{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T09:47:52Z","timestamp":1776764872393,"version":"3.51.2"},"reference-count":35,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2021,4,7]],"date-time":"2021-04-07T00:00:00Z","timestamp":1617753600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>The aim of this study was to investigate the correlation between craniofacial morphology, temporomandibular joint (TMJ) characteristics, and condylar functional movement in patients with facial asymmetry using an up-to-date automated real-time jaw-tracking system. A total of 30 patients with mandibular asymmetry and prognathism were included. Three-dimensional (3D) craniofacial and TMJ morphometric variables were analyzed in images captured using cone-beam computed tomography. Three-dimensional condylar movements were recorded during the opening, protrusion, and laterotrusion of the jaw and divided into those for deviated and non-deviated sides. Overall functional and morphometric variables were compared between the sides by a paired t-test. Pearson\u2019s correlation analysis and factor analysis were also performed. As a result, significant differences were found between the sides in morphometric and functional variables. The condylar path length was significantly longer and steeper on the deviated side during protrusion and lateral excursion. TMJ morphometric asymmetry, more so than the craniofacial morphologic asymmetry, seemed to be reflected in the functional asymmetry, representing different correlations between the sides, as supported by factor analysis. This study provides evidence explaining why the asymmetric condylar path remained unchanged even after orthognathic surgery for the correction of craniofacial asymmetry.<\/jats:p>","DOI":"10.3390\/s21082591","type":"journal-article","created":{"date-parts":[[2021,4,7]],"date-time":"2021-04-07T11:31:59Z","timestamp":1617795119000},"page":"2591","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Automated Real-Time Evaluation of Condylar Movement in Relation to Three-Dimensional Craniofacial and Temporomandibular Morphometry in Patients with Facial Asymmetry"],"prefix":"10.3390","volume":"21","author":[{"given":"Won-June","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Orthodontics, Kyung Hee University School of Dentistry, Seoul 02447, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ki-Ho","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Kyung Hee University School of Dentistry, Seoul 02447, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoon-Goo","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Kyung Hee University School of Dentistry, Seoul 02447, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8500-5246","authenticated-orcid":false,"given":"Su-Jung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Kyung Hee University School of Dentistry, Seoul 02447, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,4,7]]},"reference":[{"key":"ref_1","first-page":"161","article-title":"Relationship between sagittal condylar path and the degree of mandibular asymmetry in unilateral cross-bite patients","volume":"12","author":"Mimura","year":"1994","journal-title":"J. Craniomandib. Prac."},{"key":"ref_2","first-page":"81","article-title":"Craniofacial asymmetry and temporomandibular joint internal derangement in female adolescents: A posteroanterior cephalometric study","volume":"70","author":"Biljana","year":"2000","journal-title":"Angle Orthod."},{"key":"ref_3","first-page":"203","article-title":"Relationship between mandibular lateral deviation and bilateral condylar paths on mandibular protrusive movement","volume":"51","author":"Fukui","year":"1992","journal-title":"J. Jpn. Orthod. Soc."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"454.e1","DOI":"10.1016\/j.ajodo.2009.10.031","article-title":"Morphologic, functional, and occlusal characterization of mandibular lateral displacement malocclusion","volume":"137","author":"Ishizaki","year":"2010","journal-title":"Am. J. Orthod. Dentofac. Orthop."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1093\/ejo\/cji073","article-title":"Temporomandibular joint internal derangement in mandibular asymmetry. What is the relationship?","volume":"28","author":"Buranastidporn","year":"2006","journal-title":"Eur. J. Orthod."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2020","DOI":"10.1016\/j.joms.2008.06.003","article-title":"Correlation between craniofacial and condylar path asymmetry","volume":"66","author":"Hashimoto","year":"2008","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/S0022-3913(05)80047-2","article-title":"Comparison of condylar control settings using three methods: A bench study","volume":"66","author":"Pelletier","year":"1991","journal-title":"J. Prosthet. Dent."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1378","DOI":"10.1177\/00220345000790060501","article-title":"Co-ordinated mandibular and head-neck movements during rhythmic jaw activities in man","volume":"79","author":"Eriksson","year":"2000","journal-title":"J. Dent. Res."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1093\/ejo\/24.4.327","article-title":"Correlation between facial morphology, mouth opening ability, and condylar movement during opening-closing jaw movements in female adults with normal occlusion","volume":"24","author":"Fukui","year":"2002","journal-title":"Eur. J. Orthod."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1016\/S0889-5406(99)70327-6","article-title":"Relationship between anteroposterior maxillomandibular morphology and masticatory jaw movement patterns","volume":"115","author":"Gerstner","year":"1999","journal-title":"Am. J. Orthod. Dentofac. Orthop."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1111\/j.1365-2842.2005.01514.x","article-title":"The relationship between vertical craniofacial morphology and the sagittal path of mandibular movements","volume":"32","author":"Farella","year":"2005","journal-title":"J. Oral Rehabil."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1111\/j.1365-2842.2006.01690.x","article-title":"Changes in condylar path inclination during maximum protrusion between the ages of 6 and 12 years","volume":"34","author":"Baqaien","year":"2007","journal-title":"J. Oral Rehabil."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.ajodo.2007.01.030","article-title":"Computerized axiographic evaluation of the changes in sagittal condylar path inclination with dental and physical development","volume":"135","author":"Baqaien","year":"2009","journal-title":"Am. J. Orthod. Dentofac. Orthop."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"924","DOI":"10.2319\/110618-792.1","article-title":"Computerized ultrasonic axiographic evaluation of condylar movement in patients with internal derangement of the temporomandibular joint","volume":"89","author":"Choi","year":"2019","journal-title":"Angle Orthod."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"371","DOI":"10.4103\/0976-237X.161892","article-title":"Evaluation of condylar inclination of dentulous subjects determined by axiograph and to compare with manual programming of articulators using protrusive interocclusal record","volume":"6","author":"Prasad","year":"2015","journal-title":"Contemp. Clin. Dent."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1093\/ejo\/12.4.408","article-title":"Relationship between craniofacial and condyle path asymmetry in unilateral crossbite patients","volume":"12","author":"Pirttineimi","year":"1991","journal-title":"Eur. J. Orthod."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1046\/j.1365-2842.1999.00387.x","article-title":"Facial asymmetry in temporomandibular joint disorders","volume":"26","author":"Inui","year":"1999","journal-title":"J. Oral Rehabil."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"408","DOI":"10.5357\/koubyou.63.408","article-title":"Condylar movement in patient with skeletal mandibular prognathism during maximum opening and closing movement before and after surgery","volume":"63","author":"Fujisaki","year":"1996","journal-title":"Kokubyo Gakkai Zasschi"},{"key":"ref_19","first-page":"286","article-title":"The relation of the condylar path to the articular eminence in mandibular protrusion","volume":"41","author":"Corbett","year":"1971","journal-title":"Angle Orthod."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1093\/ejo\/13.6.441","article-title":"Relationships of bicondylar position to occlusal asymmetry","volume":"13","author":"Pirttiniemi","year":"1991","journal-title":"Eur. J. Orthod."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1054\/jcms.2000.0181","article-title":"Temporomandibular joint morphology and disc position in skeletal Class III patients","volume":"28","author":"Ueki","year":"2000","journal-title":"J. Craniomaxillofac. Surg."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1111\/j.1600-0722.1971.tb02003.x","article-title":"Variation of the range of movement of the mandible in relation to facial morphology in young adults","volume":"79","author":"Ingervall","year":"1971","journal-title":"Eur. J. Oral Sci."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1016\/j.ajodo.2016.06.042","article-title":"Association between 3-dimensional mandibular morphology and condylar movement in subjects with mandibular asymmetry","volume":"151","author":"Ikeda","year":"2017","journal-title":"Am. J. Orthod. Dentofac. Orthop."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1259\/dmfr\/24780643","article-title":"Radiological examination of the articular eminence morphology using cone beam CT","volume":"41","author":"Yilmaz","year":"2012","journal-title":"Dentomaxillofac. Radiol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1093\/ejo\/23.5.579","article-title":"Correlation between eminence steepness and condyle disc movements in temporomandibular joints with internal derangements on magnetic resonance imaging","volume":"23","author":"Hatice","year":"2001","journal-title":"Eur. J. Orthod."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1046\/j.1365-2842.2003.01040.x","article-title":"Mandibular movement and frontal craniofacial morphology in orthognathic surgery patients with mandibular deviation and protrusion","volume":"30","author":"Oguri","year":"2003","journal-title":"J. Oral Rehabil."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1016\/j.jcms.2013.01.011","article-title":"The relationship between the changes in three-dimensional facial morphology and mandibular movement after orthognathic surgery","volume":"41","author":"Kim","year":"2013","journal-title":"J. Cranio Maxllofac. Surg."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1016\/j.tripleo.2010.06.007","article-title":"Correlation between 3-dimensional facial morphology and mandibular movement during maximum mouth opening and closing","volume":"110","author":"Kim","year":"2010","journal-title":"Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"195","DOI":"10.4041\/kjod.2017.47.3.195","article-title":"Targeted presurgical decompensation in patients with yaw-dependent facial asymmetry","volume":"47","author":"Kim","year":"2017","journal-title":"Korean J. Orthod."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1054\/ijom.2001.0171","article-title":"Plate fixation after mandibular osteotomy","volume":"30","author":"Ueki","year":"2001","journal-title":"Int. J. Oral Maxillofac. Surg."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1054\/bjom.1999.0016","article-title":"Temporomandibular joint symptoms and disc displacement in patients with mandibular prognathism","volume":"37","author":"Kobayashi","year":"1999","journal-title":"Br. J. Oral Maxillofac. Surg."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1016\/j.ijom.2009.04.021","article-title":"The effects of changing position and angle of the proximal segment after intraoral vertical ramus osteotomy","volume":"38","author":"Ueki","year":"2009","journal-title":"Int. J. Oral Maxillofac. Surg."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1067\/moe.2001.112153","article-title":"Condylar bony change, disc displacement, and signs and symptoms of TMJ disorders in orthognathic surgery patients","volume":"91","author":"Yamada","year":"2001","journal-title":"Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1746-160X-8-34","article-title":"Condylar volume and condylar area in class I, class II and class III young adult subjects","volume":"8","author":"Saccucci","year":"2012","journal-title":"Head Face Med."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1093\/ejo\/13.1.27","article-title":"Comparison of \u201cnormal\u201d TMJ in Class I, II, and III individuals","volume":"13","author":"Zimmer","year":"1991","journal-title":"Eur. J. Orthod."}],"container-title":["Sensors"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1424-8220\/21\/8\/2591\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T13:26:33Z","timestamp":1760361993000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1424-8220\/21\/8\/2591"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,7]]},"references-count":35,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2021,4]]}},"alternative-id":["s21082591"],"URL":"https:\/\/doi.org\/10.3390\/s21082591","relation":{},"ISSN":["1424-8220"],"issn-type":[{"value":"1424-8220","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,7]]}}}