Functional condition of the mandible: physical structures of free mandibular movement

Centric slide in different Angle's classes of occlusion

The purpose of this study was to test the possible differences in centric slide values between different Angle's classes of occlusion. The study included 98 participants divided into four groups: Angle's class I, Angle's class II, subdivision 1, Angle's class II, subdivision 2 and Angle's class III. All recordings were obtained using an ultrasound jaw tracking device with six degrees of freedom. The distance between the maximum intercuspation (reference position) and the centric occlusion was recorded at the condylar level. Anteroposterior, superoinferior and transversal distance of the centric slide were calculated for each participant, and the data were statistically analyzed (analysis of variance and Newman-Keuls post hoc test). No statistically significant difference was found in the anteroposterior and transversal distance of the centric slide between tested groups, while Angle's class II, subdivision 2 showed smaller vertical amount of the centric slide compared to Angle's class I and class II, subdivision 1. None of the 98 participants showed coincidence of centric occlusion and maximum intercuspation. Our results suggest that coincidence of the maximum intercuspation with the centric occlusion should not be expected. Smaller extent of the vertical distance of the centric slide could be morphological and a functional expression characteristic of the Angle's class II, subdivision 2.

Variations in cyclic mandibular movements during treatment of Class II malocclusions with removable functional appliances

The aim of the study was to establish whether juveniles with a Class II malocclusion change the neuromuscular control of mandibular movements during the course of orthodontic treatment with removable functional appliances (RFAs). Neuromuscular control can be indirectly evaluated by recording cyclic planar mandibular movements which were freely carried out by the patients (28 girls, 14 boys, aged 11.1 ± 1.1 years at the start of treatment) and measured with an ultrasonic device before, during, and after Class II functional appliance therapy, with either an activator or a bite jumping plate. The cyclic movements represented simultaneous rotations of the mandible around a maxillary and mandibular fixed axis (MFHA) and could be characterized by μ(α)-diagrams (μ = swing angle of MFHA, α = mouth opening angle) and path length (L) of the MFHA. The μ(α)-diagrams clearly divided into four parts: movement representing protrusion, mouth opening, and two parts of backward closing as known from Posselt diagrams. Parameters from the Posselt and μ(α)-diagrams were checked by one-factor analysis of variance on a 5 per cent significance level for group dependency. For one-third of the patients investigated, no significant changes were seen in any parameter pre- or post-therapy. However, patients showing an initially large mouth opening capacity or a very short condylar path changed their neuromuscular control to that of Class I subjects. Analysis of μ(α)-diagrams provides the possibility of assessing changes in the neuromuscular control of the mandible during Class II treatment.

Development of an improved protocol to analyse gene expression in temporomandibular joint condylar cartilage of rats using DNA microarrays

PURPOSE

During recent years, gene expression analyses based on DNA chip technologies have allowed for the genome-wide identification of genes potentially associated with growth processes in a variety of organs. The present study aims to identify genes differentially expressed in the growing temporomandibular joint cartilage by means of transcriptome analyses.

MATERIAL AND METHODS

In total, the condylar cartilage of 32 rats comprising 4 age groups (newborn, 10 days, 21 days, 8 weeks) were used for analysis. Transcriptome analyses were carried out using Affymetrix Expression Arrays (Rat Genome 230 2.0 Arrays). The availability of high-quality RNA preparations from homogeneous tissue samples is a fundamental precondition of successful transcriptome analyses using DNA arrays. An optimised preparation protocol allowed RNA isolation of sufficient quality which was validated using capillary electrophoresis. RNA collected from 8 test animals of the 4 age groups respectively was mixed in equimolar RNA pools which served for the transcriptome analyses using Affymetrix arrays.

RESULTS

Statistical analysis of the gene expression data indicated the existence of genes differentially regulated in the growing temporomandibular cartilage. This evidence, however, requires validation by RT-PCR using individual animals' RNA. Preliminary candidate genes belong, among others, to the groups of matrix-degrading proteases, protease inhibitors and genes involved in cell growth, apoptosis and bone remodelling.

CONCLUSION

These differentially expressed genes in TMJ growth identified using DNA array technology may possibly contribute to a better understanding of growth biology and provide an approach to necessary therapy.

Dimeric link chain and instantaneous centers of rotation of the mandible

The primary aim of the study was to reveal whether the free opening movement of the mandible can be determined by only 2 rotational axes as suggested in recent literature. For this purpose, the free opening movement of the mandible was registered in 20 asymptomatic patients using an ultrasonic measuring system. Subsequently, the locations of the instantaneous centers of rotation (ICR) were determined directly from the raw data. In a second approach, the same data were used to construct a mandibular and maxillar rotational axis according to the dimeric link chain (DLC) concept. On the basis of the angular velocities around these 2 axes, the positions of the ICR were calculated in the sagittal-vertical plane. Calculating the ICR by the DLC method provides similar results to that of the conventional approaches. It can be concluded that the DLC method is a valid approach and that considering the planar mandibular movement as a movement with 2 degrees of freedom is justified.

The mandibularly fixed hinge axis – investigation of patients with sound and pathological jaws

In former works, we had proved that test persons with sound temporomandibular joints (TMJs) used a mandibularly fixed hinge axis (MFHA) and were able to pilot the mandible by solely two kinematical degrees of freedom. We wondered if we could evaluate the MFHA the same way for patients who had problems with their TMJs. Actually, the MFHA could be determined likewise. The results could provide information on the reason for the distortion of the movement of the TMJs, which cannot be yielded by X-ray radiographs.