Observations on Individuals with Radiographic Bilateral Condylar Remodeling

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Abstract
Clinical, panoramic, cephalometric, and arthrographic findings are presented for 29 patients with bilateral condylar remodeling. Questions are raised with regard to joint noise and limited opening as indicators of intracapsular pathology and to a potential additive effect of condylar remodeling on the severity of Class II malocclusions that exist in individuals with condylar remodeling. It is postulated and supported that certain typical changes in condylar morphology, previously described but unexplained, are the result of chronic anterior dislocation of the meniscus without reduction, and that centric occlusion-centric relation discrepancies may be the result of condylar remodeling in some TMJ patients. The value of arthrographic examination in diagnosis is supported.

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