Purpose: Three-dimensional quantification of asymmetry in UCH has not been reported yet, but would be useful for diagnosing and evaluating the degree of deformity in this disease. It enables profound decision-making and timing of surgery. Unilateral condylar hyperplasia (UCH) can subjectively be classified in hemimandibular elongation (HE), hemimandibular hyperplasia (HH) and a combination of these two (hybrid form). The main purpose of this study was to quantify mandibular asymmetry in UCH patients with a reliable and reproducible method. Secondly, it was evaluated whether the existing classification can be confirmed.
Materials And Methods: 37 UCH-patients with progressive mandibular asymmetry, supported by a positive bone scan and/or such clinical progression that condylectomy was performed, were included in this retrospective study. A group of healthy subjects, matched for age and gender, was used as the control group. Cone-beam computed tomography (CBCT) scans were imported in Maxilim software. Each mandibular half was divided into three skeletal segments (condyle, ramus, and body). Linear and volumetric measurements were calculated for these skeletal units on the affected and unaffected side, for both patients and controls.
Results: Significant differences between affected and unaffected sides in the patient group were found in condylar, ramus, and body segments for linear (p < 0.01) as well as for volumetric quantitative measurements (p < 0.0040). A mean linear difference between affected and unaffected sides in the condylar region of the UCH patient group was found of 3.6 mm (sd 2.9) versus 0.2 mm (sd 1.5) in controls. For volumetric measurements there was a mean difference between the left and right condyle of 718 mm (sd 638) in the patient group versus 8 mm (sd 225) difference in the control group. The condyle was the most affected segment. Differences between sides were significantly larger in the patient group than in the control group (p < 0.001). It was not possible to objectify differences between HE and HH.
Conclusion: CBCT is a useful and accurate modality for quantification and evaluation of mandibular asymmetry in UCH. It enables objective monitoring. The existing classification in HE and HH could not be confirmed.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jcms.2016.09.016 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Masseter muscle thickness before and after the correction of unilateral functional posterior crossbite in growing individuals: a prospective controlled clinical trial.
Eur J Orthod
December 2024
Division of Orthodontics, University Clinics of Dental Medicine, University of Geneva, 1 rue Michel-Servet, 1205 Geneva, Switzerland.
Objectives: To evaluate whether unilateral functional posterior crossbite in growing children creates an asymmetry in masseter muscle thickness and whether this asymmetry is normalized after crossbite correction.
Materials And Methods: Two groups of growing individuals were studied prospectively: (i) a treatment group: children with unilateral functional posterior crossbite, undergoing crossbite correction with maxillary expansion; and (ii) a control group: children without transversal malocclusions and orthodontic treatment. The thickness of the masseter muscles was measured bilaterally using ultrasonographic recordings at three time points: pre-treatment (T0); 9 months after (T1); and 30 months after posterior crossbite correction (T2); and at equivalent time points in the control group.
Condylar position changes and prognosis in patients with unilateral mandibular condylar fracture treated non-surgically.
Maxillofac Plast Reconstr Surg
December 2024
Department of Oral and Maxillofacial Surgery, Institute of Oral Health Science, Ajou University School of Medicine, Suwon, Republic of Korea.
Background: Non-surgical method is a treatment option for mandibular condylar fracture; however, it is questionable whether bone fragments are adequately reduced and remodeled. The purpose of this study was to identify three-dimensional positional changes in the mandibular condyles in patients treated non-surgically, analyze factors influencing the extent of positional changes, and evaluate clinical prognosis.
Methods: This retrospective study included 31 patients with unilateral mandibular condylar fractures treated non-surgically at the Ajou University Dental Hospital between 2005 and 2023.
Miniscrew-assisted Rapid Palatal Expansion Before Orthognathic Surgery for a Patient With Laterognathia.
J Craniofac Surg
October 2024
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Süleyman Demirel University, Isparta, Turkey.
In this case report, a 19-year-old male patient with maxillary transverse deficiency, concave profile, and facial asymmetry is presented. In the case of transversal insufficiency, nonsurgical maxillary expansion was performed with the miniscrew-assisted rapid palatal expansion (MARPE) appliance to reduce the number of surgeries and provide both dentoalveolar and skeletal expansion. The periodontal soundness and short-term stability of the maxillary expansion were confirmed both clinically and radiologically.
View Article and Find Full Text PDFChange of TMJ Space Volume After Mandibular Setback BSSRO With Intended Manual Condyle Positioning in Severe Facial Asymmetric Patients.
J Craniofac Surg
December 2024
Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University Yangsan, Republic of Korea.
Purpose: This study aimed to quantitatively analyze temporomandibular joint (TMJ) space volume changes before and after bilateral sagittal split ramus osteotomy (BSSRO) with intended manual condyle positioning in patients with severe facial asymmetry.
Methods: A retrospective study was conducted, including 20 patients with facial asymmetry (menton deviation >8 mm) who underwent BSSRO with intended manual condyle positioning at a single institution. Cone beam computed tomography (CBCT) images were obtained preoperatively (T0), 2 days postoperatively (T1), and 6 months postoperatively (T2).
Acceptable esthetic limits for maxillary dental midline shift and mandibular asymmetry: Who notices what and how much?
Am J Orthod Dentofacial Orthop
December 2024
Department of Orthodontics, Sivas Cumhuriyet University Faculty of Dentistry, Sivas, Turkey. Electronic address:
Introduction: This study aimed to evaluate maxillary dental midline shifts and mandibular asymmetries created in different amounts and directions on photographs taken from 7 different angles by different groups and to determine acceptable esthetic limits.
Methods: Photographs of a female model in a social smile position were taken from 7 different angles (0° [frontal], 15°, 30°, and 45° on the right and left sides) and digitally modified for maxillary dental and mandibular midline deviations at specified degrees using Adobe Photoshop. To enable participants to evaluate the photographs sequentially, the photographs were transformed into videos using Adobe Premiere Pro software.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!