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Bilateral condylar anomaly: A case report and review.
T R Prasanna1, Suhas Setty2, V Vadiraj Udupa1
1Department of Orthodontics, Sri Siddhartha Dental College, Sri Siddhartha University, Tumkur, Karnataka, India.
Journal of Oral and Maxillofacial Pathology : JOMFP
|March 17, 2016
Summary
A rare case of trifid condyle and aplastic condyle in a 26-year-old female is presented. This study highlights diagnostic imaging findings for these rare condylar abnormalities.
Area of Science:
- Dentistry
- Radiology
- Pathology
Background:
- The condyle is a critical component of the temporomandibular joint (TMJ).
- Congenital abnormalities of the condyle are uncommon but can impact TMJ function.
- Accurate diagnosis is essential for appropriate management.
Observation:
- A 26-year-old female presented with radiographic findings.
- Panoramic radiography revealed a radiolucent oval lesion in the right condylar head and absence of the left condyle.
- Computed tomography (CT) confirmed the diagnosis of trifid condyle.
Findings:
- The patient exhibited a trifid condyle on the right and aplasia of the left condyle.
- Magnetic resonance imaging (MRI) demonstrated degenerative changes in the articular disc associated with the affected condyle.
- These findings indicate a complex congenital anomaly affecting both condyles.
Implications:
- This case underscores the importance of advanced imaging modalities like CT and MRI in diagnosing complex condylar malformations.
- Understanding these abnormalities is crucial for dentists and radiologists in managing TMJ disorders.
- Further research into the etiology and long-term management of such conditions is warranted.

