Treatment of dentofacial deformities secondary to condylar resorption

doi:10.7518/hxkq.2020.01.001

Abstract

Abstract:

Treating dentofacial deformities secondary to condylar resorption is a remarkable clinical challenge. Combined orthodontic treatment and orthognathic surgery is currently the main treatment scheme and is often integrated with temporomandibular joint surgery or conservative treatment according to the severity of condylar resorption. This paper discussed the etiology, clinical features, imaging features, treatment options, and prophylaxis of condylar resorption.

Key words: condylar resorption, dentofacial deformities, treatment

CLC Number:

R782.6

Luo En,He Ze. Treatment of dentofacial deformities secondary to condylar resorption[J]. West China Journal of Stomatology, 2020, 38(1): 1-5.

Figures/Tables 4

References 13

[1]	Papadaki ME, Tayebaty F, Kaban LB , et al. Condylar resorption[J]. Oral Maxillofac Surg Clin North Am, 2007, 19(2):223-234, vii.
[2]	de Bont LG, Stegenga B . Pathology of temporomandibular joint internal derangement and osteoarthrosis[J]. Int J Oral Maxillofac Surg, 1993,22(2):71-74.
[3]	Nicolielo LFP, Jacobs R, Ali Albdour E , et al. Is oestrogen associated with mandibular condylar resorption? A systematic review[J]. Int J Oral Maxillofac Surg, 2017,46(11):1394-1402.
[4]	陈欣慰, 张善勇, 杨驰 . 青少年颞下颌关节髁突特发性吸收[J]. 中国实用口腔科杂志, 2017,10(6):326-329, 334.
	Chen XW, Zhang SY, Yang C . Temporomandibular idiopathic condylar resorption in adolescents[J]. Chin J Pract Stomatol, 2017,10(6):326-329, 334.
[5]	Wolford LM, Gonçalves JR . Condylar resorption of the temporomandibular joint: how do we treat it[J]. Oral Maxillofac Surg Clin North Am, 2015,27(1):47-67.
[6]	Troulis MJ, Tayebaty FT, Papadaki M , et al. Condylectomy and costochondral graft reconstruction for treatment of active idiopathic condylar resorption[J]. J Oral Maxillofac Surg, 2008,66(1):65-72.
[7]	戴智, 侯敏, 张春香 . 渐进性髁突吸收致下颌后缩正颌外科的治疗进展[J]. 国际口腔医学杂志, 2017,44(3):359-362.
	Dai Z, Hou M, Zhang CX . Progression of mandibular retrognathism caused by progressive condylar resorption in orthognathic surgery[J]. Int J Stomatol, 2017,44(3):359-362.
[8]	Nadershah M, Mehra P . Orthognathic surgery in the presence of temporomandibular dysfunction: what happens next[J]. Oral Maxillofac Surg Clin North Am, 2015,27(1):11-26.
[9]	张丹, 刘欢叶, 周青 . 青少年进展期髁突特发性吸收的多学科联合治疗[J]. 中国实用口腔科杂志, 2017,10(6):330-334.
	Zhang D, Liu HY, Zhou Q . Multidisciplinary approach to adolescent idiopathic condylar resorption at progressing stage[J]. Chin J Pract Stomatol, 2017,10(6):330-334.
[10]	Teitelbaum J, Bouletreau P, Breton P , et al. Is condylar resorption a contra-indication for surgery[J]. Rev Stomatol Chir Maxillofac, 2007,108(3):193-200.
[11]	Mitsimponas K, Mehmet S, Kennedy R , et al. Idiopathic condylar resorption[J]. Br J Oral Maxillofac Surg, 2018,56(4):249-255.
[12]	Valladares-Neto J, Cevidanes LH, Rocha WC , et al. TMJ response to mandibular advancement surgery: an overview of risk factors[J]. J Appl Oral Sci, 2014,22(1):2-14.
[13]	Mousoulea S, Kloukos D, Sampaziotis D , et al. Condylar resorption in orthognathic patients after mandibular bilateral sagittal split osteotomy: a systematic review[J]. Eur J Orthod, 2017,39(3):194-309.

患者因素	手术因素
术前颞下颌关节问题	双颌手术或双侧下颌矢状骨劈开术
可引起髁突吸收的系统疾病（自身免疫病等）	下颌骨前徙幅度>10 mm
下颌后缩、安氏Ⅱ类错颌合并前牙开颌	下颌骨逆时针旋转
高下颌平面角（>40°）	术中髁突受力过大
髁突颈后倾	术后髁突错位
年轻女性	颌间结扎固定

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