Evaluation of the relationship between anterior and posterior functionally disclusive angles. Part II: Study of a population

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

A complex prosthodontic treatment is believed to be more successful when the condylar path is replicated using the articulator. However, there is an ongoing major disagreement between the researchers as the exact relationship between the posterior and anterior determinants has not been clear. The purpose of this study was to investigate whether the protrusive movement of the mandible does correlate with the temporomandibular joint (TMJ) anatomy or with incised features. Subjects (15 males and 15 females) were qualified for this study based on an initial interview including the following criteria: age 21-23 (+/-1), no history of trauma, orthodontic treatment, or temporomandibular disorders (TMD). For each patient, the angle of the condylar path, incisal guidance angle (IGA), interincisal angle, as well as overbite and overjet were measured on cone beam computed tomography (CBCT). This was followed by the examination with the Modjaw^® electronic axiograph recording and calculating the functional sagittal condylar guidance angle (SCGA) for the right and left TMJ during the protrusion. The results show that the mean functional axiographic measurement of SCGA in protrusion significantly correlates with the TMJ anatomy presented on CBCT. Moreover, a significant correlation was found between the values of SCGA in the functional and anatomical measurements in all its variants. It turned out that, statistically, the AB measurement was the most accurate. Finally, results showed that incisal relationships of permanent teeth such as overbite, overjet, incisal guidance angle and interincisal angle do not correlate with TMJ anatomy, and therefore, regarding an analyzed study group, do not affect the TMJ formation in young adults.

A study to evaluate the influence of condylar and incisal guidance in canine guided and group function occlusal schemes

Aims:

This study aimed to evaluate the combined influence of condylar and incisal guidance in canine-guided and group function occlusal schemes.

Settings and Design:

In vivo - Cross sectional study.

Materials and Methods:

A total number of 88 subjects were selected and classified into two groups: 44 subjects with canine guided and 44 subjects with group function occlusal schemes. Condylar and incisal guidance tracings of both the groups were recorded using SAM AXIOQUICK RECORDER (School Articulator Munich) and evaluated.

Statistical Analysis Used:

Kolmogorov–Smirnov test and Shapiro–Wilk test were employed to test the normality of data. Independent sample t-test and Mann–Whitney U-test was performed for quantitative variables.

Results:

The condylar and incisal guidance among canine-guided individuals was 31.38 ± 12.01 and 55.83 ± 14.04, respectively, while in group function individuals, it was 29.44 ± 12.65 and 43.74 ± 20.27.

Conclusions:

Within the limitations of the present study, condylar guidance was similar in subjects with both schemes of occlusion, whereas steeper incisal guidance was noticed in canine-guided individuals as compared to group function.

Report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry

Subjects of the past decade in the dental literature are reflected in this year's Committee report. We note the decrease in the prevalence of caries, the influence of dental implants, the advancements in dental materials, and the continued efforts to control adhesive events in the oral cavity. This year we included comments from and about many significant review articles published this past year. The Committee continues to be concerned about the quality of some of the work reported and the quality of the reporting. We have attempted to select the distinguished work, that which provides new information to our profession. The subjects covered include pulp biology, caries prevention, periodontics, implants, craniomandibular function and dysfunction, occlusion, and dental materials.