International Journal of Scientific Research in Dental and Medical Sciences

International Journal of Scientific Research in Dental and Medical Sciences

Comparative Evaluation of Two Different Interocclusal Recording Materials with Panoramic Radiograph Used to Measure Sagittal Condylar Guidance in Edentulous Patients: A Clinical Study

Document Type : Original Article

Authors
1 Department of Prosthodontics, Punjab Government Dental College & Hospital, Amritsar, Punjab, India
2 Department of Dentistry, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
Abstract
Background and Aim: This study evaluated the reliability of two interocclusal recording materials with panoramic radiographs to measure sagittal condylar guidance in edentulous subjects.
Material and methods: The study comprised 30 edentulous subjects. The protrusive interocclusal records were made at the jaw relation stage using bite registration paste and Plaster of Paris for all the subjects to program the Semi-adjustable articulator, and the condylar guidance values on the right and left sides were recorded. Digital orthopantomography was taken for all the subjects and traced, and the values obtained were compared with those obtained by the protrusive interocclusal record. The condylar guidance values obtained by the various procedures were tabulated and subjected to an independent t-test and Pearson's correlation test.
Results: The results showed a statistically significant positive correlation (P < 0.0001) between clinical protrusive interocclusal records (polyvinyl siloxane, Plaster of Paris) and panoramic radiographic sagittal condylar guidance values.
Conclusions: Within the study's limitations, the condylar guidance values obtained from the panoramic radiographic tracing can be used to calculate the mean horizontal condylar guidance in completely edentulous patients. These values can also be used to program semi-adjustable articulators, avoiding the cumbersome process of obtaining a protrusive interocclusal record.
Keywords

Subjects


[1] Layton DM, Morgano SM, Muller F, Kelly JA, Nguyen CT, Scherrer SS, et al. The glossary of prosthodontic terms 2023. J Prosthet Dent. 2023;130(4S1):e1-26. https://doi.org/10.1016/j.prosdent.2023.03.003.
[2] Galagali G, Kalekhan SM, Nidawani P, Naik J, Behera S. Comparative analysis of sagittal condylar guidance by protrusive interocclusal records with panoramic and lateral cephalogram radiographs in dentulous population: A clinico-radiographic study. The Journal of Indian Prosthodontic Society. 2016;16(2):148-53. https://doi.org/10.4103/0972-4052.179322.
[3] Prasad KD, Shah N, Hegde C. A clinico-radiographic analysis of sagittal condylar guidance determined by protrusive interocclusal registration and panoramic radiographic images in humans. Contemporary clinical dentistry. 2012;3(4):383-7. https://doi.org/10.4103/0976-237X.107419.
[4] Sharma A, Sharma LA, Azhagarasan NS, Shankar C. Comparative study of the effect of three different interocclusal recording materials on reproducibility of horizontal condylar registrations in two different semiadjustable articulators: A clinical study. International Journal of Prosthodontics and Restorative Dentistry. 2011;1(3):155-62. https://doi.org/10.5005/jp-journals-10019-1029.
[5] Bhandari A, Manandhar A, Singh RK, Suwal P, Parajuli PK. A Comparative study to measure the horizontal condylar guidance obtained by protrusive interocclusal records and panoramic radiographic images in completely edentulous patients. Journal of College of Medical Sciences-Nepal. 2018;14(1):21-7. http://dx.doi.org/10.3126/jcmsn.v14i1.18947.
[6] Khalikar D, Mahale D, Khal D. Comparison of condylar guidance angulations obtained from protrusive records and orthopantomogram in edentulous subjects–An in vivo study. International Journal of Scientific Research in Education. 2017;5:6241-5.
[7] Tannamala PK, Pulagam M, Pottem SR, Swapna B. Condylar guidance: Correlation between protrusive interocclusal record and panoramic radiographic image: A pilot study. Journal of Prosthodontics: Implant, Esthetic and Reconstructive Dentistry. 2012;21(3):181-4. https://doi.org/10.1111/j.1532-849X.2011.00811.x.
[8] Kumar CD, Selvaraj S, Mohan J, Raju R. Comparison of Accuracy of Protrusive Condylar Guidance Registration by Two Interocclusal Recording Materials in Edentulous Patients. Annals of African Medicine. 2023;22(3):316-20. https://doi.org/10.4103/aam.aam_70_22.
[9] Kattadiyil MT, Alzaid AA, Campbell SD. What materials and reproducible techniques may be used in recording centric relation? Best evidence consensus statement. Journal of Prosthodontics. 2021;30(S1):34-42. https://doi.org/10.1111/jopr.13321.
[10] Gilboa I, Cardash HS, Kaffe I, Gross MD. Condylar guidance: Correlation between articular morphology and panoramic radiographic images in dry human skulls. The Journal of prosthetic dentistry. 2008;99(6):477-82. https://doi.org/10.1016/S0022-3913(08)60112-2.
[11] Kaur S, Datta K. An in vitro study to evaluate the accuracy of orthopantomograph as an aid to determine condylar guidance. The Journal of Indian Prosthodontic Society. 2018;18(1):35-41. https://doi.org/10.4103/jips.jips_243_17.
[12] Shetty S, Satish Babu CL, Tambake D, Surendra Kumar GP, Setpal AT. A comparative evaluation of condylar guidance value from radiograph with interocclusal records made during jaw relation and try-in: A pilot study. The Journal of Indian Prosthodontic Society. 2013;13:321-6. https://doi.org/10.1007/s13191-013-0284-4.
[13] Shah RJ, Agarwal P, Negi P. A Comparative Analysis Of Sagittal Condylar Guidance Determined By Two Articulator Systems And Orthopantomographs (OPG) In Completely Edentulous Patients. Indian Journal of Dental Sciences. 2013;5(4):72.
[14] Patil R, Dubey S, Patil A, Shetty P. Correlation between sagittal condylar guidance obtained by gothic arch tracing an interocclusal record and by panoramic radiographic tracing in edentulous subjects: A clinicoradiographic analysis. IOSR J Dent Med Sci. 2015;14(1):57-9.
[15] Shetty S, Kunta M, Shenoy K. A clinico-radiographic study to compare and co-relate sagittal condylar guidance determined by intraoral gothic arch tracing method and panoramic radiograph in completely edentulous patients. The Journal of Indian Prosthodontic Society. 2018;18(1):19-23. https://doi.org/10.4103/jips.jips_207_17.
[16] Sirana P, Kumar N, Malhotra A, Singhal N, Chaudhary N. Comparative Analysis of Sagittal Condylar Guidance Recorded by Intraoral Gothic Arch Tracing and Panoramic Radiograph in Completely Edentulous Patients. The Journal of Contemporary Dental Practice. 2018;19(11):1301-5.
[17] Verma S, Kalra T, Kumar M, Bansal A. Comparative Analysis of Condylar Guidance Angle Obtained by Protrusive Interocclusal Records and Radiographic Methods in Edentulous Patients: An In Vivo Study. Dental Journal of Advance Studies. 2022;10(2). https://doi.org/10.1055/s-0042-1753487.
[18] Unal Erzurumlu Z, Celenk P. A radiological evaluation of the effects of edentulousness on the temporomandibular joint. Journal of Oral Rehabilitation. 2020;47(3):319-24. https://doi.org/10.1111/joor.12910.
[19] Acharya S, Pandey A, Sethi S, Meena MK. A comparative study of condylar guidance setting obtained from interocclusal records and panoramic radiographs in both dentulous and edentulous subjects. Dental Journal of Advance Studies. 2015;3(02):85-90.
[20] Godavarthi AS, Sajjan MS, Raju AR, Rajeshkumar P, Premalatha A, Chava N. Correlation of condylar guidance determined by panoramic radiographs to one determined by conventional methods. Journal of international oral health: JIOH. 2015;7(8):123-8.
[21] Paul R, Das S, Bhattacharyya J, Ghosh S, Goel P, Dutta K. A study on the accuracy of horizontal condylar guidance values in edentulous patients using preprosthetic diagnostic radiographs. The Journal of Indian Prosthodontic Society. 2018;18(3):263-70. https://doi.org/10.4103/jips.jips_38_18.
[22] Konark AS, Jayam C, Singh R, Huda I, Nabi AT. Assessment of sagittal condylar guidance with protrusive inter-occlusal method, panoramic radiographs, and lateral cephalogram: A comparative study. The Journal of Contemporary Dental Practice. 2021;22(1):48.
[23] Gheedle R, John P. Comparative Evaluation of the Horizontal Condylar Guidance Using Protrusive Interocclusal Records, OPG, and CBCT in Edentulous Patients: An In Vivo Study. The Journal of Contemporary Dental Practice. 2023;24(6):403-8.
[24] Lassmann Ł, Nowak Z, Żółtowska A. Sagittal condylar guidance angle measurement methods: A systematic review. The Journal of prosthetic dentistry. 2024;132(1):81-92. https://doi.org/10.1016/j.prosdent.2023.11.017.
[25] Potdukhe SS, Iyer JM, Nadgere JB. Evaluation of accuracy between extraoral gothic arch tracing and various other methods assessing horizontal condylar guidance angle in completely edentulous patients: A systematic review and meta-analysis. The Journal of Indian Prosthodontic Society. 2023;23(4):322-34. https://oi.org/10.4103/jips.jips_216_23.
[26] Shah K, Patel JR, Chhabra T, Patel P. Correlation of the condylar guidance obtained by protrusive interocclusal record and panoramic radiographs in completely edentulous patients: An in vivo study. Advances in Human Biology. 2014;4(2):50-6.
[27] Amin B, Kumar GS, Raj B, Shetty S, Shetty A, Mithra A. Assessment and Comparison of the Condylar Guidance by Protrusive Inter-Occlusal Records and Panoramic Radiographic Imaging in Edentulous and Dentulous Individuals. International Journal of Prosthodontics and Restorative Dentistry. 2018; 8 (1):10-16. https://doi.org/10.5005/jp-journals-10019-1195.
[28] Keerthana SR, Mohammed HS, Hariprasad A, Anand M, Ayesha S. Comparative evaluation of condylar guidance obtained by three different interocclusal recording materials in a semi-adjustable articulator and digital panoramic radiographic images in dentate patients: An: in vivo: study. The Journal of Indian Prosthodontic Society. 2021;21(4):397-404. https://doi.org/10.4103/jips.jips_239_21.
Volume 6, Issue 4
Autumn 2024
Pages 178-183

  • Receive Date 04 October 2024
  • Revise Date 07 November 2024
  • Accept Date 15 November 2024
  • Publish Date 30 November 2024