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Condylar growth after non-surgical advancement in adult subject: a case report.

Cuccia AM, Caradonna C - Head Face Med (2009)

Bottom Line: Erosion and flattening of the left mandibular condyle were observed by panoramic x-ray.Eight months after the therapy, reduction in joint pain and a greater opening of the mouth was observed, although crepitation sounds during mastication were still noticeable.During the following months of gnatologic treatment, new bone growth in the left condyle was observed by radiograph, with further improvement of the symptoms.

View Article: PubMed Central - HTML - PubMed

Affiliation: Section of Orthodontics, Department of Dental Sciences G. Messina, University of Palermo, 90127 Palermo, Italy. cucciaam@odonto.unipa.it

ABSTRACT

Background: A defect of condylar morphology can be caused by several sources.

Case report: A case of altered condylar morphology in adult male with temporomandibular disorders was reported in 30-year-old male patient. Erosion and flattening of the left mandibular condyle were observed by panoramic x-ray. The patient was treated with splint therapy that determined mandibular advancement. Eight months after the therapy, reduction in joint pain and a greater opening of the mouth was observed, although crepitation sounds during mastication were still noticeable.

Conclusion: During the following months of gnatologic treatment, new bone growth in the left condyle was observed by radiograph, with further improvement of the symptoms.

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Panoramic radiograph revealing new growth in the left condyle after 18 months of therapy.
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Figure 7: Panoramic radiograph revealing new growth in the left condyle after 18 months of therapy.

Mentions: The splint was used consistently, though due to work commitments, not in the mornings. The patient was reviewed every month and showed progressive symptomatic improvement on each occasion. After 8 months, a new panoramic radiograph confirmed new bone formation on the condylar surface [Figure 5]. Clinical features were improved, with reduced pain (pain scale VAS 20) and an increase in mouth opening (30 mm), although deviation of the mandible and crepitus were still evident during mastication [Figure 6]. After 18 months there was complete resolution of the symptoms, with no pain, and similar morphology of both condyles [Figure 7, 8]. At completion of treatment, there were no occlusal abnormalities.


Condylar growth after non-surgical advancement in adult subject: a case report.

Cuccia AM, Caradonna C - Head Face Med (2009)

Panoramic radiograph revealing new growth in the left condyle after 18 months of therapy.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2724385&req=5

Figure 7: Panoramic radiograph revealing new growth in the left condyle after 18 months of therapy.
Mentions: The splint was used consistently, though due to work commitments, not in the mornings. The patient was reviewed every month and showed progressive symptomatic improvement on each occasion. After 8 months, a new panoramic radiograph confirmed new bone formation on the condylar surface [Figure 5]. Clinical features were improved, with reduced pain (pain scale VAS 20) and an increase in mouth opening (30 mm), although deviation of the mandible and crepitus were still evident during mastication [Figure 6]. After 18 months there was complete resolution of the symptoms, with no pain, and similar morphology of both condyles [Figure 7, 8]. At completion of treatment, there were no occlusal abnormalities.

Bottom Line: Erosion and flattening of the left mandibular condyle were observed by panoramic x-ray.Eight months after the therapy, reduction in joint pain and a greater opening of the mouth was observed, although crepitation sounds during mastication were still noticeable.During the following months of gnatologic treatment, new bone growth in the left condyle was observed by radiograph, with further improvement of the symptoms.

View Article: PubMed Central - HTML - PubMed

Affiliation: Section of Orthodontics, Department of Dental Sciences G. Messina, University of Palermo, 90127 Palermo, Italy. cucciaam@odonto.unipa.it

ABSTRACT

Background: A defect of condylar morphology can be caused by several sources.

Case report: A case of altered condylar morphology in adult male with temporomandibular disorders was reported in 30-year-old male patient. Erosion and flattening of the left mandibular condyle were observed by panoramic x-ray. The patient was treated with splint therapy that determined mandibular advancement. Eight months after the therapy, reduction in joint pain and a greater opening of the mouth was observed, although crepitation sounds during mastication were still noticeable.

Conclusion: During the following months of gnatologic treatment, new bone growth in the left condyle was observed by radiograph, with further improvement of the symptoms.

Show MeSH
Related in: MedlinePlus