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Current Dentistry

Editor-in-Chief

ISSN (Print): 2542-579X
ISSN (Online): 2542-5803

Case Report

Is Temporomandibular Joint Disc Displacement without Reduction a Plausible Cause of Condylar Hypoplasia? A Case Report

Author(s): Yi-Shu Liu, Adrian U-Jin Yap, Jie Lei and Kai-Yuan Fu*

Volume 1, Issue 1, 2019

Page: [68 - 73] Pages: 6

DOI: 10.2174/2542579X01666180919121059

Abstract

Background: The causes of mandibular condylar hypoplasia can be congenital or acquired in nature. Cited local causes of acquired hypoplasia include trauma, infection and irradiation. We report a case of hypoplastic condyle that was attributed to temporomandibular joint (TMJ) disc displacement without reduction (DDwoR).

Clinical Presentation: A 16-year-old male presented with restricted mouth opening and right TMJ pain for 6 months. He was subsequently diagnosed with DDwoR. Conservative treatment comprising self-care and moist-heat therapy was administered and he was followed for 27 months without any further interventions. During this period, transitions from “normal” morphology to condylar flattening / erosion, and eventually a re-modeled smaller “normal” right TMJ were observed.

Conclusion: The present case provided initial support that DDwoR could be a plausible cause of condylar hypoplasia in adolescents / young adults.

Keywords: Temporomandibular disorders, condylar hypoplasia, disc displacement without reduction, osteoarthritis, degenerative joint diseases, condylar remodeling.

Graphical Abstract

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