Three-dimensional assessment of condylar surface changes and remodeling after orthognathic surgery.
- Author:
Jung Hye LEE
1
;
Woo Jin LEE
;
Jae Myung SHIN
;
Kyung Hoe HUH
;
Won Jin YI
;
Min Suk HEO
;
Sam Sun LEE
;
Soon Chul CHOI
Author Information
- Publication Type:Original Article
- Keywords: Mandibular Condyle; Bone Remodeling; Multidetector Computed Tomography; Imaging, Three-Dimensional
- MeSH: Bone Remodeling; Bone Resorption; Female; Head; Humans; Imaging, Three-Dimensional; Male; Mandibular Condyle; Multidetector Computed Tomography; Orthognathic Surgery*; Osteogenesis
- From:Imaging Science in Dentistry 2016;46(1):25-31
- CountryRepublic of Korea
- Language:English
- Abstract: PURPOSE: This study was performed to evaluate condylar surface changes and remodeling after orthognathic surgery using three-dimensional computed tomography (3D CT) imaging, including comparisons between the right and left sides and between the sexes. MATERIALS AND METHODS: Forty patients (20 males and 20 females) who underwent multi-detector CT examinations before and after surgery were selected. Three-dimensional images comprising thousands of points on the condylar surface were obtained before and after surgery. For the quantitative assessment of condylar surface changes, point-to-point (preoperative-to-postoperative) distances were calculated using D processing software. These point-to-point distances were converted to a color map. In order to evaluate the types of condylar remodeling, the condylar head was divided into six areas (anteromedial, anteromiddle, anterolateral, posteromedial, posteromiddle, and posterolateral areas) and each area was classified into three types of condylar remodeling (bone formation, no change, and bone resorption) based on the color map. Additionally, comparative analyses were performed between the right and left sides and according to sex. RESULTS: The mean of the average point-to-point distances on condylar surface was 0.11±0.03 mm. Bone resorption occurred more frequently than other types of condylar remodeling, especially in the lateral areas. However, bone formation in the anteromedial area was particularly prominent. No significant difference was found between the right and left condyles, but condylar surface changes in males were significantly larger than in females. CONCLUSION: This study revealed that condylar remodeling exhibited a tendency towards bone resorption, especially in the lateral areas. Condylar surface changes occurred, but were small.
