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Radiographic and diagnostic approaches for mandibular asymmetries in orthodontic practice: a narrative review

  • Salvatore La Rosa1
  • Rosalia Leonardi1
  • Vincenzo Ronsivalle1
  • Marco Cicciù1
  • Antonino Lo Giudice1,*,

1Department of General Surgery and Medical-Surgical Specialties, Section of Orthodontics, University of Catania, Policlinico Universitario “Gaspare Rodolico—San Marco”, 95123 Catania, Italy

DOI: 10.22514/jocpd.2024.073 Vol.48,Issue 4,July 2024 pp.1-15

Submitted: 08 December 2023 Accepted: 20 March 2024

Published: 03 July 2024

*Corresponding Author(s): Antonino Lo Giudice E-mail: antonino.logiudice@unict.it

Abstract

Mandibular asymmetry refers to dimensional differences between the left and right sides of the mandible in terms of size, form and volume. This condition may result in problems with functionality as well as appearance. Early intervention is often deemed optimal for addressing mandibular asymmetry; however, there is a lack of consensus regarding the diagnostic approach and strategy for identifying asymmetries in developing individuals. The purpose of this narrative review (NR) is to provide a clinician-focused update on the radiographic techniques for identifying mandibular asymmetries in orthodontic patients. Selective database searches were conducted until November 2023 to assess the available literature on mandibular asymmetry diagnosis. A health-sciences librarian developed a search strategy utilizing appropriate terms associated with mandibular asymmetry diagnosis. The databases used were Web of Science, Embase, Scopus, Liliacs and PubMed. Fifty-two studies were included in this review and data regarding the evaluation of mandibular asymmetries were presented with a narrative approach delineating clinical indications based on retrieved findings. There is no unanimous consensus on the method for diagnosing mandibular asymmetries. Cone beam computed tomography emerges as the preferred examination method for diagnosing mandibular asymmetry, thanks to the assessment of a 3D structure with a 3D image. However, the use of only orthopantomography could be advisable as a first-line diagnostic tool in children due to less radiation exposure.


Keywords

Mandibular asymmetry; Orthodontics; Radiographic diagnosis


Cite and Share

Salvatore La Rosa,Rosalia Leonardi,Vincenzo Ronsivalle,Marco Cicciù,Antonino Lo Giudice. Radiographic and diagnostic approaches for mandibular asymmetries in orthodontic practice: a narrative review. Journal of Clinical Pediatric Dentistry. 2024. 48(4);1-15.

References

[1] Severt TR, Proffit WR. The prevalence of facial asymmetry in the dentofacial deformities population at the University of North Carolina. The International Journal of Adult Orthodontics and Orthognathic Surgery. 1997; 12: 171–176.

[2] Willems G, De Bruyne I, Verdonck A, Fieuws S, Carels C. Prevalence of dentofacial characteristics in a Belgian orthodontic population. Clinical Oral Investigations. 2001; 5: 220–226.

[3] Hafezi F, Javdani A, Naghibzadeh B, Ashtiani AK. Laterality and left-sidedness in the nose, face, and body: a new finding. Plastic and Reconstructive Surgery—Global Open. 2017; 5: e1590.

[4] Kim S, Baik H, Hwang C, Yu H. Diagnosis and evaluation of skeletal Class III patients with facial asymmetry for orthognathic surgery using three-dimensional computed tomography. Seminars in Orthodontics. 2015; 21: 274–282.

[5] Nur RB, Çakan DG, Arun T. Evaluation of facial hard and soft tissue asymmetry using cone-beam computed tomography. American Journal of Orthodontics and Dentofacial Orthopedics. 2016; 149: 225–237.

[6] Fan Y, Zhang Y, Chen G, He W, Song G, Matthews H, et al. Automated assessment of mandibular shape asymmetry in 3-dimensions. American Journal of Orthodontics and Dentofacial Orthopedics. 2022; 161: 698–707.

[7] Laspos CP, Kyrkanides S, Tallents RH, Moss ME, Subtelny JD. Mandibular asymmetry in noncleft and unilateral cleft lip and palate individuals. The Cleft Palate-Craniofacial Journal. 1997; 34: 410–416.

[8] Kurt G, Uysal T, Sisman Y, Ramoglu SI. Mandibular asymmetry in Class II subdivision malocclusion. The Angle Orthodontist. 2008; 78: 32–37.

[9] Veli I, Uysal T, Ozer T, Ucar FI, Eruz M. Mandibular asymmetry in unilateral and bilateral posterior crossbite patients using cone-beam computed tomography. The Angle Orthodontist. 2011; 81: 966–974.

[10] Celikoglu M, Halicioglu K, Buyuk SK, Sekerci AE, Ucar FI. Condylar and ramal vertical asymmetry in adolescent patients with cleft lip and palate evaluated with cone-beam computed tomography. American Journal of Orthodontics and Dentofacial Orthopedics. 2013; 144: 691–697.

[11] Maglione HO, de Zavaleta LA, Laraudo J, Falisi G, Fernandez F. Temporomandibular dysfunction: internal derangement associated with facial and/or mandibular asymmetry. CRANIO®. 2013; 31: 276–282.

[12] Minervini G, Franco R, Marrapodi MM, Ronsivalle V, Shapira I, Cicciù M. Prevalence of temporomandibular disorders in subjects affected by Parkinson disease: a systematic review and metanalysis. Journal of Oral Rehabilitation. 2023; 50: 877–885.

[13] Mattila M, Könönen M, Mattila K. Vertical asymmetry of the mandibular ramus and condylar heights measured with a new method from dental panoramic radiographs in patients with psoriatic arthritis. Journal of Oral Rehabilitation. 1995; 22: 741–745.

[14] Van Elslande DC, Russett SJ, Major PW, Flores-Mir C. Mandibular asymmetry diagnosis with panoramic imaging. American Journal of Orthodontics and Dentofacial Orthopedics. 2008; 134: 183–192.

[15] Uzunçıbuk H, Marrapodi MM, Meto A, Ronsivalle V, Cicciù M, Minervini G. Prevalence of temporomandibular disorders in clear aligner patients using orthodontic intermaxillary elastics assessed with diagnostic criteria for temporomandibular disorders (DC/TMD) axis II evaluation: a cross-sectional study. Journal of Oral Rehabilitation. 2024; 51: 500–509.

[16] Kurt G, Bayram M, Uysal T, Ozer M. Mandibular asymmetry in cleft lip and palate patients. The European Journal of Orthodontics. 2010; 32: 19–23.

[17] Thiesen G, Gribel BF, Freitas MP. Facial asymmetry: a current review. Dental Press Journal of Orthodontics. 2015; 20: 110–125.

[18] Leonardi RM, Aboulazm K, Giudice AL, Ronsivalle V, D’Antò V, Lagravère M, et al. Evaluation of mandibular changes after rapid maxillary expansion: a CBCT study in youngsters with unilateral posterior crossbite using a surface-to-surface matching technique. Clinical Oral Investigations. 2021; 25: 1775–1785.

[19] Leonardi R, Ronsivalle V, Lagravere MO, Barbato E, Isola G, Lo Giudice A. Three-dimensional assessment of the spheno-occipital synchondrosis and clivus after tooth-borne and bone-borne rapid maxillary expansion. The Angle Orthodontist. 2021; 91: 822–829.

[20] Habets LL, Bezuur JN, Naeiji M, Hansson TL. The orthopantomogram®, an aid in diagnosis of temporomandibular joint problems. Journal of Oral Rehabilitation. 1988; 15: 465–471.

[21] Tam TKM, Guo R, Liu H, Lin Y. Hard and soft tissue asymmetry in patients with skeletal Class III malocclusion: a cone-beam computed tomography study. Diagnostics. 2023; 13: 869.

[22] Turnbull D, Chugh R, Luck J. Systematic-narrative hybrid literature review: a strategy for integrating a concise methodology into a manuscript. Social Sciences & Humanities Open. 2023; 7: 100381.

[23] Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. The BMJ. 2021; 372: n71.

[24] Bishara SE, Burkey PS, Kharouf JG. Dental and facial asymmetries: a review. The Angle Orthodontist. 1994; 64: 89–98.

[25] Fryback DG, Thornbury JR. The efficacy of diagnostic imaging. Medical Decision Making. 1991; 11: 88–94.

[26] Agrawal A, Bagga D, Agrawal P, Bhutani R. An evaluation of panoramic radiograph to assess mandibular asymmetry as compared to posteroanterior cephalogram. APOS Trends in Orthodontics. 2015; 5: 197.

[27] Alkis HT, Pekince KA. Comparison of the asymmetry index determined on digital panoramic radiographic images and on posteroanterior cephalometric images: a retrospective cross-sectional study. Journal of Orofacial Orthopedics. 2023; 84: 244–250.

[28] Bal B, Dikbas I, Malkondu O, Oral K. Radiological study on mandibular ramus asymmetry in young population. Folia Morphologica. 2018; 77: 724–729.

[29] Bolat E, Alkis HT. Condylar and ramal vertical asymmetry in patients with different vertical skeletal patterns. Australasian Orthodontic Journal. 2021; 37: 85–92.

[30] Faryal A, Shaikh A. Reliability of orthopantomogram in comparison to lateral cephalogram for linear mandibular measurements. Journal of Ayub Medical College Abbottabad. 2022; 34: S957–S963.

[31] Hlatcu AR, Galan E, Milicescu Ș, Teodorescu E, Ionescu E. An evaluation of the ramus mandibular asymmetry on the panoramic radiography. Applied Sciences. 2023; 13: 7645.

[32] Lemos AD, Katz CRT, Heimer MV, Rosenblatt A. Mandibular asymmetry: a proposal of radiographic analysis with public domain software. Dental Press Journal of Orthodontics. 2014; 19: 52–58.

[33] Lim Y, Chung D, Lee J, Lee S. Reliability and validity of mandibular posterior vertical asymmetry index in panoramic radiography compared with cone-beam computed tomography. American Journal of Orthodontics and Dentofacial Orthopedics. 2018; 153: 558–567.

[34] Nolte JW, Karssemakers LHE, Grootendorst DC, Tuinzing DB, Becking AG. Panoramic imaging is not suitable for quantitative evaluation, classification, and follow up in unilateral condylar hyperplasia. British Journal of Oral and Maxillofacial Surgery. 2015; 53: 446–450.

[35] Silvestrini-Biavati A, Silvestrini-Biavati F, Laffi N, Canevello C, Ugolini A. Early diagnostic evaluation of mandibular symmetry using orthopantomogram. Indian Journal of Dental Research. 2014; 25: 154–159.

[36] Takahashi-Ichikawa N, Susami T, Nagahama K, Ohkubo K, Okayasu M, Uchino N, et al. Evaluation of mandibular hypoplasia in patients with hemifacial microsomia: a comparison between panoramic radiography and three-dimensional computed tomography. The Cleft Palate-Craniofacial Journal. 2013; 50: 381–387.

[37] Malik S, Tallents RH, Fishman LS. Diagnosing mandibular asymmetry using posteroanterior cephalograms in patients with unilateral and bilateral degenerative joint disease. APOS Trends in Orthodontics. 2020; 10: 171–177.

[38] Pradhan A, Bhattacharya P, Singh S, Chandna AK, Gupta A, Bhandari R. Comparative analysis of craniofacial asymmetry in subjects with and without symptoms of temporomandibular joint disorders: a cross-sectional study. Journal of the Korean Association of Oral and Maxillofacial Surgeons. 2023; 49: 125–134.

[39] Rakauskaite I, Svalkauskiene V, Labanauskas Z, Juozėnaitė D, Trakinienė G, Vaiciuniene J. Heritability of mandibular asymmetries in sagittal direction: a cephalometric study. Stomatologija. 2020; 22: 54–57.

[40] Goto TK, Langenbach GE. Condylar process contributes to mandibular asymmetry: in vivo 3D MRI study. Clinical Anatomy. 2014; 27: 585–591.

[41] Chan BH, Leung YY. SPECT bone scintigraphy for the assessment of condylar growth activity in mandibular asymmetry: is it accurate? International Journal of Oral and Maxillofacial Surgery. 2018; 47: 470–479.

[42] Espinosa S, Cortés R, Toro-Ibacache V. Single photon emission computed tomography (SPECT) diagnostic accuracy in active unilateral condylar hyperplasia: retrospective study. Journal of Cranio-Maxillofacial Surgery. 2023; 51: 467–474.

[43] Liu P, Shi J. Is single-photon emission computed tomography/computed tomography superior to single-photon emission computed tomography in assessing unilateral condylar hyperplasia? Journal of Oral and Maxillofacial Surgery. 2019; 77: 1279.e1–1279.e7.

[44] López B. DF, Corral S. CM. Comparison of planar bone scintigraphy and single photon emission computed tomography for diagnosis of active condylar hyperplasia. Journal of Cranio-Maxillofacial Surgery. 2016; 44: 70–74.

[45] Lima GM, Diodato S, Costabile E, Cicoria G, Civollani S, Marchetti C, et al. Low dose radiation 18F-fluoride PET/CT in the assessment of unilateral condylar hyperplasia of the mandible: preliminary results of a single centre experience. European Journal of Hybrid Imaging. 2018; 2: 7.

[46] Park K, Park H, Piao Z, Kim M, Yu H, Seo JK, et al. Three-dimensional vector analysis of mandibular structural asymmetry. Journal of Cranio-Maxillofacial Surgery. 2013; 41: 338–344.

[47] Tun Oo L, Miyamoto JJ, Takada JI, Cheng SE, Yoshizawa H, Moriyama K. Three-dimensional characteristics of temporomandibular joint morphology and condylar movement in patients with mandibular asymmetry. Progress in Orthodontics. 2022; 23: 50.

[48] Tun Oo L, Miyamoto JJ, Takada J, Moriyama K. Correlation between the position of the glenoid fossa and condylar translational movement in skeletal Class III mandibular asymmetry patients. European Journal of Orthodontics. 2022; 44: 294–302.

[49] You K, Kim K, Lee K, Baik H. Three-dimensional computed tomography analysis of mandibular morphology in patients with facial asymmetry and mandibular retrognathism. American Journal of Orthodontics and Dentofacial Orthopedics. 2018; 153: 685–691.

[50] Ajmera DH, Hsung RT, Singh P, Wong NSM, Yeung AWK, Lam WYH, et al. Three-dimensional assessment of facial asymmetry in Class III subjects. Part 1: a retrospective study evaluating postsurgical outcomes. Clinical Oral Investigations. 2022; 26: 4947–4966.

[51] Ajmera DH, Zhang C, Ng JHH, Hsung RT, Lam WYH, Wang W, et al. Three-dimensional assessment of facial asymmetry in class III subjects, part 2: evaluating asymmetry index and asymmetry scores. Clinical Oral Investigations. 2023; 27: 5813–5826.

[52] Alhazmi N. Assessment of mandibular asymmetry in different skeletal malocclusions and vertical patterns in adult individuals: a cone-beam computed tomography study. Journal of Orthodontic Science. 2023; 12: 33.

[53] Cavagnetto D, Abate A, Caprioglio A, Cressoni P, Maspero C. Three-dimensional volumetric evaluation of the different mandibular segments using CBCT in patients affected by juvenile idiopathic arthritis: a cross-sectional study. Progress in Orthodontics. 2021; 22: 32.

[54] García-Sanz V, Bellot-Arcís C, Hernández V, Serrano-Sánchez P, Guarinos J, Paredes-Gallardo V. Accuracy and reliability of cone-beam computed tomography for linear and volumetric mandibular condyle measurements. A human cadaver study. Scientific Reports. 2017; 7: 11993.

[55] Ha S, Kim S, Choi J, Baek S. Characterization of facial asymmetry phenotypes in adult patients with skeletal Class III malocclusion using three-dimensional computed tomography and cluster analysis. Korean Journal of Orthodontics. 2022; 52: 85–101.

[56] Hasebe A, Yamaguchi T, Nakawaki T, Hikita Y, Katayama K, Maki K. Comparison of condylar size among different anteroposterior and vertical skeletal patterns using cone-beam computed tomography. The Angle Orthodontist. 2019; 89: 306–311.

[57] Huang M, Hu Y, Yu J, Sun J, Ming Y, Zheng L. Cone-beam computed tomographic evaluation of the temporomandibular joint and dental characteristics of patients with Class II subdivision malocclusion and asymmetry. The Korean Journal of Orthodontics. 2017; 47: 277–288.

[58] Huang M, Chen B, Lin H, Guo W, Luo G, Chen W, et al. Analysis of mandibular asymmetry in adolescent and adult patients with unilateral posterior crossbite on cone-beam computed tomography. American Journal of Orthodontics and Dentofacial Orthopedics. 2024; 165: 27–37.

[59] Kim J, Kim B, Park K, Huh J. Comparison of volume and position of the temporomandibular joint structures in patients with mandibular asymmetry. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 2016; 122: 772–780.

[60] Kim H, Hong M, Park H. Analysis of dental compensation in patients with facial asymmetry using cone-beam computed tomography. American Journal of Orthodontics and Dentofacial Orthopedics. 2019; 156: 493–501.

[61] Leonardi R, Muraglie S, Bennici O, Cavallini C, Spampinato C. Three-dimensional analysis of mandibular functional units in adult patients with unilateral posterior crossbite: a cone beam study with the use of mirroring and surface-to-surface matching techniques. Angle Orthodontist. 2019; 89: 590–596.

[62] Leonardi R, Muraglie S, Lo Giudice A, Aboulazm KS, Nucera R. Evaluation of mandibular symmetry and morphology in adult patients with unilateral posterior crossbite: a CBCT study using a surface-to-surface matching technique. European Journal of Orthodontics. 2020; 42: 650–657.

[63] Li CX, Xie X, Li M, Gong ZC, Nie J, Liu X, et al. A pilot investigation of condylar position and asymmetry in patients with unilateral posterior scissors-bite malocclusion based on three-dimensional reconstructive imaging technique. BMC Musculoskeletal Disorders. 2023; 24: 253.

[64] Macrì M, Festa F. Three-dimensional evaluation using CBCT of the mandibular asymmetry and the compensation mechanism in a growing patient: a case report. Front Public Health. 2022; 10: 921413.

[65] Marques FBC, Siqueira de Lima L, Coqueiro RDS, Pithon MM, Ruellas ACDO, Maciel JVB, et al. Cone-beam computed tomography study of mandibular morphology and tooth compensation in asymmetrical patients. American Journal of Orthodontics and Dentofacial Orthopedics. 2023; 164: 265–275.

[66] Miresmaeili A, Salehisaheb H, Farhadian M, Borjali M. Mandibular asymmetry in young adult patients with unilateral posterior crossbite: a controlled retrospective CBCT study. International Orthodontics. 2021; 19: 433–444.

[67] Nolte JW, Verhoeven TJ, Schreurs R, Bergé SJ, Karssemakers LHE, Becking AG, et al. 3-Dimensional CBCT analysis of mandibular asymmetry in unilateral condylar hyperplasia. Journal of Cranio-Maxillofacial Surgery. 2016; 44: 1970–1976.

[68] Oh M, Cho J. The three-dimensional morphology of mandible and glenoid fossa as contributing factors to menton deviation in facial asymmetry—retrospective study. Progress in Orthodontics. 2020; 21: 33.

[69] Paknahad M, Shahidi S, Bahrampour E, Beladi AS, Khojastepour L. Cone beam computed tomographic evaluation of mandibular asymmetry in patients with cleft lip and palate. The Cleft Palate-Craniofacial Journal. 2018; 55: 919–924.

[70] Ryu H, An K, Kang K. Cone-beam computed tomography based evaluation of rotational patterns of dentofacial structures in skeletal Class III deformity with mandibular asymmetry. The Korean Journal of Orthodontics. 2015; 45: 153–163.

[71] Shetty SR, Al-Bayatti S, AlKawas S, Talaat W, Narasimhan S, Gaballah K, et al. Analysis of the volumetric asymmetry of the mandibular condyles using CBCT. International Dental Journal. 2022; 72: 797–804.

[72] Teng C, Liu C, Yu Q, Liu S. Cone-beam computed tomography-based three-dimensional cephalometric analysis of mandible symmetry and the occlusal plane of adult patients with high-angle skeletal Class III malocclusion and jaw deformity. Archives of Oral Biology. 2021; 127: 105157.

[73] Thiesen G, Freitas MPM, Araújo EA, Gribel BF, Kim KB. Three-dimensional evaluation of craniofacial characteristics related to mandibular asymmetries in skeletal Class I patients. American Journal of Orthodontics and Dentofacial Orthopedics. 2018; 154: 91–98.

[74] Evangelista K, Valladares-Neto J, Garcia Silva MA, Soares Cevidanes LH, de Oliveira Ruellas AC. Three-dimensional assessment of mandibular asymmetry in skeletal Class I and unilateral crossbite malocclusion in 3 different age groups. American Journal of Orthodontics and Dentofacial Orthopedics. 2020; 158: 209–220.

[75] Laster W, Ludlow J, Bailey L, Hershey HG. Accuracy of measurements of mandibular anatomy and prediction of asymmetry in panoramic radiographic images. Dentomaxillofacial Radiology. 2005; 34: 343–349.

[76] Momjian A, Courvoisier D, Kiliaridis S, Scolozzi P. Reliability of computational measurement of the condyles on digital panoramic radiographs. Dentomaxillofacial Radiology. 2011; 40: 444–450.

[77] Yeo DKL, Freer TJ, Brockhurst PJ. Distortions in panoramic radiographs. Australasian Orthodontic Journal. 2002; 18: 92–98.

[78] Habets LL, Bezuur JN, van Ooij CP, Hansson TL. The orthopantomogram, an aid in diagnosis of temporomandibular joint problems. I. The factor of vertical magnification. Journal of Oral Rehabilitation. 1987; 14: 475–480.

[79] Lund TM, Manson-Hing LR. A study of the focal troughs of three panoramic dental x-ray machines. Oral Surgery, Oral Medicine, Oral Pathology. 1975; 39: 318–328.

[80] Athanasiou A. Athanasiou AE. Orthodontic cephalometry. Mosby-Wolfe: London. 1995.

[81] Perillo L, Padricelli G, Isola G, Femiano F, Chiodini P, Matarese G. Class II malocclusion division 1: a new classification method by cephalometric analysis. European Journal of Paediatric Dentistry. 2012; 13: 192–196.

[82] Garib DG, Raymundo Jr. R, Raymundo MV, Raymundo DV, Ferreira SN. Cone beam computed tomography (CBCT): understandind this new imaging diagnostic method with promissing application in Orthodontics. Revista Dental Press De Ortodontia E Ortopedia Facial. 2007; 12: 139–156.

[83] Lorenzoni DC, Bolognese AM, Garib DG, Guedes FR, Sant’Anna EF. Cone-beam computed tomography and radiographs in dentistry: aspects related to radiation dose. International Journal of Dentistry. 2012; 2012: 813768.

[84] Garib DG, Calil LR, Leal CR, Janson G. Is there a consensus for CBCT use in Orthodontics? Dental Press Journal of Orthodontics. 2014; 19: 136–149.

[85] Horner K, Islam M, Flygare L, Tsiklakis K, Whaites E. Basic principles for use of dental cone beam computed tomography: consensus guidelines of the European Academy of Dental and Maxillofacial Radiology. Dentomaxillofacial Radiology. 2009; 38: 187–195.

[86] Fariña R, Bravo R, Villanueva R, Valladares S, Hinojosa A, Martinez B. Measuring the condylar unit in condylar hyperplasia: from the sigmoid notch or from the mandibular lingula? International Journal of Oral and Maxillofacial Surgery. 2017; 46: 857–860.

[87] Leonardi R, Ronsivalle V, Barbato E, Lagravère M, Flores-Mir C, Lo Giudice A. External root resorption (ERR) and rapid maxillary expansion (RME) at post-retention stage: a comparison between tooth-borne and bone-borne RME. Progress in Orthodontics. 2022; 23: 45.

[88] Lo Giudice A, Ronsivalle V, Gastaldi G, Leonardi R. Assessment of the accuracy of imaging software for 3D rendering of the upper airway, usable in orthodontic and craniofacial clinical settings. Progress in Orthodontics. 2022; 23: 22.

[89] Farronato G, Carletti V, Giannini L, Farronato D, Maspero C. Juvenile idiopathic arthritis with temporomandibular joint involvement: functional treatment. European Journal of Paediatric Dentistry. 2011; 12: 131–134.

[90] Twilt M. Facioskeletal changes in children with juvenile idiopathic arthritis. Annals of the Rheumatic Diseases. 2006; 65: 823–825.

[91] Niibo P, Pruunsild C, Voog-Oras Ü, Nikopensius T, Jagomägi T, Saag M. Contemporary management of TMJ involvement in JIA patients and its orofacial consequences. EPMA Journal. 2016; 7: 12.


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