Idiopathic Condylar Resorption What Should We Do?

被引:29
作者
Mercuri, Louis G. [1 ,2 ]
Handelman, Chester S. [3 ,4 ]
机构
[1] Rush Univ, Med Ctr, Dept Orthopaed Surg, 1611 West Harrison St, Chicago, IL 60612 USA
[2] TMJ Concepts, 6059 King Dr, Ventura, CA 93003 USA
[3] Univ Illinois, Coll Dent, Dept Orthodont, 801 South Paulina, Chicago, IL 60612 USA
[4] 1044 Judson Ave, Evanston, IL 60202 USA
关键词
Idiopathic condylar resorption (ICR); Progressive condylar resorption (PCR); Temporomandibular joint replacement (TMJR); TEMPOROMANDIBULAR-JOINT RECONSTRUCTION; COUNTER-CLOCKWISE ROTATION; MANDIBULAR ADVANCEMENT; ORTHOGNATHIC SURGERY; FOLLOW-UP; SURGICAL-MANAGEMENT; REPLACEMENT; PROSTHESES; PATIENT; RATIONALE;
D O I
10.1016/j.coms.2019.09.001
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Idiopathic condylar resorption (ICR), alternatively called progressive condylar resorption, is an uncommon aggressive form of degenerative disease of the temporomandibular joint seen mostly in adolescent and young women. ICR occurring before the completion of growth results in a shorter mandibular condyloid process, ramus and body, compensatory growth at the gonial angle and coronoid process, as well as an increase in anterior facial vertical dimension. Management options discussed include oral appliances, orthodontics, medical management, orthognathic surgery with and without disc repositioning, and alloplastic temporomandibular joint replacement.
引用
收藏
页码:105 / +
页数:13
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