Evaluation Of Radiomorphological Changes On Panoramic Radiography In Defense Athletes

Kübra Başaran Aslan; Binali Çakır; Burak Erdinç Aslan

doi:10.17567/currresdentsci.1421656

Research Article

Evaluation Of Radiomorphological Changes On Panoramic Radiography In Defense Athletes

Year 2025, Volume: 35 Issue: 2, 99 - 103, 20.04.2025

Kübra Başaran Aslan , Binali Çakır , Burak Erdinç Aslan

https://doi.org/10.17567/currresdentsci.1421656

Abstract

Abstract
Objective The alveolar prominence can change the morphology of the mandible by showing continuous remodeling. The chronic remodeling/resorption process of the jaw is influenced by gender, genetics, systemic conditions, sequence of tooth loss, duration of edentulism and other unknown factors. Our aim in this study is to investigate the effect of continuous trauma to the maxillofacial region on the morphology of the mandible in defense athletes.
Methods: In the study, the patients who applied to the Atatürk University of Dentistry, Department of Oral, Dental and Maxillofacial Radiology and routine panoramic radiographs of 26 athletes who have been involved in defense sports such as boxing, kickboxing, and karate for at least 5 years were used. Measurements were made using various parameters on the printouts of these graphs and the values of the right and left sides were compared.
Results: When the condyle height, ramus height, gonial angle and antegonial angle parameters are evaluated, there is a significant relationship between right and left values. Condyle index, Ramus index and Condylar ramus index values show no asymmetry in defense athletes.
Conclusion: In defense athletes were exposed to constant trauma; neither age, duration of sports, nor exposure to maxillofacial trauma did not cause significant changes in mandible morphology.
Keywords: Athletes, trauma, morphology, facial asymmetry

Keywords

athletes, trauma, morphology, facial asymmetry

References

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2. Hill, C. M., Burford, K., Thomas, D. W., & Martin, A. (1998). A one-year review of maxillofacial sports injuries treated at an accident and emergency department. British Journal of Oral and Maxillofacial Surgery, 36(1), 44-47.
3. Birrer, R. B. (1996). Trauma epidemiology in the martial arts: the results of an eighteen-year international survey. The American Journal of Sports Medicine, 24(6_suppl), S72-S79.
4. Gartland, S., Malik, M. H. A., & Lovell, M. E. (2001). Injury and injury rates in Muay Thai kick boxing. British journal of sports medicine, 35(5), 308-313.
5. Mourouzis, C., & Koumoura, F. (2005). Sports-related maxillofacial fractures: a retrospective study of 125 patients. International journal of oral and maxillofacial surgery, 34(6), 635-638.
6. Zazryn, T. R., Finch, C. F., & McCrory, P. (2003). A 16 year study of injuries to professional boxers in the state of Victoria, Australia. British journal of sports medicine, 37(4), 321-324.
7. Sofferman, R. A., Danielson, P. A., Quatela, V., & Reed, R. R. (1983). Retrospective Analysis of Surgically Treated Le Fort Fractures: Is Suspension Necessary?. Archives of Otolaryngology, 109(7), 446-448.
8. Şenen, D., Erol, S., Orhan, A. E., Sevin, A., & Erdoğan, B. (2006). Our clinical approaches to mandibular fractures. Turkish Journal of Plastic, Reconstructive and Aesthetic Surgery, 14(2), 102-104.
9. Jerolimov, V. (2010). Temporomandibular injuries and disorders in sport. Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti, (507= 34), 149-165.
10. Sailors, M. E. (1996). Evaluation of sports-related temporomandibular dysfunctions. Journal of Athletic Training, 31(4), 346.
11. Fanucci, E., Spera, E., Ottria, L., Barlattani Jr, A., Fusco, N., Mylonakou, I., ... & Simonetti, G. (2008). Bennett movement of mandible: a comparison between traditional methods and a 64-slices CT scanner. ORAL & implantology, 1(1), 15.
12. Imirzalioglu, P., Yuzugullu, B., & Gulsahi, A. (2012). Correlation between residual ridge resorption and radiomorphometric indices. Gerodontology, 29(2), e536-e542.
13. Ozan, O., Orhan, K., Aksoy, S., Icen, M., Bilecenoglu, B., & Sakul, B. U. (2013). The effect of removable partial dentures on alveolar bone resorption: a retrospective study with cone‐beam computed tomography. Journal of Prosthodontics: Implant, Esthetic and Reconstructive Dentistry, 22(1), 42-48.
14. Almăşan, O. C., Băciuţ, M., Hedeşiu, M., Bran, S., Almăşan, H., & Băciuţ, G. (2013). Posteroanterior cephalometric changes in subjects with temporomandibular joint disorders. Dentomaxillofacial radiology, 42(1), 20120039-20120039.
15. Almăşan, O. C., Băciuţ, M., Hedeşiu, M., Bran, S., Almăşan, H., & Băciuţ, G. (2013). Posteroanterior cephalometric changes in subjects with temporomandibular joint disorders. Dentomaxillofacial radiology, 42(1), 20120039-20120039.
16. Uysal, T., Sisman, Y., Kurt, G., & Ramoglu, S. I. (2009). Condylar and ramal vertical asymmetry in unilateral and bilateral posterior crossbite patients and a normal occlusion sample. American journal of orthodontics and dentofacial orthopedics, 136(1), 37-43.
17. Habets, L. L. M. H., Bezuur, J. N., Naeiji, M., & Hansson, T. L. (1988). The Orthopantomogram®, an aid in diagnosis of temporomandibular joint problems. II. The vertical symmetry. Journal of oral rehabilitation, 15(5), 465-471.
18. Agrawal, A., Bagga, D. K., Agrawal, P., & Bhutani, R. K. (2015). An evaluation of panoramic radiograph to assess mandibular asymmetry as compared to posteroanterior cephalogram. APOS Trends in Orthodontics, 5(5), 197-201.
19 Kasimoglu, Y., Tuna, E. B., Rahimi, B., Marsan, G., & Gencay, K. (2015). Condylar asymmetry in different occlusion types. CRANIO®, 33(1), 10-14.
20. Kjellberg, H., Ekestubbe, A., Kiliaridis, S., & Thilander, B. (1994). Condylar height on panoramic radiographs: a methodologic study with a clinical application. Acta Odontologica Scandinavica, 52(1), 43-50.
21. Habets, L. L. M. H., Bezuur, J. N., Van Ooij, C. P., & Hansson, T. L. (1987). The orthopantomogram, an aid in diagnosis of temporomandibular joint problems. I. The factor of vertical magnification. Journal of oral rehabilitation, 14(5), 475-480.
22. Raustia, A. M., & Salonen, M. A. M. (1997). Gonial angles and condylar and Ramus height of the mandible in complete denture wearers—a panoramic radiograph study. Journal of oral rehabilitation, 24(7), 512-516.
23. Huumonen, S., Sipilä, K., Haikola, B., Tapio, M., Söderholm, A. L., Remes‐Lyly, T., ... & Raustia, A. M. (2010). Influence of edentulousness on gonial angle, Ramus and condylar height. Journal of oral rehabilitation, 37(1), 34-38.
24. Joo, J. K., Lim, Y. J., Kwon, H. B., & Ahn, S. J. (2013). Panoramic radiographic evaluation of the mandibular morphological changes in elderly dentate and edentulous subjects. Acta Odontologica Scandinavica, 71(2), 357-362.
25. Al-Koshab, M., Nambıar, P., John, J. (2015). Assessment of condyle and glenoid fossa morphology using CBCT in South-East Asians. PloS One, 10(3), e0121682.
26. Okkesim, A., Erhamza, T. S. (2020). Assessment of mandibular ramus for sex determination: Retrospective study. Journal of Oral Biology and Craniofacial Research, 10(4), 569-572.
27. Sağlam, A. Ş. (2003). The condylar asymmetry measurements in different skeletal patterns. Journal of oral rehabilitation, 30(7), 738-742.
28. Ricketts RM. Planning treatment on the basis of the facial pattern and an estimate of its growth. Angle Orthod. 1957;27:14-37.
29. Tsai, C. Y., Huang, R. Y., Lee, C. M., Hsiao, W. T., & Yang, L. Y. (2010). Morphologic and bony structural changes in the mandible after a unilateral injection of botulinum neurotoxin in adult rats. Journal of oral and maxillofacial surgery, 68(5), 1081-1087.
30. Osato, S., Kuroyama, I., Nakajima, S., Ogawa, T., & Misaki, K. (2012). Differences in 5 anatomic parameters of mandibular body morphology by gonial angle size in dentulous Japanese subjects. Annals of Anatomy-Anatomischer Anzeiger, 194(5), 446-451.
31. Dutra V, Yang J, Devlin H, Susin C. Mandibular bone remodelling in adults: Evaluation of panoramic radiographs. Dentomaxillofacial Radiology. 2004 Sep;33(5), 323–328.
32. Takeda, T., Ishigami, K., Hoshina, S., Ogawa, T., Handa, J., Nakajima, K., ... & Regner, C. W. (2005). Can mouthguards prevent mandibular bone fractures and concussions? A laboratory study with an artificial skull model. Dental traumatology, 21(3), 134-140.
33. Biasca, N., Wirth, S., Tegner, Y. (2002). The avoidability of head and neck injuries in ice hockey: an historical review. British Journal of Sports Medicine, 36(6), 410-427.
34. Gawlak, D., Mierzwińska‐Nastalska, E., Mańka‐Malara, K., Kamiński, T. (2014). Comparison of usability properties of custom‐made and standard self‐adapted mouthguards. Dental traumatology, 30(4), 306-311.

Year 2025, Volume: 35 Issue: 2, 99 - 103, 20.04.2025

Kübra Başaran Aslan , Binali Çakır , Burak Erdinç Aslan

https://doi.org/10.17567/currresdentsci.1421656

Abstract

References

. Birrer, R. B., & Halbrook, S. P. (1988). Martial arts injuries: the results of a five-year national survey. The American journal of sports medicine, 16(4), 408-410.
2. Hill, C. M., Burford, K., Thomas, D. W., & Martin, A. (1998). A one-year review of maxillofacial sports injuries treated at an accident and emergency department. British Journal of Oral and Maxillofacial Surgery, 36(1), 44-47.
3. Birrer, R. B. (1996). Trauma epidemiology in the martial arts: the results of an eighteen-year international survey. The American Journal of Sports Medicine, 24(6_suppl), S72-S79.
4. Gartland, S., Malik, M. H. A., & Lovell, M. E. (2001). Injury and injury rates in Muay Thai kick boxing. British journal of sports medicine, 35(5), 308-313.
5. Mourouzis, C., & Koumoura, F. (2005). Sports-related maxillofacial fractures: a retrospective study of 125 patients. International journal of oral and maxillofacial surgery, 34(6), 635-638.
6. Zazryn, T. R., Finch, C. F., & McCrory, P. (2003). A 16 year study of injuries to professional boxers in the state of Victoria, Australia. British journal of sports medicine, 37(4), 321-324.
7. Sofferman, R. A., Danielson, P. A., Quatela, V., & Reed, R. R. (1983). Retrospective Analysis of Surgically Treated Le Fort Fractures: Is Suspension Necessary?. Archives of Otolaryngology, 109(7), 446-448.
8. Şenen, D., Erol, S., Orhan, A. E., Sevin, A., & Erdoğan, B. (2006). Our clinical approaches to mandibular fractures. Turkish Journal of Plastic, Reconstructive and Aesthetic Surgery, 14(2), 102-104.
9. Jerolimov, V. (2010). Temporomandibular injuries and disorders in sport. Rad Hrvatske akademije znanosti i umjetnosti. Medicinske znanosti, (507= 34), 149-165.
10. Sailors, M. E. (1996). Evaluation of sports-related temporomandibular dysfunctions. Journal of Athletic Training, 31(4), 346.
11. Fanucci, E., Spera, E., Ottria, L., Barlattani Jr, A., Fusco, N., Mylonakou, I., ... & Simonetti, G. (2008). Bennett movement of mandible: a comparison between traditional methods and a 64-slices CT scanner. ORAL & implantology, 1(1), 15.
12. Imirzalioglu, P., Yuzugullu, B., & Gulsahi, A. (2012). Correlation between residual ridge resorption and radiomorphometric indices. Gerodontology, 29(2), e536-e542.
13. Ozan, O., Orhan, K., Aksoy, S., Icen, M., Bilecenoglu, B., & Sakul, B. U. (2013). The effect of removable partial dentures on alveolar bone resorption: a retrospective study with cone‐beam computed tomography. Journal of Prosthodontics: Implant, Esthetic and Reconstructive Dentistry, 22(1), 42-48.
14. Almăşan, O. C., Băciuţ, M., Hedeşiu, M., Bran, S., Almăşan, H., & Băciuţ, G. (2013). Posteroanterior cephalometric changes in subjects with temporomandibular joint disorders. Dentomaxillofacial radiology, 42(1), 20120039-20120039.
15. Almăşan, O. C., Băciuţ, M., Hedeşiu, M., Bran, S., Almăşan, H., & Băciuţ, G. (2013). Posteroanterior cephalometric changes in subjects with temporomandibular joint disorders. Dentomaxillofacial radiology, 42(1), 20120039-20120039.
16. Uysal, T., Sisman, Y., Kurt, G., & Ramoglu, S. I. (2009). Condylar and ramal vertical asymmetry in unilateral and bilateral posterior crossbite patients and a normal occlusion sample. American journal of orthodontics and dentofacial orthopedics, 136(1), 37-43.
17. Habets, L. L. M. H., Bezuur, J. N., Naeiji, M., & Hansson, T. L. (1988). The Orthopantomogram®, an aid in diagnosis of temporomandibular joint problems. II. The vertical symmetry. Journal of oral rehabilitation, 15(5), 465-471.
18. Agrawal, A., Bagga, D. K., Agrawal, P., & Bhutani, R. K. (2015). An evaluation of panoramic radiograph to assess mandibular asymmetry as compared to posteroanterior cephalogram. APOS Trends in Orthodontics, 5(5), 197-201.
19 Kasimoglu, Y., Tuna, E. B., Rahimi, B., Marsan, G., & Gencay, K. (2015). Condylar asymmetry in different occlusion types. CRANIO®, 33(1), 10-14.
20. Kjellberg, H., Ekestubbe, A., Kiliaridis, S., & Thilander, B. (1994). Condylar height on panoramic radiographs: a methodologic study with a clinical application. Acta Odontologica Scandinavica, 52(1), 43-50.
21. Habets, L. L. M. H., Bezuur, J. N., Van Ooij, C. P., & Hansson, T. L. (1987). The orthopantomogram, an aid in diagnosis of temporomandibular joint problems. I. The factor of vertical magnification. Journal of oral rehabilitation, 14(5), 475-480.
22. Raustia, A. M., & Salonen, M. A. M. (1997). Gonial angles and condylar and Ramus height of the mandible in complete denture wearers—a panoramic radiograph study. Journal of oral rehabilitation, 24(7), 512-516.
23. Huumonen, S., Sipilä, K., Haikola, B., Tapio, M., Söderholm, A. L., Remes‐Lyly, T., ... & Raustia, A. M. (2010). Influence of edentulousness on gonial angle, Ramus and condylar height. Journal of oral rehabilitation, 37(1), 34-38.
24. Joo, J. K., Lim, Y. J., Kwon, H. B., & Ahn, S. J. (2013). Panoramic radiographic evaluation of the mandibular morphological changes in elderly dentate and edentulous subjects. Acta Odontologica Scandinavica, 71(2), 357-362.
25. Al-Koshab, M., Nambıar, P., John, J. (2015). Assessment of condyle and glenoid fossa morphology using CBCT in South-East Asians. PloS One, 10(3), e0121682.
26. Okkesim, A., Erhamza, T. S. (2020). Assessment of mandibular ramus for sex determination: Retrospective study. Journal of Oral Biology and Craniofacial Research, 10(4), 569-572.
27. Sağlam, A. Ş. (2003). The condylar asymmetry measurements in different skeletal patterns. Journal of oral rehabilitation, 30(7), 738-742.
28. Ricketts RM. Planning treatment on the basis of the facial pattern and an estimate of its growth. Angle Orthod. 1957;27:14-37.
29. Tsai, C. Y., Huang, R. Y., Lee, C. M., Hsiao, W. T., & Yang, L. Y. (2010). Morphologic and bony structural changes in the mandible after a unilateral injection of botulinum neurotoxin in adult rats. Journal of oral and maxillofacial surgery, 68(5), 1081-1087.
30. Osato, S., Kuroyama, I., Nakajima, S., Ogawa, T., & Misaki, K. (2012). Differences in 5 anatomic parameters of mandibular body morphology by gonial angle size in dentulous Japanese subjects. Annals of Anatomy-Anatomischer Anzeiger, 194(5), 446-451.
31. Dutra V, Yang J, Devlin H, Susin C. Mandibular bone remodelling in adults: Evaluation of panoramic radiographs. Dentomaxillofacial Radiology. 2004 Sep;33(5), 323–328.
32. Takeda, T., Ishigami, K., Hoshina, S., Ogawa, T., Handa, J., Nakajima, K., ... & Regner, C. W. (2005). Can mouthguards prevent mandibular bone fractures and concussions? A laboratory study with an artificial skull model. Dental traumatology, 21(3), 134-140.
33. Biasca, N., Wirth, S., Tegner, Y. (2002). The avoidability of head and neck injuries in ice hockey: an historical review. British Journal of Sports Medicine, 36(6), 410-427.
34. Gawlak, D., Mierzwińska‐Nastalska, E., Mańka‐Malara, K., Kamiński, T. (2014). Comparison of usability properties of custom‐made and standard self‐adapted mouthguards. Dental traumatology, 30(4), 306-311.

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Details

Primary Language	English
Subjects	Oral and Maxillofacial Radiology
Journal Section	Research Articles
Authors	Kübra Başaran Aslan Binali Çakır 0000-0002-8525-1444 Burak Erdinç Aslan 0000-0002-6228-1392
Publication Date	April 20, 2025
Submission Date	January 17, 2024
Acceptance Date	September 25, 2024
Published in Issue	Year 2025 Volume: 35 Issue: 2

Cite

AMA	Başaran Aslan K, Çakır B, Aslan BE. Evaluation Of Radiomorphological Changes On Panoramic Radiography In Defense Athletes. Curr Res Dent Sci. April 2025;35(2):99-103. doi:10.17567/currresdentsci.1421656

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