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Journal of Oral Rehabilitation· 2026Q1

Segmental Geometry of Protrusive Trajectories

Eduardo Crespo Bonnet, Alejandro Martínez García, Eduardo Crespo Sánchez, Enrique Arias et al.

Short summary

A new geometric framework, Global Protrusive Dynamics (GPD), reveals mandibular protrusion is a structured spatial trajectory with segment-dependent directional variation, not a single sagittal inclination.

AI-generated from the title and abstract; the full text is not read.

Key points

  • Developed a rule-based geometric framework (Global Protrusive Dynamics - GPD) to analyze directional organization of mandibular protrusion.
  • Divided protrusive trajectories into four segments (S0-S4) using proportional search windows (25-50-25).
  • Found significant, non-uniform directional variations along the protrusive trajectory, with large effect size differences between early (S1) and late (S4) segments.
  • Observed progressive reduction in median segmental directional angles along the condylar pathway and varying incisal-condylar relationships across segments.
  • Demonstrated robustness and reproducibility of the GPD framework through independent procedures and sensitivity analyses.

AI-generated from the title and abstract; the full text is not read.

Abstract

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.

The authors' abstract, as published at the source. Journal of Oral Rehabilitation, 2026 · DOI ↗

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Field: Complementary and Manual Therapy

Complementary and Manual TherapyHealth Professions