Evaluation of mandibular condylar position in different malocclusion with Gelb’s grid

D. Soni, Rohit Khanna, T. Tikku, R. Maurya, S. Verma, K. Srivastava
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Abstract

To assess condylar position using Gelb’s grid in subjects with different malocclusion. Pre- treatment lateral cephalogram of 45 subjects (aged above 18yrs) were taken and equally divided in three groups, Group I(skeletal Class I malocclusion), Group II-(skeletal Class II malocclusion) and Group III (Class III malocclusion) based on three Cephalometric parameters (ANB, Yen angle and Wits appraisal). Condylar position in relation to glenoid fossa was assessed with Gelb’s grid. For Group I condyle was positioned normally (4,7) in 86.66% of subjects and was positioned posteriorly (5,8)13.33% of subjects. For Group II condyle was displaced posteriorly (5,8) in 86.66% of subjects and in normal position (4,7) for remaining subjects. For Group III subjects condyle was again found in posteriorly displaced 66.66% of subjects and normally positioned in rest of subjects. It can be suggested that the condylar position showed variability in three malocclusion groups. Class I malocclusion group with no skeletal discrepancy was associated with more symmetric normal condylar position than malocclusion groups with skeletal discrepancy (Class II and Class III).
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Gelb网格法评价不同错颌的下颌髁突位置
应用Gelb网格对不同错颌患者的髁突位置进行评估。对45例18岁以上的受试者进行治疗前侧位脑电图检查,根据3个颅面测量参数(ANB、Yen角和Wits评价)将其平均分为3组:ⅰ组(骨骼ⅰ类错颌合)、ⅱ组(骨骼ⅱ类错颌合)和ⅲ组(骨骼ⅲ类错颌合)。用Gelb网格评估髁突相对于盂窝的位置。第一组患者髁突正常(4,7)位占86.66%,后位占13.33%(5,8)。第二组中86.66%的受试者髁突向后移位(5,8),其余受试者髁突处于正常位置(4,7)。对于第三组,66.66%的受试者髁突再次向后移位,其余受试者髁突位置正常。这表明髁突位置在三个错颌组中表现出变异性。无骨骼差异的I类错颌组比有骨骼差异的I类错颌组(II类和III类)有更对称的正常髁位。
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