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Surgical Management of Idiopathic Condylar Resorption: Orthognathic Surgery Versus Temporomandibular Total Joint Replacement.

Authors
  • Chigurupati, Radhika1
  • Mehra, Pushkar2
  • 1 Department of Oral and Maxillofacial Surgery, Boston University, Henry M. Goldman School of Dental Medicine, 100 East Newton Street, Suite G-407, Boston, MA 02118, USA.
  • 2 Department of Oral and Maxillofacial Surgery, Boston University, Henry M. Goldman School of Dental Medicine, 100 East Newton Street, Suite G-407, Boston, MA 02118, USA. Electronic address: [email protected]
Type
Published Article
Journal
Oral and maxillofacial surgery clinics of North America
Publication Date
Aug 01, 2018
Volume
30
Issue
3
Pages
355–367
Identifiers
DOI: 10.1016/j.coms.2018.05.004
PMID: 30008344
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Young females with retruded and hyperdivergent mandibles, class II openbite malocclusions, and steep occlusal planes with or without TMJ symptoms are at higher risk for Idiopathic Condylar Resorption (ICR). Such patients undergoing orthodontic and /or surgical treatment should be informed of possible relapse due to ICR. Orthognathic Surgery with Total joint replacement or Orthognathic surgery alone may both be acceptable options for management of the facial deformity and the malocclusion that ensues from ICR. Proper patient selection is key to achieving a successful outcome. Current trends and the evidence in the literature suggest that orthognathic surgery with alloplastic joint replacement may be the preferred approach. Copyright © 2018 Elsevier Inc. All rights reserved.

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