Avaliação da posição e forma do disco das articulações temporomandibulares por meio da ressonância magnética em crianças e pré adolescentes tratados com expansão rápida da maxila e protração maxilar

Detalhes bibliográficos
Ano de defesa: 2024
Autor(a) principal: Tagawa, Daniella Torres lattes
Orientador(a): Carrete Junior, Henrique lattes
Banca de defesa: Aihara, André Yui lattes, Shigueoka, David Carlos lattes, Zanatta, Emilio Carlos lattes, Gomes, Regina Lúcia Elia lattes
Tipo de documento: Tese
Tipo de acesso: Acesso aberto
dARK ID: ark:/80033/0013000001zg6
Idioma: por
Instituição de defesa: Universidade Federal de São Paulo - UNIFESP
Programa de Pós-Graduação: Programa de PósGraduação em Medicina (Radiologia Clínica)
Departamento: Universidade Federal de São Paulo
Escola Paulista de Medicina
País: Brasil
Palavras-chave em Português:
Articulação temporomandibular
Diagnóstico por Imagem
Imageamento por ressonância magnética
Transtornos da articulação temporomandibular
Má oclusão Classe III de Angle
Área do conhecimento CNPq:
4.02.03.00-0 Ortodontia
4.01.06.00-4 Radiologia Médica
Link de acesso: https://deposita.ibict.br/handle/deposita/677
Resumo: Objective:The aim of this prospective clinical study was to evaluate, using magnetic resonance imaging, possible changes in the position and shape of the temporomandibular joint disc in children and pre-adolescents treated with two different rapid maxillary expansion and facemask protocols. Methods: The convenience sample consisted of 88 patients, of both genders, Class III or Class III Subdivision malocclusion, aged between 6 and 13 years, selected at the Department of Orthodontics of University Santa Cecília and divided into 3 groups.Group 1 consisted of 34 patients, 8 boys and 26 girls treated with rapid maxillary expansion, followed by face mask therapy (11.41±3.13 months). Group 2 consisted of 34 patients, 18 boys and 16 girls, treated with rapid maxillary expansion according to the modified alternative protocol of rapid maxillary expansion and constriction followed by face mask therapy (13.26±2.77 months). These treated groups were randomly distributed with a 1:1 allocation ratio according to the two treatment protocols. The other 20 untreated patients from group 3 - Control Group, 9 boys and 11 girls, with a mean age of 7.83 ± 1.39 years were followed up (11.35 ± 2.98 months). Temporomandibular joints were obtained by magnetic resonance imaging before (M1) and after (M2) a period of treatment or follow-up. McNemar's test, Fisher's exact test and intra- and interobserver agreement (K) (p ≤ 0.05) were performed.Results: There was no statistically significant difference in baseline cephalometric variables at M1 between the groups. There was a statistically significant difference between the groups (p< 0.001) in relation to the shape of the disc in M1, with G1 showing a greater occurrence of altered shapes compared to G2. No significant differences were observed in the position and shape of the disc, between M1xM2, for any of the groups studied.Conclusion:It can be concluded that during the study period, the treatment protocols employed did not result in significant changes in the position and shape of the temporomandibular joint disc assessed by MRI in children and pre-adolescents with Class III or Class III Subdivision malocclusion.Registry: Brazilian registry of clinical trials (RBR-4ysjz3b).
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spelling Carrete Junior, Henriquehttp://lattes.cnpq.br/5188994792346007Aidar, Luís Antônio de Arruda Aidarhttp://lattes.cnpq.br/8772375085452805Aihara, André Yuihttp://lattes.cnpq.br/2850700195093078Shigueoka, David Carloshttp://lattes.cnpq.br/1047430444405235Zanatta, Emilio Carloshttp://lattes.cnpq.br/9720664006742397Gomes, Regina Lúcia Eliahttp://lattes.cnpq.br/7233697179319108http://lattes.cnpq.br/1709742036593224Tagawa, Daniella Torres2024-11-01T18:10:12Z2024https://deposita.ibict.br/handle/deposita/677ark:/80033/0013000001zg6Objective:The aim of this prospective clinical study was to evaluate, using magnetic resonance imaging, possible changes in the position and shape of the temporomandibular joint disc in children and pre-adolescents treated with two different rapid maxillary expansion and facemask protocols. Methods: The convenience sample consisted of 88 patients, of both genders, Class III or Class III Subdivision malocclusion, aged between 6 and 13 years, selected at the Department of Orthodontics of University Santa Cecília and divided into 3 groups.Group 1 consisted of 34 patients, 8 boys and 26 girls treated with rapid maxillary expansion, followed by face mask therapy (11.41±3.13 months). Group 2 consisted of 34 patients, 18 boys and 16 girls, treated with rapid maxillary expansion according to the modified alternative protocol of rapid maxillary expansion and constriction followed by face mask therapy (13.26±2.77 months). These treated groups were randomly distributed with a 1:1 allocation ratio according to the two treatment protocols. The other 20 untreated patients from group 3 - Control Group, 9 boys and 11 girls, with a mean age of 7.83 ± 1.39 years were followed up (11.35 ± 2.98 months). Temporomandibular joints were obtained by magnetic resonance imaging before (M1) and after (M2) a period of treatment or follow-up. McNemar's test, Fisher's exact test and intra- and interobserver agreement (K) (p ≤ 0.05) were performed.Results: There was no statistically significant difference in baseline cephalometric variables at M1 between the groups. There was a statistically significant difference between the groups (p< 0.001) in relation to the shape of the disc in M1, with G1 showing a greater occurrence of altered shapes compared to G2. No significant differences were observed in the position and shape of the disc, between M1xM2, for any of the groups studied.Conclusion:It can be concluded that during the study period, the treatment protocols employed did not result in significant changes in the position and shape of the temporomandibular joint disc assessed by MRI in children and pre-adolescents with Class III or Class III Subdivision malocclusion.Registry: Brazilian registry of clinical trials (RBR-4ysjz3b).Objetivo: O objetivo desse estudo clínico prospectivo foi avaliar, por meio de imagens por ressonância magnética, as possíveis alterações na posição e forma do disco das articulações temporomandibulares em crianças e pré adolescentes tratados com dois protocolos distintos de expansão rápida da maxila e máscara facial. Métodos: A amostra de conveniência foi composta por 88 pacientes, de ambos os gêneros, má oclusão Classe III ou Classe III Subdivisão, com idades entre 6 e 13 anos, selecionados no Departamento de Ortodontia da Universidade Santa Cecília e divididos em 3 grupos. O grupo 1 foi composto por 34 pacientes, sendo 8 meninos e 26 meninas tratados com expansão rápida da maxila, seguido de terapia com máscara facial (11,41±3,13 meses). O grupo 2 foi composto por 34 pacientes, sendo 18 meninos e 16 meninas, tratados com expansão rápida da maxila conforme o protocolo alternativo modificado de expansão e constrição rápida da maxila seguido de terapia com máscara facial (13,26±2,77 meses). Esses grupos tratados foram distribuídos aleatoriamente com uma taxa de alocação de 1:1 de acordo com os dois protocolos de tratamentos. Os outros 20 pacientes do grupo 3 Grupo Controle não tratados, 9 meninos e 11 meninas, com média de idade 7,83±1,39 anos foram acompanhados(11,35±2,98 meses). As imagens das articulações temporomandibulares por ressonância magnética foram obtidas no momento (M1) antes e (M2) após o final do tratamento ou período de acompanhamento. Foram realizados teste de McNemar, teste exato de Fisher e concordância intra e interobservador (K) (p ≤ 0,05). Resultados: Não houve diferença estatisticamente significante nas variáveis cefalométricas basais em M1 entre os grupos. Houve diferença estatisticamente significante entre os grupos (p< 0,001) em relação à forma do disco em M1, sendo que G1 apresentou maior ocorrência de forma alterada em comparação ao G2. Em todos os grupos estudados foram observadas diferenças não significantes entre M1xM2 quanto à posição e forma do disco. Conclusão: Pode se concluir que durante o período de estudo os protocolos de tratamento empregados não resultaram em alterações significativas na posição e forma do disco das articulações temporomandibulares avaliados por meio de RM em crianças e préadolescentes com má oclusão de Classe III ou Classe III Subdivisão. Registro: Registro brasileiro de ensaios clínicos (RBR4ysjz3b)CapesSudeste-1application/pdfporUniversidade Federal de São Paulo - UNIFESPPrograma de PósGraduação em Medicina (Radiologia Clínica)BrasilUniversidade Federal de São PauloEscola Paulista de Medicina1. Campbell PM. The dilemma of Class III treatment. Angle Orthod. 1983; 53(3): 175-91. 2. Guyer EC, Ellis E, McNamara JA, Behrents RG. Components of Class III malocclusion in juveniles and adolescents. Angle Orthod. 1986; 56(1):7-30. 3. Liou EJW, Tsai WC. A new protocol for maxillary protraction in cleft patients: repetitive weekly protocol of alternate rapid maxillary expansions and constrictions. The Cleft palate-craniofacial journal. 2005; 42(2):121-7. 4. Delaire J. Maxillary growth: therapeutic conclusions. Trans EurOrthod Soc. 1971;81-102. 5. Kurt H, Alioğlu C, Karayazgan B, Tuncer N, Kılıçoğlu H. The effects of two methods of Class III malocclusion treatment on temporomandibular disorders. The European Journal of Orthodontics. 2011; 33: 636-41. 6. Lee H, Son WS, Kwak C, Kang EH, Kim SS, Park SB, Kim YI. Three-dimensional changes in the temporomandibular joint after maxillary protraction in children with skeletal class III malocclusion. J Oral Sci. 2016; 58(4): 501-8. 7. Wyatt WE. Preventing adverse effects on the temporomandibular joint through orthodontic treatment. Am J Orthod Dentofacial Orthop. 1987;91(6): 493-9. 8. Drace JE, Enzmann DR. Defining the normal temporomandibular joint: closed-, partially open-, and open-mouth MR imaging of asymptomatic subjects. Radiology. 1990;177(1):67-71. 9. PancherzH, Salé H, Bjerklin K. Signs and symptoms of TMJ disorders in adults after adolescent Herbst therapy: a 6-year and 32-year radiographic and clinical follow-up study. Angle Orthod. 2015; 85(5):735-42. 10. Schiffman EL, Ahmad M, Hollender L, Kartha K, Ohrbach R, Truelove EL,Zhang L, Hodges JS, Sommers E, Anderson GC, Gonzalez YM, Guo X, Look JO. Longitudinal Stability of Common TMJ Structural Disorders. Journal of Dental Research. 2017;96(3):270-6. 11. Yang Z, Wang M, Ma Y, Lai Q, Tong D, Zhang F, Dong L. Magnetic resonance imaging (MRI) evaluation for anterior disc displacement of the temporomandibular joint. Med Sci Monit. 2017;23(8):712-8. 12. Tasaki MM, Westesson PL, Isberg AM, Ren YF, Tallents RH. Classification and prevalence of temporomandibular joint disk displacement in patients and symptom-free volunteers. Am J Orthod Dentofacial Orthop. 1996;109(3):249-62. 13. Ribeiro RF, Tallents RH, Katzberg RW, Murphy WC, Moss ME, Magalhaes AC, Tavano O. The prevalence of disc displacement in symptomatic and asymptomatic volunteers aged 6 to 25 years. J Orofacial Pain. 1997;11(1):37-47. 14. Katzberg RW, Westesson PL, Tallents RH, Drake CM. Anatomic disorders of the temporomandibular joint disk in asymptomatic subjects. J Oral Maxillofac Surg. 1996; 54(2):147-53. 15. Musgrave MT, Westesson PL, Tallents RH, Manzione JV, Katzberg RW. Improved magnetic resonance imaging of the temporomandibular joint by oblique scanning planes. Oral Surg Oral Med Oral Pathol.1991; 71(5):525-8. 16. Angle EH. Classification of malocclusion. The Dental Cosmos. 1889; 41:350-7. 17. Lucro WR. Ortodontia Contemporânea. 4a ed. St Louis: Mosby; 2007.p. 689-707. 18. Masucci C, Franchi L, Franceschi D, Pierleoni F, Giuntini V. Post-pubertal effects of the Alt-RAMEC/FM and RME/FM protocols for the early treatment of class III malocclusion: a retrospective controlled study. Eur J Orthod. 2022;44(3):303-10. 19. Ngan P. Early treatment of Class III malocclusion: is it worth the burden? Am J OrthodDentofacialOrthop. 2006;129:S82-S85. 20. Alomar X, Medrano J, Cabratosa J, Clavero JA, Lorente M, Serra I, Monill JM, Salvador A.Anatomyofthe temporomandibular joint. SeminUltrasound CT MR. 2007;28(3):170-83. 21. Okeson JP. Tratamento das desordens temporomandibulares e oclusão. 4a ed. SãoPaulo: Artes Médicas; 2000. p. 500. 22. Milano V, Desiate A, Bellino R, Garofalo T. Magnetic resonance imaging of temporomandibular disorders: classification, prevalence and interpretation of disc displacement and deformation. DentomaxillofacialRadiol. 2000;29(6):352-61. 23. Campos PSF, Aragão J A, Reis FP. Articulação temporomandibular anatomia e diagnóstico por imagem (Parte I). Rev. ABRO. 2008; 9(2): 5-10. 24. Bumann A, Lotzmann U. Procedimentos fornecedores de imagens. In: Bumann A, Lotzmann U. Disfunção: diagnóstico funcional e princípios terapêuticos. São Paulo: Artmed; 2002. p.141-200. 25. Matsumoto K, Kameoka S, Amemiya T, Yamada H, Araki M, Iwai K, Hashimoto K, Honda K. Discrepancy of coronal morphology between mandibular condyle and fossa is related to pathogenesis of anterior disk displacement of the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013; 116(5): 626-32. 26. Ikeda R, Ikeda K. Directional characteristics of incipient temporomandibular joint disc displacements: A magnetic resonance imaging study. Am J Orthod Dentofacial Orthop. 2016; 149(1):39-45. 27. Mariz AC, Campos PS, Sarmento VA, Gonzalez MO, Panella J, Mendes CM. Assessment of disk displacements of the temporomandibular joint. Braz Oral Res. 2005;19(1):63-8. 28. Talmaceanu D, Lenghel LM, Bolog N, Hedesiu M, Buduru S, Rotar H, Baciut M, Baciut G. Imaging modalities for temporomandibular joint disorders: an update.Clujul Med. 2018;91(3):280-7. 29. Ahmad M, Hollender L, Anderson Q, Kartha K, Ohrbach R, Truelove EL, John MT, Schiffman EL. Research diagnostic criteria for temporomandibular disorders (RDC/TMD): development of image analysis criteria and examiner reliability for image analysis. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2009; 107(6): 844-60. 30. Schulz KF, Altman DG, Moher D, CONSORT Group. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. PLoS Med. 2010;7:e1000251. 31. Dawson PE, Cranham JC. Aesthetics and function: conflict or complement? Dent Today. 2007; 26(10):80, 82-3. 32. Michelotti A, Rongo R, D'Antò V, Bucci R. Occlusion, orthodontics, and temporomandibular disorders: Cutting edge of the current evidence. J World Fed Orthod. 2020;9(3S):S15-S18. 33. Tagawa DT, Franco AA, PuchnickA,WoloskerAMB,Florez BM, Dominguez GC, Yamashita HK, Cevidanes LHS, Aidar LAA, Junior HC. Temporomandibular joint articular disc position and shape in skeletal Class III. OrthodCraniofac Res. 2023;26(2):185-96. 34. Jacobson A. The "Wits" appraisal of jaw disharmony. Am J Orthod Dentofacial Orthop. 2003;124(5):470-9. 35. Ricketts RM. Perspectives in the clinical application of cephalometrics. The first fifty years. Angle Orthod. 1981;51(2):115-50. 36. Baccetti T, Franchi L, McNamara Jr JA. An improved version of the cervical vertebral maturation (CVM) method for the assessment of mandibular growth. AngleOrthod1991. 2002;72(4):316-23. 37. Tanne K, Sakuda M. Biomechanical and clinical changes of the craniofacial complex from orthopedic maxillary protraction. Angle Orthod.;61(2):145-52. 38. Ishii H, Morita S, Takeuchi Y, Nakamura S. Treatment effect of combined maxillary protraction and chincap appliance in severe skeletal Class III cases. Am J Orthod Dentofacial Orthop. 1987;92(4):304-12. 39. McNamara JA. An orthopedic approach to the treatment of class III malocclusion in growing children. J CliOrthod. 1987;21(9):598-608. 40. Masucci C, Franchi L, Franceschi D, Pierleoni F, Giuntini V. Post-pubertal effects of the Alt-RAMEC/FM and RME/FM protocols for the early treatment of class III malocclusion: a retrospective controlled study. Eur J Orthod. 2022;44(3):303-10. 41. Pullinger AG, Hollender L. Variation in condyle-fossa relationship according to differents method of evaluation tomograms. Oral Surg Oral Med Oral Pathol. 1986; 62(6):719-27. 42. Landis JR, Koch GC. The measurement of observer agreement for categorical data. Biometrics.1977: 159-74. 43. Manfredini D, Lombardo L, Siciliani G. Temporomandibular disorders and dental occlusion. A systematic review of association studies: end of an era? J Oral Rehabil. 2017; 44(11):908-23. 44. Christidis N, Lindström Ndanshau E, Sandberg A, Tsilingaridis G. Prevalence and treatment strategies regarding temporomandibular disorders in children and adolescents - A systematic review. J Oral Rehabil. 2019;46(3):291-301. 45. John ZAS, Shrivastav SS, Kamble R, Jaiswal E, Dhande R. Three-dimensional comparative evaluation of articular disc position and other temporomandibular joint morphology in Class II horizontal and vertical cases with Class I malocclusion: A magnetic resonance imaging study. Angle Orthod. 2020;90(5):707-14. 46. Lucchi P, Rosa M, Bruno G, De Stefani A, Zalunardo F, Gracco A. Difference in using protrusion face mask before or after rapid palatal expansion in skeletal Class III Children: A preliminary study. Children. 2022; 9(10):1535. 47. Valesan LF, Da-Cas CD, Réus JC, Denardin ACS, Garanhani RR, Bonotto D, Januzzi E, de Souza BDM. Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis. Clinical oral investigations. 2021;25(2):441-53. 48. Myllymäki E, Heikinheimo K, Suominen A, Evälahti M, Michelotti A, Svedström-Oristo AL, Rice DP. Longitudinal trends in temporomandibular joint disorder symptoms, the impact of malocclusion and orthodontic treatment: A 20-year prospective study. J Oral Rehabil. 2023; 50(9): 739-45. 49. Wänman A, Marklund S. Treatment outcome of supervised exercise, home exercise and bite splint therapy, respectively, in patients with symptomatic disc displacement with reduction: a randomised clinical trial. J Oral Rehabil. 2020; 47(2):143-9. 50. Gökalp H, Türkkahraman H. Changes in position of the temporomandibular joint disc and condyle after disc repositioning appliance therapy: a functional examination and magnetic resonance imaging study. Angle Orthod. 2000;70(5):400-8. 51. Murakami S, Takahashi A, Nishiyama H, Fujishita M, Fuchihata H. Magnetic resonance evaluation of the temporomandibular joint disc position and configuration. DentomaxillofacRadiol. 1993;22(4):205-7. 52. Isberg A, Stenstrom B, Isacsson G. Frequency of bilateral temporomandibularjoint disc displacement in patients with unilateral symptoms: a 5-year follow-up of the asymptomatic joint. A clinical and arthrotomographic study. DentomaxillofacRadiol. 1991;20(2):73-6. 53. Perry Jr HT. Adolescent temporomandibular dysfunction. Am J Orthod. 1973;63(5):517-25. 54. Solberg WK, Hansson TL, Nordstrom B. The temporomandibular joint in young adults at autopsy: a morphologic classification and evaluation. J Oral Rehabil. 1985;12(4):303-21. 55. Hall MB, Gibbs CC, Sclar AG. Association between the prominence of the articular eminence and displaced TMJ discs. Cranio. 1985;3(3):237-9. 56. Santos KC, Dutra ME, Warmling LV, Oliveira JX. Correlation among the changes observed in temporomandibular joint internal derangements assessed by magnetic resonance in symptomatic patients. J Oral Maxillofac Surg. 2013;71(9):1504-12. 57. Sato S, Sakamoto M, Kawamura H, Motegi K. Long-term changes in clinical signs and symptoms and disc position and morphology in patients with nonreducing disc displacement in the temporomandibular joint. J Oral Maxillofac Surg. 1999; 57(1):23-9. 58. Nilsson IM, Ekberg E, Michelotti A, Al-Khotani A, Alstergren P, Conti PCR, Durham J, Goulet JP, Hirsch C, Kalaykova S, Kapos FP, King CD, Komiyama O, Koutris M, List T, LobbezooF, Ohrbach R, Palermo TM, Peck CC, Penlington C, Restrepo C, Rodrigues MJ, Sharma S, Svensson P, Visscher C, Wahlund K, Rongo R. Diagnostic criteria for temporomandibular disorders - INfORM recommendations: Comprehensive and short‐form adaptations for children. 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dc.title.por.fl_str_mv Avaliação da posição e forma do disco das articulações temporomandibulares por meio da ressonância magnética em crianças e pré adolescentes tratados com expansão rápida da maxila e protração maxilar
dc.title.alternative.eng.fl_str_mv Evaluation of the position and shape of the temporomandibular joint disc using magnetic resonance imaging in children and preadolescents treated with rapid maxillary expansion and maxillary protraction
title Avaliação da posição e forma do disco das articulações temporomandibulares por meio da ressonância magnética em crianças e pré adolescentes tratados com expansão rápida da maxila e protração maxilar
spellingShingle Avaliação da posição e forma do disco das articulações temporomandibulares por meio da ressonância magnética em crianças e pré adolescentes tratados com expansão rápida da maxila e protração maxilar
Tagawa, Daniella Torres
Articulação temporomandibular
Diagnóstico por Imagem
Imageamento por ressonância magnética
Transtornos da articulação temporomandibular
Má oclusão Classe III de Angle
4.02.03.00-0 Ortodontia
4.01.06.00-4 Radiologia Médica
title_short Avaliação da posição e forma do disco das articulações temporomandibulares por meio da ressonância magnética em crianças e pré adolescentes tratados com expansão rápida da maxila e protração maxilar
title_full Avaliação da posição e forma do disco das articulações temporomandibulares por meio da ressonância magnética em crianças e pré adolescentes tratados com expansão rápida da maxila e protração maxilar
title_fullStr Avaliação da posição e forma do disco das articulações temporomandibulares por meio da ressonância magnética em crianças e pré adolescentes tratados com expansão rápida da maxila e protração maxilar
title_full_unstemmed Avaliação da posição e forma do disco das articulações temporomandibulares por meio da ressonância magnética em crianças e pré adolescentes tratados com expansão rápida da maxila e protração maxilar
title_sort Avaliação da posição e forma do disco das articulações temporomandibulares por meio da ressonância magnética em crianças e pré adolescentes tratados com expansão rápida da maxila e protração maxilar
author Tagawa, Daniella Torres
author_facet Tagawa, Daniella Torres
author_role author
dc.contributor.advisor1.fl_str_mv Carrete Junior, Henrique
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/5188994792346007
dc.contributor.advisor-co1.fl_str_mv Aidar, Luís Antônio de Arruda Aidar
dc.contributor.advisor-co1Lattes.fl_str_mv http://lattes.cnpq.br/8772375085452805
dc.contributor.referee1.fl_str_mv Aihara, André Yui
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/2850700195093078
dc.contributor.referee2.fl_str_mv Shigueoka, David Carlos
dc.contributor.referee2Lattes.fl_str_mv http://lattes.cnpq.br/1047430444405235
dc.contributor.referee3.fl_str_mv Zanatta, Emilio Carlos
dc.contributor.referee3Lattes.fl_str_mv http://lattes.cnpq.br/9720664006742397
dc.contributor.referee4.fl_str_mv Gomes, Regina Lúcia Elia
dc.contributor.referee4Lattes.fl_str_mv http://lattes.cnpq.br/7233697179319108
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/1709742036593224
dc.contributor.author.fl_str_mv Tagawa, Daniella Torres
contributor_str_mv Carrete Junior, Henrique
Aidar, Luís Antônio de Arruda Aidar
Aihara, André Yui
Shigueoka, David Carlos
Zanatta, Emilio Carlos
Gomes, Regina Lúcia Elia
dc.subject.por.fl_str_mv Articulação temporomandibular
Diagnóstico por Imagem
Imageamento por ressonância magnética
Transtornos da articulação temporomandibular
Má oclusão Classe III de Angle
topic Articulação temporomandibular
Diagnóstico por Imagem
Imageamento por ressonância magnética
Transtornos da articulação temporomandibular
Má oclusão Classe III de Angle
4.02.03.00-0 Ortodontia
4.01.06.00-4 Radiologia Médica
dc.subject.cnpq.fl_str_mv 4.02.03.00-0 Ortodontia
4.01.06.00-4 Radiologia Médica
description Objective:The aim of this prospective clinical study was to evaluate, using magnetic resonance imaging, possible changes in the position and shape of the temporomandibular joint disc in children and pre-adolescents treated with two different rapid maxillary expansion and facemask protocols. Methods: The convenience sample consisted of 88 patients, of both genders, Class III or Class III Subdivision malocclusion, aged between 6 and 13 years, selected at the Department of Orthodontics of University Santa Cecília and divided into 3 groups.Group 1 consisted of 34 patients, 8 boys and 26 girls treated with rapid maxillary expansion, followed by face mask therapy (11.41±3.13 months). Group 2 consisted of 34 patients, 18 boys and 16 girls, treated with rapid maxillary expansion according to the modified alternative protocol of rapid maxillary expansion and constriction followed by face mask therapy (13.26±2.77 months). These treated groups were randomly distributed with a 1:1 allocation ratio according to the two treatment protocols. The other 20 untreated patients from group 3 - Control Group, 9 boys and 11 girls, with a mean age of 7.83 ± 1.39 years were followed up (11.35 ± 2.98 months). Temporomandibular joints were obtained by magnetic resonance imaging before (M1) and after (M2) a period of treatment or follow-up. McNemar's test, Fisher's exact test and intra- and interobserver agreement (K) (p ≤ 0.05) were performed.Results: There was no statistically significant difference in baseline cephalometric variables at M1 between the groups. There was a statistically significant difference between the groups (p< 0.001) in relation to the shape of the disc in M1, with G1 showing a greater occurrence of altered shapes compared to G2. No significant differences were observed in the position and shape of the disc, between M1xM2, for any of the groups studied.Conclusion:It can be concluded that during the study period, the treatment protocols employed did not result in significant changes in the position and shape of the temporomandibular joint disc assessed by MRI in children and pre-adolescents with Class III or Class III Subdivision malocclusion.Registry: Brazilian registry of clinical trials (RBR-4ysjz3b).
publishDate 2024
dc.date.accessioned.fl_str_mv 2024-11-01T18:10:12Z
dc.date.issued.fl_str_mv 2024
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/doctoralThesis
format doctoralThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://deposita.ibict.br/handle/deposita/677
dc.identifier.dark.fl_str_mv ark:/80033/0013000001zg6
url https://deposita.ibict.br/handle/deposita/677
identifier_str_mv ark:/80033/0013000001zg6
dc.language.iso.fl_str_mv por
language por
dc.relation.references.por.fl_str_mv 1. Campbell PM. The dilemma of Class III treatment. Angle Orthod. 1983; 53(3): 175-91. 2. Guyer EC, Ellis E, McNamara JA, Behrents RG. Components of Class III malocclusion in juveniles and adolescents. Angle Orthod. 1986; 56(1):7-30. 3. Liou EJW, Tsai WC. A new protocol for maxillary protraction in cleft patients: repetitive weekly protocol of alternate rapid maxillary expansions and constrictions. The Cleft palate-craniofacial journal. 2005; 42(2):121-7. 4. Delaire J. Maxillary growth: therapeutic conclusions. Trans EurOrthod Soc. 1971;81-102. 5. Kurt H, Alioğlu C, Karayazgan B, Tuncer N, Kılıçoğlu H. The effects of two methods of Class III malocclusion treatment on temporomandibular disorders. The European Journal of Orthodontics. 2011; 33: 636-41. 6. Lee H, Son WS, Kwak C, Kang EH, Kim SS, Park SB, Kim YI. Three-dimensional changes in the temporomandibular joint after maxillary protraction in children with skeletal class III malocclusion. J Oral Sci. 2016; 58(4): 501-8. 7. Wyatt WE. Preventing adverse effects on the temporomandibular joint through orthodontic treatment. Am J Orthod Dentofacial Orthop. 1987;91(6): 493-9. 8. Drace JE, Enzmann DR. Defining the normal temporomandibular joint: closed-, partially open-, and open-mouth MR imaging of asymptomatic subjects. Radiology. 1990;177(1):67-71. 9. PancherzH, Salé H, Bjerklin K. Signs and symptoms of TMJ disorders in adults after adolescent Herbst therapy: a 6-year and 32-year radiographic and clinical follow-up study. Angle Orthod. 2015; 85(5):735-42. 10. Schiffman EL, Ahmad M, Hollender L, Kartha K, Ohrbach R, Truelove EL,Zhang L, Hodges JS, Sommers E, Anderson GC, Gonzalez YM, Guo X, Look JO. Longitudinal Stability of Common TMJ Structural Disorders. Journal of Dental Research. 2017;96(3):270-6. 11. Yang Z, Wang M, Ma Y, Lai Q, Tong D, Zhang F, Dong L. Magnetic resonance imaging (MRI) evaluation for anterior disc displacement of the temporomandibular joint. Med Sci Monit. 2017;23(8):712-8. 12. Tasaki MM, Westesson PL, Isberg AM, Ren YF, Tallents RH. Classification and prevalence of temporomandibular joint disk displacement in patients and symptom-free volunteers. Am J Orthod Dentofacial Orthop. 1996;109(3):249-62. 13. Ribeiro RF, Tallents RH, Katzberg RW, Murphy WC, Moss ME, Magalhaes AC, Tavano O. The prevalence of disc displacement in symptomatic and asymptomatic volunteers aged 6 to 25 years. J Orofacial Pain. 1997;11(1):37-47. 14. Katzberg RW, Westesson PL, Tallents RH, Drake CM. Anatomic disorders of the temporomandibular joint disk in asymptomatic subjects. J Oral Maxillofac Surg. 1996; 54(2):147-53. 15. Musgrave MT, Westesson PL, Tallents RH, Manzione JV, Katzberg RW. Improved magnetic resonance imaging of the temporomandibular joint by oblique scanning planes. Oral Surg Oral Med Oral Pathol.1991; 71(5):525-8. 16. Angle EH. Classification of malocclusion. The Dental Cosmos. 1889; 41:350-7. 17. Lucro WR. Ortodontia Contemporânea. 4a ed. St Louis: Mosby; 2007.p. 689-707. 18. Masucci C, Franchi L, Franceschi D, Pierleoni F, Giuntini V. Post-pubertal effects of the Alt-RAMEC/FM and RME/FM protocols for the early treatment of class III malocclusion: a retrospective controlled study. Eur J Orthod. 2022;44(3):303-10. 19. Ngan P. Early treatment of Class III malocclusion: is it worth the burden? Am J OrthodDentofacialOrthop. 2006;129:S82-S85. 20. Alomar X, Medrano J, Cabratosa J, Clavero JA, Lorente M, Serra I, Monill JM, Salvador A.Anatomyofthe temporomandibular joint. SeminUltrasound CT MR. 2007;28(3):170-83. 21. Okeson JP. Tratamento das desordens temporomandibulares e oclusão. 4a ed. SãoPaulo: Artes Médicas; 2000. p. 500. 22. Milano V, Desiate A, Bellino R, Garofalo T. Magnetic resonance imaging of temporomandibular disorders: classification, prevalence and interpretation of disc displacement and deformation. DentomaxillofacialRadiol. 2000;29(6):352-61. 23. Campos PSF, Aragão J A, Reis FP. Articulação temporomandibular anatomia e diagnóstico por imagem (Parte I). Rev. ABRO. 2008; 9(2): 5-10. 24. Bumann A, Lotzmann U. Procedimentos fornecedores de imagens. In: Bumann A, Lotzmann U. Disfunção: diagnóstico funcional e princípios terapêuticos. São Paulo: Artmed; 2002. p.141-200. 25. Matsumoto K, Kameoka S, Amemiya T, Yamada H, Araki M, Iwai K, Hashimoto K, Honda K. Discrepancy of coronal morphology between mandibular condyle and fossa is related to pathogenesis of anterior disk displacement of the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013; 116(5): 626-32. 26. Ikeda R, Ikeda K. Directional characteristics of incipient temporomandibular joint disc displacements: A magnetic resonance imaging study. Am J Orthod Dentofacial Orthop. 2016; 149(1):39-45. 27. Mariz AC, Campos PS, Sarmento VA, Gonzalez MO, Panella J, Mendes CM. Assessment of disk displacements of the temporomandibular joint. Braz Oral Res. 2005;19(1):63-8. 28. Talmaceanu D, Lenghel LM, Bolog N, Hedesiu M, Buduru S, Rotar H, Baciut M, Baciut G. Imaging modalities for temporomandibular joint disorders: an update.Clujul Med. 2018;91(3):280-7. 29. Ahmad M, Hollender L, Anderson Q, Kartha K, Ohrbach R, Truelove EL, John MT, Schiffman EL. Research diagnostic criteria for temporomandibular disorders (RDC/TMD): development of image analysis criteria and examiner reliability for image analysis. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2009; 107(6): 844-60. 30. Schulz KF, Altman DG, Moher D, CONSORT Group. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. PLoS Med. 2010;7:e1000251. 31. Dawson PE, Cranham JC. Aesthetics and function: conflict or complement? Dent Today. 2007; 26(10):80, 82-3. 32. Michelotti A, Rongo R, D'Antò V, Bucci R. Occlusion, orthodontics, and temporomandibular disorders: Cutting edge of the current evidence. J World Fed Orthod. 2020;9(3S):S15-S18. 33. Tagawa DT, Franco AA, PuchnickA,WoloskerAMB,Florez BM, Dominguez GC, Yamashita HK, Cevidanes LHS, Aidar LAA, Junior HC. Temporomandibular joint articular disc position and shape in skeletal Class III. OrthodCraniofac Res. 2023;26(2):185-96. 34. Jacobson A. The "Wits" appraisal of jaw disharmony. Am J Orthod Dentofacial Orthop. 2003;124(5):470-9. 35. Ricketts RM. Perspectives in the clinical application of cephalometrics. The first fifty years. Angle Orthod. 1981;51(2):115-50. 36. Baccetti T, Franchi L, McNamara Jr JA. An improved version of the cervical vertebral maturation (CVM) method for the assessment of mandibular growth. AngleOrthod1991. 2002;72(4):316-23. 37. Tanne K, Sakuda M. Biomechanical and clinical changes of the craniofacial complex from orthopedic maxillary protraction. Angle Orthod.;61(2):145-52. 38. Ishii H, Morita S, Takeuchi Y, Nakamura S. Treatment effect of combined maxillary protraction and chincap appliance in severe skeletal Class III cases. Am J Orthod Dentofacial Orthop. 1987;92(4):304-12. 39. McNamara JA. An orthopedic approach to the treatment of class III malocclusion in growing children. J CliOrthod. 1987;21(9):598-608. 40. Masucci C, Franchi L, Franceschi D, Pierleoni F, Giuntini V. Post-pubertal effects of the Alt-RAMEC/FM and RME/FM protocols for the early treatment of class III malocclusion: a retrospective controlled study. Eur J Orthod. 2022;44(3):303-10. 41. Pullinger AG, Hollender L. Variation in condyle-fossa relationship according to differents method of evaluation tomograms. Oral Surg Oral Med Oral Pathol. 1986; 62(6):719-27. 42. Landis JR, Koch GC. The measurement of observer agreement for categorical data. Biometrics.1977: 159-74. 43. Manfredini D, Lombardo L, Siciliani G. Temporomandibular disorders and dental occlusion. A systematic review of association studies: end of an era? J Oral Rehabil. 2017; 44(11):908-23. 44. Christidis N, Lindström Ndanshau E, Sandberg A, Tsilingaridis G. Prevalence and treatment strategies regarding temporomandibular disorders in children and adolescents - A systematic review. J Oral Rehabil. 2019;46(3):291-301. 45. John ZAS, Shrivastav SS, Kamble R, Jaiswal E, Dhande R. Three-dimensional comparative evaluation of articular disc position and other temporomandibular joint morphology in Class II horizontal and vertical cases with Class I malocclusion: A magnetic resonance imaging study. Angle Orthod. 2020;90(5):707-14. 46. Lucchi P, Rosa M, Bruno G, De Stefani A, Zalunardo F, Gracco A. Difference in using protrusion face mask before or after rapid palatal expansion in skeletal Class III Children: A preliminary study. Children. 2022; 9(10):1535. 47. Valesan LF, Da-Cas CD, Réus JC, Denardin ACS, Garanhani RR, Bonotto D, Januzzi E, de Souza BDM. Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis. Clinical oral investigations. 2021;25(2):441-53. 48. Myllymäki E, Heikinheimo K, Suominen A, Evälahti M, Michelotti A, Svedström-Oristo AL, Rice DP. Longitudinal trends in temporomandibular joint disorder symptoms, the impact of malocclusion and orthodontic treatment: A 20-year prospective study. J Oral Rehabil. 2023; 50(9): 739-45. 49. Wänman A, Marklund S. Treatment outcome of supervised exercise, home exercise and bite splint therapy, respectively, in patients with symptomatic disc displacement with reduction: a randomised clinical trial. J Oral Rehabil. 2020; 47(2):143-9. 50. Gökalp H, Türkkahraman H. Changes in position of the temporomandibular joint disc and condyle after disc repositioning appliance therapy: a functional examination and magnetic resonance imaging study. Angle Orthod. 2000;70(5):400-8. 51. Murakami S, Takahashi A, Nishiyama H, Fujishita M, Fuchihata H. Magnetic resonance evaluation of the temporomandibular joint disc position and configuration. DentomaxillofacRadiol. 1993;22(4):205-7. 52. Isberg A, Stenstrom B, Isacsson G. Frequency of bilateral temporomandibularjoint disc displacement in patients with unilateral symptoms: a 5-year follow-up of the asymptomatic joint. A clinical and arthrotomographic study. DentomaxillofacRadiol. 1991;20(2):73-6. 53. Perry Jr HT. Adolescent temporomandibular dysfunction. Am J Orthod. 1973;63(5):517-25. 54. Solberg WK, Hansson TL, Nordstrom B. The temporomandibular joint in young adults at autopsy: a morphologic classification and evaluation. J Oral Rehabil. 1985;12(4):303-21. 55. Hall MB, Gibbs CC, Sclar AG. Association between the prominence of the articular eminence and displaced TMJ discs. Cranio. 1985;3(3):237-9. 56. Santos KC, Dutra ME, Warmling LV, Oliveira JX. Correlation among the changes observed in temporomandibular joint internal derangements assessed by magnetic resonance in symptomatic patients. J Oral Maxillofac Surg. 2013;71(9):1504-12. 57. Sato S, Sakamoto M, Kawamura H, Motegi K. Long-term changes in clinical signs and symptoms and disc position and morphology in patients with nonreducing disc displacement in the temporomandibular joint. J Oral Maxillofac Surg. 1999; 57(1):23-9. 58. Nilsson IM, Ekberg E, Michelotti A, Al-Khotani A, Alstergren P, Conti PCR, Durham J, Goulet JP, Hirsch C, Kalaykova S, Kapos FP, King CD, Komiyama O, Koutris M, List T, LobbezooF, Ohrbach R, Palermo TM, Peck CC, Penlington C, Restrepo C, Rodrigues MJ, Sharma S, Svensson P, Visscher C, Wahlund K, Rongo R. Diagnostic criteria for temporomandibular disorders - INfORM recommendations: Comprehensive and short‐form adaptations for children. J Oral Rehabil. 2023; 50(2): 99-112.
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