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- Title
The Impact of Pterional Craniotomy on Dental Occlusion.
- Authors
Rogala, Adrian; Brzuszkiewicz-Kuźmicka, Grażyna; Turek, Grzegorz; Jakubowski, Maciej; Górecki, Wojciech; Ząbek, Mirosław
- Abstract
Introduction: The masticatory system has the remarkable ability to adapt to a changing biomechanical environment. However, due to the significant influence of the stomatognathic system on other ones, the impact of the craniotomy seems to be noteworthy. Study aim: The aim of this study was digital assessment of occlusion in patients undergoing pterional craniotomy. Material and Methods: The study involved 60 patients. For digital occlusion analysis, the T-Scan system was used. Additionally, maximum depression, laterotrusion, protrusion and retrusion were assessed. To determine differences, the Shaphiro-Wilk and the Wilcoxon tests were used. Relationships were assessed via Spearman's rank correlation coefficient. Results: Force after maximum intercuspation and time from maximum intercuspation to the point of force on the posterior area of the arch equalling zero was considered a significant difference. The greatest changes were noted in distribution of forces in the arch quadrants at points B and C. There were no significant differences in time of occlusion or disclusion, jaw depression, retrusion, or left and right laterotrusion. Spearman's rank test revealed a very weak positive correlation between craniotomy and head position, as well as a moderate positive correlation between craniotomy and force distribution at point B. The craniotomy and C point force distribution as well as head position and C point force distribution did not correlate. Conclusions: Pterional craniotomy may affect occlusion. The T-SCAN system provides a very accurate way of determining and evaluating the time sequence and force value of occlusal contacts by converting qualitative data into quantitative parameters and then presenting them digitally. An interdisciplinary evaluation of the patient after pterional craniotomy is essential.
- Subjects
DENTAL occlusion; CRANIOTOMY; STOMATOGNATHIC system; STATISTICAL correlation; DATING violence
- Publication
Medical Rehabilitation / Rehabilitacja Medyczna, 2023, Vol 27, Issue 4, p26
- ISSN
1427-9622
- Publication type
Article
- DOI
10.5604/01.3001.0053.6106