Skip to content
2000
Volume 1, Issue 1
  • ISSN: 2542-579X
  • E-ISSN: 2542-5803

Abstract

The causes of mandibular condylar hypoplasia can be congenital or acquired in nature. Cited local causes of acquired hypoplasia include trauma, infection and irradiation. We report a case of hypoplastic condyle that was attributed to temporomandibular joint (TMJ) disc displacement without reduction (DDwoR).

Clinical Presentation: A 16-year-old male presented with restricted mouth opening and right TMJ pain for 6 months. He was subsequently diagnosed with DDwoR. Conservative treatment comprising self-care and moist-heat therapy was administered and he was followed for 27 months without any further interventions. During this period, transitions from “normal†morphology to condylar flattening / erosion, and eventually a re-modeled smaller “normal†right TMJ were observed.

The present case provided initial support that DDwoR could be a plausible cause of condylar hypoplasia in adolescents / young adults.

Loading

Article metrics loading...

/content/journals/cdent/10.2174/2542579X01666180919121059
2019-05-01
2024-11-06
Loading full text...

Full text loading...

References

  1. PirttiniemiP. PeltomakiT. MullerL. Abnormal mandibular growth and the condylar cartilage.Eur. J. Orthod.2009311111
    [Google Scholar]
  2. de LeeuwR. KlasserG. In: de Leeuw R, Klasser G, Eds Orofacial pain: guidelines for assessment, diagnosis, and management.5th ed de LeeuwR. KlasserG. ChicagoQuintessence2013146167
    [Google Scholar]
  3. PoswilloD.E. RobinsionP. In: Sarnat BG, Laskin DM, Ed. The Temporomandibular joint: A biological basis for clinical practice.4th ed SarnatB.G. LaskinD.M. Philadelphia, Pa, USASaunders1992183206
    [Google Scholar]
  4. BuchbinderD. KaplanA.S. In: Kaplan AS, Assael LA, Ed. temporomandibular disorders diagnosis and treatment. KaplanA.S. AssaelL.A. Philadelphia, Pa, USASaunders19911123
    [Google Scholar]
  5. BerraqueroR. PalaciosJ. Prenatal growth of the human mandibular condylar cartilage.Am. J. Orthod. Dentofacial Orthop.19951082194200
    [Google Scholar]
  6. TankW. WrightD. IizukaT. Unilateral dysplasia of the mandibular condyle: Report of a case.J. Oral Maxillofac. Surg.1998566765769
    [Google Scholar]
  7. LeeS.K. KimY.S. OhH.S. Prenatal development of the human mandible.Anat. Rec.20012633314325
    [Google Scholar]
  8. SinghD.J. BartlettS.P. Congenital mandibular hypoplasia: analysis and classification.J. Craniofac. Surg.2005162291300
    [Google Scholar]
  9. KaneyamaK. SegamiN. HattaT. Congenital deformities and developmental abnormalities of the mandibular condyle in the temporomandibular joint.Congenit. Anom. 2008483118125
    [Google Scholar]
  10. ChungM.T. LeviB. HyunJ.S. Pierre robin sequence and treacher collins hypoplastic mandible comparison using three-dimensional morphometric analysis.J. Craniofac. Surg.201223119591963
    [Google Scholar]
  11. SappJ.P. CherrickH.M. In: Sarnat BG , Laskin DM, Ed. The Temporomandibular joint: a biological basis for clinical practice.4th ed SarnatB.G. LaskinD.M. Philadelphia, Pa, USASaunders1992150151
    [Google Scholar]
  12. SarnatB.G. In: Schwartz L, Chayes CM, Ed. Facial pain and mandibular dysfunction. SchwartzL. ChayesC.M. Philadelphia, Pa, USASaunders196983101
    [Google Scholar]
  13. KrogstadO. Aplasia of the mandibular condyle.Eur. J. Orthod.1997195483489
    [Google Scholar]
  14. ShibataS. SudaN. FukadaK. Mandibular coronoid process in parathyroid hormone-related protein-deficient mice shows ectopic cartilage formation accompanied by abnormal bone modeling.Anat. Embryol. 200320713544
    [Google Scholar]
  15. BoutrosS. ShetyeP.R. GhaliS. Morphology and growth of the mandible in crouzon, apert, and pfeiffer syndromes.J. Craniofac. Surg.2007181146150
    [Google Scholar]
  16. KabanL.B. Mandibular asymmetry and the fourth dimension.J. Craniofac. Surg.200920622631
    [Google Scholar]
  17. BaekC. PaengJ.Y. LeeJ.S. Morphologic evaluation and classification of facial asymmetry using 3-dimensional computed tomography.J. Oral Maxillofac. Surg.2012270511611169
    [Google Scholar]
  18. PetrikowskiC.G. In: White SC, Pharoah MJ, Ed. Oral radiology: principles and interpretation.6th ed WhiteS.C. PharoahM.J. St. Louis, MissouriMosby Elsevier2009481484
    [Google Scholar]
  19. KrisjaneZ. UrtaneI. KruminaG. The prevalence of TMJ osteoarthritis in asymptomatic patients with dentofacial deformities: a cone-beam CT study.Int. J. Oral Maxillofac. Surg.2012416690695
    [Google Scholar]
  20. SchiffmanE. OhrbachR. TrueloveE. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Groupy.J. Oral Facial Pain Headache2014281627
    [Google Scholar]
  21. ManfrediniD. Guarda-NardiniL. WinocurE. Research diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologic findings.Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod.201111244532
    [Google Scholar]
  22. StegengaB. de BontL.G. BoeringG. Tissue responses to degenerative changes in the temporomandibular joint: a review.J. Oral Maxillofac. Surg.1991491010791088
    [Google Scholar]
  23. TakatsukaS. YoshidaK. UekiK. Disc and condyle translation in patients with temporomandibular disorder.Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod.2005995614621
    [Google Scholar]
  24. CamposM.I. CamposP.S. CangussuM.C. Analysis of magnetic resonance imaging characteristics and pain in temporomandibular joints with and without degenerative changes of the condyle.Int. J. Oral Maxillofac. Surg.2008376529534
    [Google Scholar]
  25. CortésD. ExssE. MarholzC. Association between disk position and degenerative bone changes of the temporomandibular joints: an imaging study in subjects with TMD.Cranio2011292117126
    [Google Scholar]
  26. DiasI.M. CoelhoP.R. Picorelli AssisN.M. Evaluation of the correlation between disc displacements and degenerative bone changes of the temporomandibular joint by means of magnetic resonance images.Int. J. Oral Maxillofac. Surg.201241910511057
    [Google Scholar]
  27. GilC. SantosK.C. DutraM.E. MRI analysis of the relationship between bone changes in the temporomandibular joint and articular disc position in symptomatic patients.Dentomaxillofac. Radiol.2012415367372
    [Google Scholar]
  28. de MeloD.P. Sousa MeloS.L. de Andrade Freitas OliveiraL.S. Evaluation of temporomandibular joint disk displacement and its correlation with pain and osseous abnormalities in symptomatic young patients with magnetic resonance imaging.Oral Surg. Oral Med. Oral Pathol. Oral Radiol.20151191107112
    [Google Scholar]
  29. LeiJ. HanJ. LiuM. Degenerative temporomandibular joint changes associated with recent-onset disc displacement without reduction in adolescents and young adults.J. Craniomaxillofac. Surg.2017453408413
    [Google Scholar]
  30. de FariasJ.F. MeloS.L. BentoP.M. Correlation between temporomandibular joint morphology and disk displacement by MRI.Dentomaxillofac. Radiol.201544720150023
    [Google Scholar]
  31. ManfrediniD. SegùM. ArvedaN. temporomandibular joint disorders in patients with different facial morphology. a systematic review of the literature.J. Oral Maxillofac. Surg.20157412946
    [Google Scholar]
  32. HuY.K. YangC. CaiX.Y. Does condylar height decrease more in temporomandibular joint nonreducing disc displacement than reducing disc displacement?: A magnetic resonance imaging retrospective study.Medicine 20169535e4715
    [Google Scholar]
  33. WangX.D. ZhangJ.N. GanY.H. Current understanding of pathogenesis and treatment of TMJ osteoarthritis.J. Dent. Res.2015945666673
    [Google Scholar]
  34. FuK.Y. ZhangW.L. LiuD.G. Cone beam computed tomography in the diagnosis of temporomandibular joint osteoarthrosis.Zhonghua Kou Qiang Yi Xue Za Zhi2007427417420
    [Google Scholar]
  35. KoyamaJ. NishiyamaH. HayashiT. Follow-up study of condylar bony changes using helical computed tomography in patients with temporomandibular disorder.Dentomaxillofac. Radiol.2007368472477
    [Google Scholar]
  36. AlexiouK. StamatakisH. TsiklakisK. Evaluation of the severity of temporomandibular joint osteoarthritic changes related to age using cone beam computed tomography.Dentomaxillofac. Radiol.2009383141147
    [Google Scholar]
  37. ZhaoY.P. ZhangZ.Y. WuY.T. Investigation of the clinical and radiographic features of osteoarthrosis of the temporomandibular joints in adolescents and young adults.Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod.20111112e27e34
    [Google Scholar]
  38. NebbeB. MajorP.W. PrasadN.G. TMJ internal derangement and adolescent craniofacial morphology: a pilot study.Angle Orthod.1997676407414
    [Google Scholar]
  39. NebbeB. MajorP.W. PrasadN.G. Adolescent female craniofacial morphology associated with advanced bilateral TMJ disc displacement.Eur. J. Orthod.1998206701712
    [Google Scholar]
  40. NebbeB. MajorP.W. PrasadN. Female adolescent facial pattern associated with TMJ disk displacement and reduction in disk length: part I.Am. J. Orthod. Dentofacial Orthop.19991162168176
    [Google Scholar]
  41. GidarakouI.K. TallentsR.H. KyrkanidesS. Comparison of skeletal and dental morphology in asymptomatic volunteers and symptomatic patients with bilateral disk displacement with reduction.Angle Orthod.2002726541546
    [Google Scholar]
  42. GidarakouI.K. TallentsR.H. KyrkanidesS. Comparison of skeletal and dental morphology in asymptomatic volunteers and symptomatic patients with unilateral disk displacement without reduction.Angle Orthod.2003732121127
    [Google Scholar]
  43. GidarakouI.K. TallentsR.H. KyrkanidesS. Comparison of skeletal and dental morphology in asymptomatic volunteers and symptomatic patients with normal temporomandibular joints.Angle Orthod.2003732116120
    [Google Scholar]
  44. GidarakouI.K. TallentsR.H. KyrkanidesS. Comparison of skeletal and dental morphology in asymptomatic volunteers and symptomatic patients with bilateral disk displacement without reduction.Angle Orthod.2004745684690
    [Google Scholar]
  45. GidarakouI.K. TallentsR.H. KyrkanidesS. Comparison of skeletal and dental morphology in asymptomatic volunteers and symptomatic patients with unilateral disk displacement with reduction.Angle Orthod.2004742212219
    [Google Scholar]
  46. KuritaH. OhtsukaA. KobayashiH. Alteration of the horizontal mandibular condyle size associated with temporomandibular joint internal derangement in adult females.Dentomaxillofac. Radiol.2002316373378
    [Google Scholar]
  47. HasegawaH. SaitohI. Nakakura-OhshimaK. Condylar shape in relation to anterior disk displacement in juvenile females.Cranio2011292100110
    [Google Scholar]
  48. ThilanderB. CarlssonG.E. IngervallB. Postnatal development of the human temporomandibular joint I. A histological study.Acta Odontol. Scand.1976342117126
    [Google Scholar]
  49. TwiltM. Van der GiesenE. MobersS.M. Abrupt condylar destruction of the mandibula in juvenile idiopathic arthritis.Ann. Rheum. Dis.2003624366367
    [Google Scholar]
  50. LeiJ. LiuM.Q. YapA.U. Condylar subchondral formation of cortical bone in adolescents and young adults.Br. J. Oral Maxillofac. Surg.20135116368
    [Google Scholar]
  51. NanciA. Ten Cate’s oral histology: development, structure, and function.8th edSt.Louis, MissouriMosby Elsevier2013
    [Google Scholar]
  52. KuritaK. WestessonP.L. YuasaH. Natural course of untreated symptomatic temporomandibular joint disc displacement without reduction.J. Dent. Res.1998772361365
    [Google Scholar]
/content/journals/cdent/10.2174/2542579X01666180919121059
Loading
/content/journals/cdent/10.2174/2542579X01666180919121059
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test