Bilateral bifid condyle mandibula features in panoramic radiography: a case report
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.
References
Gunduz K, Buyuk C, Erioglu 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.
Bettoni J, Olivetto M, Bouaoud J, Duisit J, Dakpé S. Bilateral bifid condyles: A rare etiology of temporomandibular joint disorders. Cranio. 2021 May;39(3):270-3.
Coclici A, Roman RA, Crasnean E, Faur C, Bran S, Baciut M et al. An overview of the post-traumatic mandibular bifid condyle. J Clin Med. 2020;15(2):258-65.
Borras-Ferreres J, Sanchez-Torres A, Gay-Escoda C. Bifid mandibular condyles: A systematic review. Med Oral Patol Oral Cir Bucal. 2018;23(6):672-80.
Zoabi N, Kats L, Ram A, Perlman AE. Trifid mandibular condyle: Case report and current review of the literature. Life. 2022;976(12):1-9.
Miranda K, Carneiro AS, Gerber JT, Weiss SG, Kluppel LE, Scariot R. Treatment of atypical bifid mandibular condyle associated with ankylosis of the temporomandibular joint. Case rep in surg. 2019;10(1):1-9.
Ulutürk H, Yücel E, Okur B, Akinci O, AtacH Ulutürk MS. Surgical management of a bilateral bifid condyle: diagnosis, three-dimensional reconstruction, and treatment – A report of a case and review of the literature. Niger J Clin Pract. 2018;21:251-5.
Michalski C D, Pollizzi A, Dhar D, et al. Bifid mandibular condyle with associated temporomandibular joint ankylosis: A rare skeletal abnormality. Cureus. 2022;14(9):1-5.
Cornwall J, Samarakoon L, Antony DJ, Dias GJ. Morphological and degenerative changes in a suspected post traumatic bifid mandibular condyle. Int J of Exp Clin Anatomy. 2014;8:27-31.
Guven O. A study on etiopathogenesis and clinical features of multi-headed (bifid and trifid) mandibular condyles and review of the literature. J Craniomaxillofac Surg. 2018; 46(5):773-8.
Rajashri R, Periasamy S, Kumar SP. Bifid mandibular condyle as the hidden cause for temporomandibular joint disorder. Cureus. 2021;13(8):e17609.
Kirthika R, Balakrishnan R. Bifid condyle. Europ J Mol & Clin Med. 2020;7(3):1861-5.
Thirunavukarasu S, Sekizhar V, Ranghdol V, Vendan L. Bifid condyle: radiographic dilemma. J Indian Acad Oral Med Radiol. 2017;29:60-2.
Tamimi DF, Harcher DC. Specialty imaging: temporomandibular joint. Philadelphia: Elsevier; 2016.
Kumar M. Bilateral bifid mandibular condyle : A rare case report and review. Int J Prev Clin Dent Res. 2016;1(1):1-3.
White SC, Pharoah MJ. Oral radiology principles and interpretations. 7th ed. Canada: Mosby Elsevier; 2014.
Reddy SS, Sharma P, Rakesh N, Yashoda Devi BK, Shwetha V, et al. Cleft in two parts assessment of bifid mandibular condyle using CBCT. Int J Current Res. 2017;9(7):54761-5.
Tomagnini CC, Pinto JMV, Alves TKC, Neto ISA, Vespasiano AI, Manzi FR. Unilateral bifid condyle; case report. Rev Port Estomatol Med Dent Cir Maxilofac. 2020;61(4):192-6.
Bettoni J, Olivetto M, Bouaoud J, Duisit J, Dakpé S. Bilateral bifid condyles: A rare etiology of temporomandibular joint disorders. Cranio. 2021 May;39(3):270-3.
Coclici A, Roman RA, Crasnean E, Faur C, Bran S, Baciut M et al. An overview of the post-traumatic mandibular bifid condyle. J Clin Med. 2020;15(2):258-65.
Borras-Ferreres J, Sanchez-Torres A, Gay-Escoda C. Bifid mandibular condyles: A systematic review. Med Oral Patol Oral Cir Bucal. 2018;23(6):672-80.
Zoabi N, Kats L, Ram A, Perlman AE. Trifid mandibular condyle: Case report and current review of the literature. Life. 2022;976(12):1-9.
Miranda K, Carneiro AS, Gerber JT, Weiss SG, Kluppel LE, Scariot R. Treatment of atypical bifid mandibular condyle associated with ankylosis of the temporomandibular joint. Case rep in surg. 2019;10(1):1-9.
Ulutürk H, Yücel E, Okur B, Akinci O, AtacH Ulutürk MS. Surgical management of a bilateral bifid condyle: diagnosis, three-dimensional reconstruction, and treatment – A report of a case and review of the literature. Niger J Clin Pract. 2018;21:251-5.
Michalski C D, Pollizzi A, Dhar D, et al. Bifid mandibular condyle with associated temporomandibular joint ankylosis: A rare skeletal abnormality. Cureus. 2022;14(9):1-5.
Cornwall J, Samarakoon L, Antony DJ, Dias GJ. Morphological and degenerative changes in a suspected post traumatic bifid mandibular condyle. Int J of Exp Clin Anatomy. 2014;8:27-31.
Guven O. A study on etiopathogenesis and clinical features of multi-headed (bifid and trifid) mandibular condyles and review of the literature. J Craniomaxillofac Surg. 2018; 46(5):773-8.
Rajashri R, Periasamy S, Kumar SP. Bifid mandibular condyle as the hidden cause for temporomandibular joint disorder. Cureus. 2021;13(8):e17609.
Kirthika R, Balakrishnan R. Bifid condyle. Europ J Mol & Clin Med. 2020;7(3):1861-5.
Thirunavukarasu S, Sekizhar V, Ranghdol V, Vendan L. Bifid condyle: radiographic dilemma. J Indian Acad Oral Med Radiol. 2017;29:60-2.
Tamimi DF, Harcher DC. Specialty imaging: temporomandibular joint. Philadelphia: Elsevier; 2016.
Kumar M. Bilateral bifid mandibular condyle : A rare case report and review. Int J Prev Clin Dent Res. 2016;1(1):1-3.
White SC, Pharoah MJ. Oral radiology principles and interpretations. 7th ed. Canada: Mosby Elsevier; 2014.
Reddy SS, Sharma P, Rakesh N, Yashoda Devi BK, Shwetha V, et al. Cleft in two parts assessment of bifid mandibular condyle using CBCT. Int J Current Res. 2017;9(7):54761-5.
Tomagnini CC, Pinto JMV, Alves TKC, Neto ISA, Vespasiano AI, Manzi FR. Unilateral bifid condyle; case report. Rev Port Estomatol Med Dent Cir Maxilofac. 2020;61(4):192-6.
Published
2023-04-29
How to Cite
GUNAWAN, Gunawan; FITRIA, Ivony.
Bilateral bifid condyle mandibula features in panoramic radiography: a case report.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 7, n. 1, p. 31-34, apr. 2023.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/1005>. Date accessed: 23 nov. 2024.
doi: https://doi.org/10.32793/jrdi.v7i1.1005.
Section
Case Report
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
