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Abstract
Background: The mandibular condyle's shape varies according to genetic, environmental, and functional factors. In order to diagnose temporomandibular disorders (TMDs) and to plan orthodontic and prosthodontic therapies,it is imperative to evaluate these variances. One popular imaging technique for evaluating condylar morphology is panoramic radiography. Objectives: The study's objectives are to determine the prevalence of various condylar shapes and how they relate to age and gender by employing panoramic radiography to retrospectively assess condylar morphology in a saudi population. Methods: One thousand digital panoramic radiographs from patients who were at least eighteen years old were the subject of a retrospective cross-sectional investigation. Oval, diamond, bird beak, and crooked finger forms were the four categories into which condylar morphology was divided. The CBCT scans were reviewed by an experienced oral and maxillofacial surgeon . Using SPSS software version 27.0, the data were examined to look for correlations between condylar morphology and demographic characteristics using chi-square tests and descriptive statistics. Results: The most common condylar morphology observed was the oval type (53.5% on the right and 52.3% on the left), followed by bird beak (22.4% right, 23.6% left), diamond (14.2% right, 13.9% left), and crooked finger (9.9% right, 10.2% left). Oval condyles were more prevalent in younger age groups, whereas degenerative changes (crooked finger morphology) were more common in older individuals. Gender-based variations revealed that males had a higher prevalence of oval condyles, while females exhibited a greater frequency of diamond and crooked finger morphologies. A statistically significant association was found between right condylar morphology and age groups. Conclusion: The study confirms the predominance of oval-shaped condyles across all age groups and genders, with degenerative changes becoming more prevalent with age. Gender-based variations in condylar morphology may be attributed to genetic, hormonal, and functional factors. Panoramic radiography remains a reliable and accessible tool for assessing condylar morphology.
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References
- Buescher JJ. Temporomandibular joint disorders. Am Fam Physician. 2007;76(10):1477-82.
- Alomar X, Medrano J, Cabratosa J, Clavero JA, Lorente M, Serra I, Monill JM, Salvador A. Anatomy of the temporomandibular joint. Semin Ultrasound CT MRI. 2007;28(3):170-83.
- Bag AK, Gaddikeri S, Singhal A, Hardin S, Tran BD, Medina JA, Curé JK. Imaging of the temporomandibular joint: An update. World J Radiol. 2014;6(8):567.
- Crow HC, Parks E, Campbell JH, Stucki DS, Daggy J. The utility of panoramic radiography in temporomandibular joint assessment. Dentomaxillofac Radiol. 2005;34(2):91-5.
- Ahn SJ, Kim TW, Lee DY, Nahm DS. Evaluation of internal derangement of the temporomandibular joint by panoramic radiographs compared with magnetic resonance imaging. Am J Orthod Dentofacial Orthop. 2006;129(4):479-85.
- Epstein JB, Caldwell J, Black G. The utility of panoramic imaging of the temporomandibular joint in patients with temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;92(2):236-9.
- Ladeira DB, Cruz AD, Almeida SM. Digital panoramic radiography for diagnosis of the temporomandibular joint: CBCT as the gold standard. Braz Oral Res. 2015;29(1):01-7.
- Öztürk HP, İsmail HA, Şenel B, Özgedik HS, Kurt MH. Retrospective evaluation of condylar morphology using panoramic radiography in a sample of Turkish population. Folia Morphol. 2024;83(1):192-9.
- Shaikh AH, Ahmed S, Ahmed AR, Das G, Taqi M, Nisar S, Khan O. Assessment of radiographic morphology of mandibular condyles: a radiographic study. Folia Morphol. 2022;81(2):481-486.
- Shakya PR, Nyachhyon R, Pradhan A, Tamrakar R, Acharya S. Morphology of condyle- a radiographic study.
- Singh B, Kumar NR, Balan A, Nishan M, Haris PS, Jinisha M, Denny CD. Evaluation of Normal Morphology of Mandibular Condyle: A Radiographic Survey. J Clin Imaging Sci. 2020 Aug 17;10:51.
- Arayapisit T, Ngamsom S, Duangthip P, Wongdit S, Wattanachaisiri S, Joonthongvirat Y. Understanding the mandibular condyle morphology on panoramic images: A cone beam computed tomography comparison study. Cranio. 2020;38(6):354-361.
- Yalcin ED, Ararat E. Cone-Beam Computed Tomography Study of Mandibular Condylar Morphology. J Craniofac Surg. 2019;30(8):2621-2624.
- Kurusu A, Horiuchi M, Soma K. Relationship between occlusal force and mandibular condyle morphology: evaluated by limited cone-beam computed tomography. Angle Orthod. 2009;79(6):1063-9.
- Wu S, Shi J, Zhang W. Effect of different treatment modalities for condylar fractures in childhood on mandibular symmetry and temporomandibular joint function: a retrospective study. J Craniofac Surg. 2024;35(6):1788-92.
- Bhasin M, Singh P, Gupta R. A retrospective study of condylar morphology by digital panoramic radiographs. J Indian Acad Oral Med Radiol. 2023;35(3):417-21.
- Tan YY, Lim WT, Lee SW, Shim CK, Bujang MA. Morphology of mandibular condyle in the population of Sarawak: a retrospective cross-sectional study using digital panoramic radiograph. Malaysian J Med Health Sci. 2023;19(4):258-64.
- Wangai L, Mandela P, Butt F, Ongeti K. Morphology of the mandibular condyle in a Kenyan population. J Anat Res. 2023;12(3):112-7.
- Shubhasini AR, Birur NP, Shubha G, Keerthi G, Sunny SP, Nayak DS. Study of three-dimensional morphology of mandibular condyle using cone beam computed tomography. J Clin Imaging Sci. 2020;10:51.
- Yamashita Y, Inoue M, Aijima R, Danjo A, Goto M. Three-dimensional evaluation of healing joint morphology after closed treatment of condylar fractures. International Journal of Oral and Maxillofacial Surgery. 2016 Mar 1;45(3):292-6.
References
Buescher JJ. Temporomandibular joint disorders. Am Fam Physician. 2007;76(10):1477-82.
Alomar X, Medrano J, Cabratosa J, Clavero JA, Lorente M, Serra I, Monill JM, Salvador A. Anatomy of the temporomandibular joint. Semin Ultrasound CT MRI. 2007;28(3):170-83.
Bag AK, Gaddikeri S, Singhal A, Hardin S, Tran BD, Medina JA, Curé JK. Imaging of the temporomandibular joint: An update. World J Radiol. 2014;6(8):567.
Crow HC, Parks E, Campbell JH, Stucki DS, Daggy J. The utility of panoramic radiography in temporomandibular joint assessment. Dentomaxillofac Radiol. 2005;34(2):91-5.
Ahn SJ, Kim TW, Lee DY, Nahm DS. Evaluation of internal derangement of the temporomandibular joint by panoramic radiographs compared with magnetic resonance imaging. Am J Orthod Dentofacial Orthop. 2006;129(4):479-85.
Epstein JB, Caldwell J, Black G. The utility of panoramic imaging of the temporomandibular joint in patients with temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;92(2):236-9.
Ladeira DB, Cruz AD, Almeida SM. Digital panoramic radiography for diagnosis of the temporomandibular joint: CBCT as the gold standard. Braz Oral Res. 2015;29(1):01-7.
Öztürk HP, İsmail HA, Şenel B, Özgedik HS, Kurt MH. Retrospective evaluation of condylar morphology using panoramic radiography in a sample of Turkish population. Folia Morphol. 2024;83(1):192-9.
Shaikh AH, Ahmed S, Ahmed AR, Das G, Taqi M, Nisar S, Khan O. Assessment of radiographic morphology of mandibular condyles: a radiographic study. Folia Morphol. 2022;81(2):481-486.
Shakya PR, Nyachhyon R, Pradhan A, Tamrakar R, Acharya S. Morphology of condyle- a radiographic study.
Singh B, Kumar NR, Balan A, Nishan M, Haris PS, Jinisha M, Denny CD. Evaluation of Normal Morphology of Mandibular Condyle: A Radiographic Survey. J Clin Imaging Sci. 2020 Aug 17;10:51.
Arayapisit T, Ngamsom S, Duangthip P, Wongdit S, Wattanachaisiri S, Joonthongvirat Y. Understanding the mandibular condyle morphology on panoramic images: A cone beam computed tomography comparison study. Cranio. 2020;38(6):354-361.
Yalcin ED, Ararat E. Cone-Beam Computed Tomography Study of Mandibular Condylar Morphology. J Craniofac Surg. 2019;30(8):2621-2624.
Kurusu A, Horiuchi M, Soma K. Relationship between occlusal force and mandibular condyle morphology: evaluated by limited cone-beam computed tomography. Angle Orthod. 2009;79(6):1063-9.
Wu S, Shi J, Zhang W. Effect of different treatment modalities for condylar fractures in childhood on mandibular symmetry and temporomandibular joint function: a retrospective study. J Craniofac Surg. 2024;35(6):1788-92.
Bhasin M, Singh P, Gupta R. A retrospective study of condylar morphology by digital panoramic radiographs. J Indian Acad Oral Med Radiol. 2023;35(3):417-21.
Tan YY, Lim WT, Lee SW, Shim CK, Bujang MA. Morphology of mandibular condyle in the population of Sarawak: a retrospective cross-sectional study using digital panoramic radiograph. Malaysian J Med Health Sci. 2023;19(4):258-64.
Wangai L, Mandela P, Butt F, Ongeti K. Morphology of the mandibular condyle in a Kenyan population. J Anat Res. 2023;12(3):112-7.
Shubhasini AR, Birur NP, Shubha G, Keerthi G, Sunny SP, Nayak DS. Study of three-dimensional morphology of mandibular condyle using cone beam computed tomography. J Clin Imaging Sci. 2020;10:51.
Yamashita Y, Inoue M, Aijima R, Danjo A, Goto M. Three-dimensional evaluation of healing joint morphology after closed treatment of condylar fractures. International Journal of Oral and Maxillofacial Surgery. 2016 Mar 1;45(3):292-6.
