Comparative study of distribution of injected zinc 65 in the mandibular condyle and other tissues in rat as determined by gamma scintillation.
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The ninth case of condylar dislocation into the middle cranial fossa is reported. The previously reported cases are reviewed and the clinical findings which they have in common are pointed out. Because difficulty in establishing the diagnosis seems to be the most serious aspect of this clinical entity, it is advised that films of the temporomandibular joint be taken more frequently. Finally, although treatment varied from physical therapy to intracranial condylectomy, our case of closed withdrawal of the condyle from the cranial fossa is the first case on record so treated.
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Deviations of the condylar form are usually ascribed to "degenerative arthritis" or "osteoarthritis." More recently, osteonecrosis has been discussed as a possible cause of condylar degeneration and pain. This article presents a review of the literature on osteonecrosis, emphasizing the spectrum of degenerative osseous disease, which includes osteoarthrosis, condylsis, osteomyelitis, and osteonecrosis. Preliminary results of mandibular core decompression with and without bone grafting are presented suggesting a therapeutic benefit. Further study is recommended to elucidate this process.
It has been reported that loading to the mandible during closing movement makes the condylar path move more in the superior direction than that during the free closing movement. In this study, the hypothesis was tested that the displacement of the condyle on the chewing side is greater in the direction of the mandibular fossa than that on the non-chewing side. Using a six-degrees-of-freedom jaw movement recording system, we recorded condylar motion in 12 healthy adults without TMD, during the chewing of a large hard gummy jelly. The maximum displacements at the condyle on the chewing side from the maximum intercuspation (CO) position were significantly larger in the superior and medial directions at the initial stage and in the posterior direction at all stages (0.5 mm, 0.5 mm, and 0.6 mm, respectively) than those on the non-chewing side (0.0 mm, 0.1 mm, and 0.1 mm, respectively). This suggests that, in healthy adults, the condyles at CO are located in a position such that excessive load is not applied to the temporomandibular joint when there are the aforementioned displacements.
The bifid condyle is a rather uncommon condition that is diagnosed radiographically. Its etiology is unknown, although the most tenable theory is that it is of traumatic origin. The purpose of this article is to report a new case of a bilateral bifid condyle (the left one manifested a trifid appearance) and to review the relevant literature.
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