Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Bifid Mandibular Kondil: Oryantasyonu, Sıklığı ve Sulkus Derinliğinin Yaş ile İlişkisinin Konik Işınlı Bilgisayarlı Tomografi ile Değerlendirilmesi
Bifid Mandibular Condyle: Evaluation of Its Orientation, Frequency and the Relationship of Its Sulcus Depth with Age by Cone Beam Computed Tomography
Umut PAMUKÇUa, Nuray BAĞCIa, İlkay PEKERa
aGazi Üniversitesi Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Radyolojisi ABD, Ankara, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2021;27(3):357-63
doi: 10.5336/dentalsci.2020-76384
Article Language: TR
Full Text
ÖZET
 Amaç: Bifid mandibular kondil (BMK); etiyolojisi tam olarak bilinmeyen, genellikle asemptomatik ve radyografide tesadüfen saptanan nadir bir anomalidir. Bu çalışmanın 1. amacı; toplumda BMK sıklığını, unilateral/bilateral olma durumunu, derinlik ve yerleşimini (oryantasyonunu) belirlemektir. İkinci amacı ise mevcut sulkus derinliğinin yaş ile ilişkisini değerlendirmektir. Gereç ve Yöntemler: Yaşları 18-75 arasında değişen 565 (%55,4)'i kadın, 455 (%44,6)'i erkek 1.020 hastanın konik ışınlı bilgisayarlı tomografi görüntüleri retrospektif olarak değerlendirildi. Koronal kesitlerde medio-lateral, sagittal kesitlerde ise antero-posterior oryantasyon araştırıldı. Belirlediğimiz BMK'lerin, bu araştırmaya konu edilen tüm verileri kaydedildi ve istatistiksel analizleri yapıldı. Ayrıca BMK tespit edilen hastalar, 6 farklı yaş grubuna ayrılarak sulkus derinliği ve BMK sıklığı açısından karşılaştırıldı. Bulgular: Bu çalışmada ortalama yaşı 49,4±13,2 [standart sapma (SS)] olan 20 (%3,54) kadın ve 21 (4,61) erkek 41 (4,02) hastada, 33 (%3,23) unilateral (16 sağ, 17 sol) ve 8 (%0,78) bilateral toplam 49 (%3,14) BMK belirlendi. BMK'lerin tümü medio-lateral oryantasyon sergilerken, bunların 16 (%32,65)'sı aynı zamanda anteroposterior oryantasyonluydu. Antero-posterior BMK'lerin ortalama sulkus derinliği 2,7±0,9 (SS) mm iken, medio-lateral oryantasyonluların ortalaması 2±0,4 (SS) mm idi (p>0,05). Cinsiyetler ve yaş grupları arasında BMK sıklığı ve derinliği açısından istatistiksel olarak anlamlı fark yoktu (p>0,05). Sonuç: Çalışmanın sonuçları; toplumda BMK sıklığının %4,02 olduğunu, bunların çoğunlukla medio-lateral oryantasyonlu ve unilateral gözlendiğini gösterdi. Ayrıca BMK sıklığı ve derinliği, yaş grupları ve cinsiyetler arasında farklılık göstermemekteydi.

Anahtar Kelimeler: Mandibular kondil; konik ışınlı bilgisayarlı tomografi; konjenital anomaliler
ABSTRACT
 Objective: Bifid mandibular condyle (BMC); it is a rare anomaly with exactly unknown etiology, generally asymptomatic and detected incidentally on radiography. The primary aim of this study is to determine the frequency, unilateral/bilateral status, depth, and the location (orientation) of BMC in the community. The second aim is to evaluate the relationship between the existing sulcus depth and age. Material and Methods: Cone beam computed tomography images of 1,020 patients 565 (55.4%) female, 455 (44.6%) male) aged between 18-75 were evaluated retrospectively. Medio-lateral orientation in coronal sections and antero-posterior orientation in sagittal sections were investigated. All the data of the BMCs we determined were recorded and statistical analyzes were made. In addition, patients with BMC were divided into 6 different age groups and compared in terms of sulcus depth and BMC frequency. Results: In this study, in 41 (4.02%) patients as 20 females (3.54%) and 21 (4.61%) males, with a mean age of 49.4±13.2 [standard deviation (SD)] years, 33 (3.23%) unilateral (16 right, 17 left) and 8 (0.78%) bilateral a total of 49 (3.14%) BMCs were determined. While all BMCs exhibited medio-lateral orientation, 16 of them (32.65%) were also antero-posterior orientated. When the average sulcus depth of antero-posterior BMCs was 2.7±0.9 (SD) mm, the mean of those with medio-lateral orientation was 2±0.4 (SD) mm (p>0.05). There was no statistically significant difference between genders and age groups in terms of BMC frequency and depth (p>0.05). Conclusion: Results of the study; showed that the prevalence of BMC in the population was 4.02%, they were mostly observed in mediolateral orientation and unilaterally. In addition, BMC frequency and depth did not differ between age groups and genders.

Keywords: Mandibular condyle; cone beam computed tomography; congenital abnormalities
REFERENCES:
  1. Hrdlička A. Lower jaw: double condyles. Am J Phys Anthropol. 1941;28(1):75-89. [Crossref] 
  2. Khojastepour L, Kolahi S, Panahi N, Haghnegahdar A. Cone beam computed tomographic assessment of bifid mandibular condyle. J Dent (Tehran). 2015;12(12):868-73. [PubMed]  [PMC] 
  3. Dennison J, Mahoney P, Herbison P, Dias G. The false and the true bifid condyles. Homo. 2008;59(2):149-59. [Crossref]  [PubMed] 
  4. Antoniades K, Karakasis D, Elephtheriades J. Bifid mandibular condyle resulting from a sagittal fracture of the condylar head. Br J Oral Maxillofac Surg. 1993;31(2):124-6. [Crossref]  [PubMed] 
  5. Sahm G, Witt E. Long-term results after childhood condylar fractures. A computer-tomographic study. Eur J Orthod. 1989;11(2): 154-60. [Crossref]  [PubMed] 
  6. Thomason JM, Yusuf H. Traumatically induced bifid mandibular condyle: a report of two cases. Br Dent J. 1986;25;161(8):291-3. [Crossref]  [PubMed] 
  7. Poswillo DE. The late effects of mandibular condylectomy. Oral Surg Oral Med Oral Pathol. 1972;33(4):500-12. [Crossref]  [PubMed] 
  8. Quayle AA, Adams JE. Supplemental mandibular condyle. Br J Oral Maxillofac Surg. 1986;24(5):349-56. [Crossref]  [PubMed] 
  9. Cowan DF, Ferguson MM. Bifid mandibular condyle. Dentomaxillofac Radiol. 1997;26(1): 70-3. [Crossref]  [PubMed] 
  10. Gundlach KK, Fuhrmann A, Beckmann-Van der Ven G. The double-headed mandibular condyle. Oral Surg Oral Med Oral Pathol. 1987;64(2):249-53. [Crossref]  [PubMed] 
  11. Blackwood HJ. The double-headed mandibular condyle. Am J Phys Anthropol. 1957;15(1):1-8. [Crossref]  [PubMed] 
  12. Kahl B, Fischbach R, Gerlach KL. Temporomandibular joint morphology in children after treatment of condylar fractures with functional appliance therapy: a follow-up study us computed tomography. Dentomaxillofac Radiol. 1995;24(1):37-45. [Crossref]  [PubMed] 
  13. Lund K. Mandibular growth and remodelling processes after condylar fracture. A longitudinal roentgencephalometric study. Acta Odontol Scand Suppl. 1974;32(64):3-117. [PubMed] 
  14. Antoniades K, Hadjipetrou L, Antoniades V, Paraskevopoulos K. Bilateral bifid mandibular condyle. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97(4):535-8. [Crossref]  [PubMed] 
  15. Shriki J, Lev R, Wong BF, Sundine MJ, Hasso AN. Bifid mandibular condyle: CT and MR imaging appearance in two patients: case report and review of the literature. AJNR Am J Neuroradiol. 2005;26(7):1865-8. [PubMed] 
  16. Borrás-Ferreres J, Sánchez-Torres A, Gay-Escoda C. Bifid mandibular condyles: a systematic review. Med Oral Patol Oral Cir Bucal. 2018;23(6):e672-e80. [PubMed]  [PMC] 
  17. Neves FS, Ramírez-Sotelo LR, Roque-Torres G, Barbosa GLR, Haiter-Neto F, de Freitas DQ. Detection of bifid mandibular condyle by panoramic radiography and cone beam computed tomography. Braz J Oral Sci. 2013;12(1):16-9. [Link] 
  18. Haghnegahdar AA, Bronoosh P, Khojastepour L, Tahmassebi P. Prevalence of bifid mandibular condyle in a selected population in South of iran. J Dent (Shiraz). 2014;15(4):156-60. [PubMed]  [PMC] 
  19. Jordana X, García C, Palacios M, Chimenos E, Malgosa A. Bifid mandibular condyle: archaeological case report of a rare anomaly. Dentomaxillofac Radiol. 2004;33(4):278-81. [Crossref]  [PubMed] 
  20. Nikolova SY, Toneva DH, Lazarov NE. Incidence of a bifid mandibular condyle in dry mandibles. J Craniofac Surg. 2017;28(8):2168-73. [Crossref]  [PubMed] 
  21. Cho BH, Jung YH. Nontraumatic bifid mandibular condyles in asymptomatic and symptomatic temporomandibular joint subjects. Imaging Sci Dent. 2013;43(1):25-30. [Crossref]  [PubMed]  [PMC] 
  22. Sahman H, Sisman Y, Sekerci AE, Tarim-Ertas E, Tokmak T, Tuna IS. Detection of bifid mandibular condyle using computed tomography. Med Oral Patol Oral Cir Bucal. 2012;1;17(6):e930-4. [PubMed]  [PMC] 
  23. Ozdede M, Akay G, Karadag O, Peker I. Comparison of panoramic radiography and cone-beam computed tomography for the detection of tonsilloliths. Med Princ Pract. 2020;29(3):279-84. [Crossref] 
  24. Miloglu O, Yalcin E, Buyukkurt M, Yilmaz A, Harorli A. The frequency of bifid mandibular condyle in a Turkish patient population. Dentomaxillofac Radiol. 2010;39(1):42-6. [Crossref]  [PubMed]  [PMC] 
  25. Menezes AV, de Moraes Ramos FM, de Vasconcelos-Filho JO, Kurita LM, de Almeida SM, Haiter-Neto F. The prevalence of bifid mandibular condyle detected in a Brazilian population. Dentomaxillofac Radiol. 2008;37(4):220-3. [Crossref]  [PubMed] 
  26. Sahman H, Sekerci AE, Ertas ET, Etoz M, Sisman Y. Prevalence of bifid mandibular condyle in a Turkish population. J Oral Sci. 2011;53(4):433-7. [Crossref]  [PubMed] 
  27. Szentpétery A, Kocsis G, Marcsik A. The problem of the bifid mandibular condyle. J Oral Maxillofac Surg. 1990;48(12):1254-7. [Crossref]  [PubMed] 
  28. Laçin N, Aytuğar E, Veli İ. Cone-beam computed tomography evaluation of bifid mandibular canal in a Turkish population. Int Dent Res. 2018;8(2):78-83. [Link] 
  29. Cağlayan F, Tozoğlu U. Incidental findings in the maxillofacial region detected by cone beam CT. Diagn Interv Radiol. 2012;18(2):159-63. [Crossref]  [PubMed] 
  30. Gunduz K, Buyuk C, Egrıoglu E. Evaluation of the prevalence of bifid mandibular condyle detected on cone beam computed tomography images in a Turkish population. Int J Morphol. 2015;33(1):43-7. [Crossref] 
  31. Göksel S, Kendirci MY, Özcan İ. Bir grup Türk popülasyonunda bifid mandibular kondil prevalansının konik ışınlı bilgisayarlı tomografi ile retrospektif olarak değerlendirilmesi. [Evaluation of bifid mandibular condyle prevalence in a group of Turkish population by using cone beam computed tomography: a retrospective study]. Selçuk Dent J. 2019;6(4):44-9. [Link] 
  32. Reddy SS, Sharma P, Rakesh N, Yashoda Devi BK, Shwetha V, Pavan Kumar T, et al. Cleft in two parts assessment of bifid mandibular condyle using CBCT. Int J Curr Res. 2017;9(7):54761-5. [Link] 
  33. Balaji SM. Bifid mandibular condyle: a study of the clinical features, patterns and morphological variations using CT scans. J Maxillofac Oral Surg. 2010;9(1):38-41. [Crossref]  [PubMed]  [PMC] 
  34. López-López J, Ayuso-Montero R, Salas EJ, Roselló-Llabrés X. Bifid condyle: review of the literature of the last 10 years and report of two cases. Cranio. 2010;28(2):136-40. [Crossref]  [PubMed] 
  35. Alpaslan S, Ozbek M, Hersek N, Kanli A, Avcu N, Firat M. Bilateral bifid mandibular condyle. Dentomaxillofac Radiol. 2004;33(4):274-7. [Crossref]  [PubMed] 

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