Evaluation of a new treatment protocol for idiopathic condylar. Another common name for this condition is cheerleader syndrome because it frequently affects female athletes and cheerleaders who receive jaw injuries. The idiopathic condylar resorption icr is also referred as idiopathic condylysis or condylar atrophy or progressive condylar resorption or aggressive condylar resorption or cheerleader syndrome. The term idiopathic is used to describe it because, in idiopathic diseases, the cause is unknown. Anterior open bite due to idiopathic condylar resorption. Idiopathic condylar resorption of the temporomandibular joint. Idiopathic condylar resorption public group facebook. Condylar resorption and arthrosis of the joint dgkfo. Idiopathic condylar resorption icr of the temporomandibular joint tmj is a condition that is often esthetically and functionally altering, characterized by progressive resorption of the tmj condylar heads, without a known cause. Oct 29, 2019 the cause of one form of this condition, known as idiopathic condylar resorption icr, is not well understood. Condylar resorption is degenerative condition seen mostly in adolescent and young women.
Idiopathic condylar resorption icr, alternatively called progressive condylar resorption, is an uncommon aggressive form of degenerative disease of the temporomandibular joint seen mostly in. Pdf idiopathic condylar resorption icr is a condition with no known cause, which manifests as progressive malocclusion, esthetic changes, and often. Condylar resorption, also called idiopathic condylar resorption, icr, and condylysis, is a temporomandibular joint disorder in which one or both of the mandibular condyles are broken down in a bone resorption process. Idiopathic condylar resorption icr is a progressive condition that affects the jaw joints. The dental importance of this pathology is that it progressively affects the patient both functionally and aesthetically. Management there are two important aspects when planning the. This article presents the diagnostic criteria for idiopathic condylar resorption and a new treatment protocol for management of this pathologic condition. It is also referred to as idiopathic condylysis, 1,2 condylar atrophy,2 aggressive condylar. Condylar resorption can be aggressive months or slow years. Icr affects more females than males, and largely affects teenage girls. I feel mostly back to normal though my jaw hurts at times and im still in rubber bands and cannot open my jaw very wide, which i am in physical therapy for.
Its diagnosis, etiology, and management options are controversial. Treatment of orthodontic patients with idiopathic condylar resorption icr is challenging for clinicians due to the continuous change of occlusion caused by the unstable condylar position and symptoms in the temporomandibular joint tmj. Progressive condylar resorption, idiopathic condylar resorption, total joint replacement, juvenile idopathic arthritis, jia, created date. Follow me on my new page, through my double jaw, and total joint replacement su. It is fortunately very rare, since it can be very damaging. Idiopathic condylar resorption dr sylvain chamberland. Treatment for icr is generally done for one of two reasons. Idiopathic condylar resorption icr, also known as idiopathic condylysis or condylar atrophy, is multifactorial pathology leading to severe mandibular retrognathism. Condylar degeneration and diseaseslocal and systemic. Treatments range from conservative management with occlusal splints to. Osseous condylar resorption that occurs without obvious cause is termed idiopathic condylar resorption icr. Icr, also known as idiopathic condylysis, condylar. Idiopathic condylar resorption of the temporomandibular joint is an uncommon aggressive degenerative condition of the joint 1. It sometimes has been referred to as cheerleaders syndrome, because it frequently occurs in teenage girls participating in sports activities which, through minor or major.
This kind of condylar resorption is known to affect women much more frequently than men, and it affects teenage girls most often, leading to dental disorders and musculoskeletal disorders. Idiopathic condylar resorption icr is an acquired disorder of the temporomandibular joint tmj classically affecting young women between 15 and 40 years of. In patients with the condition of uncertain etiology that is commonly referred to as idiopathic condylar resorption icr, the condyles of the mandible partially resorb, thereby causing a loss of condylar height with secondary alterations of the maxillofacial morphology, occlusion, and head and neck function. The condyles undergo resorption and the bone loss results in facial, bite and airway changes. Orthodontics typically encounter icr at a rate of 1 care per 5000. Facial imbalance receding chin, smaller airway snoring, apnea and bite disturb. It sometimes has been referred to as cheerleaders syndrome, because it frequently occurs in teenage girls participating in sports activities which, through minor or major trauma to the jaws, can initiate or exacerbate the condition. In patients with the condition of uncertain etiology that is commonly referred to as idiopathic condylar resorption, the condyles of the mandible partially resorb, thereby causing a loss of condylar height with secondary alterations of the maxillofacial morphology, occlusion, and head and neck function. It is the authors opinion that the term idiopathic might be too easily used as an explanation. Further investigations on serum estrogen concentrations in women with condylar resorption are needed.
A meaningless medical mouthful to most people, icr is all too real for holly anderson. Condylar resorption also known as condylysis is an event rarely seen in normal orthodontic practice, but when it occurs, it is a very unhappy. Apos trends in orthodontics orthodontic camouflage via. The sutures are used as artificial ligaments to secure and stabilize the disc to the condylar head. Idiopathic condylar resorption icr is a relatively uncommon condition. It can take up to 6 years before the resorption stabilizes.
Progressive condylar resorption is followed by stabilisation without further loss of condylar height, and function of the tmj is usually good with minimal or no symptoms. Introduction idiopathic condylar resorption icr, also known as. Patients who exhibited volume changes, such as loss of cortical bone at the mandibular condylar head, morphological changes erosion. Several theories have been proposed to explain its aetiopathogenesis, the most favoured of which are the hormonally mediated theory, the theory of avascular necrosis, and the dysfunctional remodelling theory.
Orthodontic treatment protocols for patients with idiopathic. Idiopathic condylar resorption and arthrosis of the joints. If done during active icr, it is usually for the purpose. Heres a video about the surgery options and pros or cons of the choices.
Idiopathic condylar resorption is a condition in which the mandibular condyles undergo resorption, leading to loss of condylar height. The indicated orthognathic surgery is then performed at the same operation to correct the associated dentofacial deformity, or it can be delayed and performed at a secondary surgical stage. Condylar degeneration and diseaseslocal and systemic etiologies. Left untreated, the rare medical condition could someday take her life.
In this study, idiopathic condylar resorption icr was defined as condylar resorption that occurs in the absence of tmj injury or disorder, and systemic diseases such as rheumatoid arthritis. Idiopathic condylar resorption oral and maxillofacial surgery. Idiopathic condylar resorption is a welldocumented but poorlyunderstood. Progressive condylar resorption pcr, which is alternatively called idiopathic condylar resorption icr, is an uncommon degenerative disease of the temporomandibular joint tmj of an aggressive nature that is seen mostly in female adolescents and young women. The etiology has been shown to be multifactorial, such as avascular necrosis, traumatic injuries, hormone and autoimmune disease and it is largely difficult to distinguish the. The posterior autorotation is shown by the blue arrow. Condylar changes in patients with idiopathic condylar. The orthodontist is likely to have contact with pa tients afflicted with icr in the following 2. Recognition of idiopathic condylar resorption as a diagnostic possibility in an academic orthodontic clinic abstract purpose.
Surgical management of idiopathic condylar resorption oral and. A number of local and systemic pathologies or diseases can cause mandibular condylar resorption. Orthognathic surgery for patients with idiopathic condylar. Pushkar mehras pioneering surgery to repair idiopathic.
The current understanding in diagnosis and treatment andrew young department of diagnostic sciences, university of the pacific, arthur a. The objective of this study was to evaluate the rates of relapse, temporomandibular joint tmj changes or disease, and recurrence of idiopathic condylar resorption icr and open bite following orthognathic surgery in patients with icr. Idiopathic condylar resorption icr continues to present a major diagnostic and therapeutic challenge to practitioners for many reasons including rarity of the condition, progressive nature of the deformity, and its simultaneous involvement of skeletal, occlusal and articular disorders. Oct 14, 2012 idiopathic condylar resorption in teenage girls most common tmd in adolescent 9f. The condylar resorption is shown by the green arrow and the resorption of the eminence is shown by.
Pathophysiology and pharmacologic control of osseous mandibular condylar resorption, letters to the editor. This hormonally mediated condition is initiated as the adolescent enters the pubertal growth phase age of onset between 11 to 15 years. The average office will likely see 02 cases in a career. Idiopathic condylar resorption is a welldocumented but poorlyunderstood pathological entity that predominantly affects young women, particularly during the pubertal growth spurt. Idiopathic condylar resorption is a poorly understood progressive disease that affects the tmj and that can result in malocclusion, facial disfigurement, tmj dysfunction, and pain. Dugoni school of dentistry, san francisco, ca 94103, usa. Idiopathic condylar resorption icr is a specific condition that affects the jaw joints temporomandibular joints or tmjs and most commonly occurs in teenage girls. Feb 17, 2017 idiopathic condylar resorption icr is a welldocumented but poorly understood progressive disease that affects the temporomandibular joint tmj. Idiopathic condylar resorption and its impact on orthodontic treatmen. Future studies should focus on the effects of the different types of medication and diseases in. Condylar resorption also known as condylysis is an event rarely seen in normal orthodontic practice, but when it occurs, it is a very unhappy occurrence and often puzzling and inexplicable.
My name is brittney and i have icr, short for idiopathic condylar resorption. Idiopathic condylar resorption is used as a diagnosis of exclusion when all other diagnostics are ruledout. It is usually encountered in adolescent and young females, although it has also been observed in males. When the words condylar resorption is mentioned, most orthodontists think of 3 things. Idiopathic condylar resorption in teenage girls most common tmd in adolescent 9f. Adolescent internal condylar resorption acir cases 3 and 4. Idiopathic condylar resorption icr, which is alternatively called progressive condylar resorption pcr, is an uncommon aggressive form of degenerative disease of the temporomandibular joint tmj. The name idiopathic condylar resorption may therefore not be a comprehensive term as it indicates a oneside resorptive nature of a condition that also seems to affect condylar growth and development. Anyone else diagnosed with idiopathic condylar resorption. Future studies are needed to address to role of anterior disc displacement in the icr condition. In addition, its multifactorial etiology is a challenge at the time of diagnosis and treatment. Mar 30, 2020 the term idiopathic is used to describe it because, in idiopathic diseases, the cause is unknown.
Recognition of idiopathic condylar resorption as a diagnostic. When something happens, there is usually a reason, but. The cause of one form of this condition, known as idiopathic condylar resorption icr, is not well understood. Idiopathic condylar resorption of the temporomandibular. Icr is also known as idiopathic condylysis, condylar atrophy, and progressive condylar resorption. Icr may result in malocclusion, facial disfigurement, tmj dysfunction, and pain. This study evaluated the efficacy of orthodontic diagnostics in condylar resorption and specifically idiopathic condylar resorption icr in patients who presented with the cardinal signs of anterior open bite and. Nonetheless, it is essential that condylar resorption as a cause of anterior open bite is recognized and that patients receive the appropriate workup. I dont mean to scare you, but the being marble to open my mouth very wide may have to do with my condylar resorption and the fact that they were wearing down according to my orthodontist. Condylar resorption case report aao 2019 ehandout update. This is a welldocumented but poorly understood disease process that occurs with a 9. Idiopathic condylar resorption icr is a welldocumented but poorly understood progressive disease that affects the temporomandibular joint tmj.
Idiopathic condylar resorption icr presents diagnostic and therapeutic challenges to practitioners because of the rarity of the condition, progressive deformity, and simultaneous. Idiopathic condylar resorption international journal of applied. Adolescent internal condylar resorption aicr larry m. Progressive condylar resorption pcr or idiopathic condylar resorption icr. Condylar resorption causes and treatment bauer smiles. Wolford and cardenas reported that 25% of patients in their study had no tmj symptoms wolford lm, et al. The anterior open bite is shown by the black arrows. Pdf idiopathic condylar resorption icr, alternatively called progressive condylar resorption, is an uncommon aggressive form of. Anterior open bite due to idiopathic condylar resorption during. Here are clinical pictures of a similar case described above. Ideopathic osteo condylar resorption surgery options youtube. Orthodontic treatment may coincide with idiopathic condylar resorption. Aicr is one of the most common tmj conditions seen in teenage females 8.