• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제35권4호
• /
• pp.257-260
• /
• 2009

Osteochondroma is one of the most common benign tumors of the axial skeleton, but is rarely found in the facial bones and extremely rare in mandibular condyle. The clinical signs and symptoms of osteochondroma of mandibular condyle may resemble those seen in patients with temporomandibular joint (TMJ) dysfunction. Condylectomy have been the first choice for treatment of osteochondroma, but it may be with some complicaitons, loss of condylar vertical height, etc. A 57 years old female patient who had an osteochondroma on left mandibular condyle visited to our clinic. We did surgically remove the mass with favorable result, so we present the case with review of literatures.

• 대한치과보철학회지
• /
• 제23권1호
• /
• pp.137-144
• /
• 1985

This study was designed to investigate the side shift of orbiting condylar movement by direct measurements from tracings of Denar pantograph. It is well known that side shift has much influence on the articulating surface of teeth. In this study, after locating the ture hinge axis point with Denar hinge axis locatior, the recordings of Mandibular movement were obtained from Denar pantographic recording assembly, and immediate side shift and progressive side shift were measured. For this study, 20 dental studnts who have no missing teeth and no difficulties of mandibular movement and 4 patients who were, treated by occlusal therapy were selected. The results obtained were as follows, 1. The prevalence of immediate side shift was 42%, and the immediate side shift of greater than 0.5mm was only 17%. 2. The mean of immediate side shift (20 of 48) was 0.38mm, that of right lateral excursion (7 of 24) was 0.27mm, and that of left lateral excursion (13 of 24) was 0.44mm. 3. The mean of progressive side shift was $7.21^{\circ}$ that of right lateral excursion was $6.46^{\circ}$, and that of left lateral excursion was $7.96^{\circ}$.

• 대한치과교정학회지
• /
• 제12권1호
• /
• pp.7-14
• /
• 1982

In this study, effects of cyclophosphamide on the growth of the mandibular condyle head were investigated with Spraque-Dawley rats of the 28 days of age. Rats were devided into four groups. Three were used as experimental groups, and one as control. Each rat in experimental group was injected intraperitoneally with cyclophosphamide repeatedly three times, 20mg/kg for the first group, 40mg/kg for the second, and 60mg/kg for the third each time. Rats in control group were injected with physiological saline in the same method. Rats in each group were sacrificed at 5, 10, and 15 days following the last injection. The specimens were stained with H-E, toluidine blue, PAS, and alcian blue. The results were as follows; 1. In experimental group, with increasing the injection doses, the thickness of the condylar cartilage from the transitional zone to the hypertrophic zone became thinner than in control group. 2. Weaker metachromasia to toluidine blue and less positive reaction to PAS were seen. 3. In primary marrow cavity the fewer trabecular was formed, The direction of trabecular formation became obscuerer, and the lower density of bone was resulted in.

• 치과방사선
• /
• 제25권2호
• /
• pp.569-578
• /
• 1995

Condylar hyperplasia is a self-limiting condition characterized by a slowly progressing, enlargement of the mandible that results in facial asymmetry and a crossbite malocclusion. The facial asymmetry, open bite or crossbite, and radiographic evidence of an enlarged condyle confirm the diagnosis of condylar hyperplasia. The etiology of the condition is unknown. This condition usually first becomes apparent during the second decade of life, when one condyle continues to grow while the other is no longer active. Radiographically, the condyle may appear enlarged or the neck of the condyle maybe elongated or both may occur, Sometimes, however, no radiographically demonstrable condylar abnormality will be noted. Surgical correction with subcondylar osteotomy is the treatment of choice. We have observed two cases of condylar hyperplasia occurred in the left mandibular condyle of 24-year-old and 35-year-old women. We obtained that two cases were shown the followed results; 1. Clinically, both cases was unilaterally developed on C/C area, with temporomandibular disorders and pain, facial asymetry and malocclusion. 2. Radiographically, hyperplastic mass confined to the condyle. 3. Histopathologically, these cases shown increased hypertrophic region in parts, and lamellated bone with irregular trabeculae.

• 대한치과보철학회지
• /
• 제29권1호
• /
• pp.39-52
• /
• 1991

The purpose of this study were to compare the condylar path and the anterior angle of glenoid fossae, and analyze the condylar path, and classify the patterns of condylar path. Thirty-three male and female dental students with normal occlusion and masticatory system ranging in age from 24 to 27, without present symptoms and any history of TM joint disturbance, were selected for this study. Then, sixty-six TM joint were examed. Transcranial radiographs of TM joint and Cephalometric radiographs under mandibular protrusive movement were obtained. They were taken at six positions on protrusive movement. The results obtained were as follows : 1. The sequence of the frequeny of condylar movement patterns were concave curve, "S"shape curve, convex curve, and reverse "S"shape. 2. The horizontal distance of the greatest changed position of condylar angle averaged 2.6mm. 3. The condylar path angle averaged 36.91 degree. 4. The angle of the anterior slope of glenoid fossae averaged 37.28 degree. 5. The distance fo condylar movement averaged 5.98mm and the distance of condylar horizontal movement averaged 4.71mm. 6. The slope of articular eminence was correlated to the condyalr path and three were no significant differences between right and left side of the anterior slope of articular eminence, and the condyalr path angle.

• 대한치과의사협회지
• /
• 제37권6호통권361호
• /
• pp.445-455
• /
• 1999

Arthrocentesis is a simple, less invasive, inexpensive, and highly efficient procedure for closed lock of the temporomandibular joint with regard to the lack of recurrence of symptoms during extended periods of follow-up and significiant improvement in pain and jaw function. It can be performed under local anesthesia. Arthrocentesis closed lock provide sustained normal joint function and marked pain relief. This study is the clinical outcome of arthrocentesis for closed lock of the temporomandibular joint. 160 patients(169 joints) who had experienced sudden-onset, persistent limited mouth opening were the subjects of this study. Arthrocentesis of the upper compartment of the affected TMJ was performed using normal saline. As results, at 3-60 months postarthrocentesis maximum mouth opening(MMO) had increased from mean of 27.7mm to 43.5mm, contralateral movements(CLM) from mean 5.74mm to 9.55mm, midline deviation during mouth opening from mean 3.04mm to 0.69mm. In 130 cases there was a history of joint noises, in 52 cases all noise had ceased after procedures.

• 치과방사선
• /
• 제26권2호
• /
• pp.45-63
• /
• 1996

In attempt to determine radiation effect on the mandibular condyle of the growing rat, 27 white female rats (Sprague-Dawley) were divided into 3 groups and irradiated respectively 5Gy, 10Gy, 20Gy using MK Cell Irradiator. Mandibular condyles from rats on the day of 1, 7, 14 after the irradiation day were obtained, sectioned sagittally and examined by light microscopy, and thereafter middle portion through anteroposterior direction on the sagittal plane was selected to examine the ultrastructural change by transmission electron microscopy. The obtained results are followings. 1. In the proliferative zone some cells showed little organelles in case of 5Gy irradiation, in addition the number of degenerative cells increased and in case of 10Gy irradiation, and in case of 20 Gy irradiation total number of cells decreased. 2. In the hypertrophic zone, narrowing of width and partial disorder in hypertrophic process were noted in case of 5 Gy irradiation, and more prominent narrowing of width and more irregular disorder in hypertrophic process in case of both 10Gy and 20Gy irradiation. 3. In the upper hypertrophic zone some chondrocytes seemed to be dying and the polarity of nuclei could not be seen, if any. 4. The periodic observation showed the severest change at day 7 and the signs of recovery at day 14 after irradiation.

• 치과방사선
• /
• 제21권2호
• /
• pp.165-179
• /
• 1991

This study was performed to understand the irradiation effects on the mandibular condyle and mandibular growth in developing white rats. Forty eight white male rats of the Sprague-Dawley strain aged 4 weeks, were devided into two groups; control group and experimental group. A single target dose of l0Gy of radiation was given to the mandibular condylar area and the observations of the photo analysis, radiologic, histopathologic and immunohistochemical study revealed as follows; 1. Animals killed one week after irradiation showed lesser increase in body weights, no difference in photo analysis and decreased thickness of cartilagenous layers of the condyle than the control group. 2. Two weeks after irradiation the weight increases were almost same in both irradiated and control groups and in photo analysis, the distance from Mental Foramen to Incisal tip (Mf-It) was longer than the controls. Repair processes were taken place in irradiated group, but the cartilagenous layers were thinner than the controls. 3. By the third week after exposure further repair was seen in the trabeculae and the distance from Condylion to Mandibular plane (Cd-Cd') was longer than the controls and the weight increases were almost same as the controls. 4. At 4 weeks after irradiation the cells of proliferating zone repaired to almost normal findings, but the cartilagenous cell layers were still thinner than the control animals. In photo analysis, the distances from Menton to Anterior Notch (Me-An), from First Molar to Mandibular plane (Fm-Fm') were shorter and the weight increases were lesser than the controls. 5. In the S-100 antibody, the positive cells were increased in number, but decreased reactivities were seen at the proliferating zone of the irradiated groups. In the Monoclonal Anti-Proteoglycan antibody and Type Ⅰ collagen antibody, the irradiated groups showed little decreased number of positive cells and in the Type Ⅱ collagen antibody, the differences between irradiated and control groups were undetectable in immunohistochemical study.

• 치과방사선
• /
• 제21권2호
• /
• pp.353-365
• /
• 1991

The author analyzed and compared tomographs with lateral oblique transcranial radiographs of 60 temporomandibular joints from 30 asymptomatic young adults. The results were as follows: 1. The mean height & width of condylar head were 6.82±1.99㎜, 11.98±1.28㎜ in tomographs and 5.41±0.79㎜, 10.67±1.28㎜ in transcranial radiographs. The mean height of articular fossa was 10.19±1.60㎜ in tomographs and 8.44±1.65㎜ in transcranial radiographs. 2. The mean width of articular fossa was 20.71 ±2.98㎜ in tomographs and 17.47±2.58㎜ in transcranial radiographs. There were significant differences in both the height and the width of articular fossa between two radiographic techniques (P<0.01). 3. In centric occlusion, the superior joint spaces were 4.28±1.09㎜, 4.18±1.28㎜, the anterior joint spaces were 2.84±1.02㎜, 2.53±0.72㎜, the posterior joint spaces were 3.11±1.19㎜, 2.66±0.89㎜ in tomographs and transcranial radiographs respectively. There were significant differences in right posterior joint spaces (P<0.05), and posterior joint spaces (P<0.05) between two radiographic techniques. 4. The condylar position in articular fossa was displaced posteroinferiorly (-0.35±4.40㎜ posteriorly, -1.55±1.24㎜ inferiorly) in tomographs and anteroinferiorly (0.45±3.77㎜ anteriorly, -1.29±1.26㎜ inferiorly) in transcranial radiographs with 1 inch opening. In maximum opening, it was displaced anteroinferiorly (5.39±3.63㎜ anteriorly, -1.22±1.67㎜ inferiorly) in tomographs and anteroinferiorly (6.35±4.00㎜ anteriorly, -0.55 ±1.98㎜ inferiorly) in transcranial radiographs. There was significant difference in superoinferior positions of both condyles with maximum opening between two radiographic techniques (P<0.05).

• 치과방사선
• /
• 제16권1호
• /
• pp.69-79
• /
• 1986

The purpose of this investigation was to know correlation of mean values between centric occlusion and centric relation by the cephalogram in Angle's Class Ⅰ and Ⅲ malocclusion subjects. 22 adults with Angle's Class Ⅰ malocclusion (17 men and 5 women, 21 to 27 years of age) and 14 adults with Angle's Class Ⅲ malocclusion (10 men and 4 women, 21 to 27 years of age) were selected from the dental students in Yonsei University. Each subject was given two lateral cephalometric radiographies and cephalometric analysis was performed. All data from these analyses was recorded and statistically processed with CYBER computer system. 1. The results were obtained as follows: There was a strong positive correlation between centric occlusion and centric relation in all subjects with Angle's Class Ⅰ and Ⅲ malocclusion. 2. In Angle's Class Ⅰ malocclusion, measurements in lower facial height revealed significant difference between centric occlusion and centric relation (P<0.05). In Angle's Class Ⅲmalocclusion, measurements in facial axis angle, mandibular plane angle, convexity of A point, lower incisor protrusion, lower facial height revealed significant difference between centric occlusion and centric relation (P<0.05). 3. When the mandible was moved from centric occlusion to centric relation, the mean distance of mandibular movement was 1.27㎜ (0.2-2.8㎜) in Angle's Class Ⅰ malocclusion, 1.70㎜ (0.55-4.15㎜) in Angle's Class Ⅲ malocclusion, and 1.44㎜ (0.2-4.15㎜) in all subjects.