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Idiopathic Condylar Resorption: What Should We Do?

Louis G Mercuri1, Chester S Handelman2

  • 1Department of Orthopaedic Surgery, Rush University Medical Center, 1611 West Harrison Street, Chicago, IL 60612, USA; TMJ Concepts, 6059 King Drive, Ventura, Ca 93003, USA.

Oral and Maxillofacial Surgery Clinics of North America
|November 6, 2019
PubMed
Summary
This summary is machine-generated.

Idiopathic condylar resorption (ICR) is a rare degenerative temporomandibular joint disease primarily affecting young women, causing facial deformities. Treatment involves various approaches from appliances to surgery.

Keywords:
Idiopathic condylar resorption (ICR)Progressive condylar resorption (PCR)Temporomandibular joint replacement (TMJR)

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Area of Science:

  • Dentistry
  • Orthodontics
  • Radiology

Background:

  • Idiopathic condylar resorption (ICR), also known as progressive condylar resorption, is an uncommon degenerative disease.
  • It primarily affects the temporomandibular joint (TMJ), predominantly in adolescent and young women.
  • ICR occurring before growth completion leads to significant facial deformities.

Purpose of the Study:

  • To review the characteristics and management of idiopathic condylar resorption.
  • To highlight the impact of ICR on facial growth and development.
  • To discuss the spectrum of treatment options available for ICR.

Main Methods:

  • Literature review of idiopathic condylar resorption.
  • Analysis of clinical presentation and radiographic findings.
  • Discussion of current management strategies.

Main Results:

  • ICR results in a shortened mandibular condyloid process, ramus, and body.
  • Compensatory growth occurs at the gonial angle and coronoid process.
  • An increase in anterior facial vertical dimension is a common outcome.

Conclusions:

  • ICR is an aggressive degenerative TMJ disease with distinct facial consequences.
  • Management requires a multidisciplinary approach tailored to individual patient needs.
  • Treatment options range from conservative measures to complex surgical interventions.