- Visibility 70 Views
- Downloads 41 Downloads
Condylar morphological variants and its association with age, TMD and dentition status: A digital panoramic study
- Author Details:
-
Syeda Arshiya Ara
-
Bhagyashree Mahadevappa Patil
-
Sajna Ashraf
-
Arati *
Introduction: The temperomandibular joint is one of the most complex joints in the body, and the normal functioning of the masticatory system depends on its harmonious functioning. Morphologic changes of condyle occur due to development variations, age changes, clinical signs & symptoms of TMD, dentition status, etc. The Panoramic Radiography is simple, low costed method to evaluate the gross bony changes of condyles.
Aims & Objectives: The present study was undertaken to evaluate the prevalence of radiographic changes in the condylar morphology & its association with age, clinical signs & symptoms of TMD & dentition status & also to evaluate the intraexaminer & interexaminer reliability in assessing condylar changes using panoramic radiographs.
Materials & Methods: A total of 60 subjects were recruited in the study with mean age of 20 to 80 & categorised into three groups as Group A(20 -40), Group B(41-60), Group C (61 -80) were evaluated clinically & subjected to digital panoramic radiograph. Different types of condyles were evaluated, radiographic changes in condyle were recorded as small round, evacuated, ossicle, flattening, osteophyte, sclerosis, erosion, ely’s cyst. A normal condyle was given a score of 0 & 1 for abnormal condyle.
Results: The prevalence of radiographic condylar changes were seen maximum in group C, compared to group A & group B. Flatenning & osteophyte were the most commonly observed condylar morphologies. Although there were statistical insignificant between reported signs & symptoms, dentition status with condylar morphology, but radiographic changes of condylar morphologies were observed. Interexaminer & Intraexaminer reliability was perfect in assessing the panoramic radiographs.
Conclusion: Radiographic abnormalities in the mandibular condyle increased with age & were seen more frequently in patients with clinical signs & symptoms & patients with loss of teeth. Interexaminer & Intraexaminer reliability was perfect in assessing the panoramic radiographs.
Keywords: Condyle, TMJ, TMD, Panoramic radiograph, condylar morphology
References
- Durgha. K. Condylar Morphology- A Review. Journal of Dental and Medical Sciences. 2014;13(7):57-59.
- Oliveira C, Bernardo RT, Capelozza ALC. Mandibular condyle morphology on panoramic radiographs of asymptomatic temperomandibular joints. Int J Dent. 2009; 8(3):114-118.
- Hegde S, Praveen BN, Shetty SR. Morphological and Radiological Variations of Mandibular Condyles in Health and Diseases: A Systematic Review. Dentistry. 2013;13(3):154.
- Crow HC, Parks E, Campbell HC, Stucki DS, Daggy J. The utility of panoramic Radiography in temperomandibular joint assessment. Dentomaxillofac Radiol. 2005;34:91-95.
- Muir CB, Goss AN. The radiologic morphology of asyrnptomatic temporomandibular joints. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.1990;70:349-354.
- Akerman S, Kopp S, and Rohlin M. Macroscopic and microscopic appearance of radiologic findings in temporomandibular joints from elderly individuals: an autopsy study. Int J Oral Maxillofac Surg. 1988;17:58–63.
- Flygare L, Rohlin M, and Akerman S. “Macroscopic and microscopic findings of areas with radiologic erosions in human temporomandibular joints.” Acta Odontologica Scandinavica. 1992;50(2):91–100.
- Yale S. H, Rosenberg H. M, Ceballos M, and Hauptfuehrer J D. Laminagraphic Cephalometry in the Analysis of Mandibular Condyle Morphology. Oral surg, Oral med & Oral path.1961;14:793-805.
- Kambylafkas P. Validity of panoramic radiographs for measuring mandibular asymmetry. Angle Orthod. 2006;76:388–93.
- Mathew AL, Sholapurkar AA, Keerthilatha M P. Condylar changes and its association with age, TMD, and Dentition status: A Cross-sectional study. Int J Dent. 2011.
- Huumonen S, Sipil K, Zitting P, and Raustia M. Panoramic findings in 34-year-old subjects with facial pain and pain- free controls. J Oral Rehab. 2007;34(6):456–462.
- Takayama H. Comparison of occlusal condition and prevalence of bone change in the condyle of patients with and without temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105:104-12.
- Sato H, Osterberg T, Ahlquist M, Carlsson G E, Grondhal H G, Rubinstein B. Association between radiographic findings in the mandibular condyle and temporomandibular dysfunction in an Elderly population. Acta Odontologica Scandinavica. 1996;54(6):384–390.
- Jagur O, Kull M, Leibur E, Kallikorm R, Loorits D, Lember M et al. Relationship between radiographic changes in the temporomandibular joint and bone mineral density: A population based study. Stomatologija, Baltic Dental and Maxillofacial Journal. 2011;13: 42.
- Sicher H. TM Joint and Its Diseases, synopsis of oral and maxillofacial surgery. 2003:39-51.
- Shetty U S, Burde K N, Naikmasur V G, Sattur A P. Assessment of Condylar Changes in Patients with Temporomandibular Joint Pain Using Digital Volumetric Tomography. Radiology Research and Practice. 2014:1-8.
- Hiltunen K, Peltola J S, Vehkalahti M M, Närhi T, Ainamo A. A 5-year follow-up of signs and symptoms of TMD and radiographic findings in the elderly. International Journal Of Prosthodontics.2003;16(6):631–634.
- Hansson L G, Hansson T, and Petersson A. A comparison between clinical and radiologic findings in 259 temporomandibular joint patients. The Journal of Prosthetic Dentistry. 1983;50(1):89–94.
- Bush F M, Harrington W G, and Harkins S W. Interexaminer comparison of bone scintigraphy and panoramic radiography of temporomandibular joints: correlation with signs and symptoms. The Journal of Prosthetic Dentistry. 1992;67(2):246–251.
- Pereira F J, Lundh H, Wesesson P L. Morphologic changes in the temporomandibular joint in different age groups. An autopsy investigation Oral Surg Oral Med Oral Path.1994;78(3):279-287.
- Al-Sadhan R. The relation between TMJ osteoarthritis and the inadequately supported occlusion. Egyptian Dental Journal. 2008;54:47-54.
- Vidra M A L, Rozema F R, Kostense P J, and Tuinzing D B. “Observer consistency in radiographic assessment of condylar resorption.” Oral Surgery, Oral Medicine, Oral Syeda Arshiya Ara et al. Condylar morphological variants and its association with age, TMD and dentition…. International Journal of Maxillofacial Imaging, January-March,2016;2(1): 10-16 16 Pathology, Oral Radiology, and Endodontics.2002;93(4):399–403.
How to Cite This Article
Vancouver
Ara SA, Patil BM, Ashraf S, Arati . Condylar morphological variants and its association with age, TMD and dentition status: A digital panoramic study [Internet]. IP Int J Maxillofac Imaging. 2016 [cited 2025 Oct 12];2(1):10-16. Available from: https://doi.org/
APA
Ara, S. A., Patil, B. M., Ashraf, S., Arati, (2016). Condylar morphological variants and its association with age, TMD and dentition status: A digital panoramic study. IP Int J Maxillofac Imaging, 2(1), 10-16. https://doi.org/
MLA
Ara, Syeda Arshiya, Patil, Bhagyashree Mahadevappa, Ashraf, Sajna, Arati, . "Condylar morphological variants and its association with age, TMD and dentition status: A digital panoramic study." IP Int J Maxillofac Imaging, vol. 2, no. 1, 2016, pp. 10-16. https://doi.org/
Chicago
Ara, S. A., Patil, B. M., Ashraf, S., Arati, . "Condylar morphological variants and its association with age, TMD and dentition status: A digital panoramic study." IP Int J Maxillofac Imaging 2, no. 1 (2016): 10-16. https://doi.org/