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Eminence and lipping of the condyle - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been
credited for the individual posts where they are -
From: Liviu Steier
Sent: Tuesday, November 24, 2009 3:10 PM
Subject: [roots] CbCT of the day

please see attached a CbCT.
Have a close look at the condylus right side - Liviu

I'm sort of lost...all the imaging stuff...I'm looking at the left TMJ , flattening of the eminence and lipping of the condyle. Maybe closed lock on RHS..although the condyle seems to be centrally located..... but hey , I'm just a GP on the South Coast of NSW - Molar Del Sud Location is here not the issue. :0) - Liviu oh yes, I agree, both condyles have problems...but it must not be caused by closed lock! flat condyle means "only" compression and/or heavy activation of the lateral pterygoid muscle. I haven`t enough experience with CBCT diagnostic, maybe old fracture of caput of mandible joint rigth side. Is there any anamnestic interesting to know (trauma, accident)? but normally the condyle is a little bit shorter than the other side. Also there is a little longitudinal "pin" laterally...but no idea what it is...;-((( What is the occlusion? severe abrasion at the front? I think treatment should be very carefully, axiographie and full functional analysis needed.- leo

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