Evaluation of Changes in TMJ Position for Angle Class I Malocclusion After Orthodontic Treatment by Using Cephalometric Radiograph

Abstract

Objective: A concern in fixed appliances orthodontic treatment besides reestablishing the normal occlusion characteristics might cause repositioning of the condyle position in TMJ region. The objective of this research is to find out whether there is a difference of TMJ position in Angle class I malocclusion type 1, 2, 3, 4, and 5 before and after fixed appliances orthodontic treatment. Methods: This research is a pre-and-post design study with analytical statistical approach which compared the TMJ position obtained from tracings 80 lateral cephalometric radiographs before and after fixed appliances orthodontic treatment. Purposive sampling technique was used to determine the sample size in Orthodontic Department of Rumah Sakit Gigi dan Mulut Universitas Padjadjaran from 2009-2015. The data was analyzed by using Kolmogorov-Smirnov Test and paired t-test. Results: This study revealed that the changes of condyle position in Condylion to Vertical T line (horizontally) after orthodontic treatment is not significant (P> 0.05) in Angle class I malocclusion. However, the difference of condyle position in Condylion to TC line (vertically) shows a significant difference (P< 0.05) in Angle class I malocclusion. Conclusion: The distance of the condyle from Condylion to TC line increased after fixed appliances orthodontic treatment for Angle class I malocclusion patients.