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Minerva Stomatologica 2014 Jan 14


lingua: Inglese

Non-traumatic unilateral bifid mandibular condyle and multiple inclusions: a case report

Corega C. 1, 2, Vaida L. 3, Festila D. G. 4, Rigoni G. 5, Albanese M. 5, D’Agostino A. 5, Gelpi F. 6, Marconcini S. 7, Chiarini G. 8, Nocini P. F. 5, Bertossi D. 5

1 Department of Orthodontics, University Paris V Renee Descartes, Paris, France; 2 University of Medicine and Pharmacy Iuliu Hatieganu, Cluj-Napoca, Romania; 3 Department of Dental Medicine, Faculty of Medicine and Pharmacy University of Oradea, Oradea, Romania; 4 Department of Orthodontics, University of Medicine and Pharmacy, “Iuliu Hatieganu”, Cluj-Napoca, Romania; 5 Section of Dentistry and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, Italy; 6 Centro Odontostomatologico Ospedale Sacro Cuore, Don Calabria, Verona, Italy; 7 Assistant Professor, Istituto Stomatologico Toscano Versilia General Hospital, Italy; 8 Private Practitioner, Modena, Italy


The congenital and developmental disorders of the temporomandibular joint (TMJ) that affect the mandibular condyle have been classified according to four conditions: aplasia, hypoplasia, hyperplasia and neoplasm. BMC is an anatomical malformation characterized by a mandibular condylar head that is divided into two parts. Multiple dental inclusions are often associated with a genetic etiology or systemic disorders, but more often occur as a single anomaly. The aim of this article was to report a new unique association between BMC and multiple inclusions in an adult patient and to compare it with other BMC cases from the literature. The patient had a history of TMJ complaints and was diagnosed on an panoramic X-ray and started treatment with occlusal splints for muscle release. Many investigators have suggested that a congenital origin is the primary cause, although trauma may alter condylar growth, resulting in an anatomical defect. In the absence of traumatic antecedents or other alterations of the TMJ, the presence of a BMC may be associated with developmental anomalies, as we observed in our study.

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