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Three-dimensional morphological and positional analysis of the temporomandibular joint in adults with posterior crossbite: A cross-sectional comparative study.

OBJECTIVES
The purpose of this study was to three-dimensionally (3D) evaluate the morphological and positional features of the temporomandibular joint (TMJ) in adults with unilateral and bilateral posterior crossbite compared with aligned control subjects.


MATERIALS AND METHODS
This cross-sectional comparative study analyzed cone beam computed tomography (CBCT) images of 90 adult subjects' divided into three equal groups: bilateral posterior crossbite (BCG), unilateral posterior crossbite (UCG), and control group (CG). 3D measurements of the TMJ included: (1) position, angulation, and inclination of the mandibular condyles; (2) centralization of the condyles in their respective mandibular fossae; and (3) volumetric measurements of the TMJ spaces. Intra- and inter-group differences were identified using the paired Student's t-test and an analysis of variance (ANOVA) followed by Tukey's post hoc test, respectively.


RESULTS
Regarding the intra-group side-based comparisons, there were significant differences in the anterior and superior joint spaces and the anteroposterior condylar joint position in the UCG. Inter-group comparisons revealed significant differences in the vertical condylar inclination, medial condylar position, condylar width and height, and volumetric joint space between the unaffected side of the UCG and left sides of the other groups. There were significant differences in the anteroposterior condylar inclination, medial condylar position, condylar width and height, anterior, posterior, superior, and volumetric joint spaces, and anteroposterior condylar joint position between the crossbite side of the UCG and the right sides of the other groups.


CONCLUSION
Skeletal crossbite accompanied with characteristic morphological and positional TMJ features associated with unilateral posterior crossbite and are associated with side-specific TMJ asymmetry.