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Bilateral condylar resorption in down syndrome.

Cristina Grippaudo¹, Francesca Romana Grippaudo, Tito Matteo Marianetti

¹From the Catholic University of Rome, Rome, Italy.

The Journal of Craniofacial Surgery

|November 8, 2014

Summary

Idiopathic condylar resorption, a rare disease, can present asymptomatically for decades. This case highlights diagnostic and treatment challenges, especially in patients with disabilities like Down syndrome.

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Area of Science:

Dentistry
Orthodontics
Genetics

Background:

Idiopathic condylar resorption (ICR) is a rare, challenging condition affecting the temporomandibular joint.
Diagnosis and treatment of ICR are often complex, requiring specialized approaches.

Observation:

A case report details a patient with Down syndrome experiencing asymptomatic bilateral condylar resorption during adolescence.
Symptomatic presentation of pain on chewing occurred 20 years after the initial asymptomatic phase.
Treatment, including orthodontic and surgical planning, was ultimately discontinued due to patient non-compliance.

Findings:

This case represents the first reported instance of ICR in a patient with Down syndrome presenting with such a delayed symptomatic onset.
Untreated ICR can remain asymptomatic for extended periods before manifesting clinically.

Implications:

Emphasizes the need for heightened vigilance and tailored management strategies for patients with disabilities, particularly those with Down syndrome, concerning ICR.
Highlights the long-term consequences of untreated ICR and the critical role of patient compliance in treatment success.