Static mandibular condyle positions studied by MRI and condylar position indicator

Abstract We compared mandibular condyle positions as determined by magnetic resonance imaging (MRI) and a mechanical device, the condylar position indicator (CPI). Both methods assessed 3 mandibular positions in 10 asymptomatic males and 10 asymptomatic females, aged 23 to 37 years, free from tempor...

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Main Authors: Josef Freudenthaler, Stefan Lettner, André Gahleitner, Erwin Jonke, Aleš Čelar
Format: Article
Language:English
Published: Nature Portfolio 2022-10-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-22745-5
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author Josef Freudenthaler
Stefan Lettner
André Gahleitner
Erwin Jonke
Aleš Čelar
author_facet Josef Freudenthaler
Stefan Lettner
André Gahleitner
Erwin Jonke
Aleš Čelar
author_sort Josef Freudenthaler
collection DOAJ
description Abstract We compared mandibular condyle positions as determined by magnetic resonance imaging (MRI) and a mechanical device, the condylar position indicator (CPI). Both methods assessed 3 mandibular positions in 10 asymptomatic males and 10 asymptomatic females, aged 23 to 37 years, free from temporomandibular disorders: maximum intercuspation, bimanually manipulated centric relation, and the unguided neuromuscular position. Bite registrations were obtained for bimanual operator guidance and neuromuscular position. 3 T MRI scans of both temporomandibular joints produced 3D data of the most superior condylar points in all 3 mandibular positions. Using mounted plaster casts and the same bite registrations, an electronic CPI displayed 3D data of its condylar spheres in these positions. The results showed interclass correlation coefficients ranging from 0.03 to 0.66 (95% confidence intervals from 0 to 0.8) and significantly different condyle positions between both methods (p = 0.0012, p < 0.001). The implications of the study emphasize that condyle position is unpredictable and variable. Its exact knowledge requires radiological imaging and should not rely on CPI assessments.
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spelling doaj.art-0ea87555f8534b49ab7c95334116a10f2022-12-22T03:22:31ZengNature PortfolioScientific Reports2045-23222022-10-011211910.1038/s41598-022-22745-5Static mandibular condyle positions studied by MRI and condylar position indicatorJosef Freudenthaler0Stefan Lettner1André Gahleitner2Erwin Jonke3Aleš Čelar4Medical University of Vienna, University Clinic of DentistryMedical University of Vienna, University Clinic of DentistryMedical University of Vienna, University Clinic of DentistryMedical University of Vienna, University Clinic of DentistryMedical University of Vienna, University Clinic of DentistryAbstract We compared mandibular condyle positions as determined by magnetic resonance imaging (MRI) and a mechanical device, the condylar position indicator (CPI). Both methods assessed 3 mandibular positions in 10 asymptomatic males and 10 asymptomatic females, aged 23 to 37 years, free from temporomandibular disorders: maximum intercuspation, bimanually manipulated centric relation, and the unguided neuromuscular position. Bite registrations were obtained for bimanual operator guidance and neuromuscular position. 3 T MRI scans of both temporomandibular joints produced 3D data of the most superior condylar points in all 3 mandibular positions. Using mounted plaster casts and the same bite registrations, an electronic CPI displayed 3D data of its condylar spheres in these positions. The results showed interclass correlation coefficients ranging from 0.03 to 0.66 (95% confidence intervals from 0 to 0.8) and significantly different condyle positions between both methods (p = 0.0012, p < 0.001). The implications of the study emphasize that condyle position is unpredictable and variable. Its exact knowledge requires radiological imaging and should not rely on CPI assessments.https://doi.org/10.1038/s41598-022-22745-5
spellingShingle Josef Freudenthaler
Stefan Lettner
André Gahleitner
Erwin Jonke
Aleš Čelar
Static mandibular condyle positions studied by MRI and condylar position indicator
Scientific Reports
title Static mandibular condyle positions studied by MRI and condylar position indicator
title_full Static mandibular condyle positions studied by MRI and condylar position indicator
title_fullStr Static mandibular condyle positions studied by MRI and condylar position indicator
title_full_unstemmed Static mandibular condyle positions studied by MRI and condylar position indicator
title_short Static mandibular condyle positions studied by MRI and condylar position indicator
title_sort static mandibular condyle positions studied by mri and condylar position indicator
url https://doi.org/10.1038/s41598-022-22745-5
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