Segmental Geometry of Protrusive Trajectories

BACKGROUND: Mandibular protrusion is traditionally described using a single sagittal angular parameter, which does not capture directional variation along the protrusive trajectory. OBJECTIVE: To develop a rule-based geometric framework for analysing directional organisation of mandibular protrusion and characterising directional variation of protrusive trajectories. METHODS: Sixty-four protrusive trajectories were analysed using Global Protrusive Dynamics (GPD). Internal points of maximum directional deflection were identified within proportional search windows (25-50-25), defining four trajectory segments (S0-S4). Segmental directional angles were calculated for condylar and incisal trajectories. Robustness was assessed using independent procedures. RESULTS: Segmental analysis revealed non-uniform directional variation along the protrusive trajectory. Significant differences were observed between early (S1) and late (S4) trajectory segments, with large effect sizes. Median segmental directional angles showed progressive reduction along the condylar pathway. The incisal-condylar relationship also varied across segments. These patterns were consistent across workflows and stable under sensitivity analyses. CONCLUSION: Mandibular protrusion can be described as a structured spatial trajectory characterised by segment-dependent directional variation rather than a single sagittal inclination. The GPD framework provides a reproducible geometric approach for describing protrusive trajectory organisation and may support future longitudinal comparison of trajectory patterns under different functional conditions.

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Publication Details

Journal
Journal of Oral Rehabilitation
Published
2026-09-16
DOI
https://doi.org/10.1111/joor.70309
Primary Topic
Temporomandibular Joint Disorders
Type
article
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article

Segmental Geometry of Protrusive Trajectories

Rubén Agustín‐Panadero, Enrique Arias, Alejandro Martínez García, Eduardo Crespo Sánchez et al.
Journal of Oral Rehabilitation
Temporomandibular Joint Disorders
article

Segmental Geometry of Protrusive Trajectories

Rubén Agustín‐Panadero, Enrique Arias, Alejandro Martínez García, Eduardo Crespo Sánchez, Eduardo Crespo Bonnet
article en

Abstract

BACKGROUND: Mandibular protrusion is traditionally described using a single sagittal angular parameter, which does not capture directional variation along the protrusive trajectory. OBJECTIVE: To develop a rule-based geometric framework for analysing directional organisation of mandibular protrusion and characterising directional variation of protrusive trajectories. METHODS: Sixty-four protrusive trajectories were analysed using Global Protrusive Dynamics (GPD). Internal points of maximum directional deflection were identified within proportional search windows (25-50-25), defining four trajectory segments (S0-S4). Segmental directional angles were calculated for condylar and incisal trajectories. Robustness was assessed using independent procedures. RESULTS: Segmental analysis revealed non-uniform directional variation along the protrusive trajectory. Significant differences were observed between early (S1) and late (S4) trajectory segments, with large effect sizes. Median segmental directional angles showed progressive reduction along the condylar pathway. The incisal-condylar relationship also varied across segments. These patterns were consistent across workflows and stable under sensitivity analyses. CONCLUSION: Mandibular protrusion can be described as a structured spatial trajectory characterised by segment-dependent directional variation rather than a single sagittal inclination. The GPD framework provides a reproducible geometric approach for describing protrusive trajectory organisation and may support future longitudinal comparison of trajectory patterns under different functional conditions.

Journal of Oral Rehabilitation
Universitat de València (ES), IS practice (BE), Hospital General Universitario de Albacete (ES), Complejo Hospitalario Universitario de Albacete (ES), University of Castilla-La Mancha (ES)
Openalex Percentile: Top 8%
Temporomandibular Joint Disorders
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