B, Dedeoğlu N, Duman ŞB. Assessment Of The Effects Of Edentulousness On Temporomandibular Components By Using Cone Beam Computed Tomography Assessment Of The Effects Of Edentulousness On Temporomandibular Components By Using Cone Beam Computed Tomography. J Dent Indones. 2022;29(3):160–4.
Sagl B, Schmid-Schwap M, Piehslinger E, Rausch-Fan X, Stavness I. Journal Of The Mechanical Behavior Of Biomedical Materials An In Silico Investigation Of The Effect Of Bolus Properties On Tmj Loading During Mastication. J Mech Behav Biomed Mater [Internet]. 2021;124(May):104836.
Uma MP, Rajesh S, Kamalakanth KS. Cephalometric Evaluation Of Condyle ‑ Fossa Position In Dentulous And Edentulous Subjects. Indian J Dent Res. 2015;26(3):256–61.
Klineberg I, Jagger RG. Occlusion And Clinical Practice: An Evidence-Based Approach [Internet]. Wright; 2004.
Ammanna S, Rodrigues A, Shetty NS, Shetty K, Augustine D, Patil S. A Tomographic Study Of The Mandibular Condyle Position In Partially Edentulous Population. J Contemp Dent Pract. 2015;16(1):68–73.
Zheng H, Shi L, Lu H, Liu Z, Yu M, Wang Y, et al. Influence Of Edentulism On The Structure And Function Of Temporomandibular Joint. Heliyon [Internet]. 2023;9(10):E20307.
Tarigan TN, Chairunnisa R. Mandibular Repositioning Splint: A Functional And Esthetic Consideration For Disc Displacement With Reduction And Myofascial Pain Management. J Syiah Kuala Dent Soc. 2019;4(2):19–25.
Almǎşan OC, Hedeşiu M, Bǎciuţ G, Leucuţa DC, Bǎciuţ M. Disk And Joint Morphology Variations On Coronal And Sagittal Mri In Temporomandibular Joint Disorders. Clin Oral Investig. 2013;17(4):1243–50.
Idan HM, Al-Aswad FD. Determination The Condyle Position And Measurement Of Joint Space By Cbct In Patients With Disk Displacement Compared With Healthy Control Group. Int J Med Res 7 Heal Sci. 2019;8(2):13–20.
Dipoyono HN. Pengaruh Jumlah Gigi Posterior Rahang Bawah Dua Sisi Yang Telah Dicabut Dan Pemakaian Gigi Tiruan Sebagian Terhadap Bunyi Sendi. Maj Kedokt Gigi Indones. 2012;19(1):5–8.
Di Giacomo P, Ferrato G, Serritella E, Polimeni A, Di Paolo C. Muscular Pattern In Patients With Temporomandibular Joint Disc Displacement With Reduction: An Electromyographical Assessment. Clin Ter. 2020;171(5):E414–20.
Mapelli A, Zanandréa Machado BC, Giglio LD, Sforza C, De Felício CM. Reorganization Of Muscle Activity In Patients With Chronic Temporomandibular Disorders. Arch Oral Biol [Internet]. 2016;72:164–71.
Effat KG. A Clinical Study On The Incidence Of Internal Derangement Of The Temporomandibular Joint Following Harvesting Of Temporalis Fascia. Cranio - J Craniomandib Pract [Internet]. 2022;00(00):1–8.
Published
2024-08-20
How to Cite
IMANUELLA, Diandra et al. Linear measurement of condyles in edentulous patients with Kennedy classification based on panoramic radiographs. Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 8, n. 2, p. 51-58, aug. 2024. ISSN 2686-1321. Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/1248>. Date accessed: 19 nov. 2024. doi: https://doi.org/10.32793/jrdi.v8i2.1248.

Most read articles by the same author(s)

Obs.: This plugin requires at least one statistics/report plugin to be enabled. If your statistics plugins provide more than one metric then please also select a main metric on the admin's site settings page and/or on the journal manager's settings pages.