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Biomedical subjects

E L Christiansen

Publications and source records attributed to E L Christiansen.

5 recordsLinked to original sources

A computed tomographic study of the distances between the maxillary sinus floor and the apices of the maxillary posterior teeth.

The mean distance between the apices of the maxillary posterior teeth and the floor of the maxillary sinus was measured from computed tomographic display data from 12 autopsy specimens and 38 human subjects. The distance from these apices to the adjacent lateral bony surfaces was also measured. The apex of the mesiobuccal root of the maxillary second molar was closest to the sinus floor (mean 1.97 mm) but farthest from the buccal bony surface (mean 4.45 mm). The apex of the buccal root of the maxillary first premolar was closest to the adjacent lateral bony surface (mean 1.63 mm) but farthest from the floor of the sinus (mean 7.05 mm).

Bicuspid

Estimation of tendon-plane orientation within human masseter muscle from reconstructed magnetic resonance images.

The human masseter is a powerful multipennate jaw elevator with complex internal architecture. The three-dimensional disposition of tendon planes within the muscle is thought to be an important determinant of function. We selected five adult subjects and used cephalometric radiography, magnetic resonance imaging and graphical, three-dimensional reconstruction to describe the organization of these planes within the muscle. Putative tendon planes were fitted to the surfaces of the three-dimensional reconstructions, and these were related to the mid-sagittal plane in the coronal and transverse views. To confirm whether putative planes disclosed by magnetic resonance represented true anatomical entities, a fresh human cadaver head was imaged and the magnetic resonance slices were compared with cryosections obtained in the same planes. Tendon-plane angulation appeared to be related to ramal length and lower face height measured cephalometrically. In the transverse view, the tendon planes appeared roughly to follow the angulations of the zygomatic arch and the lateral face of the mandibular ramus. These findings suggest that the angulation of tendon planes, and possibly pennation angles, are different depending on the viewing angle. Rather than reporting pennation angle as a single angle, alpha, which has been the convention, it may be more appropriate to express it as a three-dimensional angle relative to the normal of a particular tendon plane. The inference is that muscle fibres inserting on either side of a central tendon may need to develop different tensile forces if translation is to occur directly along the tendon axis.

Adipose Tissue

Mandibular condyle morphology in relation to malocclusions in children.

Recent studies show that forces applied to the mandible during treatment with functional appliances and other orthodontic therapies produce changes in the TMJ. Specific malocclusions might also apply forces that can produce changes in the morphology of the TMJ. This study examined 104 orthodontic patients (44 males and 60 females) prior to treatment. The size and location of the condyle was determined on submento-vertex and tomographic films which was related to clinical findings including age, sex, malocclusion type, facial type, TMJ symptoms, tooth eruption sequence, crossbites and midline discrepancies. The medio-lateral width of the condylar head correlated positively with the patients age (p less than 0.001) and sex (p less than 0.001). Also the antero-posterior widths of the condyle were correlated with age (p less than 0.05). The condylar size in males was found to be greater than in females. Midline discrepancy significantly altered the increase in condylar size during growth. Transversel anomalies had a markedly greater influence on condylar growth compared to other characteristics of occlusion. The major change in condylar size during growth occurred in medio-lateral dimension as compared to the antero-posterior. In addition, the medio-lateral width was affected by midline discrepancy but not the antero-posterior width.

Adolescent

The temporomandibular joint.

MRI is the procedure of choice for diagnosing most internal derangements. MRI provides images that not only demonstrate bony detail but show excellent representation of soft tissues in both anatomic and semifunctional relationships. MRI does not use ionizing radiation and has no known adverse effects. Multiplanar imaging allows a three-dimensional analysis of the TMJ, providing a more complete assessment of the condyle, articular disc, fossa relationships. Whenever capsular adhesions or disc perforations are suspected and are not demonstrated with MRI, then arthrography should be performed.

Humans