Condylar resorption

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Condylar resorption
Synonyms	Idiopathic condylar resorption, Progressive condylar resorption
Pronounce	N/A
Specialty	N/A
Symptoms	Jaw pain, malocclusion, facial asymmetry, open bite
Complications	Temporomandibular joint disorder, arthritis
Onset	Typically during adolescence or early adulthood
Duration	Progressive
Types	N/A
Causes	Multifactorial, including hormonal changes, trauma, orthodontic treatment
Risks	Female gender, puberty, orthognathic surgery
Diagnosis	Clinical examination, imaging studies such as X-ray, CT scan, MRI
Differential diagnosis	Osteoarthritis, rheumatoid arthritis, ankylosis
Prevention	N/A
Treatment	Orthodontic treatment, surgical intervention such as condylectomy, joint replacement
Medication	N/A
Prognosis	Variable, depends on severity and treatment
Frequency	Rare
Deaths	N/A

Condylar Resorption is a pathological condition that affects the temporomandibular joints (TMJ). It is characterized by the progressive loss of the mandibular condyle, which can lead to facial deformity, malocclusion, and functional impairment.

Etiology

The exact cause of condylar resorption is not fully understood. However, it is believed to be multifactorial, with potential contributing factors including systemic diseases such as rheumatoid arthritis, hormonal influences, trauma, and surgical procedures involving the TMJ. Some studies have also suggested a possible genetic predisposition.

Clinical Presentation

Patients with condylar resorption typically present with progressive changes in facial appearance, including a decrease in lower facial height, an increase in lower facial width, and a retruded chin. They may also experience symptoms such as pain, joint noises, and limitations in mouth opening.

Diagnosis

Diagnosis of condylar resorption is primarily based on clinical examination and imaging studies. radiographic examination, particularly cone beam computed tomography (CBCT), is commonly used to visualize the condyles and assess the extent of resorption.

Treatment

Treatment of condylar resorption is challenging and depends on the underlying cause, the extent of resorption, and the patient's symptoms. Non-surgical treatments include physical therapy, use of occlusal splints, and pharmacological management. In severe cases, surgical intervention may be necessary, which can include condylar reconstruction or joint replacement.

Prognosis

The prognosis of condylar resorption varies depending on the underlying cause and the extent of resorption. Early detection and treatment can help to slow the progression of the disease and improve the patient's quality of life.

See Also

• Temporomandibular joint dysfunction
• Osteoarthritis
• Orthognathic Surgery

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