The aim of this preliminary study is to get the outline of the morphological changes of the temporomandibular joint (TMJ), in order to select the anatomical landmarks adequate to the referential points for measurements.
The sample group consisted of 132 patients with symptoms involving the TMJ. These patients were examined by the cephalometric axial projection, the modified panoramic radiography and the cephalometric selective lateral tomography of the TMJ, in order to evaluate the following subject such as
1. an analysis of the angle of the condylar axis on the horizontal plane,
2. a distribution of the morphological changes such as erosion, osteophyte, concavity and flattening,
3. a classification of the lateral aspect of the condylar head on its central portion, and
4. an evaluation of the size of condylar head relative to the width of the articualr fossa.
The following results were obtained,
1. A mean horizontal angulation of the condylar axis was 15.6°±8.6° (mean±S. D.). Out of the patients, 21.2% showed the angulation between 12.5 degrees and 17.5 degrees. However, the horizontal angulations were widely distributed ranged from -12 to 43 degrees.
2. The distribution of the morphological changes was not specified. The remarkable changes were found on the surface of the articular eminences in 5 patients.
3. The lateral aspects of the condylar head were classified into 6 types with special reference to the outline and the form of the condylar head such as round, angulated, protruding, and so on.
4. Out of 263 condyles, 30 were relatively larger and 22 were comparatively smaller than the articular fossa, though the condylar head and the articular fossa were well balanced in size at most of the patients.
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