The Relationship Between Retruded Contact Position and Intercuspal Position in Patients with TMJ OsteoarthritisKazuhiro Yamada, D.D.S., Ph.D.; Tadao Fukui, D.D.S., Ph.D.; Akemi Tsuruta, D.D.S., Ph.D.; Kooji Hanada, D.D.S., Ph.D.; Akiko Hosogai, D.D.S., Ph

Abstract:

This study was conducted to investigate the relationship between posterior mandibular excursion movement and temporomandibular joint osteoarthritis (TMJ OA) in 25 orthodontic patients with Angle Class I and Class II, using a six degrees-of-freedom measuring device and helical computed tomography. There were significant differences found in three-dimensional length, antero-posterior, absolute latero-medial and supero-inferior incisal, and condylar intercuspal position (IP)-retruded contact position (RCP) slides between bilateral, unilateral, and no condylar bone change groups. With respect to the types of condylar bone change, there were significant differences found in three-dimensional length, antero-posterior, and absolute latero-medial condylar IP-RCP slides between flattening, erosion and osteophyte groups. These results suggest that large three-dimensional, not only incisal but also condylar, IP-RCP slides might be related to the uni-/bilaterality and kind of TMJ pathosis, which might make such slides useful as clinical indices of TMJ OA.