Short- and Long-Term Evaluation of a Condylar Hyperplasia: A Case Report

Objective:This case report presents the diagnosis and short- and long-term treatment results of an orthodontically and surgically treated patient with condylar hyperplasia.Materials and Methods:Condylar hyperplasia was diagnosed in an 18-year-old patient. In the clinical and radiologic examination,...

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Main Authors: Şirin Nevzatoğu, Evin Koç, Toros Alcan, Zeki Güzel
Format: Article
Language:English
Published: Galenos Yayinevi 2013-06-01
Series:Turkish Journal of Orthodontics
Subjects:
Online Access: http://www.turkjorthod.org/archives/archive-detail/article-preview/short--and-long-term-evaluation-of-a-condylar-hype/53584
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author Şirin Nevzatoğu
Evin Koç
Toros Alcan
Zeki Güzel
author_facet Şirin Nevzatoğu
Evin Koç
Toros Alcan
Zeki Güzel
author_sort Şirin Nevzatoğu
collection DOAJ
description Objective:This case report presents the diagnosis and short- and long-term treatment results of an orthodontically and surgically treated patient with condylar hyperplasia.Materials and Methods:Condylar hyperplasia was diagnosed in an 18-year-old patient. In the clinical and radiologic examination, asymmetrical face, overdevelopment of the head and lengthening of the neck of the right condyle, deviation of the menton to the opposite side, temporomandibular joint pain, occlusal canting, slight open bite in the affected side, and an impacted upper right premolar were detected. Technetium-99 radioisotope scanning was made in 6-month intervals, and surgery was planned and performed. Changes were measured on the cephalograms taken at the beginning of orthodontic treatment, before and after surgery, at the end of fixed treatment, and in 4 years 6 months follow-up period.Results:Skeletal and dental Class I relationship was established and the profile improved. Slight increase of the vertical dimension was observed in the finishing and follow-up cephalograms.Conclusion:In order to decide the appropriate time for surgery for condylar hyperplasia patients in which osteoblastic activity continues, isotope-scanning examination is a must. Short-term results achieved with the orthodontic and surgical treatment were satisfactory and were maintained in the long term.
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spelling doaj.art-e406a69282234d6d944aec63360e8a202023-08-01T12:07:38ZengGalenos YayineviTurkish Journal of Orthodontics2528-96592148-95052013-06-0126210311310.13076/j.tjo.2013.26.01_10313049054Short- and Long-Term Evaluation of a Condylar Hyperplasia: A Case ReportŞirin Nevzatoğu0Evin Koç1Toros Alcan2Zeki Güzel3 University of Marmara, School of Dentistry, Department of Orthodontics, Istanbul, Turkey University of Marmara, School of Dentistry, Department of Orthodontics, Istanbul, Turkey Professor, private practice, Istanbul, Turkey Plastic and Reconstructive Surgeon, private practice Istanbul, Turkey Objective:This case report presents the diagnosis and short- and long-term treatment results of an orthodontically and surgically treated patient with condylar hyperplasia.Materials and Methods:Condylar hyperplasia was diagnosed in an 18-year-old patient. In the clinical and radiologic examination, asymmetrical face, overdevelopment of the head and lengthening of the neck of the right condyle, deviation of the menton to the opposite side, temporomandibular joint pain, occlusal canting, slight open bite in the affected side, and an impacted upper right premolar were detected. Technetium-99 radioisotope scanning was made in 6-month intervals, and surgery was planned and performed. Changes were measured on the cephalograms taken at the beginning of orthodontic treatment, before and after surgery, at the end of fixed treatment, and in 4 years 6 months follow-up period.Results:Skeletal and dental Class I relationship was established and the profile improved. Slight increase of the vertical dimension was observed in the finishing and follow-up cephalograms.Conclusion:In order to decide the appropriate time for surgery for condylar hyperplasia patients in which osteoblastic activity continues, isotope-scanning examination is a must. Short-term results achieved with the orthodontic and surgical treatment were satisfactory and were maintained in the long term. http://www.turkjorthod.org/archives/archive-detail/article-preview/short--and-long-term-evaluation-of-a-condylar-hype/53584 condylar hyperplasiahigh condylectomylong-term stabilityorthognathic surgery
spellingShingle Şirin Nevzatoğu
Evin Koç
Toros Alcan
Zeki Güzel
Short- and Long-Term Evaluation of a Condylar Hyperplasia: A Case Report
Turkish Journal of Orthodontics
condylar hyperplasia
high condylectomy
long-term stability
orthognathic surgery
title Short- and Long-Term Evaluation of a Condylar Hyperplasia: A Case Report
title_full Short- and Long-Term Evaluation of a Condylar Hyperplasia: A Case Report
title_fullStr Short- and Long-Term Evaluation of a Condylar Hyperplasia: A Case Report
title_full_unstemmed Short- and Long-Term Evaluation of a Condylar Hyperplasia: A Case Report
title_short Short- and Long-Term Evaluation of a Condylar Hyperplasia: A Case Report
title_sort short and long term evaluation of a condylar hyperplasia a case report
topic condylar hyperplasia
high condylectomy
long-term stability
orthognathic surgery
url http://www.turkjorthod.org/archives/archive-detail/article-preview/short--and-long-term-evaluation-of-a-condylar-hype/53584
work_keys_str_mv AT sirinnevzatogu shortandlongtermevaluationofacondylarhyperplasiaacasereport
AT evinkoc shortandlongtermevaluationofacondylarhyperplasiaacasereport
AT torosalcan shortandlongtermevaluationofacondylarhyperplasiaacasereport
AT zekiguzel shortandlongtermevaluationofacondylarhyperplasiaacasereport