Bilateral bifid condyle mandibula features in panoramic radiography: a case report

G. Gunawan, Ivony Fitria
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Abstract

Objectives: The aim of this case report is to describe radiographically the specific features of bifid mandibular condyle that frequently found incidentally on panoramic radiographs. Case Report: A 24-year-old man came to the Installation of Dental Radiology RSGM UNPAD brought a referral letter for a panoramic photograph. From anamnesis is known patient have complaints of pain in the jaw joints left and right at the time of open mouth. Panoramic radiographs show mesioangular dental impaction of 48, and edentulous tooth 36 and presence of bifid condyle on the right and left condyle. Bifid condyle usually becomes incidental finding on routine panoramic radiographic examination. Bifid condyle features can be shown by depression or notch on the superior surface of condyle. Bifid condyle can provide a "heart-shaped" from the frontal view. For a definite feature can be seen with other modality such as CBCT. Sometimes there is also a change in the mandibular fossa to compensate the morphological changes of the condyle. Conclusion: Bifid condyle mandible is a variation in the shape of the condyle whose cause is not known with certainty. The bifid condyle gives the "heart-like" appearance that is often found on accidental panoramic radiographs. Generally, cases of BMC do not require treatment unless they cause symptoms.
双侧髁突全景x线摄影1例
目的:本病例报告的目的是描述在全景x线片上经常偶然发现的下颌二裂髁的放射学特征。病例报告:一名24岁男子带着一张全景照片的推荐信来到牙科放射学RSGM UNPAD装置。从健忘症可知,患者在开口时有左、右颌关节疼痛的主诉。全景x线片显示牙中角嵌塞48颗,无牙36颗,左右髁均有双髁。在常规的全景x线检查中,双突通常是偶然发现的。髁突上表面凹陷或凹痕可表现为双髁特征。从正面看,双裂髁呈“心形”。对于一个明确的特征,可以用CBCT等其他模态来观察。有时下颌窝也会发生变化,以补偿髁状突的形态变化。结论:双裂髁状下颌骨是一种髁状形状的变异,其原因尚不确定。在偶然的全景x线照片上,两裂髁呈“心脏样”外观。一般来说,BMC病例不需要治疗,除非它们引起症状。
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