Precisión del diagnóstico tridimensional de la posición condilar. Tomografía computarizada de haz cónico vs articulador
Palabras clave:
Odontología, tecnología médica, investigación médica, (Tesauro UNESCO).
Resumen
La posición condilar cumple un papel fundamental en el sistema estomatognático, es el punto de partida que establecerá y delimitará la RC. El objetivo fue comparar la precisión para el diagnóstico de la posición condilar tridimensional mediante el uso de tomografía computarizada de haz cónico vs articulador análogo. Se realizó una revisión sistemática de la literatura mediante la búsqueda de artículos científicos en las bases de datos de PubMed, Scopus, Web of Science, LILACS. Se emplearon descriptores de búsqueda en lenguaje controlado y no controlado teniendo en cuenta los componentes de la pregunta PICO. Se encontró información que sustente la importancia de la Posición condilar de forma tridimensional usando Tomografía computarizada de haz cónico o el uso de un articulador análogo. Los hallazgos evidencian la relevancia de evaluar la posición condilar en tres dimensiones mediante CBCT o articulador análogo; sin embargo, existe escasa evidencia comparativa entre ambos métodos.
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Abdulqader, A. A., Ren, L., Alhammadi, M., Abdu, Z. A., & Mohamed, A. A. S. (2020). Three-dimensional analysis of temporomandibular joint in Chinese adults with normal occlusion and harmonious skeleton. Oral Radiology, 36(4), 371-382. https://doi.org/10.1007/s11282-019-00415-z
Al-Saleh, M. A. Q., Punithakumar, K., Lagravere, M., Boulanger, P., Jaremko, J. L., & Major, P. W. (2017). Three-dimensional assessment of temporomandibular joint using MRI-CBCT image registration. PLoS ONE, 12(1), e0169555. https://doi.org/10.1371/journal.pone.0169555
Almaqrami, B. S., Alhammadi, M. S., Tang, B., ALyafrusee, E. S., Hua, F., & He, H. (2021). Three-dimensional morphological and positional analysis of the temporomandibular joint in adults with posterior crossbite: A cross-sectional comparative study. Journal of Oral Rehabilitation, 48(6), 666-677. https://doi.org/10.1111/joor.13156
Almeida, F. T., Pacheco-Pereira, C., Flores-Mir, C., Le, L. H., Jaremko, J. L., & Major, P. W. (2019). Diagnostic ultrasound assessment of temporomandibular joints: A systematic review and meta-analysis. Dentomaxillofacial Radiology, 48, 20180144. https://doi.org/10.1259/dmfr.20180144
Borahan, M. O., Mayil, M., & Pekiner, F. N. (2016). Using cone beam computed tomography to examine the prevalence of condylar bony changes in a Turkish subpopulation. Nigerian Journal of Clinical Practice, 19(2), 259-266. https://doi.org/10.4103/1119-3077.164336
Chávez, D., & Rodas, M. (2024). Accuracy for the diagnosis of three-dimensional condylar position using cone beam computed tomography vs analog articulator: A systematic review. PROSPERO. https://n9.cl/x4zsd
Čelar, A., Gahleitner, A., Lettner, S., & Freudenthaler, J. (2019). Estimated functional space of centric condyle positions in temporomandibular joints of asymptomatic individuals using MRI. Scientific Reports, 9(1), 52081. https://doi.org/10.1038/s41598-019-52081-0
Ciavarella, D., Parziale, V., Mastrovincenzo, M., Palazzo, A., Sabatucci, A., Suriano, M. M., Bossù, M., Cazzolla, A. P., Lo Muzio, L., & Chimenti, C. (2012). Condylar position indicator and T-scan system II in clinical evaluation of temporomandibular intracapsular disease. Journal of Cranio-Maxillofacial Surgery, 40(5), 449-455. https://doi.org/10.1016/j.jcms.2011.07.021
Crawford, S. D. (1999). Condylar axis position, as determined by the occlusion and measured by the CPI instrument, and signs and symptoms of temporomandibular dysfunction. The Angle Orthodontist, 69(2), 103-115. https://n9.cl/frvbb
de Oliveira Reis, L., Fontenele, R. C., Devito, K. L., Cunha, K. S., & Domingos, A. de C. (2022). Evaluation of the dimensions, morphology, and position of the mandibular condyles in individuals with neurofibromatosis 1: A case-control study. Clinical Oral Investigations, 26(1), 159-169. https://doi.org/10.1007/s00784-021-03985-7
Dygas, S., Szarmach, I., & Radej, I. (2022). Assessment of the morphology and degenerative changes in the temporomandibular joint using CBCT according to the orthodontic approach: A scoping review. BioMed Research International, 6863014. https://doi.org/10.1155/2022/6863014
Freudenthaler, J., Lettner, S., Gahleitner, A., Jonke, E., & Čelar, A. (2022). Static mandibular condyle positions studied by MRI and condylar position indicator. Scientific Reports, 12(1), 22745. https://doi.org/10.1038/s41598-022-22745-5
Guerrero Aguilar, A., Flores Araque, M. E., Flores Carrera, E., y Velásquez, R. B. (2021). Posición condilar y espacio articular témporomandibular valorado con tomografía Cone beam. Odontología Vital, 2(35), 6-16. https://doi.org/10.59334/rov.v2i35.449
Ikeda, K., Kawamura, A., & Ikeda, R. (2011). Assessment of optimal condylar position in the coronal and axial planes with limited cone-beam computed tomography. Journal of Prosthodontics, 20(6), 432-438. https://doi.org/10.1111/j.1532-849X.2011.00730.x
Jäger, F., Jäger, A., Temming, A., Rehm, P., & Bumann, A. (2021). Evaluation of various low-dose cone-beam computed tomography protocols in the diagnosis of specific condylar defects. American Journal of Orthodontics and Dentofacial Orthopedics, 159(4), 491-501. https://doi.org/10.1016/j.ajodo.2020.01.021
Kattiney de Oliveira, L., Fernandes Neto, A. J., Moraes Mundim Prado, I., Guimarães Henriques, J. C., Beom Kim, K., & de Araújo Almeida, G. (2022). Evaluation of the condylar position in younger and older adults with or without temporomandibular symptoms by using cone beam computed tomography. Journal of Prosthetic Dentistry, 127(3), 445-452. https://doi.org/10.1016/j.prosdent.2020.10.019
Lin, M., Xu, Y., Wu, H., Zhang, H., Wang, S., & Qi, K. (2019). Comparative cone-beam computed tomography evaluation of temporomandibular joint position and morphology in female patients with skeletal class II malocclusion. Journal of International Medical Research, 48(2). https://doi.org/10.1177/0300060519892388
Orozco Varo, A., Arroyo Cruz, G., Martínez de Fuentes, R., Ventura de la Torre, J., Cañadas Rodríguez, D., y Jiménez Castellanos, E. (2008). Relación céntrica: Revisión de conceptos y técnicas para su registro. Parte I. Avances en Odontoestomatología, 24(6), 365-368. https://doi.org/10.4321/s0213-12852008000600004
Park, J. H., Lee, G. H., Moon, D. N., Kim, J. C., Park, M., & Lee, K. M. (2021). A digital approach to the evaluation of mandibular position by using a virtual articulator. Journal of Prosthetic Dentistry, 125(6), 849-853. https://doi.org/10.1016/j.prosdent.2020.04.002
Ponces, M. J., Tavares, J. P., & Ferreira, A. P. (2014). Comparison of condylar displacement between three biotypological facial groups by using mounted models and a mandibular position indicator. Korean Journal of Orthodontics, 44(6), 312-319. https://doi.org/10.4041/kjod.2014.44.6.312
Rinchuse, D. J. (1995). A three-dimensional comparison of condylar change between centric relation and centric occlusion using mandibular position indicator. American Journal of Orthodontics and Dentofacial Orthopedics, 107(3), 319-328. https://doi.org/10.1016/S0889-5406(95)70148-6
Shokri, A., Zarch, H. H., Hafezmaleki, F., Khamechi, R., Amini, P., & Ramezani, L. (2019). Comparative assessment of condylar position in patients with temporomandibular disorder (TMD) and asymptomatic patients using cone-beam computed tomography. Dental and Medical Problems, 56(1), 81-87. https://doi.org/10.17219/dmp/102946
Stafeev, A., Ryakhovsky, A., Petrov, P., Chikunov, S., Khizhuk, A., Bykova, M., & Vuraki, N. (2020). Comparative analysis of the reproduction accuracy of main methods for finding the mandible position in the centric relation using digital research method. International Journal of Environmental Research and Public Health, 17(3), 30933. https://doi.org/10.3390/ijerph17030933
Whiting, P. F., Reitsma, J. B., Leeflang, M. M. G., Sterne, J. A. C., Bossuyt, P. M. M., Rutjes, A. W. S. S., Westwood, M. E., Mallet, S., Deeks, J. J., & Bossuyt, P. M. M. (2011). QUADAS-2: A revised tool for the quality assessment of diagnostic accuracy studies. Annals of Internal Medicine, 155(4), 529-536.
Yepes-Nuñez, J. J., Urrútia, G., Romero-García, M., & Alonso-Fernández, S. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Revista Española de Cardiología, 74(9), 790-799. https://doi.org/10.1016/j.recesp.2021.06.016
Zhou, J., Yang, H., Li, Q., Li, W., & Liu, Y. (2024). Comparison of temporomandibular joints in relation to ages and vertical facial types in skeletal class II female patients: A multiple-cross-sectional study. BMC Oral Health, 24(1), 4219. https://doi.org/10.1186/s12903-024-04219-4
Al-Saleh, M. A. Q., Punithakumar, K., Lagravere, M., Boulanger, P., Jaremko, J. L., & Major, P. W. (2017). Three-dimensional assessment of temporomandibular joint using MRI-CBCT image registration. PLoS ONE, 12(1), e0169555. https://doi.org/10.1371/journal.pone.0169555
Almaqrami, B. S., Alhammadi, M. S., Tang, B., ALyafrusee, E. S., Hua, F., & He, H. (2021). Three-dimensional morphological and positional analysis of the temporomandibular joint in adults with posterior crossbite: A cross-sectional comparative study. Journal of Oral Rehabilitation, 48(6), 666-677. https://doi.org/10.1111/joor.13156
Almeida, F. T., Pacheco-Pereira, C., Flores-Mir, C., Le, L. H., Jaremko, J. L., & Major, P. W. (2019). Diagnostic ultrasound assessment of temporomandibular joints: A systematic review and meta-analysis. Dentomaxillofacial Radiology, 48, 20180144. https://doi.org/10.1259/dmfr.20180144
Borahan, M. O., Mayil, M., & Pekiner, F. N. (2016). Using cone beam computed tomography to examine the prevalence of condylar bony changes in a Turkish subpopulation. Nigerian Journal of Clinical Practice, 19(2), 259-266. https://doi.org/10.4103/1119-3077.164336
Chávez, D., & Rodas, M. (2024). Accuracy for the diagnosis of three-dimensional condylar position using cone beam computed tomography vs analog articulator: A systematic review. PROSPERO. https://n9.cl/x4zsd
Čelar, A., Gahleitner, A., Lettner, S., & Freudenthaler, J. (2019). Estimated functional space of centric condyle positions in temporomandibular joints of asymptomatic individuals using MRI. Scientific Reports, 9(1), 52081. https://doi.org/10.1038/s41598-019-52081-0
Ciavarella, D., Parziale, V., Mastrovincenzo, M., Palazzo, A., Sabatucci, A., Suriano, M. M., Bossù, M., Cazzolla, A. P., Lo Muzio, L., & Chimenti, C. (2012). Condylar position indicator and T-scan system II in clinical evaluation of temporomandibular intracapsular disease. Journal of Cranio-Maxillofacial Surgery, 40(5), 449-455. https://doi.org/10.1016/j.jcms.2011.07.021
Crawford, S. D. (1999). Condylar axis position, as determined by the occlusion and measured by the CPI instrument, and signs and symptoms of temporomandibular dysfunction. The Angle Orthodontist, 69(2), 103-115. https://n9.cl/frvbb
de Oliveira Reis, L., Fontenele, R. C., Devito, K. L., Cunha, K. S., & Domingos, A. de C. (2022). Evaluation of the dimensions, morphology, and position of the mandibular condyles in individuals with neurofibromatosis 1: A case-control study. Clinical Oral Investigations, 26(1), 159-169. https://doi.org/10.1007/s00784-021-03985-7
Dygas, S., Szarmach, I., & Radej, I. (2022). Assessment of the morphology and degenerative changes in the temporomandibular joint using CBCT according to the orthodontic approach: A scoping review. BioMed Research International, 6863014. https://doi.org/10.1155/2022/6863014
Freudenthaler, J., Lettner, S., Gahleitner, A., Jonke, E., & Čelar, A. (2022). Static mandibular condyle positions studied by MRI and condylar position indicator. Scientific Reports, 12(1), 22745. https://doi.org/10.1038/s41598-022-22745-5
Guerrero Aguilar, A., Flores Araque, M. E., Flores Carrera, E., y Velásquez, R. B. (2021). Posición condilar y espacio articular témporomandibular valorado con tomografía Cone beam. Odontología Vital, 2(35), 6-16. https://doi.org/10.59334/rov.v2i35.449
Ikeda, K., Kawamura, A., & Ikeda, R. (2011). Assessment of optimal condylar position in the coronal and axial planes with limited cone-beam computed tomography. Journal of Prosthodontics, 20(6), 432-438. https://doi.org/10.1111/j.1532-849X.2011.00730.x
Jäger, F., Jäger, A., Temming, A., Rehm, P., & Bumann, A. (2021). Evaluation of various low-dose cone-beam computed tomography protocols in the diagnosis of specific condylar defects. American Journal of Orthodontics and Dentofacial Orthopedics, 159(4), 491-501. https://doi.org/10.1016/j.ajodo.2020.01.021
Kattiney de Oliveira, L., Fernandes Neto, A. J., Moraes Mundim Prado, I., Guimarães Henriques, J. C., Beom Kim, K., & de Araújo Almeida, G. (2022). Evaluation of the condylar position in younger and older adults with or without temporomandibular symptoms by using cone beam computed tomography. Journal of Prosthetic Dentistry, 127(3), 445-452. https://doi.org/10.1016/j.prosdent.2020.10.019
Lin, M., Xu, Y., Wu, H., Zhang, H., Wang, S., & Qi, K. (2019). Comparative cone-beam computed tomography evaluation of temporomandibular joint position and morphology in female patients with skeletal class II malocclusion. Journal of International Medical Research, 48(2). https://doi.org/10.1177/0300060519892388
Orozco Varo, A., Arroyo Cruz, G., Martínez de Fuentes, R., Ventura de la Torre, J., Cañadas Rodríguez, D., y Jiménez Castellanos, E. (2008). Relación céntrica: Revisión de conceptos y técnicas para su registro. Parte I. Avances en Odontoestomatología, 24(6), 365-368. https://doi.org/10.4321/s0213-12852008000600004
Park, J. H., Lee, G. H., Moon, D. N., Kim, J. C., Park, M., & Lee, K. M. (2021). A digital approach to the evaluation of mandibular position by using a virtual articulator. Journal of Prosthetic Dentistry, 125(6), 849-853. https://doi.org/10.1016/j.prosdent.2020.04.002
Ponces, M. J., Tavares, J. P., & Ferreira, A. P. (2014). Comparison of condylar displacement between three biotypological facial groups by using mounted models and a mandibular position indicator. Korean Journal of Orthodontics, 44(6), 312-319. https://doi.org/10.4041/kjod.2014.44.6.312
Rinchuse, D. J. (1995). A three-dimensional comparison of condylar change between centric relation and centric occlusion using mandibular position indicator. American Journal of Orthodontics and Dentofacial Orthopedics, 107(3), 319-328. https://doi.org/10.1016/S0889-5406(95)70148-6
Shokri, A., Zarch, H. H., Hafezmaleki, F., Khamechi, R., Amini, P., & Ramezani, L. (2019). Comparative assessment of condylar position in patients with temporomandibular disorder (TMD) and asymptomatic patients using cone-beam computed tomography. Dental and Medical Problems, 56(1), 81-87. https://doi.org/10.17219/dmp/102946
Stafeev, A., Ryakhovsky, A., Petrov, P., Chikunov, S., Khizhuk, A., Bykova, M., & Vuraki, N. (2020). Comparative analysis of the reproduction accuracy of main methods for finding the mandible position in the centric relation using digital research method. International Journal of Environmental Research and Public Health, 17(3), 30933. https://doi.org/10.3390/ijerph17030933
Whiting, P. F., Reitsma, J. B., Leeflang, M. M. G., Sterne, J. A. C., Bossuyt, P. M. M., Rutjes, A. W. S. S., Westwood, M. E., Mallet, S., Deeks, J. J., & Bossuyt, P. M. M. (2011). QUADAS-2: A revised tool for the quality assessment of diagnostic accuracy studies. Annals of Internal Medicine, 155(4), 529-536.
Yepes-Nuñez, J. J., Urrútia, G., Romero-García, M., & Alonso-Fernández, S. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Revista Española de Cardiología, 74(9), 790-799. https://doi.org/10.1016/j.recesp.2021.06.016
Zhou, J., Yang, H., Li, Q., Li, W., & Liu, Y. (2024). Comparison of temporomandibular joints in relation to ages and vertical facial types in skeletal class II female patients: A multiple-cross-sectional study. BMC Oral Health, 24(1), 4219. https://doi.org/10.1186/s12903-024-04219-4
Publicado
2025-05-27
Cómo citar
Chávez-Chávez, D., & Rodas-Vega, M. (2025). Precisión del diagnóstico tridimensional de la posición condilar. Tomografía computarizada de haz cónico vs articulador. CIENCIAMATRIA, 11(1), 523-542. https://doi.org/10.35381/cm.v11i1.1569
Sección
De Investigación
Derechos de autor 2025 Darío Patricio Chávez-Chávez, María Alejandra Rodas-Vega
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