Comparative Analysis of Condylar Guidance Angle Obtained by Protrusive Interocclusal Records and Radiographic Methods in Edentulous Patients: An In Vivo Study
Shagufta Verma
Keywords :
HCGA, CBCT, extraoral Gothic arch
Citation Information :
Verma S. Comparative Analysis of Condylar Guidance Angle Obtained by Protrusive Interocclusal Records and Radiographic Methods in Edentulous Patients: An In Vivo Study. 2022; 10 (2):87-94.
Purpose To compare between values of condylar inclination obtained by protrusive interocclusal records using extraoral Gothic arch tracing with cone-beam computed tomography (CBCT) scan, and cephalometric and panoramic radiographs in edentulous patients.
Materials and Methods Horizontal condylar guidance angle (HCGA) was measured using the extraoral Gothic arch tracing, CBCT, lateral cephalogram, and orthopantomogram (OPG) in 20 patients aged between 40 and 75 years. HCGAs were determined clinically using protrusive interocclusal records and semi-adjustable articulator after extraoral Gothic arch tracing. Radiographically, Frankfort horizontal plane was marked and a straight line joining the superior-most point and the inferior-most point of posterior slope of the articular eminence (AE) was drawn till the two lines met at an intersection. The angle at this intersection depicted the AE inclination and the angle was measured. Statistical analysis was done using analysis of variance test, multiple comparison was done using Tukey test, and the Pearson correlation coefficient was compiled for different study parameters.
Result A significant difference in condylar guidance was observed among different methods (p-value < 0.05), and significant positive correlations were observed among condylar guidance measured using distinct parameters.
Conclusion It was concluded that horizontal condylar guidance (HCG) values with the radiographic technique were higher than the clinical method. It was observed that mean HCG values were higher by 6.4 degrees in CBCT, 6.7 degrees in OPG, and 9.9 degrees in lateral cephalogram as compared with the clinical value. It was also observed that there was a variation of condylar guidance up to 5 degrees between right and left sides.
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