Central Giant Cell Granuloma in the Mandibular Condyle in a Teenager. A Case Report with Literature Review

Abstract

Central giant cell granulomas (CGCG) are not common in the mandibular condyle. In teenagers, the problem is more complex because of difficulties in diagnosis and treatment involving the potential growth of the mandibular process and development of the face. In this short communication a case is presented of an eleven-year-old female under diagnosis of central giant cell granuloma affecting the mandibular condyle treated surgically in two steps using a condylectomy and vertical ramus osteotomy at the first time and later orthognathic surgery, showing the clinical evolution after 13 years of follow-up. In addition, we performed a review of the scientific reports related to CGCG in the mandibular condyle to compare this treatment with others, in terms of follow-up and results. We concluded that the CGCG affecting the mandibular head can be properly treated with low condilectomy, vertical mandibular ramus sliding osteotomy, and discopexy.

Frequency and Pattern of Presentation of Different Types of TMJ Ankylosis in Patients Presenting to Nisthar Institute of Dentistry, Multan

“…The condylar fracture that produced TMJA in the other 24 patients, who had 32affected joints, occurred in 30 condyles and two extracapsular ones. Ankylosis in the temporomandibular joint is often brought on by intracapsular injuries ,according to research on the connection between the condition and condylarfractures [19].Additionally, research on the 40 affected joints found that 37 joints had an intracapsularcondylar fracture pattern [20]. An animal study used in another investigation concluded that ankylosis of the TMJ was more likely in patients with an intracapsularcondylar fracture [21].A limitation in mouth opening was the most common patient complaint in our research.…”