Non-replaced Mandibular First Molars and Temporomandibular Joint Dysfunction

Gupta, SK and Pratibha, PK and Bhat, KM and Mutalik, S and Guddattu, Vasudeva (2014) Non-replaced Mandibular First Molars and Temporomandibular Joint Dysfunction. Nepal Journal of Medical Sciences, 3 (1). pp. 57-62.

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Background: Mandibular first molars serve as key teeth of occlusion. Non replacement of these teeth may affect stability of the dentition and have long term effects on the Tempero mandibular joint. The purpose of this study was to observe the association between nonreplaced mandibular molars and temporomandibular joint dysfunction (TMD). Methods: A total of 174 patients, both male and female with missing mandibular first molars, were included in the study. The changes due to non-replacement of mandibular molars were observed clinically. Temporomandibular joint (TMJ) was examined for clinical and radiographic changes. Intra oral findings were correlated with TMJ findings. Results: Supra eruption of opposing maxillary molars and drift of adjacent teeth had a significant association with asymptomatic clicking of the TMJ. Further, patients with deep bite had radiographic findings of condylar flattening. Clicking of the TMJ was a frequent finding in patients with longer duration of molar loss. Conclusion: Missing molars not only have periodontal implications but also far reaching effects on the condylar health of the associated TMJ.

Item Type: Article
Uncontrolled Keywords: Missing first molar; occlusion; temporomandibular joint dysfunction.
Subjects: Dentistry > MCODS Manipal > Oral Medicine and Radiology
Dentistry > MCODS Manipal > Periodontology
Departments at MU > Statistics
Depositing User: KMC Manipal
Date Deposited: 31 Jul 2014 09:49
Last Modified: 31 Jul 2014 09:49

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