MEDLINE Journals

    Correlation analysis of craniomandibular index and gothic arch tracing in patients with craniomandibular disorders.

    Todić J, Lazić D, Radosavljević R 
    Vojnosanit Pregl 2011 Jul; 68(7) :594-601.

    Complex etiology and symptomatology of craniomandibular dysfunction make the diagnosing and therapy of this disorder more difficult. The aim of this work was to assess the value of clinical and instrumental functional analyses in diagnosing of this type of disorders.In this study 200 subjects were examined, 15 with temporomandibular joint disorder. They were subjected to clinical functional analysis (Fricton-Shiffman) and instrumental functional analysis by using the method of gothic arch. The parameters of the gothic arch records were analyzed and subsequently compared among the subjects of the observed groups.In the examined group of the population 7.5% of them were with craniomandibular dysfunction. The most frequent symptoms were sound in temporomandibular joint, painful sensitivity of the muscles on palpation and lateral turning of the lower jaw while opening the mouth. By analyzing the gothic arch records and comparing the obtained values between the observed groups it was assessed that: lateral and protrusion movements, lateral amplitude and the size of gothic arch were much bigger in the healthy subjects, and latero-lateral asymmetry was larger in the sick subjects. Latero-lateral dislocation of apex was recorded only in the sick subjects with average values of 0.22 +/- 0.130 mm. The correlation between the values of Fricton-Shiffman craniomandibular index and the parameters of the gothic arch records and latero-lateral amplitude and dislocation of apex records were established by correlative statistical analysis.Functional analysis of orofacial system and instrumental analysis of lower jaw movements (gothic arch method) can be recommended as precise and simple methods in diagnosing craniomandibular dysfunctions.

    Craniomandibular Disorders
    Dental Arch
    Jaw Relation Record
    Temporomandibular Joint Disorders
    Young Adult


    Pub Type(s)
    Journal Article
    PubMed ID


    Content Manager
    Related Content

    [Functional state of the masticatory system in healthy individuals (control group) and in patients with temporomandibular joint disorders].

    A clinical study of the relationship between occlusal curvature and craniomandibular disorders.

    A graphic evaluation of the intermaxillary relationship before and after therapy with the Michigan splint.

    Jaw muscle pain and its effect on gothic arch tracings.

    Craniomandibular stiffness in myogenous and arthrogenous CMD patients, and control subjects: a clinical and experimental investigation.

    Evaluation of craniomandibular dysfunction in children 6 to 10 years of age with unilateral cleft lip or cleft lip and palate: a clinical diagnostic adjunct.

    Distribution of craniomandibular disorders, occlusal factors and oral parafunctions in a paediatric population.

    Management of craniomandibular disorders. Part 1: A craniocervical dysfunction index.