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The role of occlusal curvatures and maxillary arch dimensions in patients with signs and symptoms of temporomandibular disorders
Authors:Georgios Kanavakis  Noshir Mehta
Institution:aAssistant Professor, Department of Orthodontics, Tufts University School of Dental Medicine, Boston, Mass. ; bProfessor and Director, The Craniofacial Pain, Headache and Sleep Center, Tufts University, School of Dental Medicine, Boston, Mass.
Abstract:Objective:To identify differences in occlusal curvatures and maxillary arch dimensions between subjects with signs and symptoms of temporomandibular disorders TMDs and asymptomatic subjects.Materials and Methods:One hundred subjects 78 female and 22 male who consented to participate in this research were examined for signs and symptoms of TMDs according to the guidelines of the Research Diagnostic Criteria for Temporomandibular Disorders RDCTMD. In addition, occlusal measurements were performed for all subjects on plaster models. All statistical analyses were performed with SPSS version 19.Results:Significant associations were revealed between the depth of the curve of Spee COS and temporomandibular joint TMJ sounds. Furthermore, maxillary arch width was negatively correlated to the steepness of the curve of Wilson. No differences were found between subjects with and without a history of orthodontic treatment.Conclusions:Subjects with TMJ sounds tend to have a flatter COS compared to subjects without TMJ sounds.
Keywords:Temporomandibular disorders  Occlusal curvatures  TMJ  Curve of Spee  Curve of Wilson
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