Idiopathic Condylar Resorption: Current Clinical Perspectives

Posnick, Jeffrey C.; Fantuzzo, Joseph J.

doi:10.1016/j.joms.2007.03.026

Cited by 58 publications

(56 citation statements)

References 51 publications

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“…Localized (non-systemic) inflammatory disease has been called idiopathic CR when individual susceptibility is present and no identified etiologic factor is detected 113 . This bone loss has also been named condylisis (or condylolysis ) 38 , condylar atrophy 33,78,122 , progressive condylar resorption 68,81 , or progressive mandibular retrusion 9,10 .…”

Section: Resultsmentioning

confidence: 99%

“…Several studies 23,33,68,72,74,78,81,92,94,96 have shown that the first signs of postsurgical development were detected 6 months or more after surgery and developed up to 2 years after surgery and was related to a long-term skeletal relapse. On the other hand, idiopathic CR has not been found only after orthognathic surgery, and may be observed during or after active dental restorative, orthodontic or before orthognathic surgery 113 .…”

Section: Resultsmentioning

confidence: 99%

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TMJ response to mandibular advancement surgery: an overview of risk factors

Valladares‐Neto

Cevidanes

Rocha³

et al. 2014

J. Appl. Oral Sci.

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ObjectiveIn order to understand the conflicting information on temporomandibular joint (TMJ) pathophysiologic responses after mandibular advancement surgery, an overview of the literature was proposed with a focus on certain risk factors. MethodsA literature search was carried out in the Cochrane, PubMed, Scopus and Web of Science databases in the period from January 1980 through March 2013. Various combinations of keywords related to TMJ changes [disc displacement, arthralgia, condylar resorption (CR)] and aspects of surgical intervention (fixation technique, amount of advancement) were used. A hand search of these papers was also carried out to identify additional articles. ResultsA total of 148 articles were considered for this overview and, although methodological troubles were common, this review identified relevant findings which the practitioner can take into consideration during treatment planning: 1- Surgery was unable to influence TMJ with preexisting displaced disc and crepitus; 2- Clicking and arthralgia were not predictable after surgery, although there was greater likelihood of improvement rather than deterioration; 3- The amount of mandibular advancement and counterclockwise rotation, and the rigidity of the fixation technique seemed to influence TMJ position and health; 4- The risk of CR increased, especially in identified high-risk cases. ConclusionsYoung adult females with mandibular retrognathism and increased mandibular plane angle are susceptible to painful TMJ, and are subject to less improvement after surgery and prone to CR. Furthermore, thorough evidenced-based studies are required to understand the response of the TMJ after mandibular advancement surgery.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

TMJ response to mandibular advancement surgery: an overview of risk factors

Valladares‐Neto

Cevidanes

Rocha³

et al. 2014

J. Appl. Oral Sci.

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“…ICR more often affects teenage girls during the pubertal growth spurt. Maxillofacial morphological findings of ICR have included bilateral condylar resorption followed by stabilization without further loss of condylar height, loss of posterior facial height, mandibular retropositioning, and angle Class II anterior open bite 6 . Slight shortening of the condyles was observed in the present case, but no deformity of the condylar heads was seen.…”

Section: Discussionmentioning

confidence: 99%

Steroid-induced damage to the condyles in treatment of idiopathic thrombocytopenia

Hata¹,

Hosoda²,

Hamada³

et al. 2009

International Journal of Oral and Maxillofacial Surgery

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“…Según Posnick y Fantuzzo (2007) 7 , la condición conocida como reabsorción condilar idiopática es de etiología desconocida y caracterizada por reabsorción de los cóndilos mandibulares con pérdida de la altura de las ramas, deformidad facial y maloclusión. El término reabsorción condilar progresiva se aplica a condiciones que afectan la altura de los cóndilos e incluye a aquellas de etiología conocida como artritis reumatoide juvenil, lupus eritematoso, trauma, uso de esteroides 8 .…”

Section: Definiciónunclassified

Reconstructive surgery of the temporomandibular joint

et al. 2013

Rev Chil Cir

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Reconstructive surgery of the temporomandibular jointThe diseases of the TemporoMandibular Joint (TMJ) are complex and involve different medical and dental specialties that manage patients with trauma, tumors, deformities and other conditions. The indications for surgery are the reduction and osteosynthesis of displaced condylar fractures, joint reconstruction in acquired and congenital deformities and reparative surgery of the TMJ after tumor resection. In ankylosis, resection and reconstruction using condro costal grafts or transport osteogenic distraction techniques are recommended. In progressive condylar resorption, bimaxillary advancement is preferred. In condylar hyperplasia, upper condylectomy with or without orthognatic surgery. In tumors, immediate reconstruction with free fibula flap. In fractures, reduction and osteosynthesis with plates and screws. The best results are obtained when medical and dental interdisciplinary teams are integrated for the diagnosis and long term follow up.Key words: Temporomandibular disorders, temporomandibular joint surgery, jaw deformities, temporomandibular ankylosis. ResumenLa patología de la articulación témporomandibular (ATM) es compleja y compete a diversas especialidades médicas y odontológicas involucradas en el manejo de pacientes portadores de trauma, tumores, Rev.

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Idiopathic Condylar Resorption: Current Clinical Perspectives

Cited by 58 publications

References 51 publications

TMJ response to mandibular advancement surgery: an overview of risk factors

TMJ response to mandibular advancement surgery: an overview of risk factors

Steroid-induced damage to the condyles in treatment of idiopathic thrombocytopenia

Reconstructive surgery of the temporomandibular joint

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