Eminence and lipping of the condyle - Courtesy ROOTS
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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
What is the occlusion? severe abrasion at the front?
I think treatment should be very carefully, axiographie and full
functional analysis needed.- leo